PNEUMONIA. 



On the i6th improvement became more pronounced. Respiration 

 i8 ; pulse 58 ; temperature 38"9° C. 



During the following days the last symptoms disappeared, the 

 cardiac intermittency becoming less and less frequent until it finally 

 disappeared. 



On the 25th the animal left hospital entirely cured. 



184. A seven-year-old mare left in hospital April nth, 1899. Had 

 come from a stable in which contagious pneumonia was raging ; 

 affected three days before entry. The animal only ate part of its food, 

 but suffered from a cough. There was no other history. 



Condition on Entry. — The animal moved stiffly. The eye was re- 

 tracted into the orbit and half covered by the upper lid ; the con- 

 junctiva was hyperaemic and infiltrated ; the extremities were cold. 

 Respiration 36; pulse 84 ; temperature 41-1° C. The pulse was fairly 

 strong. The cough was infrequent, and when produced by pressing 

 on the larynx was small, dry, paroxysmal, and inclined to return. 

 There was a somewhat abundant rusty discharge. The lower part of 

 the right lung was dull, and at this point borborygmus, heart-sounds, 

 and some crepitant rales could be heard on auscultation. At the 

 junction of the lower and middle thirds crepitant and mucous rales 

 were audible ; and in the upper part, and over the whole of the left 

 lung, the vesicular murmur was strong. Except that it contracted 

 with unusual suddenness and force, the heart revealed nothing note- 

 worthy. 



Treatment. — Bleeding, mustard application to the chest, quinine 

 sulphate four drachms, sodium bicarbonate three and a half ounces. 

 Evening temperature 40*6° C. 



Next day the patient appeared less depressed. Respiration 36; 

 pulse 80 ; temperature 40-5° C. Percussion showed increase in the 

 zone of dulness, especially in front. On auscultation a slight tubal 

 murmur was heard. Left lung normal. At 9.30 a.m. the thermo- 

 meter marked 40-5° C. Two and a half drachms of quinine sulphate 

 were given in electuary. At 10.30 a.m. and during the next two hours 

 temperature 40-8° C. ; at i p.m. 407° C. ; at 2 p.m. 40-5° C. ; at 3 p.m. 

 40-2° C. ; at 4 p.m. 40*4° C. The second dose was then given. At 

 4.30 p.m. temperature 40'6° C. ; at 5 p.m. 407° C. ; at 7 p.m. 40*4° C. ; 

 at 8,30 p.m. 40-2° C. The urine, which was very deep in colour, con- 

 tained eighteen grains of albumen per pint. 



On the 13th April the general condition was bad. The animal lay 

 on the right side, and was unable to rise without assistance. Respira- 

 tion 36 ; pulse 76 ; temperature 40° C. The conjunctiva still remained 

 deeply injected. The respiration was short and sighing. On per- 

 cussion and auscultation of the chest the physical signs were as on the 

 previous evening, except that the murmur was somewhat stronger. 

 The heart-sounds were weaker. During the day three subcutaneous 

 injections of two and a half drachms of ether were given ; four drachms 

 of quinine were administered in two doses. At g.30 a.m., before the 

 first dose, the temperature was 40° C. ; at 10 a.m. 40° C. ; at 11 a.m. 

 39-8° C. ; at midday 39*6° C. ; at i p.m. 39-5° C. ; at 2 p.m. 39-4° C. 



