285 
SEQUELAE OF PLEURISY. 
com her side, making my observations on her general appear- 
tnce, particularly on her decline of embonpoint, which was very 
emarkable in the loins and quarters, I observed to those present, 
hat her belly certainly appeared generally enlarged, and that 1 be- 
;an to have strong suspicion that her present complaints arose 
rom the existence of water effused into its cavity. And what in 
ny mind strengthened this opinion were the circumstances ot the 
niasarca of the belly, and the single symptom of inward (abdomi- 
lal) irritation, viz. the pawing. 1 thought to myself, it could not 
)e hydrothorax, or at least to any extent, because the mare had 
ill along been in the habit of lying down so much ; then, again, 
vhile lying, she groaned, and manifested inward uneasiness. 
Towards the afternoon, her breathing grew less hurried and 
rksome : the pulse abated. At night, at eight o’clock, she had 
become comparatively easy and tranquil again: the respiration 
vas no longer, or but very little, disturbed; her pulse had sunk 
lown to G(h But she had eaten nothing all day long: she had, 
lowever, frequently taken small draughts ol water from the pail 
»vhich hung up in the stable; and she showed great desire to cool 
md refresh her mouth by dipping her nose into it. 
Next morning she appeared in no material degree altered. She 
had not lain down, at least to appearance ; nor had she par¬ 
taken of any kind of food : indeed, she took no heed of any thing 
that was offered to her. In consequence of her not having passed 
much dung in the course of the night, and as she appeared now 
free from any active pains, I ordered her to take one drachm of 
aloes, ten grains of calomel, one drachm of emetic antimony, 
and two drachms of nitre. Yesterday, at twelve o’clock, I pre¬ 
dicted that she would not live twenty-four hours longer: this 
morning I said that she would not see the day out. She died at 
eleven o’clock, a.m. She stood up to the last moment; fell 
down, and expired without a struggle. 
Examination. 
The primary disease was clearly shown to be pleurisy: every 
part of the pleura, costal, pulmonary, and pericardiac, was thick¬ 
ened, indurated, whitened; in fact, quite altered from its original 
texture, and thickly clothed with adhesions of effused coagula, 
which had grown tough, and advanced a considerable way to¬ 
wards vascularity: about one gallon of cream-coloured fluid was 
found within the right side of the chest; about eight ounces of 
yellow serous effusion within the pericardium. r lhe lungs were 
all sound, otherwise than from some sympathetic inflammatory 
action in them, they appeared redder, and in places densei than 
ordinary. 
r i* 
