_Night blindness and snow blindness_ are due to exposure to the glare
either of the sun or of the snow. To avoid these complaints tinted
glasses should be worn. Travellers in snowy regions should be provided
with smoked glasses; if these get broken or lost, some opaque substance
may be smeared over the surface of an ordinary pair, leaving a narrow
horizontal slit of clear glass—in the Esquimaux fashion, as shown in
the accompanying illustration. On snow it must be remembered that the
perforated wire gauze sides are essential for protection from the
reflected rays of the sun. Elastic may be substituted with advantage for
the ordinary metallic attachments, between the glasses as well as around
the head.
_Jaundice._
Jaundice, which is a condition in which the skin and mucous membranes
assume a yellow colour, may be due to various causes. One of the
commonest forms is that known as catarrhal jaundice, which is induced
by chill, exposure, dietetic disturbances, etc. It should be treated
by calomel and salines. Violent purges are to be avoided. Bismuth and
bicarbonate of soda should be given, and the diet should be regulated
and should consist of simple and bland articles of food, free, as far as
possible, from fats.
There is a form of jaundice associated with infective conditions, such as
the enteric fevers, dysentery, malaria, relapsing fever and yellow fever.
In these cases the jaundice is to be treated like the catarrhal form, and
the accompanying condition requires attention.
In addition to the above there is a camp or infectious jaundice, the
nature of which is somewhat obscure, but which is associated with a
considerable degree of illness.
_Symptoms._—The condition commonly begins with shivering, a rise of
temperature, headache, giddiness, general malaise, sleeplessness, loss of
appetite, nausea, and it may be vomiting. The tongue is coated, and there
may be pains in the back and legs. The jaundice usually lasts from seven
to nine days, and about the fifth day the temperature falls, though there
may be a secondary fever.
_Prophylaxis._—So far as we know at present this is a question of
enforcing good sanitary surroundings, and paying special attention to the
hygiene of food and drinks, which should be guarded from the access of
flies.
_Treatment._—This is entirely symptomatic and should be that of any
ordinary febrile attack, together with the measures employed in catarrhal
jaundice. There is a severe form of jaundice of an infective nature
which is associated with the presence of a parasite in the blood, very
like that of yellow fever, and which apparently is derived from infected
rats. This form of jaundice is, however, not very common and need not be
further considered, especially as it requires skilled medical attendance.
_Laryngitis, or Inflammation of the Upper Part of the Windpipe._
The organ of the voice is called the “larynx.”
Public-domain text, read in full here on John Shaqi.
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