. Diseases of children. s present (Kerr). fully developed headache is intense and causes a shrillscream, known as the hydrocephalic cry. The specialsenses are extremely acute, bright lights and noises cannotbe tolerated; the child becomes irritable when temperature ranges between 102° F. and 103° pulse is rapid at first, but later is slow and walls of the abdomen are flat. The child lies onits side with the Hmbs drawn up, the head is bent far back,the fingers are clenched over the thumbs which are turnedinto the palm of the hand. This is called


. Diseases of children. s present (Kerr). fully developed headache is intense and causes a shrillscream, known as the hydrocephalic cry. The specialsenses are extremely acute, bright lights and noises cannotbe tolerated; the child becomes irritable when temperature ranges between 102° F. and 103° pulse is rapid at first, but later is slow and walls of the abdomen are flat. The child lies onits side with the Hmbs drawn up, the head is bent far back,the fingers are clenched over the thumbs which are turnedinto the palm of the hand. This is called are common and may be local or the close of the stage the child becomes the exudate is of sufficientamount to exert pressure,paralysis develops, especially in the muscles of the follows the delirium, the eyes are rolled up, and14 2IO DISEASES OF CHILDREN FOR NURSES blindness and deafness result. If the finger is drawnacross the body a bright red line develops and remains. Fig. 57.—Method of introducing needle in lumbar puncture: Child in lying posture (Boston). for some moments; this is called a tache. In the last stagethe pulse becomes weak, rapid, and irregular; respirationsassume the Cheyne-Stokes characteristics, and the tem-perature falls. The duration is from one to three ^s Sign.—The inabihty to straighten out the legwhen the thigh is bent upon the abdomen. It is presentin cases of cerebral meningitis. Lumbar Puncture.—During the course of the disease thephysician may find it necessary to relieve the tension in thespinal canal, or he may desire to obtain fluid for diag-nostic purposes. He then will tap the spinal canal by thelumbar puncture method. In preparing for this pro-cedure the skin over the lumbar portion of the spine mustbe scrupulously sterilized and every aseptic precautionmust be absolute. The child is usually held in the posi-tion as shown in Fig. 5 7. The method consists in inserting along


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Keywords: ., bookcentury1900, bookdecade1910, bookiddisea, booksubjectchildren