bloody pus. After syringing the
cavity with a five per cent. solution of carbolic acid in distilled water,
and introducing a tent about four inches long, I applied compresses and
bandages. Ordered the quinia continued, and whisky and beef tea.

Feb. 16th, 9 A. M.,--pulse 100, but feeble; temp. 97.8. Removed dressings
which were saturated with pus and blood. The latter had excited the
anxiety of the Superintendent during the night, and he applied an
additional bandage. There was perhaps five or six ounces of thick, flaky,
yellow pus discharged. No hemorrhage; syringed the cavity with a five per
cent. solution as before, and introduced a clean tent.

On examining the inflamed spot over the left ilium, I detected fluctuation
over the anterior part of the crest of the ilium, near the gangrenous
spot, and extending down over the abdomen. However, it seemed to be
superficial, at least, not deeper than the connective tissue between the
external and internal oblique muscles, and not more than one inch by two
in size. This I opened, and squeezed out about half a ounce of pus.
Introduced a tent and applied oakum over both tents, for the purpose of
absorbing the pus, and applied a compress over the main sinus or pouch,
and a bandage over the whole lower part of the body.

Feb. 17th, 9 A. M.,--pulse 96, temp. 99. Ordered a laxative of carbonate
of magnesia. Both openings discharging very freely. The gangrenous spot
over the left ilium is separating from the surrounding tissues. Removed
considerable dead flesh from this spot, leaving an opening or pouch one
inch in diameter, leading down to the pubis, just beneath the oblique
muscles.

Feb. 19th, 9 A. M.,--pulse 106, temp. 99.5. Both sinuses discharging very
freely. Made an opening in the lower part of the pouch to the left of the
pubis for better drainage, as the patient usually lies on the right side.
Laxative has operated. After washing out both sinuses with a five per
cent. solution of carbolic acid, I inject the smaller sinus with liquid
vasaline.

Feb. 20th, 9 A. M.,--pulse 112, temp. 103.5. There is a great amount of
pus being discharged from the large sinus on the back, not so much from
the small one. Patient had a chill last night. After the usual washing out
of the sinuses with the carbolic solution, I inject both of them in with
liquid vasaline. This I do, a well as the washing out, by means of a No.
10 catheter, attached to the end of a Davidson's syringe. The sinus