PARTURIENT PARESIS. 
573 
to the mucuous membrane through desiccated crusts. The cow paid no heed to 
either commands or blows, when it was attempted to get her up. The udder 
secretion of the two teats had again become more milk-like, yet containing 
occasional large lumps of casein, while that of the other two teats although the 
color of milk, was somewhat more water3\ 
Infusion of 5 grammes of potassium iodide in one liter of water. Massage. 
A digitalis powder. 
Ten hours after the infusion the cow got up again, stood steadily upon her 
limbs, remained standing three-quarters of an hour, then lay down quite natur¬ 
ally, and got up several times, and exhibited some desire for food and 
water. 
On the next day, the 28th, she again had a relapse with paralytic symptoms, 
but they were not so marked as the previous time. She could not get up, 
however. Two liters of a 0.5 per cent, salt solution was injected into the udder, 
primarily as a substitute for an intravenous injection for the purpose of stimu¬ 
lating the heart action, and next to induce a mild local effect in the udder; 
a digitalis powder. In the course of a few hours the temperature in¬ 
creased from 38.3°C. to 39.o°C., the cow became somewhat livelier and again 
showed some appetite. She also stood up again, but had become somewhat 
weak. 
During one of the periods when the cow showed no paralytic symptoms and 
stood, the owner had received a good offer for her for slaughter, and as I was 
compelled to be absent for a few days and consequently had not the opportun¬ 
ity to complete the treatment, the cow w^as slaughtered about 24 hours after 
the last infusion, as the feebleness continued. 
This persistent weakness could very readily be the result of the repeated at¬ 
tacks ; it is also possible, however, that it was in part due to the development 
of the first .stages of pneumonia. 
No. 19 received an infusion of 10 grammes sodium iodide. She was slaugh¬ 
tered 5^ hours after the infusion. 
No. 44. October 15, 1897. Medium sized, red, 9-year-old, rather fat, ex¬ 
cellent milk cow. Calved yesterday at 7.30 a. m. and to-day at 3 p. m. showed 
marked staggering. I attended her at 8 p. m. The cow tried several times to 
get up, but could not lift the body from the ground. She lay with her head 
alternately stretched out forwards on the ground or bent to the side, was now 
and then somewhat restless and moaned greatly. She had a listless appearance 
and the tongue was somewhat paralyzed. The horns and ears were moderately 
cold. Temperature 38.2° C. Pulse and heart-beat imperceptible. In the rec¬ 
tum there was an accumulation of crust like faeces. The os uteri was almost 
clo.sed. The disease was evidently progressing rapidl3^ 
Ten grammes of potassium, in i liter of water were used, with introduction 
of air, and 5 grammes of the sodio-salicylate of caffein were injected. No laxa¬ 
tive powders. Clysters. 
The cow then lay comparatively quiet, mostly with the head in the flank, 
until 12.30 A. M. At I A. M. she got up after having laid in a natural posture 
for some time, staggered to and fro and soon fell down again. About 2 a. m. 
she again .stood up, was then free from paralytic symptoms, and remained stand- 
