AI'l'fcKUlX. H 



size and became pitted in their centres, the plaques measuring 3 2o*x2* and 2 

 indies respectively. No. 20 in the form of a half circle and No. 25 with raised 

 hair to mark its position have decreased. At 0-30 A.M. 3 fresh plaques 

 appeared No. 20 on the left ribs, iirticarial, } inch in diameter ; No. 37 orcr 

 the left hip \ inch in diameter, pitted iu tho centre ; No. 28 on the right 

 flank 05 inch in diameter, small and presenting urticarial characteristics. 

 Swelling of the lahia has increased, they now remain patent Temp. A.M. 

 37-l) C., P. 41, K. 16 ; P.M. 38'1 3 C., P. 40, E. 23. 



15th. A fresh raised plaque No. 29 has appeared on the L. flank, circular 

 in form, urticaria! in character, diameter 075 inch. Nos. 1, 20, 15, 16, 26 

 have decreased in size, while NOB. 23, 27, and 28 persist. Swelling of left 

 labium has .increased. Temp. A.M. 37'8C., P. 40, B. 16; P.M. 38' 1 C., 

 P. 41, K. 22. 



IGth. The skin over the site occupied by plaque No. 25 continue! to 

 remain erect, although no signs of the latter's reappearance can be observed. 

 Plaques Nos. 1 and 20 hare decreased, while NOB. 15, 16, 26, 27, and 29 re* 

 main stationary with regard to size. Nos. 23 and 28 have increased in promi- 

 nence, the latter now measures 2 < 5*x2'5" and has become pitted in the centre. 

 The swelling of the L. labium persists, but is tense and hard to the touch. 

 The swelling and cadema of the udder has reappeared. Temp. A.M. 37'9 C., 

 P. 36, K. 12 ; P.M. 38-2 C., P. 40, R. 16. 



17th. Plaques Nos. 1, 20, and 26 have disappeared, while NOB. 15, 16, 25, 

 27, and 28 remain as before as regards size. Nos. 23 and 29 have increased 

 in dimensions, the former to 4x2 6 inches, the latter which has become pitted 

 in the centre to 2 inches. A fresh plaque No. 30 (urticarial) which has ap- 

 peared on the U. side of the line;i alba, 0'5 inch in diameter, is semi-solid in con- 

 sistency. Tho swelling of the L. labium and swelling and oedema of the udder 

 persist. Temp. A.M. 37'9 C., P. 38, 11. 13 ; P.M. Sri 0., P. 40, IS. 16. 



^//i. Plaques Noe. 1, 25, and 30 have disappeared, Nos. 15, 16, 23, 28, 

 nnd 29 remain stationary, while Nos. 20, 26, and 27 have decreased iu size. A 

 f r- sh plaque No. 31 (urticarial) semi-lunar iu form has appeared on tho K. flank 

 measuring 3"xl'2o 7 . The swelling and cedeum of the udder has increased 

 since yesterday. Temp. A.M. 3S'0 C., P. 40, B. 15 ; P.M. 38'1 C, P. 44, 

 11. 14. 



19th. Plaque No. 29 has disappeared, Nos. 20 and 28 have decreased, 

 while the following have all increased iu size and have become more prominent. 

 No. 28 is well marked but soft. No. 27 now measures 2'5 X 1 inch, while 

 No. 31 is markedly raised. The dwelling and cedema of the udder, as well as tho 

 si/.o of the left labium, ha vo decreased. A muco-purulent discharge from the 

 vagina has appeared during the past 12 hours (photo.). Temp. A.M. S7'S C., 

 P. 40, B. 15 ; P.M. 37'h C., P. 40, B. 16. 



20th. Plaque No. 20 has disappeared, Nos. 15, 16, and 23 have decreased 

 iu si/.o, while Nos. 26, 27, 28, and 31 persist. The swelling and oadema of the 

 udder, which feels hot to the hand, remains stationary. Temp. A.M. 38*1 C., 

 T. 41, K. 15 ; P.M. 38-0 C., P. 44, B. 16. 



21st. Throe fresh plaques havo appeared, No. 32 on B. ribs, circular in 

 form* 1'25 inches in diameter, presents a well raised margin, with pitted centre. 



