SNAKES OF CEYLON, 



521 



Casualty Return, 



Station . . 



Sex 



Age 



Date and hour of bite 



Hour of admission 



Part bitten 



Species of snake 



Result . , 



Insein, Lower Burma 



Male, Burman 



30 



May 29, 1919, about 7 p.m. 



About 9 p.m. 



Outer side of dorsum of left great 



toe at the base 

 Russell's Viper, 36 inches without 



head 

 Cure 



Symptoms, Local. 



(a) Pain 



(b) Swelling 



(c) Sanious oozing 



(d) Appearance of 



tissue 



cut 



(e) 



Characters due to me- 

 chanical causes 



Intense and immediate 



Immediate 



Only after incision 



(Edema and local discolouration 

 over an area, the size of a 2 -anna 

 bit 



One puncture only 



Symptoms, General. 



(a) Consciousness 



(6) Respiration 

 (c) Syncope, Pallor 



(d) Paralysis 



(e) Haemorrhage 



(/) Other symptoms 

 (g) Treatment 



Stated to have been temporarily 

 unconscious after reaching his 

 house 



Shallow and somewhat hurried 



Pallor marked, pulse 120, skin 

 moist, cold, and clammy, vomit- 

 ing set in before admission J and 

 continued (see notes) 



Nil 



Vomiting of blood, subcutaneous 

 haemorrhage 



(See notes) 



Antivenene (see notes). 



Clinical Notes. 



May 29, 1919. — The patient was an intelligent English- 

 speaking Burman Christian, living about three miles from 

 the hospital. He states that he was bitten about six furlongs 

 from his house. His companion cut off the snake's head, and 



