CONTAGIOUS PLEURO-PNEUMONIA. 
305 
/ollen. The sclerotic coat of the eye attains within a few hours 
ter elevation of temperature a characteristic yellow, icteric 
ic which it retains usually for several days until the crisis 
reached, frequently longer, extending over a week or two. 
In relation to the enormously elevated temperature the 
-petite remains surprisingly good. In a few cases appetite is 
anting, but generally a fair amount of food is taken with 
fish. The condition of the stomach and bowels depends 
• gely on prior diet, which, if light and laxative, prevents 
inerally any marked constipation or other disturbance as a 
suit of disease. When, however, dry nutritious food in great 
undance has been allowed prior to the attack, we may have 
the earlier stages constipation or severe gastro-intestinal 
replications, evidenced by colic, and later in the disease, 
)m the third to fifth day, profuse diarrhoea may supervene. 
The urine is scant in early stages, surcharged with 
cretory products and bile-tinged. Later in the disease pro¬ 
se diuresis is not uncommon. There is usually a somewhat 
;quent, short, hacking cough, modified somewhat by the 
aracter of the chest complications becoming largely sup- 
essed in painful pleuritis and pleurodynia. 
There is generally no nasal discharge at the outset, but in 
pewhat less than fifty per cent, of patients there occurs 
lout the second to the fourth day a markedly characteris- 
, pathognomonic discharge, usually scant, occasionally 
undant, of at first a watery character, semi-transparent, 
:le yellow or lemon color, later becoming thicker, somewhat 
:aque, darker yellow, almost the color of egg yolk, adherent 
nostril where it dries to reddish brown scabs. In rare 
oes the discharge is abundant and continues for several 
iys, and when abundant usually remains thin and transpar- 
!t in character, mixed somewhat with flakes. 
In other cases it is rusty-colored or dark red, due to ad- 
xture of blood ; in others it is lighter colored, flaky, dirty 
!2y and foetid. The respiration depends upon two distinct 
; tors, temperature and chest complications. It is markedly 
;elerated before chest complications are established and 
5 latter influences it in the same manner as ordinary 
