Diphtheria.—Under adjustment the false membrane tends to exfoliate and to be coughed out entire within a few hours, with rapid recovery. In children, watch for possible strangulation from loosened membrane. Constant bedside attention is imperative until fever and membrane have disappeared. Convalescence, unless antitoxin has been used, is very rapid, and physicians watching the clinical course of diphtheria under adjustment customarily doubt the diagnosis unless culture is made. Antitoxin modifies the prognosis toward gravity, and in spite of adjustments persistent sequelae often follow its use.
Dropsy.—Cardiac or renal dropsy disappears with improvement in the diseased organ.
Dysentery.—In temperate climates death is extremely unlikely. Recovery is often quick and easy, but some cases persist. The tropical amoebic dysentery seems hardest to master and may not improve at all.
Dyspepsia.—Prognosis good.
Endocarditis.—If primary, recovery is the rule. Occurring in the course of some other disease, as rheumatic fever, it renders the prognosis less certain and may terminate fatally. Likely to leave chronic valve weakness or contraction.
Enteritis.—Prognosis generally fair. No figures available.
Enuresis.—The majority recover within a few weeks or months, with occasional exceptions. Failure to get results within a few weeks suggests a change of adjustment.
Epilepsy.—Doubtful. Less than half of all cases recover, and no case can be pronounced cured until all symptoms have been absent for a year. Cases with anterior cervicals offer the poorest chance. It is usually possible to restore consciousness and muscular control by an adjustment during the grande mal, in the instant between the tonic and clonic spasms, but such immediate response does not—unfortunately—always mean that a cure will eventually be effected.
Epistaxis.—Nose-bleed usually stops at once following proper adjustment.
Erysipelas.—Cases adjusted early show little spreading of the eruption with but slight constitutional symptoms. After eruption is fully developed it is more difficult to keep down the fever and recovery is slower, but none the less certain unless cardiac or other grave weakness is present.