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was simply attached by means of the extensor tenders, was completely gone, the wrist and lower third of the forearm were also missing, the whole limb below the elbow being dreadfully mangled, the skin severely torn and the muscles hanging down in shreds.

ii. The hands, wrist and lower third of the left forearm were completelyb itten off leaving a clean wound with the lower ends of the bones exposed.

joint.

long.

iii. There was a punctured wound of the right knee passing through the patella into the knee

iv. A punctured wound of the left foot on the inner side of the dorsum injuring the bone. v. A superficial wound of the lower third of the right thigh at the inner side, some two inches

vi. There was also a slight wound of the forehead and two of the central incisor teeth of the upper jaw were missing, evidently the result of a fall on the face.

On admission she was in a very critical state suffering from the effects of shock and haemorrhage. Under the influence of chloroform the wounds were dressed, as much of the bones of the forearms were saved as possible, and the child ultimately made a very good recovery.

The wound of the right knee caused the most trouble, suppuration occurring in the joint necessitating incision and free drainage, when she was discharged on the 25th February last there was still some stiffness in the right knee, but this was every day becoming less.

From the appearance of the wounds and the description given by the child and her friends, it appears that on the morning of the 29th October she was attacked by some wild beast whilst teuding cattle near Wong-ma-kok, the animal, which she described as being yellow with brown stripes and the size of a small cow, rushed at ber, knocked her down and mauled her in the way described,

She then ran back to her friends who conveyed her to the Police Station at Stanley whence she was brought here in an ambulance.

As her mother did not wish to take her back saying that she would not be able to earn her living, Miss JOHNSTONE kindly took charge of her, and she is now an inmate of "Fairlea."

The Government have sanctioned the necessary expenditure, so that she will be provided with two artificial hands as soon as the condition of the stumps will admit.

DYSENTERY.

Herewith notes of four cases of Acute Dysentery treated with the Saturated Solution of Sulphate of Magnesia :-

I.-NABI BUX, Indian Police Constable, cet. 24.

This man was admitted on the 4th of August with a history of two days diarrhea, the fæces containing blood and mucus, during the preceding twelve hours the bowels have been open seven times, this is the first attack of dysentery the patient has had.

He was placed on congee and milk diet and that afternoon the ordinary treatment was prescribed, namely, 30 grains of Pulv Ipecacuanha Ver preceded by a draught containing fifteen minims of Tinctura Opii, his temperature that evening was 100.4°, as the bowels had been open three times, at 11 p.m. the Opium and Ipecacuanha were repeated.

On the 5th instant the patient was decidedly better bowels only acting thrice in the 24 hours; as there was a relapse on the 6th instant in the evening, the Opium and Ipecacuanha were again repeated with temporary improvement, this was maintained until the evening of the 8th instant when the bowels were again frequently moved and the temperature rose to 102.8° F., as there was no improve- ment on the morning of the 9th, the bowels having been moved seven times in the night and the temperature being 101.4° F., the following mixture was prescribed

Re Sat. Sol. Magnes. Sulphatis,...

Acid Sulph dil, Aq. ad

.31.

.mx.

י

...................3 i omne horã sumendum.

During that day seven doses of this mixture were given and the bowels were opened nine times.

August 9th 6 a.m. temperature 99° F., bowels were moved thrice during the night.

Four hourly doses of the Magnesia Sulphatis mixture were given, from 12 noon to 3 P.M., during this day the bowels were only opened twice, in the evening the temperature was 99.2° F. and the following mixture was given :-

Re Liq Extract Belœ,..

Mist Creta Aromat, Aqua Cinnamoni ad

this was repeated once during the night.

3 ss.

.3 ss.

ì.

August 10th morning temperature 98.6° F., bowels open once during the night the Chalk und Baël mixture was continued every 4 hours, temperature in the evening was normal and bowels had only been open once during the day and were now slightly formed.

From this date the patient continued to improve, on the 14th instant low diet was ordered, and he was placed on full diet on the 15th instant, and discharged cured on the 18th.

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