The Red Cloud chief., 1878-10-24
symptoms NJ yellow Fever.


symptoms ~ Yellow Fever.
An attack Of yellow fever is generally
quite sudden, though in somc eases there
are slight prrmonitory symptoms, such
a. loss ot appetite, general uncasin"ss,
headache, or cosiiNoncss. II j. com
monty uShcrcd IN by chillin"ss, altcrua-
ting with bushes Of heat, or the person
may be overcome with langor and cx-
trcmc debility, while AT his usual occu-
patton. These feelings are soon fol-
lowed by fever, and the bodily tomp"ra-
turc rises rapidly. often reaching lU2Io
Fahr. in II few hours. the normal tenn
| pcrature being ~. -. The fever j. ne.
companicd IS headache, generally To-
Gated Immediately over tn" eyes, or
shooting through from temple to tenn
pie, aud often very severe. But the
headache is frequently trivial in com.
parison with the frightfnl pains in the
loins. which make the patient writhr
in agony. The pulse i generally full.
strong, and rapid, beating from ninety
to a hundred and twenty times n min.
ute. The skin is hot and dry, the face
flushed, the eyes bloodshot, brilliant
and watery, and the tongue covered
with u creamy white fur. but with red
clean tip and edges. There il usually
some uncasinrss Ut the stomach from
the first, and in from twelve to twenty
four hours this develops into nausea
and u persistent scnsitivcncss. which
will not allow anything to be retained.
The pit Of the stomach is very tender
on pressure, and vomiting is almost in
ccSsant. With all this there is intense
thirst. and iced drinks are exceedingly
grateful to the patient. The bowels
NJ" at first generally c~ostiyc. and some
times Obstinatcly So, but rs the disease
progresses they become loose. The pa.
,icnt is usually very much d~chilitatcd.
hut is uneasy and losses about in bed,
and occasionally will try to rise and
walk about the room. In most cases
there is some confusion of intellect, not
amounting to dclirium. and the face
expresses the greatest anxiety and dis
trcss. The fever continues for two or
three days, being most severe in the
evening. the temperature often reach
ing lOio or 1862. and. according to LA
Roche, in malignant eases, even 100.
Then the fever subsidies, never To re-
turn. and the temperature within II
hours may become nearly normal. The
other symptoms mostly disappear, and
the organs resume their natural func.
tons. At this time. | a., ON the third
or fourth day, the yellow di%scoloration
Of the skin appears upon the face and
thence extends over the body. Ii the
attack Is mild. recovery is now rapid.
In the vast majority Of cases, however.
this lull in the symptoms is dcceitful,
and lasts only from u few hours to II
day. when the gravest stage Of the dis
ease sets in. The pulse soon becomes
small and thready. beating only 30 or
40 to the minute, and the heart often
works vigorously after the pulse can
no longer be felt ut the wrist. The nau-
sea and vomiting return and become
constant, the respiration Is often en-
b%arrasscd, the tongue becomes dry and
brown. the skin Is cool and dry, there
is often n distressing %hiccough, and the
thirst is Unsuitable. The mind is often
clear. but %singularly apathe,ic, or there
may be- delirium or stupor. The dis
organization Of the blood and the It's.
sues have now gone st far that the small
vessels Of the membranes nc
longer retain their contents, and blood
oozes into the stomach. This produces
intense nausea, and the blood is vom.
tied up, changed in color by the acids
with which il is mingled. This forms
the dreadful "black-vomlt," and varies
in hue from brown to almost jet black,
generally appearing like coffee ground,
floating in a thin, watery fluid. The
urine, which becomes scanty early in
the disease, may now be entirely sup
pressed. or, If excretcd at all, is black
and bloody. The discoloration of tn,
/, skin increases, until the body is of &
dusky brown. livid or mahogany color
!, and there are frequent h9inorrhagc,
from the mouth. nose, and eyes, oi
even under the skin, forming livid spots
/; and blotches. The body now eXhalcs t
, cadaverous odor, the tendons of III,
/ wrist twitch convulsively, hiccough i,
! constant, the features are pinched an,
CHASTITY, cold sweats come on. and tn,
patient passes away in commissions o,
coma, though occasionally he retain,
his intellectual faculties unimpaired I,
: the last.-Dr. II. Tracy, IN P0puld,
Science Monthly for October.