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Fracture of the Pelvis
The Veterinary
J ozwna!
J.
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AR~IV
VETER INARY CO R I'S, NORW I C H .
TROOP-HORSE belongin g to the 7th Hussars, q years old, slipped when leavi ng the stable on March 7; s he fell heav ily on the off side, and was unable to ri se without assi stance. She showed g reat pain, there was marked deformity of the off ([uarter, whi ch was quite fl attened ; she could put a little weight on the limb, and showed a peculiar action when moved, the leg being swun g under the body in a position of ex treme adduction. On abducting the lim b marked crepitation could be heard near th e coxo-femoral articulation, pointin g to a fracture in the region of th e cotyloid cavity ; upon examination per rectullt I found a fracture of the shaft of th e ilium. .\
Fracture of the Pelvis.
The case being hopeless she was immediately destroyed, and p ostexamination revealed fractures as follows : Th e symphysis pubis was split, th e pubio bones sh owed fracture s extending from the ischio-pubic symphysis into the obturator foramina, two fractures into the foramen on th e right side and one on th e left. lIIortem
Action
0.1 Eserine
in a Case
0.1
Saud CoNe.
297
The cotyloid cavity showed three fractures, two extending from the postero·external portion of the cotyloid rim into the non-articular depression and pubio-femoral groove, the other from the rim of th e foramen to the centre of the cotyloid cavity. The shaft of the ilium waS comminuted, and a fracture of th e gluteal surface extending to the iliac crest.
THE ACTION OF ESERINE I N A CASE OF SAND COLIC. BY CA I'TAI :'> A.
J.
W ILl.lA MS ,
A R~ IY
V ETE RINA R Y CORPS, NOR W IC H.
S lIbject.-A six-year-old Tibetan mule, belonging to th e 15th Mul e Corps, brought down to Siliguri, the base of the Sikkim Tibet Mission, at the end of the E xpedition in December, 1904. History.-On December 30, 1904, at 7 p.m., the salutri reported to me that a mule was suffering from colic, was in great pain, and had been ill since 5 p.m. He had administered the following: :&. Spts. cc th . nit. 3j., 01. terebinth ce j j., 01. lini. oj. He examined the rectum about 6.30, and found it practically empty. I ordered the following : :&. E xt. bellad. jj., ammon. carbo j ij , to be given in bolus, and gave instructions that I should be informed regarding the state of the case at 9 p.m. At 9 p.m. the salutri reported no improvement. I went to the lines, and found the condition of the animal as follows: Pulse good, acute abdominal pain, spasms every fe w minutes; if made to rise she ' would ' get down again immediately, tympanitis, rectum empty, no' sign of borborygmi, anxious expression, lips retracted, rolling violently from side to side ; in fact, every symptom of very acute abdominal pain. I administered, hypodermically, eserine hydrobrom. gr.i ., Burroughs \Vellcome "Tabloid." In five minutes there was increased pain, the spasms appearing at quicker intervals; in less than ten minutes peristalsis was restored and borborygmi could be heard some distance away, and in fifteen minutes from the time of injection there was a violent escape of flatus and a quantity of pultaceous fceces passed. Fceces were afterwards passed five times in twenty-five minutes at about five minutes' interval, and there was a sixth motion three-quarters of an hour from the time of injection. In one hour from the time eserine was given the animal was free from pain and wanted to feed. The evacuations were noticed to be practically pure sand; they were collected, placed in a bucket with some water, and 3 lb. 5 oz. of sand was separated out. Next day the mule passed normal fceces, and appeared quite fit. The mules were watered at a river near Siliguri, and I found tha t this animal always buried his nose deeply in the water when drinking. The river was very low, so it is easy to understand that large quantities of sand could be taken up with the water. The officer commanding the corps informed me that the river near Siliguri was the only place where the animal could have taken up the
J ozwna!
J.
\\·IJ.I.IA~lS,
AR~IV
VETER INARY CO R I'S, NORW I C H .
TROOP-HORSE belongin g to the 7th Hussars, q years old, slipped when leavi ng the stable on March 7; s he fell heav ily on the off side, and was unable to ri se without assi stance. She showed g reat pain, there was marked deformity of the off ([uarter, whi ch was quite fl attened ; she could put a little weight on the limb, and showed a peculiar action when moved, the leg being swun g under the body in a position of ex treme adduction. On abducting the lim b marked crepitation could be heard near th e coxo-femoral articulation, pointin g to a fracture in the region of th e cotyloid cavity ; upon examination per rectullt I found a fracture of the shaft of th e ilium. .\
Fracture of the Pelvis.
The case being hopeless she was immediately destroyed, and p ostexamination revealed fractures as follows : Th e symphysis pubis was split, th e pubio bones sh owed fracture s extending from the ischio-pubic symphysis into the obturator foramina, two fractures into the foramen on th e right side and one on th e left. lIIortem
Action
0.1 Eserine
in a Case
0.1
Saud CoNe.
297
The cotyloid cavity showed three fractures, two extending from the postero·external portion of the cotyloid rim into the non-articular depression and pubio-femoral groove, the other from the rim of th e foramen to the centre of the cotyloid cavity. The shaft of the ilium waS comminuted, and a fracture of th e gluteal surface extending to the iliac crest.
THE ACTION OF ESERINE I N A CASE OF SAND COLIC. BY CA I'TAI :'> A.
J.
W ILl.lA MS ,
A R~ IY
V ETE RINA R Y CORPS, NOR W IC H.
S lIbject.-A six-year-old Tibetan mule, belonging to th e 15th Mul e Corps, brought down to Siliguri, the base of the Sikkim Tibet Mission, at the end of the E xpedition in December, 1904. History.-On December 30, 1904, at 7 p.m., the salutri reported to me that a mule was suffering from colic, was in great pain, and had been ill since 5 p.m. He had administered the following: :&. Spts. cc th . nit. 3j., 01. terebinth ce j j., 01. lini. oj. He examined the rectum about 6.30, and found it practically empty. I ordered the following : :&. E xt. bellad. jj., ammon. carbo j ij , to be given in bolus, and gave instructions that I should be informed regarding the state of the case at 9 p.m. At 9 p.m. the salutri reported no improvement. I went to the lines, and found the condition of the animal as follows: Pulse good, acute abdominal pain, spasms every fe w minutes; if made to rise she ' would ' get down again immediately, tympanitis, rectum empty, no' sign of borborygmi, anxious expression, lips retracted, rolling violently from side to side ; in fact, every symptom of very acute abdominal pain. I administered, hypodermically, eserine hydrobrom. gr.i ., Burroughs \Vellcome "Tabloid." In five minutes there was increased pain, the spasms appearing at quicker intervals; in less than ten minutes peristalsis was restored and borborygmi could be heard some distance away, and in fifteen minutes from the time of injection there was a violent escape of flatus and a quantity of pultaceous fceces passed. Fceces were afterwards passed five times in twenty-five minutes at about five minutes' interval, and there was a sixth motion three-quarters of an hour from the time of injection. In one hour from the time eserine was given the animal was free from pain and wanted to feed. The evacuations were noticed to be practically pure sand; they were collected, placed in a bucket with some water, and 3 lb. 5 oz. of sand was separated out. Next day the mule passed normal fceces, and appeared quite fit. The mules were watered at a river near Siliguri, and I found tha t this animal always buried his nose deeply in the water when drinking. The river was very low, so it is easy to understand that large quantities of sand could be taken up with the water. The officer commanding the corps informed me that the river near Siliguri was the only place where the animal could have taken up the