IMPACTION OF PELVIC FLEXURE OF COLON. 
303 
Thursday morniny .—Rectal examination revealed no change, 
with the exception that the bladder was empty, the urine having 
been passed in small quantities when expulsive efforts were the 
most severe. Hot water injections brought away several small 
hard pellets of fceces, thickly coated with mucus. At noon had a 
severe attack of pain, which yielded to hypodermic injections. 
About five o’clock was very violent, but was soon brought under 
the influence of morphia. Fearing a rupture of the intestines 
would follow the administration of a second dose of aloes, I gave 
soda sulph. lb. i. and continued the use of soap injections per 
rectum. 01. Terebinthinse §ii. was added to the first injection, 
but was not repeated. Was more quiet during the night, the 
spasms being not so frequent or so violent. Temperature rose to 
104°; pulse, 80; respiration, 40. 
Friday. —Temperature, 103°; pulse, 84; respiration, 60. In¬ 
termittent pain. 4 o’clock P.M.—Temperature, 1041° pulse, 90 ; 
respiration, 42. Combined a decoction of tobacco with rectal 
injection. Depended now wholly upon hypodermic injections of 
morphia to give relief from pain. In lying down, would go 
down first on the knees (like a cow), then would remain in that 
position several seconds before dropping gently down; when 
down, would extend the hind legs and press strongly against the 
side of the stall, while the near fore leg was kept constantly in 
motion, pawing the air. At seven o’clock the temperature had 
dropped to 103° and the pulse to 80. Was not in much pain, but 
seemed to be nauseated, and made several ineffectual attempts to 
vomit. Could not think that the effect was due to the tobacco, 
as it was retained but a short time. At five o’clock, temperature 
was 102P; pulse, 78; respiration, 36. 
Saturday morning .—On rectal examination, found impacted 
mass somewhat softer to the touch. Gave aloes ^i. as injection. 
Being obliged to attend to other business, I left my patient quite 
comfortable. On returning a little after noon, I found the 
animal in terrible agony and the owner about to destroy him. It 
was impossible to control him, and as a consequence, he was 
severely bruised over his entire body, especially both hips. In 
ten minutes, under the effects of morphia, hypodermically, the 
