are proving too exhausting.

UNEXPLAINED PYREXIA

In nervous children we sometimes meet with inexplicable rises of
temperature. The pyrexia may have the same periodic character as that
just noted in cases of cyclic vomiting. At intervals of three, four,
or five weeks there may be a rise of temperature to 103° F., or even
higher, which may last for two or three days before subsiding. In
other cases the chart shows a slight persistent rise over many weeks
or months. That in nervous children the temperature may be very
considerably elevated without our being able to detect much that is
amiss does not of course make it any the less necessary to be careful
to exclude organic disease. Pyelitis, tuberculosis, and latent otitis
media occur with nervous children as with others and must not be
overlooked. If, however, organic disease can be excluded, and if the
pyrexia is the only circumstance which prevents the decision that the
child is well and should be treated as well, then the thermometer may
be overruled and the pyrexia neglected.




CHAPTER VI

ENURESIS


I have dealt in previous chapters with certain common disorders of
conduct in childhood, which show clearly their origin in the