4o8 CLINICAL VETERINARY MEDICINE AND SURGERY. 



tion silent. Above the dull zone the crepitant rale was more marked 

 than on the previous evening. The pulse was scarcely perceptible 

 though the heart-sounds were strong. Four drachms of quinine sulphate 

 in two doses was added to the treatment. The first dose produced a 

 depression of one degree in temperature at the third hour, but two 

 hours later the temperature had returned to its former point. In the 

 evening the quinine produced a similar result. The rectal temperature 

 did not rise beyond 40° C. 



On the 1 2th the general condition remained stationary. Respira- 

 tion 26; pulse 72 ; temperature 3g'9° C. A slight cough occasionally 

 occurred. All the lower part of the right lung up to the level of the 

 point of the elbow had become dull. Above this, crepitation was 

 audible both during inspiration and expiration, but most markedly 

 during inspiration. In the upper part of this lobe and throughout the 

 left lung the vesicular murmur was exaggerated. The character and 

 rhythm of the heart-sounds were modified ; the first sound was strong, 

 the second feeble ; every three or four contractions were followed by a 

 pause, lasting as long as a complete heart -cycle. One drachm of 

 digitalis was added to the former treatment. The quinine sulphate 

 produced variations in temperature as on the previous day. 



On the 13th the patient was prostrate and refused all food. The 

 extremities were cold. Respiration 28; pulse 76; temperature 39*8"C. 

 The zone of dulness was stationary. On auscultation borborygmus 

 was heard far in advance of the diaphragm. Crepitation was 

 increased and a slight tubal murmur could be heard. The cardiac 

 pauses were miore frequent, and occurred after every two or three beats. 

 The pulse was feeble and intermittent, in sympathy with the heart, The 

 urine contained 18 grains of albumen per pint. 



The weather being mild and bright, the animal was led from its 

 stall and fastened in the open air from midday to 3 p.m. On return- 

 ing to the stable it began to eat. The respiration was less rapid and 

 difficult, the pulse good ; the temperature remained at 39*7° C. 

 Sulphate of quinine in similar doses as on the previous day produced 

 no sensible diminution. 



On the 14th the general condition had improved. The animal took 

 several quantities of gruel, ate its hay, and drank 8 quarts of milk. 

 Respiration 22 ; pulse 72 ; temperature 39'6° C. The condition of the 

 chest remained as on the previous day, though a few crepitant rales 

 were heard at points. The irregularity of the heart continued. 



Treatment. — Sulphate and bicarbonate of soda were administered, 

 but the alcohol, sulphate of quinine, and digitalis were discontinued. 



On the 15th improvement was more marked. The animal took 

 note of its surroundings. Respiration 20 ; pulse 68 ; temperature 

 39"4° C. Respiration was freer, the zone of dulness lower, and moist 

 crepitant rales occurred over a large surface. The cough was loose and 

 paroxysmal, and accompanied by discharge. The cardiac pauses were 

 less frequent and longer than at first. They lasted considerably longer 

 than a cardiac cycle ; the second sound continued feeble, and was 

 sometimes imperceptible. There was no dulness, though still some 

 moist crepitant rales. 



