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Bull, Thomas, M.D.

"The Maternal Management of Children, in Health and Disease."

The
patient is roused, and then a new symptom is remarked: the sound of his
voice is changed; puling, and as if the throat were swelled, it
corresponds with the cough; the cough is succeeded by a sonorous
inspiration, not unlike the kink in hooping-cough--a crowing noise, not
so shrill, but similar to the sound emitted by a chicken in the pip
(which in some parts of Scotland is called the roup, hence probably the
word croup); the breathing, hitherto inaudible and natural, now becomes
audible, and a little slower than common, as if the breath were forced
through a narrow tube; and this is more remarkable as the disease
advances," etc. etc.
It is unnecessary for me to add to the foregoing picture.

MATERNAL MANAGEMENT.--Having early obtained medical assistance attend
with the strictest obedience to the directions given. And in this
disease, more than any other, it is particularly important that the
mother should give her personal superintendence; for the activity of
the progress of the disease leaves no time to retrieve errors or atone
for neglect. The practitioner may be prompt and decided in the measures
he prescribes, but they will avail little, unless they are as promptly
and decidedly acted upon.
The parent will have her reward; for, if timely aid has been afforded,
and adequate means used, the event will be almost invariably favourable.


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