542 SNAKES OF CEYLON. 



At 7 P.M., the patient passed a diarrboeic motion in bed, 

 but got up later to pass water and clean himself. There was 

 no blood in the motion or urine, and active bleeding had 

 ceased from the wound in the arm, the dressing being merely 

 stained. 



At 10 P.M., the patient complained ot pain in the abdomen, 

 and was given aromatic spirits of ammonia and cinnamon 

 water. 



At midnight, the pain in the abdomen was worse ; patient 

 described it as a burning sensation. There was no vomiting. 



At 2 A.M., the patient passed a diarrhceic motion (no blood), 

 going out, with assistance, to the latrine 20 yards away for 

 the purpose. Patient had no sleep during the night, and was 

 restless, complaining continually of the abdominal pain. 



July 14, 7 A.M., the wound was dressed, there was no fresh 

 bleeding, the patient was quite conscious, though the pulse was 

 imperceptible at the wrist. It was not noticed that he was 

 blanched or cold. He complained of thirst and drank sherbet. 



There was no sign of any paralysis. 



About an hour before death he became very restless and 

 ceased to recognize his surroundings. 



He died at 10 a.m., 27 hours after the accident. I saw the 

 case first an hour after death ; rigor mortis had not yet set in. 

 There was some swelling of the left arm, and blisters above 

 and below the elbow where the rubber ligatures had been 

 applied. 



A fast mortem examination was made at 6 p.m., 8 hours 

 after death. 



Rigor mortis was well established. 



The wound in the arm was circular and about the size of an 

 8-aima piece, it had penetrated well into the connective 

 tissue, but was not deeper. There was no sanious discharge 

 from the wound, though the blood stains on the dressing were 

 watery. 



Lungs : Emphysematous and anaemic, old pleuritic adhe- 

 sions on the left side. 



Heart : Left ventricle strongly contracted and empty, right 

 ventricle engorged with blood. The blood was quite fluid and 

 notably light coloured ; there was no trace of clotting. 



