Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . effect,since a prolonged attack may end fatally from exhaustion orsuffocation. The spasms are best controlled by means ofchloroform inhaled from a handkerchief, moistened with y2 to 1teaspoonful of the anesthetic. The anesthetic may be continuedat long intervals for hours or days without endangering the lifeof the patient. As the convulsions subside, wc begin to makecareful inquiry into their causation and to employ the therapeuticmeasures indicated in each individ


Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . effect,since a prolonged attack may end fatally from exhaustion orsuffocation. The spasms are best controlled by means ofchloroform inhaled from a handkerchief, moistened with y2 to 1teaspoonful of the anesthetic. The anesthetic may be continuedat long intervals for hours or days without endangering the lifeof the patient. As the convulsions subside, wc begin to makecareful inquiry into their causation and to employ the therapeuticmeasures indicated in each individual case. Hyperpyrexia calls 556 DISEASES OF THE NERVE SYSTEM. Symptomatictreatment. for hydrotherapy (cold sponge or tub bath) ; gastroenteric dis-orders, for emesis (apomorphine ^fi grain hypodermatically, oripecac by mouth), catharsis (2 grains of calomel in one dose) andenteroclysis; intestinal worms, for teniafuges (turpentine inhala-tion, and calomel and santonin by mouth ) ; nervous disturbance,for hot baths with or without mustard, bromids and chloral perrectum or by mouth, and counterirritation in the form of a mus-. Fig. 179.—Tet£ (See page 558.) During acme of spasm.(Sheffield.) tard plaster or mustard-water cloths applied to the spine from thenucha downward. Lumbar puncture is a sovereign remedy in allforms of cerebral irritation associated with increased intracranialor intraspinal pressure and with the usual precautions can safelybe employed in convulsions failing to yield to milder procedures. With cessation of the convulsions due attention should alsobe paid to the more remote etiologic factors, principally with theview of prophylaxis. The diet should be regulated, the generalhealth improved, rachitis promptly attended to. the faulty environ- FUNCTIONAL SPASMODIC AFFECTIONS. 557 ment ameliorated, local irritations (, phimosis, adenoids, 0 v ^ r Removal foreign bodies in ear or nose, rectal fissures, intense itching-, etc.) of }?c*1 a & irritations. promptl


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191