OBSCURE CASE OF INTERNAL EFFUSION. 
she was feeding; herself too much, and, consequently, on the 12th 
of this month he had taken her into the house, and kept her 
there on grass, and also milked her twice in the day, with a view 
that she might not be too flush of milk at the period of parturi- 
tion, and also not so likely to have milk fever. She had been 
apparently well from the time of conception. At seven o’clock 
this morning she had fallen. Not being far distant from my 
residence, I was presently there. Her neck was bent downwards 
and inwards, and her head swaying backwards and forwards; 
her countenance was indicative of great excitement and distress, 
and there was an entire suspension both of her milk and faeces. 
She was able to make a little use of her posterior extremities, 
but not the least of her anterior ones. There was a little prepara- 
tion for parturition, but not sufficient yet to warrant the attempt 
to extract the foetus. Her breathing was a little interrupted. 
1 abstained from taking blood, because, in similar circumstances, 
I had never known it productive of the slightest benefit. I gave 
her, however, some sulphur, with saline purgatives, and a small 
portion of carminative medicine, an enema, and half a pailful of 
chilled water. 
2 p.m. — The breathing more laborious, and the rumen much 
distended with gas. We turned her over, and in doing this a great 
quantity of very foetid gas escaped. The pulse was 80, and full. 
1 now abstracted four quarts of blood, after which she seemed a 
little easier. I also stimulated the whole length of the spine. 
She will sometimes yield a cupful of milk. I left her under the 
care of an attendant. 
7 a.m. — She is evidently getting worse. Her head is rested 
with the nose bent in under the thorax. Every now and then 
she will throw her head straight before her on the ground. 
We tried to make her swallow a little chilled water, but she has 
lost the power of deglutition, followed by a rattling in the trachea 
or larynx. It is now useless to force any thing upon her, for she 
would be immediately choaked : I, however, administered an in- 
jection with salts. 
Finding that things were so desperate, I thought that it was 
time to endeavour to extract the calf. I endeavoured to intro- 
duce my hand, but a violent contraction of the vagina utterly 
prevented it. By the use, however, of opium and oil, I pro- 
duced a relaxation of the parts, and found that the calf was alive, 
and in its natural state, and it was not long before I extracted it. 
I now endeavoured to give the cow a little carminative medicine, 
but in vain. Her respiration rapidly became more difficult. 
Presently we were enabled to extract a gallon of milk from her 
all at once. We let her remain quiet. Her pulse sunk to 40, 
