INTESTINAL ANASARCA, WITH ASCITES. 431 
11 th . — At 5J A.M. she was observed to be uneasy, purging, 
and straining, and in consequence her owner gave her a dose of 
some quack medicine, which seemed to relieve her. 
On my attendance this morning (8 o’clock), I was very much sur- 
prised to find that a considerable change for the worse had taken 
place since I last saw her. 
Symjrtoms . — I was given to understand that she had been un- 
easy, pawing, sweating, and getting up and down a good deal, 
from the time she was first seen this morning to the present. She 
is now very weak in her hind quarters, and there is some swell- 
ing and tenderness in the near hind leg, below the hock, like 
farcy humours. There is also a large oedematous tumour under- 
neath her belly, between the umbilicus and udder. Pulse is 
scarcely perceptible, either at the jaw or side; does not sweat; 
is very lively about the head : respiration a little increased. 
I bled her, but obtained little blood, and that was very black. 
Gave a small dose of opium by mouth and anus, and rubbed a 
mustard embrocation on her abdomen. About an hour afterwards 
she died. 
Examination . — On laying open the abdomen, about two or three 
gallons of clear serum escaped. The peritoneum did not shew 
indications of inflammation. 
We next drew the intestines out of the abdomen. They felt 
hard and thickened. 
I now slit them open from beginning to end. The entire sub- 
stance of the small ones were thickened ; the mucous membranes 
were but little inflamed, but were thickly coated with mucus. The 
large ones presented a mass of disease : there were large corru- 
gations of various sizes projecting into the intestinal canal, formed 
by excessive effusion of lymph and serum, but principally of the 
latter, into the cellular membrane between the muscular and 
mucous coats. This existed principally in the coecum and colon. 
The rectum was but little altered. The heart was of an enormous 
size. On skinning the near hind leg we discovered very exten- 
sive inflammation, extending from the hock to the foot, both within 
the cellular membrane and sheath and substance of the flexor 
tendons. Indeed, I could not have conceived that there was such 
a congeries of bloodvessels about the parts, nor that the tendon 
could have been so beautifully injected. 
Observations . — I am now inclined to think that, even when I 
first saw this mare, there must have been serious disease existing 
and going on in the intestinal canal, although her symptoms gene- 
rally did not at all clearly indicate it. Most of the time the pulse 
was quick and small, nor were there any symptoms of pain or un- 
easiness — nothing more than borborygmus and moderate purging. 
