ENTERITIS. 201 



11 A.M. The bowels have not been moved, and the pain is more 

 intense ; his countenance expresses great anxiety ; he frequently lies on his 

 stomach, and the pulse is small but quick. I gave him a little broth, and 

 ordered the abdomen to be fomented with hot flannels. 



2 P.M. He has had distressing sickness, and is extremely anxious for 

 water. I introduced my finger into the rectum ; but could not discover any 

 hardened faeces. Enemata, composed of mag. sulphas and warm water, 

 were frequently thrown into the intestines ; as soon as one came away 

 another was thrown up. 



4. P.M. No better : gave him pulv. aloes 3j. ; calomel, gr. vj. et pulv. 

 opii gr. viij. The fomentations to be continued, and the abdomen rubbed 

 with a lin. terebinthinae. 



5 P.M. A great change has taken place within the last hour ; the hind 

 extremities are paralysed ; the mouth and ears are cold ; the pulse is more 

 hurried and irregular, and almost imperceptible ; the respiration is labo- 

 rious and irregular, as is the pulse ; and the dog is frequently sick. To 

 be kept quiet. 



6 P.M. Another change ; he lies panting and groaning piteously ; his 

 limbs are bathed in sweat, with convulsive struggles. At twenty minutes 

 past six he died. 



A post-mortem examination presented general marks of inflammation ; 

 the small intestines were extremely red, while the large ones were in a 

 gangrenous state and most offensive, with a rupture of the colon. I did not 

 expect to meet with the rupture, and am at a loss to account for it. The 

 liver was of a pale ashen colour and very light. I put a piece of it into 

 some water and it floated on the surface. The other contents of the ab- 

 domen did not show the slightest appearance of disease. 



September 2nd, 1843. A black pug-bitch, 18 months old, was yester- 

 day taken violently sick ; the vomiting continued at intervals the greater 

 part of the day, and she had not eaten during the last 24 hours. I could 

 not possibly get at her on account of her ferocity : as she had not had 

 the distemper, and, as I was misled by her age and the watery discharge 

 from her eyes, and, as she had had several motions yesterday, I imagined 

 that the attack might be the beginning of that disease. Learning that 

 she was fond of sweet things, I prepared an emetic containing a grain of 

 calomel and a grain of tartar emetic : she took it readily, and I promised 

 to call on the following day. 



Sept. 3. The weakness at the eyes had disappeared, but there had been 

 no motion. On getting at her by main force I found her belly very tense 

 and rather hot : she had again been sick, was very eager for water, and still 

 refused to eat. The disease was now evident. As she appeared too un- 

 manageable for anything else, I produced a physic-ball, in giving which 

 I was bitten. 



Six hours afterwards I again went : no faeces had passed : I administered 

 two enemas, the second of which was returned with a small quantity of 

 hardened faeces and an intolerable smell. I ordered the water to be re- 

 moved, and broth to be substituted. 



Sept. 4. The dog is in good spirits, has eaten heartily, and had no 

 motion, probably because it was habitually cleanly, and had not been taken 

 out of doors. Her owner considered her as quite well, and dismissed me. 

 Three days afterwards a servant came to say that all was going on very 

 well. 



