TETANIC CONVULSIONS. 
445 
stiffened extremities, the water covering the elbows, haunches, 
and abdomen. Judging, from indications, that the bath seemed 
to sooth the suffering, and was evidently agreeable to the 
patient, for although the panting was, as I expected, increased, 
the general restlessness was diminished, after about twenty 
minutes, I had the dog taken out, wiped, wrapped in a blanket, 
and laid before a large fire, the object being an endeavour to 
keep the patient in a kind of vapour bath. 
At first, the only apparent good effect produced was a dimi- 
nution of the restlessness ; the tetanic and other symptoms re- 
maining as before. After ordering a liberal supply of cold 
water to be given, the bath to be repeated in half an hour, and 
the patient to be kept hot during the interval, I left, with a 
vievr of sending my assistant to administer an aperient enema, 
and another emetic. 
At 7, p.m., I again visited my patient, and was agreeably 
surprised to find a very marked improvement. The jerking 
had subsided, the respiration was almost tranquil, the thirst 
considerably less, all the joints flexible, and the dog evidently 
much easier ; in fact, the tetanic symptoms were all but gone. 
I administered a draught containing T.Opii c. Sulp. Aether., 
in a little water, and ordered my patient to be kept warm, 
and not to be disturbed if inclined to sleep. 
£3d. Sunday morning. Upon attending, I found the pa- 
tient upstairs in the drawing-room, in company with its com- 
panion pet dog, and, to all appearance, convalescent. The 
pulse and respiration seemed natural, and the dog had par- 
taken of broths, &c. Every symptom observed on the 
evening before had gone, leaving only that languor which 
might be expected after such violent muscular contractions. 
The owner was profuse in thanks, expressed himself satisfied 
that the dog would require no further attention, and so I took 
my leave, certainly thinking that my attendance was discon- 
tinued rather prematurely. 
In the afternoon of the 24th I was, however, sent for again. 
Sickness had attacked the patient, the stomach seemed in- 
capable of retaining food, the bowels were much relaxed, the 
evacuations were watery, the visible mucous membranes pale, 
and the thirst considerable. The pulse and respiration were, 
however, but little disturbed, the most prominent symptom 
being excessive and increasing weakness. In brief, in spite 
of every effort, the dog continued to get worse, and died 
during the night. 
As it was not the wish of the owner, a post-mortem exami- 
nation was not made. I therefore cannot give the morbid 
appearances; but I may add, that so satisfied was I, from 
