388 CLINICAL VETERINARY MEDICINE AND SURGERY. 



and hind feet were all at fault," and was evidently in great pain. Im- 

 mediately on entering its box it lay down, the back became swollen as 

 before, and the belly tucked up ; the animal groaned continuously, and 

 sweated profusely over the body, fore extremities, and neck. For two 

 hours from this time (3 p.m.) the animal remained in terrible and con- 

 tinuous pain, rolling occasionally half over on its back, poking its nose 

 into its flanks, biting at its hind fetlocks, and frequently attempting 

 to rise. At first it succeeded, but could not stand level, and only 

 remained up long enough to turn round, when it again lay down ; soon, 

 however, attempting to rise again, and on each occasion having greater 

 difficulty in doing so. Very soon it could only rise high enough to roll 

 over on its bent hind legs. Hot fomentations were applied and 

 morphine given hypodermically, under the influence of which the 

 animal became somewhat quieter, and groaned and sweated less, 

 though quite unable to rise. The fore limbs were thrown about a 

 great deal, but the hind, which were " deathly " cold from the hocks 

 downwards, and cold and insensitive above, could scarcely be moved. 

 Sweating was confined entirely to the body — in front of the croup — 

 behind which the skin was cold and dry, and the muscles showed 

 tremulous movements. Rectal exploration during a quiet period 

 revealed the existence of aortic and iliac thrombi. The vessels were 

 resistent to gentle pressure ; the aortic pulse was quick and thumping, 

 and the impulse in the internal iliacs was indistinct, that on the right 

 side being much weaker and more indistinct than that on the left. 

 The horse had always fallen lame on the right leg. As the night 

 advanced the animal became much quieter : pain recurred at long 

 intervals, though it was then severe. The case seemed hopeless, but 

 morphine was again administered, and the patient seemed fairly 

 comfortable. At 3 a.m., after attempting to rise, it again became very 

 violent, lashing about with its fore feet, and raising the fore part of the 

 body, only to fall back again. When seen at 5 a.m. it was dying ; 

 hind quarters and legs cold, submaxillary pulse imperceptible. Died 

 at 6 a.m., fifteen hours after attack. The temperature never rose more 

 than 1° F. during the entire time. 



Autopsy disclosed thrombosis of the termination of the posterior 

 aorta, of the right external and internal iliacs, and of the left internal 

 iliac ; a patch of inflammation of the sublumbar fascia above the aorta, 

 with exudate ; and inflammation of the inner coats of the vessels 

 involved. The most interesting point in connection with the thrombi 

 was that they were apparently of different ages, the most recent being 

 that of the external iliac, which from its appearance — a dense, fresh 

 blood-clot mainly — was evidently the product of the last attack. 



Mr. R. Rutherford's case, Veterinarian, 1895, p. 35. 

 ACUTE NEPHRITIS. 



99. Three-year-old sheep-dog, left in hospital 20th December, 1893. 



For some days the animal had been dull, had refused to eat, and at 

 times howled. Walking was difficult, movement of the hind limbs 

 being particularly embarrassed. 



