Subacute obstruction of the double colon 117 



SUBACUTE OBSTRUCTIVE INTESTINAL COLIC— conf/;mt^d. 



IVater- 



Drain. 



Drain. 



Prcv ous 

 Medicine. 



Nil. 



Nil. 



Medicine given. 



As Case 15, 

 and eserine sulph., 2 grs. 



Enemata and repeated 

 smaller doses of am- 

 monia and nux vomica. 



Animon. carb., 2 oz. 

 Nucis vom., i oz. 

 Sapo mollis, q.s. 



M. ; ft. bol. iv. 

 01. lini, I pint (liaust). 

 Hypodermicaliy : Eseiine 

 bulph., 2 grs. 



No treatment. 



Ammon. carb., 2 oz. 



Nucis vom., i oz. 



Sapo mollis, q.s. 



M. ; ft. bol. iv. 



Spt. ammon. ar.\-- 1 



01. tereb. / '''' ^^ °^- 



01. lini, I pint. 



M. ; ft. haust. 



Hypodermicaliy : Eserine 

 sulph., 2 grs. 



Injected^ hypodermicaliy, 

 morphia and atropine, 

 to stay excessive action 

 of bowels from eserine. 



Gave boli, as before. 



Sy}nJ>ioms, Re/narks, etc. 



Dull pains. No tympany. No peristalsis. 

 Rectum ballooned, and containing a few 

 hard, mucus-covered lumps. 



Slight peristalsis. Animal apparently easy, 

 but no action of bowels. 



Rectum still empty and ballooned. Peris- 

 talsis quite absent. Usual dull pains. 

 No tympany. Animal was quite easy all 

 night, but pains commenced again at 

 5.30 a.m. After giving the medicines and 

 injecting the 2 grains of eserine, I left 

 the case until 11.40. During my absence 

 of a little under an hour the horse had 

 evacuated several copious lots of semi-fluid 

 faices, preceded by one or two_ mucus- 

 covered hard quantities. Seeing the 

 eserine was still in operation, and that a 

 sufficient action had been arrived _ at, I 

 injected an ordinary dose of morphia and 

 atropine. 



Animal standing up eating a bran mash and 

 apparently comfortable. Case did well 

 afterwards. 



Dull pains. No tympany. No peristalsis. 

 Rectum ballooned, containing^ few hard, 

 mucus-covered lumps. Straining attempts 

 at defEEcation when hand was introduced. 



Still in pain, but bowels acting freely. 



Animal in pain and peristalsis again in abey- 

 ance, owing to the sedative. _ Did not this 

 time give eserine, but relied solely on 

 ammonia carbonate and nux vomica. 



Animal easy and picking a little food. Case 

 afterwards did vNell. 



