SUBACUTE OBSTRUCTION OF THE DOUBLE COLON in 



SUBACUTE OBSTRUCTIVE INTESTINAL COLIC— cofi/i^med. 



IVater- 

 supply. 



Dyke. 



Prcz'ious 

 Medicine. 



01. lini, 

 I pint. 



Surface- 

 well. 



Nil 



Medicine sdven. 



As Case ii. No eserine. 



In this case the liowels had 

 been greatly emptied by 

 repeated evacuations of 

 small quantities of faeces 

 before my arrival. 



As Case 1 1, but no aloes. 

 At 6 p.m. injected eserine 

 sulph., I gr. 



Symptoms, Reinarks, etc. 



Started work at 7 a.m. Continued well until 

 12.30. Received the mid-day meal, im- 

 mediately after which she was ill. Bathed 

 in perspiration. Pains violent and inces- 

 sant. No tympany of bowels. Rectum 

 and colon, as far as could be felt, empty. 

 Rectum flaccid. Continually looking round 

 at stomach (not flank). Medicine return- 

 ing through nose. Regurgitations in 

 oesophagus. Pulse gradually got higher 

 in number and weaker in tone, and one 

 hour after my first arrival I_ diagnosed 

 tympany of stomach, with possible rupture 

 and death. Death occurred at i a.m. of 

 28th, and I much regret that circumstances 

 did not allow of a post-mortem being made. 

 There was no rupture of stomach. This 

 case shows that too great a reliance must 

 not be placed on the indications of pulse, 

 temperature, and respiration in the first 

 stages of colic. 



Pains dull when animal was down. Violent 

 when up. With difficulty could keep mare 

 on her legs. Much groaning and painful 

 attempts at defaecation. Rectum empty 

 and ballooned, but mare had passed a few 

 hard lumps of mucus-covered dung during 

 the day. Slight tympany, but no sign ot 

 peristalsis on auscultation. Animal was at 

 work from 7 to 11 a.m. 



Mare quite easy. Drank water greedily. 

 Picking her bedding. Food withheld until 

 morning. Had passed immense quantities 

 of flatus and one large heap of faeces. 



Animal had been at work in the morning. 

 Dull pains. Rectum ballooned and con- 

 taining three or four fairlj^ soft dung-balls. 

 Other bowels could be felt impacted. 

 Bladder empty. Case did well. 



Dull pains. Groaning when lying. No 

 peristalsis on auscultation. No tympany. 

 Rectum full ; flaccid when emptied. Case 

 did well. 



