omen was somewhat painful. When seen
on the third day he had ceased to vomit for three hours. The
face was slightly anxious, and the patient lay on the ground
with the lower extremities extended. Temperature 99 deg., pulse 72,
fair strength. Respirations 32, shallow. Tongue moist, lightly
furred, bowels not open for four days. He slept fairly last
night. Abdomen soft, moving well with respiration, no
distension, slight tenderness below and to the right of the
umbilicus, and local dulness in right flank.

The next day the pulse fell to 60 and the bowels acted, but
there was no change in the local condition. The man looked
somewhat ill until the end of a week, but was then sent to the
Base, and at the expiration of a month was sent home well.

(177*) Wounded at Modder River. Two apertures of _entry_
(Mauser); (_a_) below cartilage of eighth rib in left nipple
line; (_b_) 2 inches below and 4-1/2 inches to the left of the
median line. No exit wound discovered, and no track could be
palpated between the two openings, which were both circular and
depressed. When seen on fourth day there was tenderness in the
lower half of the abdomen, and the left thigh was held in a
flexed position. Respirations 20, respiratory movement confined
to upper half of abdominal wall. Pulse 70, temperature 99 deg..
Tongue moist, covered with white fur; bowels confined since the
accident; no sickness. The patient remained under observation
thirteen days, during which time pain and difficulty in
movement of the left thigh persisted, also slight tenderness in
the lower part of the abdomen; but at the end of a month he was
sent to England well, but unfit to take further part in the
campaign. I thought the bullet might be in the left psoas, but
it was not localised.

(178*) Wounded at Modder River. _Entry_ (Mauser), 3-1/2 inches
above and 1-1/2 inch within the left anterior superior iliac
spine; _exit_, 1-1/2 inch to the right of the tenth dorsal
spinous process. The same bullet had perforated the forearm
just above the wrist prior to entering the abdomen. No local or
constitutional signs indicated either bowel injury or
perforation of liver. The man, however, was suffering from a
slight attack of dysentery, passing blood and mucus per rectum
with great tenesmus