OBSTRUCTION IN THE PASSAGE OF THE DUODENUM. 553 
19///. — Defluxion from the eyes and nose increased, with short 
and painful cough. The animal feeds well. Give half a grain 
each of calomel and emetic tartar. 
21$/. — Much worse: the discharge considerably increased: 
the animal weaker, and the appetite gone. Give three grains 
of antimonial powder morning and night. 
22 d. — Dead. No apparent cause of death ; but that dimi- 
nished calibre of the intestines, and strange collapse of the lungs, 
which is found in most of the feline tribe that die of distemper. 
CASE OF OBSTRUCTION IN THE PASSAGE OF THE 
DUODENUM, FROM INJURY TO THE INTERNAL 
SURFACE OF IT. 
By Mr. Dickens, of Kimbolton. 
On the morning of April 30th, a servant came in haste from 
Mr. Bliss, of Dean House, stating that a cart horse was very ill, 
and required immediate assistance. Having left home in a con- 
trary direction, and my return being uncertain, an assistant at- 
tended, and found the leading symptoms to be those of an ordi- 
nary attack of indigestion (he had been living on pea straw), 
and administered to him, aloes §ss, pulv. opii 5j, sp. nit. aeth. 
Ji, and also abstracted four quarts of blood. 
I visited him in the evening, and found him tranquil. The 
feces had become pultaceous; the appetite was good; and in 
three days he resumed his work. All appeared to go on well 
until the morning of May 9th, when I was hastily aroused with 
the news that the black horse was ill again. I arrived at 7 A.M., 
and found him labouring under the greatest pain ; constantly 
down, and endeavouring to get on his back ; pulse 45, small and 
hard : the feces covered with mucus, and the mouth clammy. 
I did not have recourse to my lancet, partly because he had 
been bled so lately, and principally because I did not consider 
that his symptoms immediately called for it, hoping it might 
pass off as his former attack had done. I gave him aloes ^ss in 
solution, with ^ij tr. opii, and ordering him to kept on the move. 
^ I left with a promise to visit him again at eleven. 
I then found that his pains had increased very much ; he 
was continually throwing himself on his back, or sitting on his 
haunches like a dog. I abstracted lOlbs of blood, and adminis- 
tered tr. opii ^ij, in a pint of strong peppermint water. Enemas 
were injected, and hot water applied to the abdomen. 
