e bends his head forward or to one side. The discharge
may be intra-nasal in origin, or due altogether to naso-pharyngeal
catarrh. It varies somewhat in colour and consistence, and may be
associated with such intra-nasal conditions as purulent rhinitis
following scarlet fever and other exanthemata or ulceration
accompanying malignant disease, syphilis, or tuberculosis. Sometimes
it contains shreds of false membrane, for example in nasal diphtheria;
or white cheesy masses as in coryza cascosa. The formation of crusts
is significant of foetid atrophic rhinitis (ozaena) and syphilis, and
in these conditions the discharge is associated with a most
objectionable and distinctive foetor. Pus from the maxillary sinus is
often foetid, and the odour is noticed by the patient; while the odour
of ozaena is not recognised by the patient, although very obvious to
others.

#Foreign bodies# of various descriptions have been met with in the
nasal cavities, particularly of children. They set up suppuration and
give rise to a unilateral discharge, which is often offensive in
character. The surgeon must not be satisfied with the history given by
the parents, but, with the aid of good illumination, and, in young
children, under general anaesthesia, the nose should be carefully
inspected and probed. If there is much swelling, the introduction of a
5 per cent. solution of cocain will facilitate the examination by
diminishing the congestion of the mucous membrane. No attempt should
be made to remove a foreign body from the nose by syringing. If fluid
is injected into the obstructed nostril, it is liable to force the
body farther back, while, if injected into the free nostril, it is apt
to accumulate in the naso-pharnyx and to pass into the Eustachian
tubes. A fine hook should be passed behind the body and traction made
upon it, or sinus forceps or a snare may be employed. Care must be
taken that the body is not pushed still deeper into the cavity. Fungi
and parasites should first be killed with injections of chloroform
water, or by making the patient inhale chloroform vapour.

#Rhinoliths.#--Concretions having a plug of inspissated mucus or a
small foreign body as a nucleus sometimes form in the nose. They are
composed of phosphate and carbonate of lime, and have a covering of
thickened nasal secretion. They are rough on the surface, dark in
colour, and usually lie in the inferior meatus. They give rise to the
same symptoms as a foreign body