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INTESTINAL ANASARCA, WITH ASCITES. 
By Mr. W. A. Cartwright, M. R. C. V. S., Whitchurch , Salop. 
About 6 A.M., 8th May, 1846, I was called upon to attend a 
half-bred mare, supposed to he unwell. She had been running 
out at grass for a few days, but was used in the day-time to take 
an old gentleman over his farm, during which time, at intervals, 
she had to stand in the cold, at gates, &c. 
Symptoms . — Those of an ordinary cold — slight sore throat, 
with oedematous swelling under the jaws. Quick feeble pulse. 
Is and has been purging a little. 
Treatment . — Took about three quarts of blood from her, which 
proved deeply buffed. Ordered that her throat be continually 
fomented; that she be kept warm with clothing, and that the 
stable be well ventilated. Gave no medicine, as we thought the 
purging would subside and might prove of service to her. 
9 th . — The groom, this morning, found her purging considerably. 
I wag sent for, and arrived at 7 A.M. 
Symptoms . — Her throat is now scarcely at all sore, and the 
swelling underneath is gone. She has been purging and strain- 
ing, and several oedematous protuberances have made their ap- 
pearance at the anus, issuing from the rectum. These tumours are 
evidently portions of the mucous membrane, produced through 
distention with lymph and serum, and forced out and constricted 
by the continuous contractions of the sphincter ani. I tried to 
force them back, but could not. Her bowels were rumbling a 
great deal, and occasionally purging. I gave pulv. opii 3ss in a 
little gruel, in order to allay irritation. Ordered her to have no 
solid food, but to be drenched now and then with gruel. 
3 P.M. — Does not purge or strain any thing of importance. The 
tumours are not at all reduced, nor have they receded into the 
rectum. The anus to be continually fomented. 
I discovered now for the first time that there was an incision of 
an inch long in one of the lower tumours, but how produced no 
one knew. Pulse feeble ; general appearance good : would eat, 
but is forbidden. 
KM, 9 A.M. — The tumours at the anus have retired within the 
sphincter, or else they have become absorbed. There is no ap- 
parent irritation about the anus ; no purging, and the bowels are 
quiet ; looks lively, and is warm and comfortable. The pulse I 
am not satisfied with, being small and feeble. Ordered that she 
should have a scanty mash, and a little grass, in the course of the 
day. Gave a little ol, lini. Towards night she appeared some- 
what dull, but there were no symptoms of pain. 
