THE ADDER. 131 
normal; the right hand was swollen; the pupils of 
the eyes were widely dilated, and reacted to light. 
“At 8 pa the hand and forearm were very dark, 
swollen, and brawny; there was excessive tenderness 
on pressure; extension to the arm was evident. The 
pulse, temperature, and respiration were normal; he 
was still vomiting. His drowsiness had completely 
passed off, the mental faculties being wholly undis- 
turbed; he complained of great thirst and of severe 
pain at the site of the bite. 
“At 8 A.M. it was found that there had been pro- 
gressive extension of the swelling and duskiness of 
the involved tissues during the night. The whole of 
the linb and a portion of the right side of the chest 
and the side of the neck were implicated ; tenderness 
and pain were ageravated. The surface of the body 
was cold, the pulse very weak; all food was vomited, 
and his mind was quite clear. 
“At 2 pM. the upper part of the abdomen on the 
right side had become affected. His face was blue 
and had an anxious expression, and; he was covered 
with a clammy perspiration. The pulse at the wrist 
could not be felt, and the beating of the heart was 
very faintly felt. The temperature in the armpit 
of the affected side was 101°, in the opposite armpit 
98°. Mentally the boy was still quite undisturbed. 
The breathing was slower. The pupils were still 
dilated and reacting to light. 
“At 7 P.M. information was received to the effect 
