THE POISONOUS SNAKES OF INDIA. 113F 



pui'pose. Patient had no sleep during the night, and was restless^ 

 complaining continually of the abdominal pain. 



July 14th, 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 ^vas blanch-- 

 ed or cold. He complained of thirst and drank slierbet. 



There was no sign of any paralyses. 



About an hour before death he became very restless and ceased' 

 to recognise 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 post^Tbortem examination was made at 6 p.m., 8 hours after- 

 death. 



Eigor mortis was well-established. 



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

 eight-anna 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 adhesions on 

 the left side. 



Heart. — Left ventricle strongly contracted and empty, right ven- 

 tricle engorged with blood. 



The blood was quite fluid and notably light coloured ; there was 

 no trace of clotting. 



AhdAymen. — No'peritonitis or petechial hsemoiThages ; the coils of 

 intestine were distended with gas, and the omentum was anaemic. 



The bladder -svas strongly contracted and the urine not blood 

 stained. 



Liver. — Normal, anaemic. 



Kidneys. — Normal, anaemic — the capsule stripped easily. 



Spleen. — Normal, small. 



