52 
EYES. 
See also Jaundice, page 50. 
IdaJw.— The conjuntivfe are more or less injected (Bowers, 1896, p. 63). The 
eruption in many cases, invades the eyes causing severe pain, and making them 
very sensitive to light. 
Montana . — Jaundice is well marked upon the conjunctivge (McCullough, 1902, p. 
226; Gwinn, 1902). According to Wilson and Chowning (1902a, p. 132; 1903a, p. 
63; 1904a, p. 38) jaundice maybe quite marked in the conjunctivas, the vessels of 
which are injected from the outset. Anderson (1903a, p. 507; 1903c, p. 21) says 
that jaundice is first noticed in the conjunctivse, the vessels of which are congested 
from the outset. 
The pupils react normally to light and accommodation (Wilson and Chowning, 
1902a, p. 133; 1904a, p. 38; Anderson, 1903c, p. 23). Gates (1905, Ill) reports the 
conjunctivje of case 11 congested; eyes of his case 14 as dull, conjunctivse slightly con- 
gested; case 15, conjunctivse congested; case 16, eyes much congested. 
In 1901:, the conjunctivse were reported as injected in case 8, but as 
not injected in case 13; the ei^es were reported as injected in cases 2 
and 10; in case 2 the}" were quite bloodshot on May 8; they were nor- 
mal in case 3 on May 10; in case 1 the sclerotics were much injected. 
Case 2 complained of sore eyes early in the attack; there was no 
tenderness of the eveballs in case 11, but some hours before death the 
pupils were widely dilated, despite the fact that the patient was receiv- 
ing large doses of morphine. 
An examination of the eyes of case 9 by Gwinn showed the media a 
little blurred, so that the granular appearance of the retina could not 
be seen; the larger retinal blood vessels were quite plain, however; 
there was no s elling or blurring of the disk; no hemorrhagic petechias 
in the retina. 
In case 10 there was a slight convergent strabismus; on June 10, 
the mother states that last night patient cried out that his eyes were 
turning out; she examined, and saw that a divergent squint (outward 
rotation) of the left eye Avas present; this later disappeared; the eyes 
were suffused. The pupils in case 13 were reported as dilated and 
irresponsive to light. In case 8 the eyes reacted to light up to May 28. 
PHOTOPHOBIA. 
Idaho . — In many cases the patient is very sensitive to light (Fairchild, 1896). 
Dubois, (1896, p. 64) ateo reports photophobia. In one case two years elapsed before 
sunlight was borne without intense cei^halalgia (Bowers, 1896, p. 63). 
Montana . — Wilson and Chowning (1903a, p. 46) report photophobia for case 107. 
Gates (1905, p. 113) reports photophobia for his case 16 (1904). 
In 1904 photophobia was more or less present in cases 2 to 11, 
except possibly case 8. It was especially marked in cases 2 and 10. 
NOSE. 
EPISTAXIS. 
See also Hemorrhage, page 63. 
Idaho . — Epistaxis occurs in some cases (Figgins, 1896, p. 64). 
Montana . — Epistaxis is present (McCullough, 1902, p. 227) and not uncommon 
