Should the eruption suddenly disappear, then there is cause for alarm ; the patient should be directly put into a warm bath, and have warm diluent drinks; if the pulse sinks rapidly, administer wine whey or weak brandy and water. 994. Scarlet Fever. This fever is distinguished from other eruptive fevers by the fact of the eruption being an exanthema, an efflorescence, or a rash, these terms not being strictly applicable to vesicles and pustules. ‘The disease sometimes commences with a chill, and - a . | Poa i Se ES ae a, Tur Docror. 277 “in most cas¢s vomiting is a primary symptom, especiaily in children. ‘ihe fever which at once occurs is usually intense, the auxiliary temperature often rising to 105°, or even higher. The surface of the body often gives to the touch a burning sen- sation. ‘Phe rash appears in about twenty-four hours after the date of the invasion, and with few exceptions breaks out first on the face and neck. ‘The color of therash is scarlet, whence the name. The skin is somewhat swollen and the rash occa- sions a burning sensation, with in some cases intense itching. Generaliy the eruption takes place in the throat, and the tonsils are more or less swollen. The cutaneous eruption is_pro- longed from four to six days. Then follows the stage of scal- ing, and in some instances the cuticle of the hands may be stripped off like a glove. In favorable cases the duration of this stage may be reckoned to be five or six days, when conval- escence is established. In other cases it is extremely severe and may prove fatal within a few days or even hours. Scarlet fever 1s highly contagious, and the infectious material remains for a long time in garments, etc. Children are more suscep: tible than adults. The treatment in mild cases is very simple. Active medication is not indicated. It suffices to diminish the animal heat by sponging the body and giving cooling drinks, observing proper hygienic precautions. Smearing the surface of the limbs with fat bacon allays the itching, which is often very distressing. Should the symptoms show failure of the vital powers, supporting measures of treatment (alcoholic stimulants and alimentation) are indicated. Great care must be taken to keep the patient warm right through the disease, as affections of the kidneys often follow cases of scarlet fever. It if important to isolate the patient and attendant from the healthy. Remove all curtains and carpets, and clothing not actually in use from the sick chamber. On removing the patient’s linen or bed-clothes, throw them into water and so: convey to the wash. Chloride of lime should be set about the room in plates. When the patient can be removed from the room, scrub the room with chloride of lime in the water. It is wise to keep the patient in bed for three weeks. Should the eruption be slow in appearing, sponge the body with cold vine- gar and water, wrap in a blanket and keep the patient warm. Should the throat be sore, keep hot bran poultice constantly applied. If the fever runs high in the first stage, and there is 278 ‘Tur Dominion Cook Book. great inclination to vomit (before sponging), it is a good plan — to give an emetic of equal proportions of antimonial and ipe- cacuanha wine ; dose, a teaspoonful to a tablespoonful, accord- — ing to age. 995. Hooping Cough, This well-known disease is chiefly, but not wholly, confined to the stages of infancy, and it occurs but once in a life-time. It may be described as spasmodic catarrh, and its severity varies greatly; sometimes being so mild as to be ‘carcely known from a common cough, at others, exhibiting the most distressing symptoms, and frequently causing death by its yio- lent and exhausting paroxysms. The first symptoms of this cough are those of an ordinary

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Should the eruption suddenly disappear, then there is cause for alarm ; the patient should be directly put into a warm bath, and have warm diluent drinks; if the pulse sinks rapidly, administer wine whey or weak brandy and water. 994. Scarlet Fever. This fever is distinguished from other eruptive fevers by the fact of the eruption being an exanthema, an efflorescence, or a rash, these terms not being strictly applicable to vesicles and pustules. ‘The disease sometimes commences with a chill, and - a . | Poa i Se ES ae a, Tur Docror. 277 “in most cases vomiting is a primary symptom, especiaily in children. ‘ihe fever which at once occurs is usually intense, the auxiliary temperature often rising to 105°, or even higher. The surface of the body often gives to the touch a burning sensation. ‘Phe rash appears in about twenty-four hours after the date of the invasion, and with few exceptions breaks out first on the face and neck. ‘The color of therash is scarlet, whence the name. The skin is somewhat swollen and the rash occasions a burning sensation, with in some cases intense itching. Generaliy the eruption takes place in the throat, and the tonsils are more or less swollen. The cutaneous eruption is prolonged from four to six days. Then follows the stage of scaling, and in some instances the cuticle of the hands may be stripped off like a glove. In favorable cases the duration of this stage may be reckoned to be five or six days, when convalescence is established. In other cases it is extremely severe and may prove fatal within a few days or even hours. Scarlet fever 1s highly contagious, and the infectious material remains for a long time in garments, etc. Children are more susceptible than adults. The treatment in mild cases is very simple. Active medication is not indicated. It suffices to diminish the animal heat by sponging the body and giving cooling drinks, observing proper hygienic precautions. Smearing the surface of the limbs with fat bacon allays the itching, which is often very distressing. Should the symptoms show failure of the vital powers, supporting measures of treatment (alcoholic stimulants and alimentation) are indicated. Great care must be taken to keep the patient warm right through the disease, as affections of the kidneys often follow cases of scarlet fever. It if important to isolate the patient and attendant from the healthy. Remove all curtains and carpets, and clothing not actually in use from the sick chamber. On removing the patient’s linen or bed-clothes, throw them into water and so: convey to the wash. Chloride of lime should be set about the room in plates. When the patient can be removed from the room, scrub the room with chloride of lime in the water. It is wise to keep the patient in bed for three weeks. Should the eruption be slow in appearing, sponge the body with cold vinegar and water, wrap in a blanket and keep the patient warm. Should the throat be sore, keep hot bran poultice constantly applied. If the fever runs high in the first stage, and there is 278 ‘Tur Dominion Cook Book. great inclination to vomit (before sponging), it is a good plan — to give an emetic of equal proportions of antimonial and ipe- cacuanha wine ; dose, a teaspoonful to a tablespoonful, accord- — ing to age. 995. Hooping Cough, This well-known disease is chiefly, but not wholly, confined to the stages of infancy, and it occurs but once in a life-time. It may be described as spasmodic catarrh, and its severity varies greatly; sometimes being so mild as to be ‘carcely known from a common cough, at others, exhibiting the most distressing symptoms, and frequently causing death by its yiolent and exhausting paroxysms. The first symptoms of this cough are those of an ordinary

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