258 
SUPPRESSION OF SUPPURATION THK 
have undergone any change. Dress the wound with diluted spirit. 
Medicine and diet as before. 
20 Hi . — The wound looks well. Some minute particles of car- 
tilage begin to be eliminated round the apophyses. The tissue of 
the bone begins to be softened, and exhibits a red injection. The 
same dressing and medicine; and the diet improved. 
21s*. — The wound is healthy, and the pus abundant. Dress 
twice in the day — -the other treatment the same. 
24 th . — No change. The diet again increased. 
The proprietor beginning to be afraid of expenses, the animal 
was given up to us. Being desirous to see what effect a sudden 
stoppage of a purulent secretion so abundant, and so established, 
would produce, I dressed the wound with pure acetate of lead, and 
suspended all internal medicine. The same diet was continued. 
At four o’clock in the afternoon, a tumour as large as an egg, and 
that could not be touched without pain, began to develope itself on 
the right side of the chest. The animal was dispirited : he staggered 
as he walked — the respiration was accelerated and loud, and auscul- 
tation enabled us very distinctly to hear the peculiar sound — 
un rale muqueux — caused by large bubbles in the bronchial pas- 
sages. The true respiratory sound, although weak, could be re- 
cognized at the inferior portion of the lobes on each side. There 
was evidently the commencement of pulmonary obstruction. 
2 5th . — The tumour on the chest was as large as a man’s head. 
The granulations in the wound were almost sunk to a level with its 
surface, and were of a livid colour — the pus that was discharged 
was small in quantity, and became concrete in the form of thin 
pellicles. The respiration could be heard at a greater distance — the 
nostrils were dilated, and the vessels of die conjunctiva were 
strongly injected with a reddish yellow Jluid. No respiratory 
sound could now be heard at the inferior portions of the lungs. The 
animal was dispirited and debilitated, his muzzle was almost on 
the ground, and his tottering limbs could scarcely support his weight. 
The pulsations of the heart were strong, vibrating, and almost con- 
vulsive. The pulse could not be felt. The appetite was quite 
gone. The wound was again washed with the acetate of lead, and 
left exposed to the air. 
26/A. — The tumour of the chest has extended to the left side. 
The gait of the animal is still more vacillating. The breathing is 
more embarrassed, and the breath has a faint nauseous odour. 
27 th . — The tumour has become enormous, and has reached to 
the front of the shoulder on the right side. The respiration is 
dreadfully laborious. The true pulmonary sound can only be 
heard in the superior portions of the lungs ; below, nothing can be 
distinguished but the sound of impending suffocation in the bron- 
chial passages. The breath is now absolutely foetid. The patient 
