EXTRACTS RROM MY NOTE BOOK. 
555 
Nine o'clock , P.M. — (five hours after first seeing her). She 
is much worse. Blister the sides and chest. 
22 d . — Symptoms much the same. Repet. haust. bis die. 
23 d . — Mare is failing very rapidly ; the pulse does not war- 
rant again bleeding, nor does the general condition of the patient 
indicate it. She must die : the vesicatories have had no effect 
— the action of the heart and arteries seem to infer that they 
are suffering from irritation, and not wholly from inflammation. 
This mare continued standing from the time she was first brought 
in : it seems almost useless to administer medicine ; but, while 
there is life there is hope. The heart is much dilated, I have 
no doubt; the pulsations occasionally intermit, depending, I 
suppose, upon the state of the respiration in some measure. 
Seven o'Clock, P.M. — My patient has much abdominal pain ; 
cold sweats bedew the surface of the body, &c. Her pulse is 
now at 100. I had the sides of the chest fomented and washed 
with soap and water, and administered an anodyne draught. 
Towards night she got relief : left her comfortable for the night. 
24 th. — She seems better. Pulse down to 60, respiration 40. 
Repet. haust. bis die. 
25th. — Pulse same as yesterday. She now grunts; there is 
discharge from both nostrils; shivering fits are now come on, 
which foretel a speedy dissolution. No medicine ; faeces very 
much tinged with bile. 
Ten o' Clock, P.M. — Mare lying down for the first time; she 
moans a good deal ; eyes amaurotic. She died at half-past 
10 o’clock 
2 6th. — Post-mortem appearances. False membranes are 
thrown across the chest, attached to the heart, lungs, and dia- 
phragm ; the lungs are slightly congested ; heart much enlarged, 
but thin ; the right auricle and ventricle considerably dilated ; 
the whole substance of the heart soft and pale in colour; spots of 
ecchymosis are observed in both ventricles, particularly the left 
ventricle. The liver is soft and granulated, and easily torn with 
the finger : all the other viscera healthy. 
July 14 th, 1850. — Was requested to see an aged pony mare 
with symptoms similar to the case above described. My treat- 
ment varied according to circumstances ; but here I considered 
I had a true case of carditis, and treated her accordingly I tried 
the effect of blood-letting, vesicatories and setons, sedatives of 
the most powerful and certain description, each of which in their 
turn produced relief for the time being. Sometimes for a few 
hours the mare would seem comparatively well, then suddenly 
a change would come over her, so as to make one fancy she had « 
