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Appearance of the pneumonic child: Haggard, pale, puffy face, exhausted appearance.
Children suffering from Kali-c. pneumonia are highly prone to empyema or endocarditis.
In my practice, it is sometimes difficult to differentiate Kali-c. from Hep. in pneumonia, as both remedies share many cough modalities.
Hep. has no aggravation 2 - 4 h., but usually < later in the morning or 19 - 20 h. Hep. child is thinner and more anxious-looking.
In the later stages, the child wants to sit upright with respiratory distress, leaning forward with his elbows on his knees.
Neglected pneumonias which linger and do not clear up (Sulph).
Pneumonia of the right lower lobe in infants, with pleuritis; with pain in the side of the chest on deep inspiration < in wet weather/lying on the right side.
The child with dysponea can only sip fluids, as he cannot hold his breath long enough to take a longer drink;
He cannot eat solids, as he starts coughing, and the cough is not > until he has vomited everything.
The lips tend to be cyanotic, dry, and cracked;
the tongue is dry and red, or has a dirty, grayish-white coating.
Cough typical < 2 - 4 h. is noted and difficult breathing; > sitting propped up and bending forward (Ars. Lach. Spong).
Tremors of hands and fingers, picking at bedclothes (Hyos) and twitching of face with pneumonia
Child dislikes being left alone and becomes very fearful.
Child is very sensitive to any draft of air and to noise.
Concomitant flatulence and abdominal discomfort with pneumonia.
Kali-c. is hardly ever indicated in the early stages of pneumonia; usually indicated after consolidation of the lung has occurred.
Mouth dry, with marked thirst.
Sputum is scanty and difficult to expectorate.
The child breaks into a profuse sweat with bouts of coughing (Hep).
The child < lying on the affected side (the consolidated lung), usually the right lower lobe.
They get annoyed and irritable very easily when somebody wants to examine them.
With involvement of pleura, the child complains of severe pain in the chest, < motion/coughing.