238 CANINE MEDICINE AND SURGERY 



toneum, when the case becomes complicated with a 

 septic peritonitis. The constitutional symptoms are 

 suppression of the mammary secretion, vomition, 

 anorexia, great prostration, and weak, rapid pulse 

 of a thready nature and gradually becoming imper- 

 ceptible. The respirations are increased in fre- 

 quency. The temperature at first is very high, but 

 later on falls rapidly to subnormal in cases approach- 

 ing a fatal termination. Local symptoms are pain 

 on pressure to the abdomen, and Copious, ' foul- 

 smelling discharge from the vulva; the muCous mem- 

 brane of the vulva and vagina is swollen, con- 

 gested, and of a deep reddish-purple color. Mucous 

 membrane of the mouth and lips is at first hyper- 



uterine Douche Tube. 



emic, but later of a livid color, and cold and clammy 

 to the touch. 



Acute cases run from twelve to twenty-four hours, 

 and the prognosis ,is as a rule unfavorable. 



Treatment. — To be successful, treatment must be 

 instituted early and must be pushed energetically. 

 Nuclein should be given from the outset, and ad- 

 ministered three times daily until recovery, and the 

 following given every three hours to effect: ergotin, 

 quinin sulphate, iron phosphate, and fluid extract 

 of echinacea, of each two grains. 



To combat the great prostration, stimulants should 

 be given, such as one dram of spirits of camphor, 

 hypodermically every three hours. 



The vagina and uterus must be irrigated out sev- 

 eral times a day, first with a sterile, warm, normal 



