720 
INFLAMMATION OF THE JUGULAR VEIN 
space two inches between the wounds clear through into the 
vein, and removed a good deal of sloughing matter ; and found 
that the vein was considerably thickened above, but was small in 
caliber. It was much worse than I thought it was, as I could intro- 
duce the whole length of my finger into it, and found it full of matter 
and sloughs. I introduced a seton, and brought it out at this point, 
in order to have a discharge below. I dressed the parts with 
solut. zinci sulph., and ordered a warm bran poultice to the neck, 
as the vein was considerably thickened up to the angle of the neck. 
Upon the whole, the case is worse than it has yet been, and I al- 
most fear the result. 
29 th . — I went over to her, and found that the poultice had not 
been applied, but that she had been fomented instead. The wound 
looks very healthy, and there is but little discharge from it, or 
sloughs in it. It is very much swollen above quite up to the ear, 
and the vein distended and hard. I merely dressed the wound 
with lin. tereb., and ordered it to be fomented as before. I fancy 
that matter will form in the vein higher up. 
Oct. 3 d . — The wound for two inches, and all below with the seton 
in it, is going on well ; but all above this place is very hard and 
tender. Where the vein bifurcates it is uncommonly full and hard ; 
but the branch that comes from the ear is not thickened for above 
an inch or two. The other branch that comes from under the jaw 
is very distinct, and as large as a thick goose- quill. The mare 
looks much thinner, and does not feed so well ; but she can move 
her jaws and head pretty well. Her head does not seem affected 
by the obstruction. An abscess will form somewhere near its 
bifurcation, and, in order to encourage it, blister it again. 
6th . — I think her better. The parts are not so tender, and I 
think that there is now a sanious discharge at the wound from the 
superior part of the vein, and that it can be heard gurgling in it 
above, and can be squeezed out below : the branch under the jaw is 
not so thick. I ordered some blistering ointment to be rubbed on, 
and dressed the wound with ung. hyd. oxy. rub. 
\6th . — I was sent for in haste, and informed that the mare was 
dying. I went over immediately, and found that such was the 
case. Yesterday morning she began to get worse, and to swell about 
the neck and face, and the owner thought proper to take three or 
four quarts of blood from her. From that time she became rapidly 
worse, and, when I saw her, the swelling had been very rapidly 
increasing since my former visit, and even since yesterday. The 
whole of her lips, face, and cheeks, and down the front of the neck 
to the breast, and nearly the whole of the near side of the neck, were 
enormously swollen and oedematous. The part where the blister 
had been rubbed on the vein felt much softer and flabby, and which 
I punctured, and liberated a tea-cupfull of unhealthy matter. She 
