THE ADDER. 131 



normal ; the right hand was swollen ; the pupils of 

 the eyes were widely dilated, and reacted to light. 



" At 8 p.m. the hand and forearm were very dark, 

 swollen, and brawny; there was excessive tenderness 

 on pressure ; extension to the arm was evident. The 

 pulse, temperature, and respiration were normal ; he 

 was still vomiting. His drowsiness had completely 

 passed off', the mental faculties being wholly undis- 

 turbed ; he complained of great thirst and of severe 

 pain at the site of the bite. 



"At 8 a.m. it was found that there had been pro- 

 gressive extension of the swelling and duskiness of 

 the involved tissues during the night. The whole of 

 the limb and a portion of the right side of the chest 

 and the side of the neck were implicated ; tenderness 

 and pain were aggravated. The surface of the body 

 was cold, the pulse very weak; all food was vomited, 

 and his mind was quite clear. 



" At 2 p.m. the upper part of the abdomen on the 

 rioht side had become affected. His face was blue 

 and had an anxious expression, and he was covered 

 with a clammy perspiration. The pulse at the wrist 

 could not be felt, and the beating of the heart was 

 very faintly felt. The temperature in the armpit 

 of the affected side was 101°, in the opposite armpit 

 98°. Mentally the boy was still quite undisturbed. 

 The breathing was slower. The pupils were still 

 dilated and reacting to licrlit. 



" At 7 p.m. information was received to the effect 



