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Scarlet Fever

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SCARLET FEVER. -An acute infectious febrile disease ; called also scarlatina. For causes, diagnosis, constitutional treatment, etc., see TIIE STANDARD PHYSICIAN, pages 855-857.

Treatment.—Scarlet fever has an incubation period of one to eight, usually three to five, days. The disease is one so hazardous in itself, and so apt to leave serious sequeke behind it, that it should be under medical supervision through out. The patient should be put to bed immediately in a room having a tem perature of about Go° Fahr. The entire body should lie sponged every night with warm water, taking proper care against chilling. In the morning apply to the body cocoa-butter, cold-cream, or an ointment containing 4 ounces of olive-oil, drachm of carbolic acid, and drachm of eucalyptus-oil. Water should be taken freely. If vomiting occurs, give cracked ice, and every four hours 5 grains of bismuth subnitrate. Or carbonated water and milk, equal parts, will very often relieve the vomiting.

The nose and throat should be sprayed with Dobell's solution, I part, and water, io parts ; or a solution of hydrogen peroxide, part to S parts of water. If the tonsils are much swollen, paint them three times a day, using a cotton swab with a solution of : 2o grains of potassium chlorate ; 1 ounce of glycerine and solution of iron chloride ; xvater, enough to make 2 ounces. (See also TONSILITIS.) When the temperature becomes normal, a warm bath should take the place of sponging, and when peeling, becomes complete the application of the cocoa-butter, etc., should be stopped. The patient should remain in bed after the fever subsides, and the after-treatment should consist in tonics such as cod-liver oil, meat extract, Virol, I3land's pills, 5 grains twice a day, and good food. When, in the case of children, swallowing is done with difficulty, and the patient suffers from loss of strength and from stupor, it is imperative that it be given food, strong beef tea, frequently b.71 sin.ill quintilies, or the juice of raw meat, or some meat extract. I ii convalescence the organs of diges tion are weak, and the patient should be fed on simple food, given frequently but little at a time. Beginning with beef tea, the little patient, if sufficiently old to take it, should progress to light broths, and thereafter take good fresh fish, chicken, and, eventually, meat. As the strength returns, pudding, and custard, soft-boiled eggs, bread and butter, and cocoa may be added to the diet, great care being taken that everything given is easily digestible and nourishing.

When a child is prostrated suddenly with sore throat, rash on chest , headache.

vomiting, and fever, the health officers or some physician should be called in at once and the child should be isolated, and the proper authorities informed. In case no physician is available, parents must at once isolate the child. The bowels may be moved by calomel, + grain every fifteen minutes for four doses, followed by a saline cathartic. If the rash comes out imperfectly, a warm bath may be given. Cold applications to reduce the fever are seldom used, for fear of setting up kidney disease, etc. If the case turns out to be a mild one, as it frequently does, the child should be kept isolated as before and protected from exposure. It must be rubbed with oily substances of any sort until peeling is complete. These cases need hardly any further management, but are not without consequential risks.

When sore throat is marked, the child should gargle or be sprayed with Glycothymoline or peroxide of hydrogen, each with equal parts of water.

The moderately severe and malignant cases cannot be properly treated except by medical rnen and nurses. There is too much danger of inflam mation of the ear with resulting deafness, and of kidney disease and other complications. While those of strong constitutions survive almost anything, one cannot afford to take chances with the usual run of cases.

SCIATICA.—Neuralgia of the hip and thigh. For causes, diagnosis, constitutional treatment, etc., see THE STANDARD PHYSICIAN, page S59.

Treatment.—The iliterzal treatment should commence in the evening with a dose of J, grain of calomel and -„1- grain of podophyllin, in pill, to be followed in the morning by a glass of Abilena or Apenta or Hunyadi Janos water. In Europe, Aix-les-Bains, Baden-Baden, INIalvern, Woodhall Spa, and Contrexeville are hopefully resorted to for their water and baths.

ex'ernal treatment, a stream of warm water of gradually increasing temperature, until it becomes as hot as can be borne, should be directed on the region of the nerve ; and when the pain stops, the hot-water stream should be suddenly changed to a cold stream. This should be repeated three times a day.

The patient should remain in bed. A liniment, prepared by a druggist and containing equal parts of guaiacol, oil of sassafras, oil of birch, and oil of gaultheria, placed upon the affected area, will relieve the pain. When the acute pains have subsided, the parts should be gently massaged.

Sciatica is simply a neuralgia. The number of remedies which have relieved it at times is very great.