RUPTURE OF THE JlJGULAlt. 
433 
fauces and mucous membrane of the larynx and trachea, as he 
is continually coughing, and swallows his gruel with great 
difficulty. Continue the fomentations. 
1 6th. — Going on exceedingly unfavourably — there is a great 
degree of coma; pulse 50, and in a sinking state : when moved, 
he staggers like a man intoxicated, and has frequent tremors 
and cold sweats. When his head was released he lay down, 
but immediately rose again. Give gruel. 
1 7th . — A profuse discharge of green matter from the nostrils ; 
the throat extremely sore ; he coughs frequently, and staggers 
about as yesterday. 
19th. — The pulse has risen from 60 to 80 since yesterday, and 
he refuses every thing that is offered him. At 0 p.m. he fell 
down, and died without a struggle. 
Sectio Cadaveris. 
Not a vestige of the vein was left above the orifice ; the coats 
of the vein below were thickened, and that for several inches 
down the neck ; the right side of the neck, larynx, and pharynx, 
were putrid, and the mucous membrane of the trachea was 
rotten. Several small abscesses appeared on the inside of the 
posterior maxillary bone and in the parotid gland ; the spur bone 
of the tongue was embedded in thick pus ; the eustachian cavi- 
ties were filled with pus, and a large quantity of it (enough to fill 
a quart measure) was under and in contact with the wing of the 
atlas. The ligaments connecting the atlas to the dentata par- 
tially absorbed, pus supplying the place and communicating 
with and pressing on the theca vertebralis — the latter membrane 
was injected with black blood. The petrous portion of the tem- 
poral bone was covered with pus mingled with blood. The blood- 
vessels of the dura and pia mater were in a state of congestion : 
the pineal gland and plexus choroides were in a dreadful state of 
disease ; the lateral ventricle contained a pinky fluid ; the pituit- 
ary membrane of the frontal sinuses was black and gangrenous. 
RUPTURE OF THE JUGULAR. 
By Mr. H. Daws, London. 
June 24,1835. — A bay mare, six years old, had received 
an injury from the shaft of a cab, six weeks ago, in the front of 
the chest, a little above the sternum on the left side. The wound 
had to all appearance healed, and she was considered fit for 
work about a fortnight after the accident happened, when sud- 
