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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.
Weak pulse.
With involvement of pleura, the child complains of severe pain in the
chest, < motion/coughing.