. He was sent to the Base at the end of a
week, and returned to England well three weeks later. He
attributed his dysentery to the wound, as the symptoms did not
exist prior to its reception; but as the disease coincided
exactly with what was very prevalent amongst the troops at the
time, I do not think there was any connection between it and
the injury.

(179) Wounded near Thaba-nchu. _Entry_, over the centre of the
sacrum at the upper border of fourth segment; _exit_, 1-1/2
inch above left Poupart's ligament, 2 inches from the median
line. Aperture of entry oval, with long vertical axis. Exit
wound a transverse slit, with slight tendency to starring (see
fig. 19, p. 58). One hour after being shot the patient vomited
once. There was some evidence of shock and considerable pain.
The bowels acted involuntarily simultaneously with the
vomiting, and incontinence of faeces and retention of urine
persisted for four days. The vomit was bilious in appearance;
no blood was seen either in it or the motions.

Forty-six hours after the injury the condition was as follows:
Face slightly anxious and pale; skin moist, temperature 100.4 deg.;
pulse 116, regular and of fair strength; respirations 24;
abdomen slightly tumid; tenderness over lower half, especially
on left side; the lower half moves little with respiration.

Twenty-four hours later the patient had improved. He was
comfortable and hopeful; slept well with morphia 1/3 grain
hypodermically. Tongue moist, covered with white fur; has been
taking milk only, [Symbol: ounce]ij every half-hour. No
sickness. Temperature

99 deg.. Pulse 104. Respirations 24. Abdomen flatter; general
respiratory movement; tenderness now mainly localised to an
area 2-1/2 inches in diameter, to the left of the umbilicus,
above exit wound.

The patient continued to improve, and on the fifth day
travelled six hours in a bullock wagon to Bloemfontein. Soon
after arrival his temperature was normal: pulse 80,
respirations 16, with good abdominal movement. Local tenderness
persisted in the same area, but was less in degree. Tongue
rather dry, bowels confined. Micturition normal. Two drachms of
castor oil and an enema were given.

On the ninth day patient was practically well, except for
slight deep tend