EFipECTS OF THE BtTE OF A liATTLKSHAkEi g^t 



tttilike any thing I had ever seen in so large a portion of th6 F.fects orth* 

 living body. An obscure fluctuation was felt under the. 

 skin of the outside of the wrist and forearm, which induced 

 me to make a punctui*e with a lancet, but only a small por- 

 tion of a serous iluid was discharged. 



On the 19th his pulse was scarcely perceptible : his ex- 

 tremitjies were cold: the vesications were larger, the size of 

 the arm wasdiiuinished;, and he had sensation in it down to 

 his fingers. 



On the gist* the size of the ai-m was farther reducedj but 

 the skin was extremely tender. 



On the 22d the right side of the backi down tb the loinsj, 

 tvas inflamed and painful ; and had a very mottled appear^ 

 ance from the extravasated blood under the skint 



On the 23d the vesications had burst. On the 26th thi^ 

 arm vVas more swelled and infiamed. The inflartimatioti 

 increased ; and on the 28th a slough had begun to separate 

 from the inside of the arm below the armpit. On the 99th 

 a large abscess had formed on the outside of the elbo^v; 

 which was opened, and half a pint of reddish brown matted 

 was disclmrged with sloughs of cellular membrane floating 

 in it. The lower part of the arm became much smalier3 

 but the upper part continued tense. 



On the 30th the redness and swelling of the upper pat-t of 

 the arm had subsided* On the 3 I at the discharge from the 

 abscess had diminished. On the 1st of November ulcera- 

 tion hud taken place on the opening of the abscess, so that 

 it was much increased in size. The next day this ulcera* 

 tion had spread to the extent of two or three inches; and 

 inortilication had come on in the skin nearer the armpit. 

 On the 3d the mortification lii^d spread considerably; and 

 the fore finger, which had mortified, was reUioved at the 

 second joint. And on the 4th of November he died at half 

 after four o'clock in the afternooni 



Sixteen hours after deathj the body was examined by Appea^ahc?? 

 Mr. Brodie and myself, in the presence of Mr. Mayirard, 

 the l.ouse surgeon, aud several of the pupiis of the 

 hospital. 



With the exception of the right arm, which had heeh 

 * ^ bitteu;? 



