SUBACUTE OBSTRUCTION OF THE DOUBLE COLON 109 

 SUBACUTE OBSTRUCTIVE INTESTINAL COLIC. 





Pre^iious 

 Medicine, 



Medicine given. 



SyinptomSj Remar/cs, etc. 



Rain. 



Drain 

 (dyke). 



01. lini, 

 I pint. 



Drain 

 (dyke). 



Nil. 



At 7.30 p.m. 

 Ammon. carl)., 2^ oz. 

 Nucis vom. p., i o,:. 

 Sapo molli-;, q.s. 



M. ; ft. bol. iv. 



At 9.30 p.m. 

 01. tereb., 2 oz. 

 Spt. ammon. ar., i 02. 

 01. lini, I pint. 



M. ; ft. haunt. 



Dull pains at intervals. Lying quiet. Stand- 

 ing quiet. Eating occasionally. Rectum 

 empty and ballooned. I watched this case 

 three-quarters of an hour before pain was 

 evinced at all, and nearly left the farm 

 declaring to the owner that I had been 

 called out for nothing. I did not see the 

 case again, and it afterwards did well. 



Ammon. carb. p., 2 oz. 

 Nucis vom. p., i oz. 

 Sapo mollis, q.s. 



M. ; ft. bol. IV. 



Ammon. carb. p., 2 02. 

 Nucis vom. p., I oz. 

 Sapo mollis, q.s. 



M. ; ft. bol. iv. 



Injected hypodermically : 



Eserine sulph., 2 grs. 



Treated exactly as on 

 previous day, with ex- 

 ception of eserine. Ene- 

 mata given. 



Treated as on 12th, with 

 the addition of a hypo- 

 dermic dose of eserine, 

 3^ grs. 



General dull pains, with excessive strain- 

 ing attempts at defsecation at intervals. 

 Symptoms somewhat masked, owing to 

 pneumonia (congestive stage) set up by 

 the inspired linseed-oil given by the owner. 

 Impossible, or rather unwise, to drench. 

 The rectum contained a few hard lumps 

 covered with mucus, and the bowel was 

 ballooned. 



Animal quite well in all respects. 



Dull heavy pains the whole time. Never 

 violent. Impossible to drench owing to 

 awkwardness. Kectum empty and bal- 

 looned. Other bowtls, as far as could be 

 felt, impacted. No peristalsis on auscul- 

 tation. 



Mare much weaker, and evidently, owing 

 to old age, unable to stand against the 

 attack. Rectum still empty and ballooned. 

 No feces had yet been passed. 



Still no fseces had been passed, and still no 

 evidence of peristalsis could be gained by 

 auscultation. The temperature, however, 

 was decidedly improved ; and the pulse, 

 having gained in strength and become 

 more full to the touch, indicated that the 

 mare would still stand active treatment. 

 Accordingly, I repeated the previous treat- 

 ment, and also ventured on another and 

 larger dose of eserine sulphate, with the 

 happiest results. The bowels answered 

 to the stimulus, and the case afterwards 

 did well. 



