204 SKETCH OF VETERINARY PRACTICE IN LONDON 
exceptions, has terminated fortunately. Nervous and paralytic 
aff ections still are of frequent occurrence. Symptomatic tetanus 
has been more observed than is usual. Metastasis of inflam- 
mation has in a variety of cases forced itself on our notice. In 
one case catarrhal fever was succeeded by pneumonia : that gave 
way to enteritis — to this laminitis succeeded. By careful treat- 
ment the horse recovered from all these complaints, and then sick- 
ened with strangles. In the cases of glanders that have occurred 
the lungs have been affected. 
July. — This month has differed widely from its usual charac- 
ter, for it has been almost uniformly cold and rainy. The in- 
fluenza has been prevalent, but comparatively few cases of a 
decidedly inflammatory character have occurred. Deaths among 
horses have been less numerous than usual. 
August. — The early part of the month was temperate and 
dry. Nothing particular has occurred in veterinary practice, 
except the continued prevalence of the influenza. The patients 
labouring under this complaint became far more numerous 
during the thunder-storms that occurred in the middle of the 
month. 
The character of this epidemic has been not a little various. 
There has not, in most cases, been much acceleration of the 
pulse, but a great deal of oedema of the head and extremities, 
accompanied by considerable debility. There has been an evident 
soreness in the direction of the flexor tendons. The eyelids have 
often been swollen to a very great extent, and some opacity has 
long been left on the cornea. A decided stupor, approach- 
ing to coma, has been observed in some patients. They have 
almost all been treated with depletion at the commencement, 
regulated by the circumstances of the case, and the very great 
majority of cases have terminated in resolution. Cases certainly 
have occurred in which the disease has ended in glanders, 
farcy, water in the chest, abscesses in the lungs, &c. It has 
been on the decline towards the latter part of the month. Pleu- 
ritic attacks have succeeded, and, in some instances, laminitis. 
September. — The weather has been cold and wet, occasion- 
ally assuming a winterly aspect. There has been but little dis- 
ease. Chest affections, predisposing to hydrothorax, have been 
the most prevalent. A few cases of influenza remain. The ex- 
tremities have been enormously swollen ; and there has been 
considerable congestion in the capillaries of the Schneiderian and 
conjunctival membranes. The disease has sometimes resembled 
purpura hsemorrhagica, and scarlatina of the human subject. 
October. — The weather at the commencement of the month 
was fine and dry ; it was very wet towards the middle of the 
