628 
A CASE OF IRREGULAR STRANGLES. 
June 25th, 1815.—This morning, was left in the stable, 
being dull and off her feed; pulse 84, wiry; respirations 
laboured, 42 per minute ; auscultation detected the mucous 
rale throughout the whole of the lungs, particularly the left. 
Conjunctive very yellow; a thin yellow (bile coloured) 
fluid trickles from the nostrils. When placed in a loose box 
she immediately lay down and remained so for some time, 
with her muzzle protruded, occasionally looking round at her 
right side. Considering the congestion of the lungs and 
liver to be a manifestation of general failure of the consti¬ 
tutional powers, I gave a diffusible stimulant and ordered 
careful nursing. 
On the 27th she ate a little bran mash and green forage, 
and the nasal discharge was more profuse. 
On the 28th the pulse was weaker, 94 per min., and the 
respiratory murmur less distinct than before, on the left 
side being entirely obscured by the thumping sound of the 
heart, on the right imperfectly audible throughout; mucous 
membranes very yellow. A new feature of the case to-day 
is a very oppressed and paroxysmal cough. Add ^ij Gent. 
Pulv. and §ss Tinct. Zing, to draught and apply mustard to 
sides. 
June 29th.—Pulse 84, a little stronger; respiration less 
laboured ; murmur audible throughout chest, and less mucous 
rale. Eats a little more forage; faeces of dark colour ; mucous 
membranes very yellow; nasal discharge less profuse; extremi¬ 
ties warm. Continue treatment. 
80th.—Much more lively; pulse 78, stronger. Respiration 
42; slight admixture of blood with nasal discharge. Careful 
nursing. Continue stimulant tonics. 
July 1st.—Does not take much gruel; tendency to coldness 
of extremities. Pulse quicker and smaller. 
2nd.—Pulse 84, scarcely perceptible. Breath fetid. Cough 
(which had disappeared) has returned with increased 
severity. Patient feeds a little. Respiration 80. Extremities 
cold. Schneiderian membrane of a livid colour. Fell down 
twice to-day. Slight bleeding from nostrils ensued. Continue 
medicine. 6 p.m.—Repeat drink. 
8rd.—Pulse imperceptible at jaw ; cardiac impulse 
scarcely perceptible. Respirations 18 per minute; respira¬ 
tory murmur dull at lower part of chest. More haemorrhage 
from nostrils ; coldness of surface of the body and mouth ; 
increased lividity of Schneiderian membrane; conjunc¬ 
tiva of a deep yellow. Stimulant dose. 9 p.m.—Died. 
Post-mortem examination. —A small amount of dark 
coloured serum in peritoneal sac. Bowels very small, and 
