HEPATITIS, ASCITES, &C. — PHTHISIS. G39 
t/ion of the disease : utter debility is now added to rapid loss of 
flesh. Continue, however, to give the balls, and force to eat. 
27th . — He continues to lose ground. 
‘30th . — He cannot be far from his end. 
31.$L — Died. The abdomen was filled with a reddish fluid of 
the consistence of whey, and in which much flocculent matter 
floated. The liver was of a dark colour, spotted with yellow ; 
more than usually friable, and containing several large tubercles. 
The gall-bladder was turgid with bile, and every part of the in- 
testinal canal contained a portion of it. The omentum was lined 
throughout with a dense adventitious membrane, and adhered 
to the intestines in various parts, and particularly about the com- 
mencement of the colon, where was an enlarged mesenteric gland 
weighing three or four ounces. The mucous membrane of the 
intestines was perfectly free from inflammation, except in the 
duodenum. In this intestine, opposite to the entrance of the 
pancreatic and biliary ducts, was a rupture of long standing, for 
its edges were smooth and everted. An enlarged mesenteric 
gland was opposite to it, apparently answering the purpose of 
a valve. Several worms of the filaria kind were found in the 
abdominal cavity. Nothing could have saved this animal. 
Phthisis, connected with (or consequent upon ?) 
Derangement of the digestive Functions. 
1833, August 27th. — Male Puma. Coughed a little a few 
days ago, but not otherwise indisposed. Give one grain and a 
half each of emetic tartar and calomel. 
Slst. — The cough increases; the appetite fails, and the animal 
gets thin : the flanks heave somewhat laboriously. Give two 
grains of emetic tartar. 
Sept. Isf.- — He vomited more than a pint of what seemed to be 
almost pure bile. Let him alone to-day. 
4 th. — Better, and eats well : cough gone ; but is not in good 
spirits, and heaves more laboriously at the flanks than he should. 
Supply him with dog-grass, and give three grains of antimonial 
powder and one of calomel daily. 
( yth . — Not so well ; heaving greater ; cough returned ; mucus 
collecting at the corners of the eyes. Give two grains each of 
calomel and antimonial powder daily. 
8 th. — Seems occasionally to rally ; heaves less ; becomes more 
lively ; ready for his food ; and the keepers think that he is es- 
sentially better. I perhaps should think so too, but I have heard 
the short sore cough. Two grains of calomel act freely. Give it 
