its. One or two doses
is usually enough, but it must be given till the child vomits.
If the attack comes suddenly during the night and there is no syrup of
ipecac in the house, the physician should be sent for at once and
informed that the child probably has croup, so he may know what to take
with him. While waiting for the physician the mother should apply over
the front of the neck (in the region of Adam's apple), hot applications.
These are best made of flannel wrung out of quite hot water every two or
three minutes: also a hot mustard foot bath. When the physician takes
charge of the case he will also direct the treatment for the following
day in order that the attack of the next night may be a very mild one,
if it should came at all.
Children who have a tendency to frequent attacks of croup should receive
the same attention as the children do who are subject to attacks of
tonsilitis and acute catarrhal rhinitis.
SUMMARY:--
1st. Spasmodic Croup always requires prompt and efficient treatment.
2nd. It is called "false" croup, because "true" croup is always
diphtheritic and is a very serious disease.
3rd. For that reason a physician should always be called because if it
is "true" croup antitoxin must be given at once.
4th. Don't worry unnecessarily because, though "spasmodic croup" can
make the child look exceedingly sick for a very short time, an
uncomplicated case in a healthy child is seldom if ever dangerous.
TONSILITIS: ANGINA: "SORE THROAT"
This is one of the frequent diseases of childhood. We rarely see it in
infants. It is caused by inhaling air which contains poisonous germs.
These germs quickly develop when conditions are favorable. They lodge in
the pores or follicles of the tonsils and set up an active inflammation.
The tonsils swell up and the follicles exude a thick fluid which looks
like curdled cream. This fluid sticks in the mouths of the follicles
forming spots. If enough of this fluid is coming out, these spots join
together forming patches, and the patches may join together forming
membrane. This is why it is sometimes so difficult to tell whether the
case is one of tonsilitis or diphtheria.
Conditions are favorable to the development of tonsilitis if the child
is not in good health when he happens to inhale the infection, when the
feet are wet or cold, or when the child is allowed out during inclement
weather and it becomes chilled or numbed from cold, when the child has a
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