WATERY FARCY — EXTERNAL DROPSY, &c. 449 
like those within the nose ; but, from the rete mucosum being 
black, they were by no means so distinctly made out as I could 
have desired. 
9 /A. — A tumour, the size of a hen’s egg, appears this morning 
upon the nasal bones ; it has a hard, solid feel, and cannot bear 
much pressure. 
10/A. — The swelling upon the nose turns out to have been occa- 
sioned by the pressure of the halter, produced by the dragging 
force the man has been using in leading out for exercise. 
11/A. — His appetite is not so good. Omit his medicine. 
12/A. — A relapse, and an awful one. Both nostrils are again 
attacked with fresh swelling. A mucous discharge from them has 
made its appearance ; and there is, besides, tumidity and tender- 
ness of the entire nasal half of the face. The limbs, also, are 
more swollen, in particular the hind ones ; and circumscribed tu- 
mefactions have arisen upon the inner side of one thigh ; and effu- 
sion of fluid has taken place in the bursae of the stifle-joints. The 
petechial spots upon the nasal membrane are evidently affected by the 
fluctuations of the disease in other parts, sometimes appearing red, 
at others of a modena or purplish hue ; their colour is likewise 
influenced by exercise. On account of this alarming accession, 
another blood-letting was deemed advisable, no more than four 
pints being abstracted ; also, recourse was again had to mercury. 
13/A. — He has been gradually getting worse. This morning, to 
our surprise, all his swellings appear diminished, as though they 
were about to leave him, and yet in other respects he is so much 
worse, that I doubt whether he can live out the day. I am afraid 
this sudden and unexpected abatement of his tumefactions por- 
tends, as it too often in such cases does, the approach of dissolu- 
tion. At noon he lay down, not having done so, observably, since 
his limbs took to swelling so much. In the course of the 
afternoon he rolled about, as though “ griped,” and had a drench of 
ether and laudanum given him, which produced relief. In the 
evening this was succeeded by symptoms of delirium, in a fit of 
which (at 7 o’clock P.M.) he expired. 
Post-mortem. — Lungs, dark coloured from congestion. Trachea 
and bronchial tubes, normal, the petechice having disappeared 
from the lining membrane of the nose. Peritoneum, normal ; sto- 
mach exhibiting a slight blush, intestines without any; liver, pale ; 
uriniferous tubes containing pus ; cellular tissue, in the swollen 
parts, loaded with yellow sero-albuminous deposition. 
3 N 
VOL. XVII. 
