KEEPING A CASE BOOK AND REPORTING CASES. 
471 
some days. No cause was known. The ewe had'been well fed 
on clover, hay, corn, fodder and oats, and kept confined. 
The vulvar sutures were removed, the vulvo-vaginal canal 
irrigated with i-iooo sublimate, and this followed by dusting 
the parts over with iodoform and tannin. 
This treatment was continued daily, the condition of the 
patient improving rather slowly, there being extensive suppura¬ 
tion and considerable straining., without, however, much prolapse. 
By April 23d there was well-marked improvement in every 
respect, and on May 4th she had so far recovered that treatment 
was discontinued, but fearing possible complications in parturi¬ 
tion the patient was held for observation. 
On May 14th she gave birth to two large healthy lambs, and 
on the following day was discharged. 
Our experience with this prolapsus vaginae, which had as¬ 
sumed somewhat the character of an enzootic, suggests that the 
chief indications in such cases are rather cleanliness and disin¬ 
fection, with local anodynes, than mechanical repression and 
irritation of the affected parts. 
ON THE IMPORTANCE OF KEEPING A CASE BOOK 
AND REPORTING CASES. 
By John J. Repp, D. M.V., Station Veterinarian, Iowa State 
Coelege, Ames, Iowa. 
A Paper presented to the 36th Annual Meeting of the American Veterinary Medical 
Association. 
The part of my subject which I wish to emphasize espe¬ 
cially is the latter part, but as it is necessary to keep a case¬ 
book in order that an intelligent report of a case can be made I 
shall speak of that feature first. 
A case-book is a book in which the veterinarian keeps a rec¬ 
ord of the cases which he treats. For the purpose there may 
be used a well bound blank book, ruled or unruled, and pro¬ 
vided with a few pages for indexing names of owners. This 
book may be provided with a canvas or oilcloth cover so that it 
