pparent
difficulty, the soft parts of the cheeks and nose rising and falling as
it breathes.

The prostration becomes, as the disease progresses, more and more
marked, until the child looks profoundly sick.

Cough is a constant and incessant symptom. It disturbs rest and sleep
and may cause frequent vomiting. There is no expectoration.
A strong cough is a good symptom; if it stops it is a bad symptom.

Pain is seldom present.

Blueness of the skin is a bad sign and indicates failure of respiration
and suggests constant and careful watching.

Delirium may be present during the disease. It is not necessarily a bad
sign. Accompanying stomach troubles are frequent if the patient is very
young, and are very important. The bowels may be loose; they may be
green in color and contain much mucus. Large quantities of gas may
accumulate in the intestines and may cause much distress and
convulsions. Death may occur at any time or the process may be arrested
and recovery take place at any stage of the disease. Broncho-pneumonia
is not necessarily a fatal disease in a fairly healthy child. It is,
however, always a serious disease.

Various complications may occur in the course of the disease. The most
frequent are: pleurisy, emphysema, abscess of the lung, meningitis,
heart disease, stomach troubles, thrush, intestinal disease.

How to Tell When a Child Has Broncho-Pneumonia.--If a child develops a
high fever, breathes rapidly, coughs, and is content to lie in bed
because of the degree of prostration, broncho-pneumonia is almost
certain to be the disease present. If in addition to these symptoms
there is any blueness of the fingers or around the mouth it is more
strongly suggestive of pneumonia.

If the child has been suffering with bronchitis it is sometimes
difficult to tell just when the pneumonia begins. The child will appear
more profoundly sick, the fever will go higher, and the respiration will
be more frequent when pneumonia sets in on top of bronchitis.

Treatment.--The nursing of a little patient with pneumonia is the most
important part. He must get plenty of fresh air; consequently he should
be kept in a well-ventilated room. It is an excellent plan to change the
patient twice daily from the sick room into another which has previously
been thoroughly aired. While he is in this room the sick room should be
as thoroughly aired as is possible. Keep this plan up all through the
disease; change the position of the p