REPORTS OF CASES. 
133 
nearly two weeks, except the three days preceding the symp¬ 
toms of purpura, and yet from the time th„e first characteris¬ 
tic swellings were noticed to the time of death was less than 
forty-eight hours, and the hygienic surroundings were of the 
best, and the owner a most excellent horse-nurse. This is not 
our first and was not our last case of azoturia preceded by 
acute indigestion, but is the first case I have known of azotu¬ 
ria ending in purpura hsemorrhagica. 
LACERATED WOUND OF EYELID AND HEAD. 
By L. Hempelman, D.Y.S., House Surgeon American Veterinary Hospital. 
The patient was a gray gelding belonging to a well known 
firm of this city. He was brought to the hospital on April 
17th suffering from a lacerated wound of the eyelid and head, 
which extended from the external face of the orbital process 
of the frontal bone within about one inch of the median line. 
The laceration was crescent-shaped with the convexity up¬ 
ward, making a wound about four inches long ; between the 
muscles of the eye and the bone a probe could be passed 
to a depth of about two inches. The flap hung down, expos¬ 
ing the whole contents of the orbital cavity. 
The history was that he had gotten cast in his stall the 
night before, and was found with the above described lacera¬ 
tion the next morning. 
After carefully washing the wound with an antiseptic solu¬ 
tion and removing a piece of the frontal bone, about three- 
quarters of an inch long, and one-quarter of an inch in diam¬ 
eter, the flap was sewed in place by means of interrupted silk 
sutures. On the 2ist,*or four days after the accident, it was 
noticed that the sutures were commencing to give way, and 
strips of adhesive plaster were then applied to support the 
flap. These were continued for five days, the wound having 
been carefully cleansed with antiseptics every day, and fresh 
plasters applied. By the 23d, or the sixth day after the acci¬ 
dent, all the sutures had been removed, and it was found that 
for about an inch and a half the edge near the median line 
had adhered, or reducing the length of the wound to about 
one-half its original size. The granulations looked healthy, 
