When black vomit appears abundantly and frequently, the prom®, 
is always grave. 
Other haemorrhagic conditions, such as the purpuric patches on the 
body, ears, etc., extravasations of blood into the conjunctivae, a general 
haemophilic condition when every orifice bleeds, are only seen in the 
malignant and fatal types of yellow fever. In women it is not 
uncommon for menstruation to appear before the customary time or 
to reappear in fatal cases. Haemorrhage may occur from the uterus, 
vagina or urinary bladder. 
Delirium must be regarded as a grave symptom, and if occurring 
during the first couple of days is almost invariably fatal. Occurring 
after the fifth day the prognosis is favourable. One of the great 
angers to be feaied from this symptom is that the patient in the 
ence o his delirium induces other complications and cannot be 
°^ r ^ nursed- Rambling and incoherence are common symptoms 
. . se ' ere cases. A moist skin in the early stages of the disease 
r , ° men ' ^ le ccdd clammy skin encountered in collapse and 
afebrile forms is to be dreaded. 
Temperature. The degree of fever is of value if it is taken into 
si eration with the other important symptoms. A high tempera- 
ahlp S A° Clat j co P* ous urination and scanty albumin is favour- 
earlv moderate fever of 103° to 104° F. (39-40 to 40° C.) with an 
temnerat rap fa ” 15 a g °° d Sign ■ Bad P r °g™ses are when the 
the first r~ S UP f ° r Severa! days ’ is at a moderate level for 
(40 O r iX rS ' and then rises - ° r if a temperature of ,o S °F. 
defervesl OV ? r ° CCUrS “ the first twenty-four hours. Rapid 
if the °, n ‘ 6 SeC ° nd ° r third da F to subnormal is to be feared 
t mperatu ^ ° f bradycardia. A subnonnal 
m aSSOC,ated . W,th haemorrhage is extremely unfavourable, 
overworked ne Prognosis shouId given in alcoholics; fast livers; 
doctor ; patienfT"^ PatlCnts who P e rsist in disobeying the nurse and 
ambulatory cases or Daf T < | eIayed ackn owledging they were ill; 
by disease- n * 160 s " kose constitutions are already weakened 
improper treatm^Thn W T en ’ ^ patients whose bodies, through 
An excellent n V<? - Ce " macle re ceptacles for numerous drugs. 
of urine, 900 grammes * * shghtIy moist skin ; a S ood secretion 
a nd jaundice -a • r more P er day, a moderate amount of albumin 
"dice, a quiet digestive system, which will allow of fluids 
