arge submucous haemorrhage had occurred, the
blood-clot had assumed a dark orange colour, and on first
opening the viscus the appearance was that of a mass of faeces.
The mucous lining elsewhere was slaty grey, with small
haemorrhages. The kidneys were large, but no abscesses or
pyelitis were present.

(105) _Cervico-dorsal region; total transverse lesion._--Wound
of _entry_ (Mauser), opposite right sixth cervical transverse
process; _exit_, on left side of third dorsal spinous process.
Slight grasping power was present in the hands, and the patient
could hold his arms across his chest. Complete motor and
sensory paralysis, with absence of all reflexes below. The
pupils were moderately contracted. Retention of urine. On the
second day blebs appeared on each buttock, and the patient
complained of very severe pain in the neck: the temperature
rose to 103 deg., and on the third day he died suddenly. No
_post-mortem_ examination was made.

I observed two similar cases in the Field Hospital at Orange River, the
patients dying on the third day; pain and high temperature were
prominent symptoms in both. In one patient early delirium was present.

(106) _Dorsal region; Martini-Henry wound._--Wound of _entry_,
oval, 1 inch x 3-1/4 inches; long axis obliquely crossing
infra-spinous fossa of right scapula; bullet retained
(Martini-Henry). Spine of third dorsal vertebra loose, and a
distinct thickening to its right side. Complete symmetrical
paralysis extending up to upper extremities. No sensation on
surface of trunk below cervical area. Respiration entirely
diaphragmatic. Retention of urine, penis turgid. Total absence
of reflexes, superficial and deep. Reddening of buttocks, but
no bullae.

General hyperaesthesia of upper extremities, with severe
spasmodic attacks of pain.

On the third day an exploration was decided upon, in view of
the local deformity, and the severe pain in the upper
extremities. The third dorsal spine was found to be loose, as a
result of bilateral fracture of the neural arch; the bullet had
crossed the right limit of the spinal canal, and destroyed the
body of the vertebra, and passing onwards had entered the left
pleural cavity, into which air entered freely from the
operation wound.

The patient was relieved from h