TETANUS AS I HAVE FOUND IT IN CHESTER COUNTY, PA. 
109 
plained that it was a case of tetanus, or lock-jaw, and as the 
horse was eating well, the owner doubted the diagnosis until 
the symptoms were pronounced. The case terminated fatally 
in the acute form. 
Case No. 2 .—Called by farmer to ten-year-old mule Feb. 10, 
1897 ; twelve miles due north. I found animal with character¬ 
istic base-wide position and the extensors tense ; croup and cer¬ 
vical muscles hard, with head extended and tail elevated, nos~ 
trils dilated, and anxious, nervous expression of countenance* 
Deglutition was impaired, although mastication was fairly good 
and he consumed hay and fodder. Temperature loi F., pulse 
48, full and strong, peristaltic movement apparently normal, but 
respiration labored and shallow from spasm of muscles used. 
Urination and defecation apparently normal in amount. Patient 
was in comfortable stall at end of stable, stood next to mate, and 
as there was not a box-stall available I permitted him to remain 
in his old position and cautioned owner to exclude light and 
surroundings that would tend to excite patient. Found wound 
on side of pole, size of silver dollar, with history of recent heal¬ 
ing ; I curetted the same, produced profuse bleeding, and left 
instructions to apply twice daily to the part with bristle brush 
Churchill’s tincture of iodine, diluted with the plain tincture of 
it dine. I used concentrated medicines, as the fluid extracts of 
cannabis indica and belladonna, in small repeated doses, by 
syringe in mouth, well back ; and in powder form I wrapped in 
tissue paper potassium iodide, alternated with small doses of 
calomel, adding salines to drinking water to help regulate the 
excretory organs. On account of the distance and finances in¬ 
volved, I saw the patient every third day. To the anxious in¬ 
quiry of a fairly good nurse I replied, that if the patient pro¬ 
gressed over the second^ week we might hope for a favorable 
termination. 
I paid my fifth visit on the thirteenth day and the patient 
was going along quietly, appetite had flagged some, but still 
eating when encouraged by change of food, reclined less fre¬ 
quently, but had lain down during the night ; faeces were hard 
