The gestures of a healthy child are all easy and natural; but in
sickness those deviations occur, which alone will often denote the
nature of the disease.
Suppose an infant to have acquired the power to support itself, to
hold its head erect; let sickness come, its head will droop
immediately, and this power will be lost, only to be regained with the
return of health; and during the interval every posture and movement
will be that of languor.
The little one that has just taught itself to run alone from chair to
chair, having two or three teeth pressing upon and irritating the gums,
will for a time be completely taken off its feet, and perhaps lie
languidly in its cot, or on its nurse's arm.
The legs being drawn up to the belly, and accompanied by crying, are
proofs of disorder and pain in the bowels. Press upon this part, and
your pressure will increase the pain. Look to the secretions from the
bowels themselves, and by their unhealthy character your suspicions, in
reference to the seat of the disorder, are at once confirmed.
The hands of a child in health are rarely carried above its mouth; but
let there be any thing wrong about the head and pain present, and the
little one's hands will be constantly raised to the head and face.
Sudden starting when awake, as also during sleep, though it occur from
trifling causes, should never be disregarded. It is frequently
connected with approaching disorder of the brain. It may forebode a
convulsive fit, and such suspicion is confirmed, if you find the thumb
of the child drawn in and firmly pressed upon the palm, with the
fingers so compressed upon it, that the hand cannot be forced open
without difficulty. The same condition will exist in the toes, but not
to so great a degree; there may also be a puffy state of the back of the
hands and feet, and both foot and wrist bent downwards.
There are other and milder signs threatening convulsions and connected
with gesture, which should be regarded:--the head being drawn rigidly
backwards,--an arm fixed firmly to the side, or near to it,--as also one
of the legs drawn stifly upwards. These signs, as also those enumerated
above, are confirmed beyond all doubt, if there be present certain
alterations in the usual habits of the child:--if the sleep is
disturbed,--if there be frequent fits of crying,--great peevishness of
temper,--the countenance alternately flushed and pale,--sudden animation
followed by as sudden a fit of lan
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