The symptoms or signs of the approach of this disease have been ably
and graphically depicted by the late Dr. Cheyne,
"In the approach of an attack of croup, which almost always takes
place in the evening, probably of a day during which the child has been
exposed to the weather, and often after catarrhal symptoms have existed
for several days, he may be observed to be excited; in variable
spirits; more ready than usual to laugh or to cry; a little flushed;
occasionally coughing, the sound of the cough being rough, like that
which attends the catarrhal stage of the measles. More generally,
however, the patient has been for some time in bed and asleep before
the nature of the disease with which he is threatened is apparent;
then, perhaps without awaking, he gives a very unusual cough, well
known to any one who has witnessed an attack of the croup: it rings as
if the child had coughed through a brazen trumpet; it is truly a tussis
clangosa; it penetrates the walls and floors of the apartment, and
startles the experienced mother--'Oh, I am afraid our child is taking
the croup!' She runs to the nursery, finds her child sleeping softly,
and hopes she may be mistaken. But remaining to tend him, before long
the ringing cough, a single cough, is repeated again and again.
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