PNEUMONIA. 493 



On the 2nd the general condition remained bad, and appetite was 

 entirely lost. There was frequent cough and rust-coloured discharge. 

 The pulse was feeble. Dulness had markedly extended on the left 

 side, and rose to the middle third of the thorax ; on the right a loud 

 tubal murmur was heard during inspiration and expiration. Respira- 

 tion 40 ; pulse 80 ; temperature 397° C. During the afternoon the 

 horse was led out and left in the open air for several hours. Micro- 

 scopical examination of the discharge resulted in several varieties of 

 microbes being found, though two streptococci, one of which stained 

 by Gram's method, predominated. During the evening the heart's 

 action became very rapid, the pulse feeble, the respiration extremely 

 difficult, and the face anxious. Twelve and a half fluid ounces of salt 

 solution and five and a half fluid drachms of ether were injected. The 

 thorax and limbs were rubbed with mustard. At 7 o'clock the tem- 

 perature was 39'4° C. Another subcutaneous injection of ether was 

 given. 



At 3 o'clock the general condition was similar to that on the 

 previous day. Respiration 44 ; pulse 82 ; temperature 39'4° C. The 

 nasal discharge had ceased; the conjunctiva was deep red; the 

 pulse perceptible with difficulty ; dulness had increased on both sides ; 

 there was tympanic resonance on the left. During both stages of 

 respiration and on both sides of the chest a loud tubal murmur could 

 be heard. The cardiac sounds were feeble. The former treatment 

 was continued. Two and a quarter fluid drachms of ether were 

 injected. Night and morning the horse was led out of the stable and 

 left in the open air for several hours, provided the weather was good. 

 The urine did not contain albumen or bile pigments. 



On the 4th respiration 44; pulse 84; temperature 39° C. General 

 condition improved. The animal was less depressed, and for the first 

 time after entering hospital fed voluntarily. The tubal murmur and 

 tympanic resonance on the right side persisted. The hind limbs were 

 a little swollen. The same treatment was continued. In the evening 

 respiration 40 ; pulse 80 ; temperature 39'2° C. 



On the 5th the rapidity of breathing contrasted with the improve- 

 ment in the general symptoms. Respiration 50 ; pulse 88 ; temperature 

 39*2° C. The dulness and tj'mpanic resonance continued ; the tubal 

 murmur was less marked. Crepitation and loud mucous rales were 

 heard. Small subcutaneous abscesses developed in different regions. 

 The same treatment was continued. In the evening respiration 60; 

 pulse 78 ; temperature 39*3° C. 



On the bth the pulmonary symptoms were still marked, but the 

 patient readily took food. The conjunctiva was rose-coloured, the 

 pulse feeble ; the respiration was more regular. Respiration 42 ; pulse 

 70 ; temperature 38*6° C. On both sides of the chest a tubal murmur 

 and crepitation could be heard. Percussion revealed dulness with 

 areas of tympanic resonance. In the evening respiration 42 ; pulse 70 ; 

 temperature 38'7° C. 



On the 7th dulness had almost disappeared from the left side. On 

 auscultation crepitant and sibilant rales were still audible. On the 

 right a tubal murmur and crepitation were noted. The heart-beats 



