appendicitis may be suspected.

The pain and tenderness are not referred to the region of the appendix
but are more centrally located. If, however, the finger point is pressed
over the appendix, distinct tenderness will be elicited in inflammation
of that region. Constipation is the rule in appendicitis, but diarrhea
occasionally accompanies it.

The abdominal muscles may be rigid, that is, the abdomen does not feel
soft as is usual; there is a feeling if they are pressed, as if they
were hard and unyielding.

Treatment.--Put the child in bed and send for the family physician at
once. The condition is too serious and too uncertain to delay, or for a
parent to make any effort at treatment. Appendicitis is a much more
serious condition in infancy and childhood than it is in an adult.

JAUNDICE IN INFANTS

There are two types of jaundice in infants that deserve brief
consideration.

1st. There is a form of jaundice caused by a defect in the development
of the bile or gall tubes. These infants develop jaundice a day or two
after birth and become intensely jaundiced within a very brief time.
They lose flesh and strength to a marked degree and die in a few weeks.
It is not possible to affect this condition favorably by any method of
treatment. This type of jaundice is not very common.

2nd. There is a type of jaundice that appears between the second and
fifth day of life that is very common. It lasts from one to two weeks
and then disappears. It is never fatal and is not serious. It requires
no treatment.

JAUNDICE IN OLDER CHILDREN--CATARRHAL JAUNDICE--GASTRO DUODENITIS

Symptoms.--This form of jaundice begins like an attack of ordinary
indigestion. There are, as a rule, pain, fever, vomiting, and
prostration. The pain is located in the upper part of the abdomen and
may be quite severe. The vomiting may continue for a number of days. The
bowels are usually constipated. After a few days the jaundice sets in
and may be quite intense. After the jaundice is established the stools
are gray or white in color and there is much gas in the bowel. The urine
is very dark and may be yellow or yellowish-green in color. The child
complains of headache, is dull and listless, and appears sick and weak.
The condition lasts about two weeks, but the jaundice may last much
longer. It is not a serious disease.

Treatment.--The diet should be cut down in quantity and should consist
of rare meat, fruit, and a small quantity of milk