264 
W. BRYDEN. 
to its fullest capacity with air, which pressure expelled as in the other 
case. I now withdrew both my hand and catheter, and allowed her to 
stand at ease a moment. Again air began to pass inwards; passing my 
hand into the vagina I found it again completely filled with air, the 
meatus remains drawn forwards and downwards, so that the external 
opening was higher than the vagina, and as urine reached the bladder it 
was prevented from accumulating there by the pressure of air above. 
She was unable to expel the urine from her vagina, only when she moved 
or coughed. The uterus did not appear to be involved. 'Finding that 
nothing more could be done, I sponged out the vagina with cold water 
containing a few drops of nitric acid, gave her dram doses, of iodide of 
potassium in drink three times daily, bi. carb. soda twice, and milk and 
light food and fomentations as on the previous day. • 
August 16. Pulse and respiration improved, secondary cessation 
distinguishable over about half the former area of dullness, there is still 
considerable flapping of the nostrils, and a low, timid cough, which 
causes her to expel some urine though less than formerly. Yesterday’s 
treatment continued. 
August 17. Steadily improving. Lung clearing up; cough easier ; 
rusty discharge from nostril entirely stopped. No urine in vagina, but 
a little whitish mucus and some air. She urinates naturally. Feces are 
quite soft, and appetite much improved. There is a long, symmetrical, 
rope-like swelling extending from the vulva down between the thighs, 
this commenced to show itself two days ago. 
August 21.—She has continued to improve, and is to-day being 
walked on the floor. 
I do not know how many days she had been ailing before I saw 
her, but the long journey by rail to Boston probably increased her pros¬ 
tration very much. 
You must paidon me for troubling you with such a long article. 
The case was to me quite an interesting one, and so I decided to send it 
to the Review. 
Yours very truly, 
Wmson. Bryden, V. S. 
