CASKS OF 1R1LEGULA11 STRANGLES. 
493 
days past in the same glands. Right parotid region also 
enlarged ; matter comes from the nose ; cough is present ; 
appetite cannot be gratified, in consequence of soreness of 
throat. 
7th. — Sublingual glands have suppurated freely during the 
week; the parotideal swelling has receded; the channel of 
the right jugular vein is swollen along the whole neck, and 
several hard, painful, knotty tumours, about the size of hazel 
nuts can be plainly felt below, and rather inside the vein. 
This swelling is continuous with a diffused tumour, situated 
between the right shoulder, and sternal cariniform cartilage. 
To be allowed as much good food as she can take ; water, hot 
as can be borne, to be applied to the swollen and suppurating 
parts by means of woollen cloths. 
9th. — Right parotid region again enlarged; discharge under 
the jaw nearly ceased ; swelling has not subsided in pro- 
portion. The farrier had opened three small abscesses in the 
course of the jugular channel before my visit. Swelling at 
the breast harder and more prominent, and evidently owing 
to enlarged lymphatic glands under the inner margin of 
levator humeri muscle. Patient is dull ; pulse 60, and sharp 
in tone, respirations 19; appetite bad. Very hot fermenta- 
tions to be constantly applied to all the swollen parts ; green 
meat to be offered by hand in mouthfuls. 
1 1th. — Right parotideal swelling large as a small cocoa nut, 
but exceedingly tense and hard. Sublingual glands again 
more tumefied ; pectoral swelling has suddenly extended to, 
and now involves, left side almost as much as the right, it 
projects beyond cariniform cartilage about the size of a large 
gourd, does not present any softening or fluctuation. There 
is some difficulty in breathing and swallowing. Fomenta- 
tions to be constantly applied at the highest temperature 
short of scalding. 
12th. — An incision two inches long was made through the 
skin, fascia, and thin muscle covering the parotideal swelling; 
the right fore finger was then forced through the remaining 
and still thick outer wall of the sac into the abscess ; eight 
ounces at least of pus came away in a stream so forcible as 
to fly about four yards when the finger was withdrawn. The 
pectoral abscess was opened in the same way ; it required, 
however, the whole length of my finger to reach the sac, as it 
lay within a thick covering of muscular and cellular (areolar) 
tissue. Great relief was afforded by these evacuations, and 
the patient soon took a good quantity of scalded bran and 
oats. Hot bathing to be continued. Green and other good 
food to be allowed as she will eat it. 
