152 
STRAY LEAVES FROM MY CASE BOOK. 
By M.R.C.V.S. 
1. PUNCTURED WOUND PY2EMIA DEATH. 
July 30, 18 — , was admitted into our Infirmary an aged 
grey gelding, having a punctured wound at the back of the 
pastern of the near fore-leg, extending towards the insertion 
of the flexor perforatus tendon. Much pain was expressed, 
more especially on an attempt being made to flex the limb, 
which was swollen as high up as the knee, and there was pre- 
sent some irritative fever. Withdraw blood to the amount of 
6 lbs. Constantly employ fomentations to the limb, and 
over the wound apply a poultice. Restrict the diet to 
mashes. 
The next day a laxative was administered, and the poultices 
and fomentations ordered to be continued. 
Aug. 1. — The limb has become more swollen, and the pain 
is very acute, the wound having assumed a very unfavorable 
appearance. The whole system sympathises, and one of the 
hind legs has become much enlarged. Give a diuretic, com- 
bined with a sedative, in the form of a ball. Dress the 
wound with the Compound Tincture of Myrrh, applying a 
poultice over the dressing. As the faecal matter has been 
rendered soft, allow a little corn, although no disposition for 
food is evinced. 
2d. — Since yesterday a remarkable change for the worse 
has taken place. The constitutional excitement is great ; 
the swelling of the legs has increased, especially that of the 
near behind, on which apparently farcy buds have made their 
appearance, and the wound at the pastern has assumed a 
most unhealthy aspect. Mineral tonics were exhibited, and 
the wound dressed as before. Vary the diet. 
3d. — Several uloers have broken out on the hind leg, and 
on the fore limb there exists that tuberculated condition of 
the skin which accompanies farcy. The pain of the wound 
is intense, and the diseased action is extending downwards to 
the hoof, and to such a degree that the latter has become 
loose. The animal refuses food, and the febrile disturbance 
is considerable. Dress the wound and ulcers with a solution 
of Chlorinated Lime, and repeat the tonic ball. The animal’s 
general comforts to be attended to. An unfavorable result 
is anticipated from the rapid progress of the disease. 
4th. — The animal is in a state of extreme agony; the 
