630 
TETANUS (TRAUMATIC). 
forcibly in contact with the kerb-stone, injuring the off 
shoulder and causing abrasions on the off side, behind the 
elbow, on the point of the hip, the point of the hock, and 
a punctured wound behind the near fore fetlock. These 
wounds are now in the stage of cicatrization, with the ex¬ 
ception of the punctured wound, which is still suppurating. 
The jaws are fixed, allowing but slight separation of the 
incisor teeth. A profuse flow of diagnostically fetid saliva 
takes place when the lips are separated. The bowels are 
acting normally. There were sores on the lips and angle of 
mouth. Pulse hard and quick, 60 per minute. Respiration 
laboured, 20 per minute. Has been noticed to move with 
straddling gait behind for the last few days. Remove patient 
from a rather close loose box in which he is standing to a 
quiet commodious loose box ; nurse and supply with gruel. 
31st.—Pulse not so hard, and 48 per minute. Respiration 
more difficult. Patient much more lively. 1 hear he has 
suffered from megrims, and is therefore a bad patient. 
Bowels still acting nicely. R Adipis ^iij, Bellad. Ext. 3iij ; 
Ung. m. ft. Apply to wounds and well rub in over cheeks 
and between branches of jaw. Place Bellad. Ext. 3iss 
between jaws. 1 p.m.—Not much change. Place Bellad. 
Ext. 3iss in mouth. 6 p.m.—Patient will not even attempt 
to take gruel. Gruel, Oj ; Bellad. Ext., ^iss. Mix and 
administer as an enema. Repeat gruel enema at 10 p.m. 
Jan. 1st.—Pulse 44 per minute. Respirations laboured, 60 
per minute. Has passed a fair quantity of light-coloured pulta- 
ceous faeces. Muzzle protruded. 9 a.m.—Tongue very much 
swollen, due to congestion, result of strangulation. Cystic 
enlargement of the openings of the submaxillary ducts is 
very marked. Jaws slightly moveable and patient lively. 
Hand-rub extremities. Repeat bellad. enemas and applica¬ 
tions to cheeks. 2 p.m.—Hind legs abnormally rigid and 
moved with difficulty. Saliva less fetid. Gruel enema. 12 p.m. 
—No change. 
2nd, 9 a.m.—Bowels have not acted since yesterday. 
Enemas retained. Give gruel, Oss.; Beer Oss. c. Bellad. 
Ext. 5j; in enema. 2.30 p.m.—Bowels have not acted, 
but there are loud intestinal rumblings. Continue treat¬ 
ment. 12 p.m.-—Patient more excited, and throws his 
head about very much when touched. 
3rd, 9 a.m.—Seems to have less control over his move¬ 
ments. Dragging straw about with his feet, and causing 
danger of falling by entanglement. 1 p.m.—CHC1 8 %ij in 
enema. About 3 minutes after administration the horse be¬ 
came excited, rocked from side to side, and seemed in danger 
