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should be tied to a high rack or beam and cold water or ice applied, or
recourse to styptic injections taken. If the hemorrhage is profuse and
persistent, either a drench composed of 1-1/2 drams of acetate of lead
dissolved in a pint of water or 1-1/2 drams of gallic acid dissolved in a
pint of water should be given.
LARYNGITIS (SORE THROAT).
An inflammation of the mucous membrane lining the larynx is known as
laryngitis. It may be either a primary or a secondary disease, complicated
or uncomplicated. In the majority of cases it is attributable to some form
of exposure, a sudden change from warm to cold surroundings, or exposure to
cold storms. It may also result from inhaling irritating gases or from
external violence. In an acute attack of laryngitis there is an elevation
of temperature, pain on pressure over the region of the larynx, violent
paroxysms of coughing, difficult and noisy respiration. The nostrils are
dilated, the nose extended, and the animal has a frightened expression.
There is marked difficulty in swallowing.
_Treatment._--Treatment consists of fomentations and hot applications over
the throat. Stimulating liniments, mustard mixed with cold water and well
rubbed in with a stiff brush, or other forms of counterirritation may be
applied in severe cases. Hot inhalations should be frequently resorted to,
and often afford much relief to the suffering animal. In this disease
medicines should be given so far as possible in the form of electuaries
(soft solid) on account of the difficulty of deglutition. Large drafts of
medicines have a tendency to produce violent spells of coughing, and in
this way retard recovery. The subjoined formula for an electuary will be
found to answer the purpose in ordinary cases: Chlorate of potassium,
pulverized, 8 ounces; fluid extract of belladonna, 2 ounces; powdered
opium, 1 ounce; powdered licorice root, 8 ounces; sirup, sufficient
quantity; mix. Place a small tablespoonful of the mixture frequently on the
tongue or back teeth. Or the following may be used instead: Aloes, powdered
opium, and gum camphor in equal parts; mix. Rub an ounce on the molar teeth
every four or five hours. The bowels should be kept open and the diet
should be such as the patient can easily swallow. Warm, sloppy mashes,
boiled oatmeal gruel, linseed tea, and the like are the most suitable
substances. If suffocation be threatened during the course of the disease,
tracheotomy should be performed without delay. The details of the operation
are fully described under the head of "Surgical operations." (See p. 289.)
When the disease assumes a chronic form, strong counterirritation is
indicated. A cantharides blister may be applied, or the following ointment
used: Biniodid of mercury 1 part, lard 6 parts; mix. In some cases it will
be found necessary to repeat the application.
BRONCHITIS.
Bronchitis is an inflammation of the mucous membrane of the bronchial
tubes. When a primary disease, it is generally the result of what is
commonly known as "catching cold." It may be secondary to or complicated
with many of the diseases of the respiratory system. It may also be caused
by breathing irritating gases, or by the introduction of foreign bodies
into the bronchial tubes, which sometimes results from injudicious and
careless drenching when the larynx is temporarily relaxed. It may be acute
or chronic, and is divided, according to the seat of the inflammation, into
bronchitis proper when the large tubes are affected, or capillary
bronchitis when the trouble is in the smaller ones.
_Symptoms._--Loss of appetite, elevation of temperature, generally 104∞ or
105∞ F. The inspiration is incomplete, short, and painful, and the
expiration is prolonged. The pulse is increased in frequency and is hard. A
characteristic, painful cough is present, but it is paroxysmal and
incomplete. Auscultation and percussion greatly aid us in a diagnosis. A
normal sound is given on percussion. On auscultation, in the early stages,
rhonchus r‚les are detected if the larger tubes are affected, and sibilant
r‚les if the smaller ones are affected. Later mucous r‚les are noted, and
sometimes all sounds in certain parts are absent, owing to the plugging up
of the tubes. This plugging, if extensive enough, is sometimes the cause of
death, or death may result from extension of the disease to the lungs or
pleura.
_Treatment._--The animal should be placed in a light, well-ventilated box,
and the bowels kept in a soft condition by enemas, etc. Violent purgatives
should not be used. The body should be kept warm by blanketing. In the
early stages a draft composed as follows should be given three times daily:
Extract of belladonna, 2 drams; solution of acetate of ammonium, 4 fluid
ounces; water, one-half pint. In the later stage of the disease the
following formula may be substituted and given twice daily: Carbonate of
ammonium, 3 drams; liquor hydrochlorate of strychnin, 2 fluid drams;
spirits of nitrous ether, 1 fluid ounce; water, one-half pint.
In some cases the following is preferable to either of the above, and may
be given in a pint of linseed tea every four hours: Spirits of nitrous
ether, 1-1/2 ounces; aromatic spirits of ammonia, 2 ounces; powdered
camphor, 2 drams. The feed should be light and nutritious.
Bronchitis is liable to become chronic if not properly treated in the
earliest stage. In this case remedial treatment is of little value.
PLEURISY.
Pleurisy is an inflammation of the serous membrane lining the chest cavity
and enveloping the lungs. It is somewhat rare as an independent disease,
but it often complicates pneumonia; indeed, it is often caused by the same
germ that causes pneumonia--pneumococcus. It may arise from exposure to
cold or wet or from external violence, and is usually present in some
degree in cases in which the ribs have been fractured with or without a
penetrated wound.
_Symptoms._--In the first stage there is great pain aggravated by movement,
and the animal is usually stiff as though foundered, the pulse is quick and
hard, the breathing abdominal, the chest being fixed so far as possible,
the inspiration short and jerky, the expiration longer. The pain is caused
by the friction of the dry, inflamed pleural surfaces of the lung and chest
on each other. At this stage the ear detects a dry friction murmur,
resembling somewhat the sound made by rubbing two pieces of sole leather
together. Pressure between the ribs gives pain and usually causes the
animal to flinch and grunt. The muzzle is hot and dry, the mouth slimy, and
the secretions scanty. After a day or two the severity of the symptoms is
much lessened, the temperature, which during the first days may have been
as high as 106∞ F., falls to 103∞ or 104∞, the pain decreases, the
stiffness disappears, and the patient eats a little. The pulse softens, but
remains quicker than normal. Now, day by day the patient loses a little
strength, the friction sound disappears as the exudation moistens the
pleural surfaces; percussion now shows a horizontal line of dullness, which
day by day rises higher in the chest, the respiration grows more frequent
and labored, the countenance is anxious and haggard, the eyes sink somewhat
in their sockets, and in unfavorable cases death occurs during the second
or third week, from either asphyxia or heart failure.
In pleurisy, as in pneumonia, the elbows are usually turned outward. Care
must be taken to differentiate pleurisy from traumatic pericarditis (which
see). In the latter condition the area of dullness of the heart is much
increased, and usually a splashing sound is heard at each beat of the
heart. Another diagnostic symptom of value is that in traumatic
pericarditis respiration is painful, not difficult, and the respiratory
rate is very much increased on movement. In both conditions a considerable
swelling of the dewlap may be noticed in the later stages.
_Treatment._--Give the same general care as recommended in bronchitis or
pneumonia. In the early stages give a febrifuge to reduce the fever, as
directed for pneumonia. For relief of the cough give electuary formula,
which will be found in the treatment of laryngitis. The bowels must be kept
relaxed and the kidneys secreting freely. In the stage of effusion the
following should be given three times daily: Digitalis tincture, 1 ounce;
iodid of potassium, 30 to 60 grains; mix. Apply strong counterirritant to
chest and put seton in dewlap. (See "Setoning," p. 293.) If collapse of the
lung is threatened, a surgical operation, termed paracentesis thoracis, is
sometimes performed; this consists in puncturing the chest cavity and
drawing off a part of the fluid. The instruments used are a small trocar
and cannula, which are introduced between the eighth and ninth ribs. The
skin should be drawn forward so that the external wound may not correspond
to the puncture of the chest, to prevent the entrance of air. Only a
portion of the fluid should be removed. The animal gets immediate relief,
but it is generally only temporary, as the fluid has a tendency to
accumulate again.
PNEUMONIA.
Pneumonia is an inflammation of the lung substance, and is divided into
three forms, viz, croupous, catarrhal, and interstitial. These various
forms, however, can be differentiated only by the expert, and it is
therefore deemed necessary for the purpose of the present work to treat the
subject under the general head of pneumonia.
The causes of pneumonia in general are the same as those of the various
other inflammatory diseases of the respiratory tract. The germ is known as
a pneumococcus. The disease mostly follows congestion of the lungs, but may
in rare cases have a parasitic origin.
_Symptoms._--In the first stage, that of congestion, the disease is usually
ushered in by a chill, although this may not always be observed by the
attendant. This is followed by an elevation of temperature, usually 105∞ to
106∞ F., or it may be even higher. The respirations are quick and shallow;
the nostrils are dilated; the pulse is full and hard. Cough may or may not
appear in this stage. The nose is hot and dry; the tongue sometimes
protrudes and is slimy; the coat is staring, and the skin dry and harsh.
The urine is usually diminished in quantity, high colored, and the bowels
constipated. The animal stands with the forelegs wide apart to facilitate
respiration. On auscultation crepitation will be observed over the portion
of the lung affected. The sounds elicited on percussion are practically
normal in this stage.
In the second stage the temperature generally drops one or two degrees, and
respiration is performed with much difficulty. The cough is frequent and
painful. The animal still stands with the forelegs wide apart and the
elbows turned outward. If it assumes the recumbent position it rests on the
sternum. All secretions are more or less suspended, particularly the milk
in cows. The animal has a haggard appearance, and the pulse becomes small
and wiry at this period. The extremities are hot and cold alternately; the
crepitation which was present in the first stage is now absent, and no
sound on auscultation is heard, unless it is a slight wheezing or whistling
noise. On percussion dullness over the diseased lung is manifested,
indicating consolidation. The lung has now assumed a characteristic
liverlike appearance.
In the third stage, if the disease is to terminate favorably, the cough
becomes loose, the animal improves, the appetite returns, and the symptoms
above detailed rapidly subside; if, on the other hand, resolution is not
progressing, the lung substance degenerates, becomes clogged up, and ceases
to function. In fatal cases the breath has a peculiar, fetid, cadaverous
odor, and is taken in short gasps; the horns, ears, and extremities become
cold and clammy, and the pulse is imperceptible. On auscultation, when
suppuration is taking place and the lung structure is breaking down, a
bubbling or gurgling crepitation, caused by the passage of air through pus,
is heard.
_Treatment._--Good hygienic surroundings and good nursing are essential in
connection with the medical treatment. The probability of recovery depends
largely on the extent of the lung tissue involved, as well as on the
intensity of the inflammatory process. In the early stage, when the fever
is high, febrifuges should be given. If the pulse be strong and full,
aconite (Fleming's tincture, 1 to 2 drams, every four or five hours) may be
given for a short time, but should be discontinued as soon as the fever
begins to abate. Aconite is a valuable drug in the hands of the intelligent
practitioner, but my experience leads me to believe that not infrequently
animals are lost by its injudicious use, for in many febrile conditions it
is positively contraindicated, owing to its action upon the heart. In a
plethoric animal, with a strong, bounding pulse, bleeding may be resorted
to instead of administering aconite. If the bowels are constipated,
calomel, 1 to 3 drams, which acts as a cathartic and a febrifuge, is
advisable. In the second stage diffusible stimulants are required, viz:
Spirits of nitrous ether, 2 ounces; aromatic spirits of ammonia, 1 ounce;
mix, and give in gruel three times daily. In some cases carbonate of
ammonia, 2 to 5 drams, has been found beneficial. Most practitioners apply
counterirritants, such as mustard plasters, turpentine, and ammonia
liniment, or cantharides.
EMPHYSEMA (HEAVES).
Emphysema is a rupture of the minute air vesicles of the lung substance,
and may be either interlobular or vesicular. There is an extreme
interference with respiration, inspiration being short and expiration
prolonged. It is a nonfebrile condition, in which the appetite is not
decreased and the milk secretion is kept up. It may be caused by an attack
of asthma or may result from chronic bronchitis. The disease can be
diagnosed by the marked interference with respiration. The animal, as a
rule, is emaciated, has a staring coat, and is hidebound. If percussion is
resorted to, the animal's chest will give a tympanic, drumlike sound. The
normal resonant sound is exaggerated.
_Treatment._--The disease is incurable, and only a palliative form of
treatment can be carried out. The destruction of the animal is often
advisable, from a humane as well as from a financial point of view.
PULMONARY CONGESTION.
Cattle that are overdriven or overworked are liable to pulmonary congestion
in an acute form, and sometimes to pulmonary apoplexy. In such cases they
should be allowed to rest, and if the weather is hot, they should be put in
a shady place. Give stimulants internally, unload the venous side of the
heart by bleeding, and apply stimulating applications to the legs, and
bandage.
HEMOPTYSIS.
Hemoptysis is a term used to signify bleeding from the lungs. The trouble
may result from a previous congestion of the lungs or from a breaking down
of the lung substance, or from specific disorders.
Bleeding from the lungs comes from both nostrils and from the mouth. The
blood is bright red, frothy, and accompanied with a cough, the flow being
somewhat profuse and intermingled with mucus. It may cease of its own
accord. Internally hemostatics are indicated, and locally over the sides
cold applications have a tendency to check the hemorrhage. A drench of
1-1/2 drams of gallic acid dissolved in a pint of water should be given.
ABSCESS OF THE LUNG.
Abscesses of the lung sometimes form during the course of or subsequent to
tuberculosis or other diseases. An animal affected with abscess of the lung
usually has a protracted, feeble cough and a general appearance of
emaciation and anemia. The pulse is feeble and the breath foul. An
offensive discharge from the lungs frequently occurs. Percussion and
auscultation aid in making a diagnosis in this condition. The appetite is
poor. Such animals go from bad to worse, and their prompt destruction
would, as a rule, be to the interest of the owner.
HYDROTHORAX.
Hydrothorax, or dropsy of the chest, is not a disease in itself, but is
simply a condition in which an effusion takes place in the chest cavity,
and is the result or effect of some disease, mostly pleurisy. It can be
easily diagnosed by physical signs. A loss of the respiratory murmur will
be noticed on auscultation, and on percussion dullness or flatness on a
line as high as the effusion has taken place. When a large amount of
effusion is present, tapping with the trocar and cannula is generally
resorted to. The proper method of performing this operation will be found
under the head of "Pleurisy."
PNEUMOTHORAX.
An accumulation of gas in the pleural sac is known as pneumothorax. The
presence of air may result from either an injury of the lung or a wound
communicating from the exterior. The indications for treatment are to
remove any foreign body that may have penetrated, to exclude the further
entrance of the air into the cavity by the closure of the external opening,
and to employ antiseptics and adhesive dressings. The air already in the
cavity will in most cases be absorbed.
VERMINOUS BRONCHITIS.
This is a disease that sometimes attacks young cattle when pastured in
low-lying meadows near rivers subject to flood. It is caused by a small
worm, _Strongylus micrurus_, which lodges in large numbers in the trachea
and bronchial tubes, giving rise to considerable irritation of the air
passages and inflammation. Sometimes the strongyles lodge in large numbers
in the windpipe, forming themselves into a ball, and thus choke the animal
to death.
_Symptoms._--It is liable to attack a number of animals at once, and the
weakest are the first to give way. The animal has a remarkably forcible
cough, distressing, and of a special hacking and paroxysmal character. A
stringy mucus is sometimes expelled during the spells of coughing. This
mucus contains the _Strongylus micrurus_, which can be detected, or their
ova observed, under a low power of the microscope. The attack has a
subacute character and is very exhausting. The parasites, by becoming
entwined in balls, seriously impede respiration, which is always remarkably
labored in this disease.
_Treatment._--The affected calves should be placed in a dry stable,
protected from dampness, and subjected to fumigations of sulphurous
anhydrid or chlorin gas. The liberation of chlorin gas is brought about by
the action of sulphuric acid, either on a mixture of chlorid of sodium and
black oxid of manganese or on bleaching powder. Sulphurous anhydrid may be
procured by burning sulphur. Some practitioners prescribe small doses of
spirits of turpentine in linseed oil. The system requires good support, and
the diet should therefore be liberal and nutritious. Equal parts of
sulphate of iron, gentian, and ginger make an excellent tonic.
_Prevention._--Avoid pastures notorious for generating verminous
bronchitis.
PLEURODYNIA.
Pleurodynia is a term applied to rheumatism of the intercostal muscles, the
apparent symptoms being very similar to those of pleurisy. The animal is
stiff, is not inclined to turn around, and the ribs are kept in a fixed
state as much as possible. Pleurodynia may be distinguished from pleurisy
by the coexistence of rheumatism in other parts and by the comparative
absence of fever, cough, the friction sound, and the effusion into the
chest. The treatment for this affection is the same as that for rheumatism
affecting other parts.
DISEASES OF THE NERVOUS SYSTEM.
By W. H. HARBAUGH, V. S.
[Revised by John E. Mohler, V. M. D.]
THE NERVOUS SYSTEM.
The nervous system is the distinguishing feature of animal life. Without it
there can be no intelligence, no instinct, no sensibility, no perception;
in fact, existence would be nothing more than vegetable life.
The senses--touch, taste, sight, hearing, smell--all depend on the nervous
system. Motion depends on it. A muscle can not contract without receiving
the stimulus from the nervous system. For example, if a nerve passing from
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