PURPURA HEMORRHAGICA IN A MARE. 209 
Scarify the belly and sternum freely, and persevere with 
medicine as before ordered. 
13th, 9 a.m.—The enlargement has considerably subsided in 
the hind legs, but the head is now swelling rapidly, and 
numerous petechiae stud the Scneiderian membrane. The 
pulse is quick and feeble, the breathing rather laboured, the 
appetite has failed, but bowels are regular. Give Ext. 
Gent. 3jj Resina Pulv. ^iij in ball every six hours, and apply 
hot fomentations continually to the head, and steam the 
nostrils. 
(i p.m.—The swelling has increased since the morning to 
an alarming degree ; so much so that the nasal passages are 
nearly filled up. The breathing consequently is very difficult 
and distressing, and no medicine can be given. I felt re¬ 
luctant, however, to insert the tracheotomy tube, but ordered 
the head and nostrils to be constantly steamed with hot 
water, and determined to wait until the morning. 
I would here observe that the exudation from the surface 
of the skin has been gradually subsiding since yesterday 
morning, although I have scarified freely with a broad- 
shouldered lancet daily. 
14th, 9 a.m. — The swelling of the head is less, the 
breathing much easier, and the animal seems more cheerful; 
she can also suck up a little sloppy mash. There is, in fact, 
a decided change for the better. Sloughing of the skin has 
commenced on the inner side of the off thigh and in the groin, 
to the extent of six inches in length and four in width. 
Dress with a dilute solution of the chloride of zinc, and let 
Ferri Sulph. Bj be dissolved in a bucket of thin gruel and left by 
her, as she appears willing to drink. Also give Ext. Gent. 5j> 
et Resinae Pulv. 5 iij in ball every six hours. This, however, 
was effected with very great difficulty, the swelling still inter¬ 
fering with the opening of the mouth. 
loth, 9 a.m.—The swelling of the head is much reduced, 
the breathing tranquil, the pulse about 52, the bowels still 
acting regularly, the appetite good, and the poor animal more 
cheerful. Give the 01. Tereb. et Ferri Carb. again, as pre¬ 
viously ordered. 
16th.—The swellings are nearly gone, but the animal now- 
refuses all food, gruel, &c., and seems to be rapidly sink¬ 
ing. The respirations are between thirty and forty in the 
minute; the pulse is very quick and feeble, and, as near as I 
could count it, about 100 in the minute. She is lying down for 
the first time since the 8th, and makes fruitless efforts to rise. 
The expression of the countenance is peculiarly ghastly and 
deathlike ; the extremities are cold ; and the visible mucous 
xxxiii. 28 
