Diseases of children for nurses . hould be taken to sterilize thoroughly thenipples of the bottles before feeding, and a bottle shouldnever be handed from one baby to another. Powderedburnt alum applied to ulcers usually causes promptrecovery. In feeding, the milk should be given cold, by the dropper,if necessary. Cool substances relieve the pain and heatin the mouth; therefore, cracked ice is acceptable. Fruit io8 DISEASES OE CHILDREN FOR NURSES and vegetables should be given to older children to counter-act the malnutrition, and in children suffering from scurvyorange juice should be given f
Diseases of children for nurses . hould be taken to sterilize thoroughly thenipples of the bottles before feeding, and a bottle shouldnever be handed from one baby to another. Powderedburnt alum applied to ulcers usually causes promptrecovery. In feeding, the milk should be given cold, by the dropper,if necessary. Cool substances relieve the pain and heatin the mouth; therefore, cracked ice is acceptable. Fruit io8 DISEASES OE CHILDREN FOR NURSES and vegetables should be given to older children to counter-act the malnutrition, and in children suffering from scurvyorange juice should be given frequently. In severe cases of stomatitis gavage may be necessary(see page 416). TONSILLITIS Tonsillitis is not common in infancy, but throughoutchildhood it is often seen. It is more common in thoseof a rheumatic tendency and in children who have enlargedtonsils. Exposure to cold and wet while the child is ina run-down condition is the usual cause. There are three varieties: simple or catarrhal, follicular,phlegmonous, or Fig. 33.—Chronic follicular tonsillitis (Fruhwald and Westcott). Symptoms.—In children the constitutional symptomsare more prominent than the local. The attack comeson suddenly, often with a chill and vomiting. The tem-perature rapidly reaches 102 ° F. to 103 ° F., and in severeforms 1040 F. to 105° F., and there is marked tonsils are swollen and red, and there is some painand difficulty in swallowing. The glands at the angleof the jaw are enlarged, but the swelling is not pronounced. DISEASES OF THE DIGESTIVE TRACT IO9 In the catarrhal form the tonsils are swollen, red, andcovered with tenacious mucus. In the follicular form, sometimes called lacunar angina,in addition to the above symptoms there are numerousyellowish-white spots on the tonsils. These are due to thefollicles or crypts being rilled with mucus and exfoliatedepithelial cells. These can often be pressed out as littleplugs (see Fig. 33). In quinsy, which is comparat
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