The Elko independent. [volume] (Elko, Nev.) 1869-1872, 1870-05-11
.,.,,,, Y,y.r and II. Maternal Management.

ouisriy fatal disease in your midst, and its
maternal management, that l do not pen
these lines for the purpose Of instructing ply
,icisas, No. DO pen them with the view of
pointing out the course of treatment to be
adopted in cases that may come under their
notice; their duty is apparent, and must be
regulated according 10 circumstances and the
pathological condition OF the case under their
consideration. y r ... r-
But appear before you in this brief thesis,
10 impart such information Us will no doubt
assist the maternal portion of the inhabitants
of the town Of Elko whose time will permit
the careful perusal of this article in checking
SO far as lies in their power, the ravages of
the disease that has so recently dcsolated and
rendered gloomy our once peaceful and happy
homes; for in this disease, rs well as in many
others incidental to the human family. much
Of the success of the physician depends upon
parental care. good nursing, and IA proper APP
plication OF the medicines, both local and in
ternal. prescribed by the attending physician.
There several varieties Of this disease
propose to speak Of it under two forms:
mild scarlet fever, and scarlet fever with sore
throat. In the mild form of this disease there
Is the rash with fever with little or no affec-
ton Of the throat. The first symptoms are
those Of fever; they precede the eruption
The degree Of fever, however, is variable, for
the symptoms are often so moderate as scarcely
TO attract Attention-slight and irregular shiver-
ing. nausea. perhaps vomiting, thirst, and
heat OF skin; whilst at other times there is
considerable constitutional disturbance, ind-
Gated by pungent heat OF the skin flushing of
the face. suffusion of the eyes, pain in the
head great anxiety and restlessness, and occa-
sionally slight delrium. These symptoms
are followed on the second day lin the major
ity Of instances) by the rash. This first ap-
pears in numerous spccks minute patches
OF a vivid red color, on the face, neck and
chest. In about four and twenty hours il
becomes gradually diffused over the whole
trunk. On the following day. the third. il
extends to the upper and lower extremties
~ that at this period the whole surface of the
body is Of a bright rc,l color, hot and dry.
Tho eiloTcscence IL not always confined TO
the skin. but occasionally iingcs the inside II
the lips. checks, palate. throat, nostris, and
even the internal surface Of the eyelids.
Sometimes the ciiOTcsccnce is continuous aud
universal, but more generally on the trunk of
the body there are intervals Of "a natural hue
between the patches, with papulous dots scat
tered over them. the color being most deep on
tue luins and ncghburinG parts at the ileXure
II the joints, and upon those parts of the
body which are subject to pressure. 1t is also
generally most vivid in the evening. generally
becoming paler towards morning.
The eruption is at it's hight tho fourth
day, and begins To decline on the fifth inter
terstices widen and the 1ord hue fades. On
the sixth the rash is very indistinct, and on
the eighth day il is wholly gone.
The various symptoms with which the erup-
ton is accompanied gradually disappear with
the effioreseence. but the tongue still remains
morbidly red and clear. The pcoling off of
the cnticle (the outer layer of the skin }
which begir" about tho ftth day on the parts
on -sich the eruption first appeared, pro-
ceeds SO thn, about the eighth or ninth day
portions of the cuticle are thrown off; the
thickest and largest being those detached from
the skin Of the hands and feet.
In scarlet fcvor with sore throat. as the title
implies, the fever and rash are accompanied
with inflammation OF the throat. The symp-
toms are more severe than in the miih.r form
OF the disease, and in the majority Of instan-
ces the inflammation Of the throat appears with
the eruption and goes through it's progress OF
increase aud decline with the cutancous erup-
ton; sometimes, however, il precedcs the fe.
yer, whilst at other times it does not appear
until the rash Is ut its hight.
II is generally in tho course Of the second
day that the child complains of considerable
stiffness in the muscles of tho neck, extending
To the lower jaw and under the ears, Of a
roughness OF the throat, difficulty in awalow.
lhR, ana some degree OF hOarBencSS VIII nc
noticed, also many indications Tint the throat
Is affected. Very shortly an increased secre.
ton Of the mucus of those parts occurs, and
collecting about the tonsils aggavatcs the
child's suffcrings. from the frequent and inef
fectual effotts made TO expel 1t. II the in.
nanmatory action be more severe, oXudations
OF lymph will also be poured out and inter
mingling with the mucus greatly augmen.s the
difhculsy Of swallowing. At this time the
lining membrane Of tho mouth. ms also tn,
tongue, assumes florid red color, tho RED
point Of the latter becoming much elongated
The febrile symptoms are severe from thu
nrst. Amongst others there will be headache
sometimes accompanied by slight delirinm
nausea, intense heat OF skim languor and con
siderable inqnietude aud anxiety; and rs thu
Inflammation approaches its hight, tho fever In
cresses, the pulse rises. the breathing becomes
oppressed, the skin moro pungenuy hot an'
ary, and the thirst urgent; all these symptom
ocinB Increased towards evening, when tho fc
orile restlesness In often succeeded by dc
lirium ....
Inc rash is seldom perceptihle before tn
third day, and then comes out in irrogula
patches on various parts Of the body, particu
iarly about tho elbows and wrists, thus differ
ing ss TO the time and mode Of its appearance
from tho mild form Of tho disease. II frc
quently rsccdes or entirely vanishes the do
after II FIRST comes out, and then roappear
partially and at uncertain times. This gene
rally protrnots the duration OF tho discas
without howovor, producing any pcrceptibl
change In tho other symptoms. On the eft
OF sirth day OF the disease, tho fever and ir
aAAWK ~ a. A. ~