Equation
The equation is the same as the acute form with the exception that the N.C.R. condition becomes more prominent.
Family
Same as the acute form except that the degenerations family takes precedence over the other families involved.
Major Adjustment
The adjustment is the acute condition—M.C.P. and K.P. A greater length of time will be required, however, than in the acute stage, but the prognosis is always good. In caring for a child in this condition the parents and attendants should exercise care that there is no unnecessary irritation of the nose and local parts. The nose should be kept clean and as soft a handkerchief as possible used in wiping the nose. During the process of retracing discharge from the nose will pass through practically the same stages as during the progress from the acute stage. The process is just reversed. The scabs that form in the nose now begin to soften and the discharge continues to change until it becomes as it was in the beginning of the acute stage in a thin watery discharge. Finally the discharge ceases entirely and the child is well.
EPISTAXIS
Nose bleed does not often occur in infants but is quite common during childhood. It is the result of interference with the transmission of motor mental impulses to the muscular walls of the capillaries of the nose. Epistaxis may result from a fall or blow on the nose. It occurs as an early symptom of different incoördinations such as typhoid fever and measles; as a matter of fact, it occurs in the hemorrhagic form of all eruptive fevers, in some cases of diphtheria, and in dis-eases of the heart and blood vessels.
Epistaxis is often considered of little consequence, but it may be a very serious condition and even result in death. It is especially serious when occurring in infants.