HEPATITIS— SCROFULA— PHTHISIS? 
155 
27th . — She is quite herself. Dismissed. 
August 20th . — I have seen and heard her cough. Watch her. 
27th . — She has been carefully watched ; the cough has sub- 
sided, and is gone. 
Sep. 22d .~ She has been sick, and vomited bile. Her coat 
stares. Give six grains of calomel. 
24th . — The medicine purged her thoroughly, and she is well. 
Jan. 9 th y 1835. — A small tumour has been observed for about 
a fortnight on the angle of the lower jaw on the right side: it 
is adherent to the jaw. Within a few days it has rapidly 
grown, and extended itself between the rami of the jaws. It 
is about the size of a large walnut somewhat compressed. It is 
apparently suppurating, and there is a spot much softer than the 
rest of the tumour. We coaxed her up to the bars of her den, 
and, while one of the keepers occupied her attention, I plunged 
my lancet into the tumour. A considerable quantity of ichorous 
fluid, much more than the apparent size of the tumour would 
warrant, escaped. Of course nothing more could be done that 
day, and for some days to come. 
12 th . — There is still a considerable discharge from the wound, 
but the tumour is not much diminished. 
15 th . — The discharge continues, and the tumour is increasing. 
She is as good a creature as the other lioness. Try to foment 
the part morning and night. 
19^4. — Although there is a constant slight discharge, the 
tumour continues to increase. Gently, but as well as may be, 
rub in the ointment of the hydriodate of potash, and give six 
grains of the hydriodate every night 
24 th . — The ointment is too stimulating ; there is redness all 
about the tumour; she scratches it sadly, and the blood is con- 
tinually dropping from it. Discontinue the ointment. Foment 
with a decoction of poppy-heads, and give the medicine as before. 
28 th . — Very much better; the inflammation has abated; the 
tumour has lessened, and no longer bleeds. Continue fomenta- 
tion and medicine. 
Feb. 4 th . — The tumour has again taken on a disposition to en- 
large ; it has burst afresh : the whole of the neck is irritated, and 
sore from the acrimony of the discharge, which is very great. 
Continue fomentation and medicine. 
Wth . — On the whole, better; but a fresh tumour has rapidly 
formed on the other side, and has broken, and there are sinuses 
evidently running across from the one to the other. Could I 
confine my patient, I would soon lay all this open; but that is out 
of the question. Fomentation and medicine as before. 
