PURPURA HEMORRHAGICA. 
609 
the legs, armpits or thighs ; no enlargement of the sub-maxillary 
glands ; mucous membrane of nasal septum, dark and leaden 
color; temperature 102°, respiration 16, pulse 60. Treatment, 
expectant. As sedative to owner gave analine, grs. xx ; aquae, 
5 ’ij. Two drachms every three hours. 
Fifteenth day.—Medication very powerful, all tumors having 
disappeared, but they seemed to coalesce and form one large 
one, occupying the occipital and the superior cervical regions. 
The shifting character of the tumors continued for four days. 
The temperature varied from 99° to 103°, pulse at times as 
high as 80°. At no time did I detect petechial spots in nos¬ 
trils or was there any discharge, for I suspected something far 
more serious than rheumatism. I examined the nostrils and 
Schneiderian mucous membrane thoroughly every day. On 
the twenty-first day after I had first seen the animal, the true 
character of the disease was detected. Both patellar regions 
became involved; the oedema terminated abruptly in the 
upper third of the tibia ; both knees oedematous. I now sus¬ 
pected purpura hsemorrhagica and on next day all the symptoms 
of the disease were well developed. Active treatment was be¬ 
gun on the twenty-third day. The orbital region became in¬ 
volved again, but disappeared on the twenty-fourth, and did not 
appear again. 
Active treatment was employed for twelve days and at the 
end of nineteen days after active treatment was begun she was 
discharged as cured. She gradually recovered strength and 
spirits, so that she was enabled to leave her stall and roam 
through the fields in search of clover, of which she was very 
fond. On the second week after she was discharged, the owner 
informed me that he would put her to work. She was suffi¬ 
ciently able to lie down and roll over several times in rapid suc¬ 
cession ; was gaining flesh rapidly, eating everything that was 
offered to her. The owner thought that her condition was such 
that light work would be beneficial. She did not lie down in 
the stall since she was first taken sick. She was found lying 
on Saturday morning; the owner left orders that she be not 
