ial senses are frequently disturbed in
sickness. The eyes may be blood-shot; the patient may be over-sensitive
to light, or see spots floating before the eyes, or he may be unable to
see at all. The pupils of the eyes may be unusually large or small, or
one may be large while the other is small. Swelling, redness, or
discharge from the eyes should be noticed. Hearing and touch and smell
may be impaired; or they may be abnormally acute, and cause real
suffering. Taste may be impaired, especially when the nose is affected
or when the mouth is not clean. Discharge from the nose or ears should
be reported. Not only discharge, but also trouble of any kind, such as
pain, tenderness, or swelling, is important if situated in or near the
ears.

THE VOICE is often much altered in sickness. It may be weak, hoarse, or
whispered. Speech may be clear or thick, or the ability to speak may be
entirely lost; in extreme weakness speaking is generally difficult, and
may be impossible. Moaning, groaning, and other unusual sounds should be
noted. A loud, sharp cry at night with or without waking, if a repeated
occurrence, may be an early symptom of some diseases of children.

THE TONGUE in health is red and moist; when extended it is somewhat
pointed and can be held steadily. In sickness it may be cracked, dry and
parched, or if the patient is not properly cared for, it may be covered
with white, yellow, or brown coating; in many exhausting illnesses it is
flabby and trembling. In scarlet fever the tongue is often a vivid red
color, and is then called strawberry tongue. The odor of the breath may
be foul from decay or neglect of the teeth, from indigestion,
constipation, nasal catarrh, or special diseases.

THE THROAT and tonsils are sometimes red and swollen as in simple sore
throat; or they may be covered by white patches.

THE GUMS may be swollen, tender, or bleeding. A collection of sticky
brownish material may appear on the teeth and gums of neglected
patients.

COUGH when present may be: dry, or accompanied by expectoration;
painful, frequent, loud, or whooping; and worse by day or by night. The
sputum may be yellow, white, gray, rusty, blood-streaked, dark, or
frothy. The amount of sputum should be noticed as well as its
appearance.

APPETITE or absence of appetite should be noted, and also the amount of
food actually eaten by a patient; the amount eaten is frequently not the
same as the amount carried to him on a tray.

If