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ny ways. The channel and method of administration depend on whether a general or local effect is desired, the condition of the animal, and the nature of the medicine that is to be given.
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gestion and cause local injury to the digestive organs, but may cause general poisoning of a severe and fatal type. The following molds have been shown (Dammann) to be dangerous in respe
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robang to push down any soft material, such as oats or chaff, as this generally condenses and renders firmer the obstructing substance by pressing its particles or elements together, so t
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e._--From the fact that this disease is largely one of regions, it is generally believed that some condition of the soil and water and of the local vegetation is responsible for it. It is
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aults in feeding than as a disease in itself. It occurs in almost all general fevers unless the bowels are involved in local disease, in obstructions of all kinds, from feeding on dry, bu
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he contents of the sac can not be returned into the abdomen, and this generally arises from the fact that some part of the contents of the sac has grown to or become adherent to the edges
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ote action may be exerted by the same drug. Poisons which act locally generally either destroy by corrosion the tissues with which they come in contact or by inhalation set up acute infla
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of chronic gastrointestinal catarrh, with indigestion, diarrhea, and general weakness and loss of condition. _Treatment._--The antidote for arsenic is a solution of hydrated oxid of iro
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onite is given whether indicated or not. Fortunately the dose used is generally small, and for this reason the damage done is much less than it would otherwise be. Aconite is one of the m
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the growth of bacteria, and bacteria may produce poisons in feeds. In general it may be said that any feed that is moldy, musty, or putrid is possibly dangerous. Silage, properly cured, d
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d often irregular. Respiration is difficult and rapid. There is great general weakness and depression. Death comes suddenly. _Treatment._--Treatment consists in supporting the animal by
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t of the diseases under consideration in this chapter. _Attitude and general condition._--The feeling of pain in animals suffering from serious affections of the organs of respiration is
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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
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without much uncertainty. The first signs may be those of frenzy, but generally at the start the animal is dull and sleepy, with little or no inclination to move about; the head may be pr
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and up on account of the paralysis of the hind quarters. This form is generally attributed to feeding on feeds containing insufficient protein and ash. It is most likely to occur in cows
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passing of a catheter is an operation which demands special skill. _General symptoms of urinary disorders._--These are not so prominent in cattle as in horses, yet they are of a similar
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his advanced stage to relieve dropsy and give tone to the kidneys and general system (oil of turpentine, 2 teaspoonfuls; bicarbonate of soda, 1 teaspoonful, repeated twice a day). Pure wa
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ere are exceptions, they are so rare that they do not invalidate this general rule. It is true that stone in the kidney or bladder is often found in the summer or in animals feeding at th
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sting the special cause of each as found in the feed, water, soil, or general conditions of health. This classification affords no guide to their location or symptoms, as calculi of the s
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c., in Cornell University._ [Revised by Adolph Eichhorn, D. V. S.] GENERAL DISCUSSION. Diseases of the generative organs are practically confined to animals which are kept for reprodu
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and general obstacles to conception should be carefully investigated and removed. The vigorous health which comes from a
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will refuse the male persistently, but these in no way invalidate the general rule. The bull, no matter how vigorous or how ardent his sexual instinct, can not be made to pay any attenti
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med these findings. _Cause._--The _Bacterium abortus_ of Bang is now generally recognized as the causative agent of the disease of cattle. Formerly it was thought that abortion was due t
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w, however, is not substantiated by other investigators, it being now generally accepted that the disease is only rarely responsible for abortion, and further, that it exerts no apparent
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either in the flank or with a trocar and cannula through the anus. GENERAL DROPSY OF THE CALF. This occurs from watery blood or disease of some internal organ, like the liver or kidne
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re beset with similar drawbacks, and are to be dealt with on the same general principles. (Pl. XVII, fig. 4.) With the back turned to one side the body should be rotated until the back tu
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se. No part is wedged into the pelvic passages as a complication. The general principles are the same as in faulty presentation fore and hind, and no time should be lost in making the man
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eet engaged in pelvis. A very serious malpresentation, in which it is generally impossible to save the fetus if delivery is far advanced. The indications are to force back the hind feet.
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even gangrene are shown in the mass. At the moment of protrusion the general health is not altered, but soon the inflammation and fever with the violent and continued straining induce ex
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nt, simple or associated with putrefaction of its liquid contents and general poisoning, or it may extend so that the inflammation affects the lining membrane of the whole abdominal cavit
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s, dullness, drowsiness, suspension of rumination and appetite, and a general indifference to surrounding objects. Soon the cow lies down, or falls and is unable to rise, but for one or t
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tained with such offensive products should be thoroughly washed. The general treatment of contagious mammitis does not differ from that of the simple form, except that antiseptics should
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septic germ and is associated with fetid discharge from the navel and general putrid blood poisoning. In estimating the causes of the disease we must not omit debility of the calf when th
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t the presence of some of the septic bacteria, and the results on the general system are a high fever and softening of the liver and spleen and no tendency to abscesses of the internal or
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n this way. The same may come from disease in the cow's udder, or any general disease of the cow with attendant fever, and in all such cases the tendency is to rapid change and unwholesom
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appears desirable to describe some of the characteristics of forms in general and of a few classes into which they may be divided, leaving the special study of individual bones to the ill
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is one in which other structures surrounding the bones are injured. GENERAL SYMPTOMS OF FRACTURE.--When a fracture of one or more of the large bones of a limb occurs, symptoms are sure
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side will be less prominent than the other. Careful manipulation will generally move the parts so that crepitus may be recognized. If the fracture is through the posterior part of the bon
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ed three or four times at intervals of three weeks. The lameness will generally begin to disappear about the third or fourth month if the above-described treatment proves beneficial. Shou
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ack may be used. Various types of dehorning shears or clippers are in general use. One type of dehorner has a stationary knife edge with its cutting edge shaped like a very wide V, and op
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fully dealt with under another heading. We would add, however, that, generally speaking, the animal, after being castrated, should either be regularly exercised or be allowed freedom so
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ions of the tumor by a pathologist will be found most satisfactory. GENERAL TREATMENT OF TUMORS. For benign tumors treatment is required only when it damages the animal's value or when
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By M. R. TRUMBOWER, D. V. S. [Revised by John R. Mohler, V. M. D.] GENERAL DISCUSSION. The skin consists of two parts--a superficial layer, the epidermis, or cuticle, and the deep, or
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lved. We must endeavor to remove the cause by giving attention to the general health of the animal and to its environment. Feeding should be moderate in quantity and not too stimulating i
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e spontaneously or follow a scar after an injury. _Symptoms._--Kelis generally appears below the knee or hock, and may occur singly or in numbers. There are no constitutional symptoms. I
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d for a little distance forward on its outward surface, the cornea is generally said to be fitted into the sclerotic like a watch glass into its rim. The venous canal of Schlemm runs circ
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r of refraction is lost--the animal can not see. _Causes._--Cataract generally arises from a diminution (atrophy) or other change in the nutrition of the lens; it may occur as a result o
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RFY EARS. Cattle are subject to scurfy ears, which may be owing to a generally morbid condition of the skin, or may be confined to the ears alone. The affected animal shows an inclinatio
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he usual manner, by an inflammation of the lungs and pleurÊ, which is generally extensive, and which has a tendency to invade portions of these organs not primarily affected and to cause
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ay bloat and later be affected with a severe diarrhea. Such cases are generally fatal in 7 to 20 days. Very often the attack comes on slowly and the symptoms are much less clear. In the
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. It is then a difficult undertaking, simply because the contagion is generally widely disseminated before any measures are adopted, and because a great majority of cattle owners will nev
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ot or ground itch of cattle, the inflammation of the skin and toes is general and not in certain spots, as in foot-and-mouth disease. The mouth remains unaffected, and the presence of the
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gives off the odor of rancid butter. The internal hemorrhages are not general, although they may occur. A microscopic examination of the juices from the tumefaction will show the blackleg
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animals or to damage the surroundings. The cow remains quiet and the general muscular contraction gives her a rigid appearance. There is an absence of paralysis which marks the advanced
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imals together, drafts of air which cause colds and catarrhs, and, in general, everything which prevents the animals from developing and maintaining the highest condition of health. None
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nd when the disease had yet made but little progress. It is now quite generally employed. The tuberculin test came into existence through the most careful and thorough scientific experim
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reameries, with the offal of the abattoirs, with the household refuse generally, and behind tuberculous cattle. If tuberculosis is common among cattle, it is likely to be transmitted to h
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tely fatal in cattle after eight to nine weeks; 4 likewise produced a generalized tuberculosis, but which certainly had a more chronic course, while 1 of the cultures caused only an infil
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fresh condition under a microscope magnifying up to 250 diameters the general structure is made out without much difficulty. These grains consist of collections of minute, roundish masses
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se. Actinomycosis is not infrequent in cattle in the Southwest and is generally supposed to be the result of eating the prickly fruit of the cactus plant, causing wounds of the mucous mem
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ys already described. If the disease begins in the skin, it agrees in general with the subacute form in prolonged duration, and it may occasionally terminate in recovery if the swellings
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_Symptoms and lesions._--The symptoms of blackleg may be either of a general or of a local nature, though more frequently of the latter. The general symptoms are very much like those bel
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of the multiplication of the bacilli at the point of inoculation. The general affection is an intoxication, or poisoning, of the whole system produced by a soluble toxin elaborated by the
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death, can be removed without pain to the animal. The intestines are generally normal, but, together with the peritoneum, they may be inflamed, and the lungs are usually the seat of an e
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d show very plainly. (Pl. XLVI, figs. 6 and 7.) _Prevention._--It is generally accepted that if southern cattle are entirely free from that species of tick known as _Margaropus annulatus
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apsed to leave no doubt that eradication has been accomplished. As a general rule it has been found that if dipping is begun in March and systematically and thoroughly done, all cattle b
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thereby retard the final recovery. Medical treatment of the sick has generally been unsatisfactory, although in chronic cases and those occurring late in the fall beneficial results have
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t damage the horn, and congregate there only to rest. In view of the general practice of dehorning cattle, the name hornfly is less distinctive than it once was. Moreover, hornflies rest
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sed that the ox warbles of this country were all of the one kind. The general appearance, life history, and effects of the European species are much the same as those of the American form
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gh this parasite has been accused of producing serious effects, it is generally considered harmless. Several species of roundworms may occur in the fourth stomach. Two of these are of sp
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of the animal may be comparatively good. It is rare that one sees a generalized edema in slaughtered cattle as a result of fluke invasion, and even in the heaviest infections of you
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iption, symptoms, and treatment, 464-469 dropsy-- general, cause and treatment, 180 of abdomen, description and treatment,
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bones, description and treatment, 277 general symptoms and treatment, 272, 273 hip point, causes and treatment,
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id, description and treatment, 350 general treatment, 309 kidney, description,
narrowed by cutting the bones apart in the median line below and causing
their free edges to overlap each other. The abdomen can be cut open by the
embryotomy knife or the long embryotome in the median line, or at any
point, and the contents pulled out with the hand, the knife being used in
any case when especial resistance is encountered. If the abdomen is so
firmly impacted that it can not be dealt within this way, one hind limb and
the hip bone on the same side may be removed as described under "Amputation
of the hind limbs," page 205. This will allow the introduction of the hand
into the abdomen from behind, so as to pull out the contents. By
introducing an embryotomy knife in the palm of the hand and cutting through
the muscle of the diaphragm the interior of the chest can be reached in the
same way and the heart and lungs removed.
When, in dealing with an anterior presentation, it becomes necessary to
remove the contents of the chest, the usual course is to cut through the
connections of the ribs with the breastbone (the costal cartilages) close
to the breastbone on each side, and from the abdomen forward to the neck.
Then cut through the muscles connecting the front of the breastbone with
the neck and its hinder end with the belly, and pull out the entire
breastbone. Having torn out the heart and lungs with the hand, make the rib
cartilages on the one side overlap those on the other, so as to lessen the
thickness of the chest, and proceed to extract the body. If it seems
needful to empty the abdomen as well, it is easy to reach it by cutting
through the diaphragm, which separates it from the chest.
_Delivery through the flank_ (_CÊsarean section, or laparotomy_).--This is
sometimes demanded, when the distortion and narrowing of the hip bones are
such as to forbid the passage of the calf, or when inflammation has
practically closed the natural passages and the progeny is more valuable
and worthy of being saved than the dam; also in cases in which the cow has
been fatally injured, or is ill beyond possibility of recovery and yet
carries a living calf. It is too often a last resort after long and
fruitless efforts to deliver by the natural channels, and in such cases the
saving of the calf is all that can be expected, the exhausted cow, already
the subject of active inflammation and too often also of putrid poisoning,
is virtually beyond hope. The hope of saving the dam is greatest if she is
in good health and not fatigued, in cases, for example, in which the
operation is resorted to on account of broken hip bones or abnormally
narrow passages.
The stock owner will not attempt such a serious operation as this. Yet, if
the mother has just died or is to be immediately sacrificed, no one should
hesitate to resort to it in order to save the calf. If alive, it is
important to have the cow perfectly still. Her left fore leg being bent at
the knee by one person, another may seize the left horn and nose and turn
the head to the right until the nose rests on the spine just above the
shoulder. The cow will sink down gently on her left side without shock or
struggle. One may now hold the head firmly to the ground, while a second,
carrying the end of the tail from behind forward on the inside of the right
thigh, pulls upon it so as to keep the right hind limb well raised from the
ground. If time presses she may be operated on in this position, or if the
cow is to be sacrificed a blow on the head with an ax will produce
quietude. Then the prompt cutting into the abdomen and womb and the
extraction of the calf requires no skill. If, however, the cow is to be
preserved, her two forefeet and the lower hind one should be safely
fastened together and the upper hind one drawn back. Two ounces chloral
hydrate, given by injection, should induce sleep in 20 minutes, and the
operation may proceed. In case the cow is to be preserved, wash the right
flank and apply a solution of 4 grains of corrosive sublimate in a pint of
water.
Then, with an ordinary scalpel or knife, dipped in the above-mentioned
solution, make an incision from 2 inches below and in front of the outer
angle of the hip bone in a direction downward and slightly forward to a
distance of 12 inches. Cut through the muscles, and more carefully through
the transparent lining membrane of the abdomen (peritoneum), letting the
point of the knife lie in the groove between the first two fingers of the
left hand as they are slid down inside the membrane and with their back to
the intestines. An assistant, whose hands, like those of the operator, have
been dipped in the sublimate solution, may press his hands on the wound
behind the knife to prevent the protrusion of the intestines. The operator
now feels for and brings up to the wound the gravid womb, allowing it to
bulge well through the abdominal wound, so as to keep back the bowels and
prevent any escape of water into the abdomen. This is seconded by two
assistants, who press the lips of the wound against the womb. Then an
incision 12 inches long is made into the womb at its most prominent point,
deep enough to penetrate its walls, but not so as to cut into the water
bags. In cutting, carefully avoid the cotyledons, which may be felt as hard
masses inside. By pressure the water bags may be made to bulge out as in
natural parturition, and this projecting portion may be torn or cut so as
to let the liquid flow down outside of the belly. The operator now plunges
his hand into the womb, seizes the fore or hind limbs, and quickly extracts
the calf and gives it to an attendant to convey to a safe place. The womb
may be drawn out, but not until all the liquid has flowed out, and the
fetal membranes must be separated from the natural cotyledons, one by one,
and the membranes removed. The womb is now emptied with a sponge, which has
been boiled or squeezed out of a sublimate solution, and if any liquid has
fallen into the abdomen it may be removed in the same way. A few stitches
are now placed in the wound in the womb, using carbolized catgut. They need
not be very close together, as the wound will diminish greatly when the
womb contracts. Should the womb not contract at once it may have applied
against it a sponge squeezed out of a cold sublimate solution, or it may be
drawn out of the abdominal wound and exposed to the cold air until it
contracts. Its contraction is necessary to prevent bleeding from its
enormous network of veins. When contracted, the womb is returned into the
abdomen and the abdominal wound sewed up. One set of stitches, to be placed
at intervals of 2 inches, is passed through the entire thickness of skin
and muscles and tied around two quills or little rollers resting on the
skin. (Pl. XXVII, fig. 7.) These should be of silver, and may be cut at one
end and pulled out after the wound has healed. The superficial stitches are
put in every half inch and passed through the skin only. They, too, may be
of silver, or pins may be inserted through the lips and a fine cord twisted
round their ends like a figure 8. (Pl. XXVII, fig. 9.) The points of the
pins may be snipped off with pliers. The edges may be still further held
together by the application of Venice turpentine, melted so as to become
firmly adherent, and covered with a layer of sterilized cotton wool. Then
the whole should be supported by a bandage fixed around the loins and
abdomen.
* * * * *
DISEASES OF THE GENERATIVE ORGANS.
DESCRIPTION OF PLATES.
PLATE XII. Fetal calf within its membranes (at mid term). The uterus is
opened on the left side. In the uterus the fetus is surrounded by several
membranes which are known as the amnion or inner layer, the allantois or
central layer, and the chorion or outer layer. The amnion is nearest the
fetus and forms a closed sac around it filled with a fluid known as liquor
amnii, in which the fetus floats. The allantois is composed of two layers,
which form a closed sac in connection with the urachus, or the tube which
extends from the fetal bladder through the umbilical cord. The one layer of
the allantois is spread over the outer surface of the amnion and the other
over the inner surface of chorion. The allantois also contains a fluid
which is known as the allantoid liquid. The chorion is the outer envelope
or membrane of the fetus, completely inclosing the fetus with its other
membranes. On the outer surface of this membrane are found the fetal
placentulÊ, or cotyledons, which, through their attachment to the maternal
cotyledons, furnish the fetus with the means of sustaining life. The
relation of the fetal and maternal cotyledons to each other is illustrated
on the following plate.
PLATE XIII. Pregnant uterus with cotyledons.
Fig. 1. Uterus of the cow during pregnancy, laid open to show the
cotyledons (_d_) on the internal surface of uterus (_c_). The ovary (_a_)
is shown cut across, and the two halves are laid open to show the position
of the discharged ovum at _a_'.
Fig. 2 illustrates the relation of the fetal and maternal parts of a
cotyledon. A portion of the uterus (_A_) is shown with the maternal
cotyledon (_BB_) attached to it. The fetal portion (_D_) consists of a mass
of very minute hairlike processes on the chorion (_E_), which fit into
corresponding depressions or pits of the maternal portion. Each portion is
abundantly supplied with blood vessels, so that a ready interchange of
nutritive fluid may take place between mother and fetus.
PLATE XIV. Vessels of umbilical cord.
Fig. 1. Fetal calf with a portion of the wall of the abdominal cavity of
the right side and the stomach and intestines removed to illustrate the
nature of the umbilical or navel cord. It consists of a tube (1-1') into
which pass the two umbilical arteries (3) carrying blood to the placenta in
the uterus or womb and the umbilical vein (4) bringing the blood back and
carrying it into the liver. The cord also contains the urachus (2') which
carries urine from the bladder (2) through the cord. These vessels are all
obliterated at birth. 5, liver; 5', lobe of same, known as the lobus
Spigelii; 5'', gall bladder; 6, right kidney; 6', left kidney; 6'',
ureters, or the tubes conducting the urine from the kidneys to the bladder;
7, rectum, where it has been severed in removing the intestines; 8, uterus
of the fetus, cut off at the anterior extremity; 9, aorta; 10, posterior
vena cava. (From _F¸rstenberg-Leisering, Anatomie und Physiologie des
Rindes._)
Fig. 2. Blood vessels passing through the umbilical cord in a human fetus.
(From Quain's Anatomy, vol. 2.) _L_, liver; _K_, kidney; _I_, intestines;
_U C_, umbilical cord; _Ua_, umbilical arteries. The posterior aorta coming
from the heart passes backward and gives rise to the internal iliac
arteries, and of these the umbilical arteries are branches. _Uv_, umbilical
vein; this joins the portal vein, passes onward to the liver, breaks up
into smaller vessels, which reunite in the hepatic vein; this empties into
the posterior vena cava, which carries the blood back to the heart.
* * * * *
[Illustration: PLATE XII.
FETAL CALF WITHIN ITS MEMBRANES.]
[Illustration: PLATE XIII.
PREGNANT UTERUS WITH COTYLEDONS.]
[Illustration: PLATE XIV.
VESSELS OF UMBILICAL CORD.]
[Illustration: PLATE XV.]
[Illustration: PLATE XVI.]
[Illustration: PLATE XV.
NORMAL POSITION OF CALF IN UTERO.]
[Illustration: PLATE XVI.
ABNORMAL POSITIONS OF CALF IN UTERO.]
[Illustration: PLATE XVII.
ABNORMAL POSITIONS OF CALF IN UTERO.]
* * * * *
PLATE XV. Normal position of calf in utero. This is the most favorable
position of the calf or fetus in the womb at birth, and the position in
which it is most frequently found. This is known as the normal anterior
position. The back of the fetus is directly toward that of the mother, the
forelegs are extended back toward the vulva of the mother, and the head
rests between them. The birth of the calf in this position usually takes
place without artificial assistance.
PLATE XVI. Abnormal positions of calf in utero. (Figs. 1, 2, 3, and 5 from
Fleming's Veterinary Obstetrics; fig. 4 after St. Cyr, from Hill's Bovine
Medicine and Surgery; fig. 6 from D'Arboval, Dictionaire de MÈdecine et de
Chirurgie.)
Fig. 1. Anterior presentation; one fore limb completely retained. The
retained limb must be reached if possible and brought forward joint by
joint and the fetus then extracted.
Fig. 2. Anterior presentation; fore limbs bent at knee. The limbs must be
extended before delivery can be accomplished.
Fig. 3. Anterior presentation; fore limb crossed over neck. The leg should
be grasped a little above the fetlock, raised, drawn to its proper side,
and extended in genital canal.
Fig. 4. Anterior presentation; downward deviation of head. The head must be
brought into position seen in Plate XV before delivery can take place.
Fig. 5. Anterior presentation; deviation of the head upward and backward.
Retropulsion is the first indication, and will often bring the head into
its normal position.
Fig. 6. Anterior presentation; head presented with back down. The fetus
should be turned by pushing back the fore parts and bringing up the hind so
as to make a posterior presentation.
PLATE XVII. Abnormal positions of calf in utero. (Figs. 2 and 3 from
Fleming; figs. 4, 5, and 6 from D'Arboval.)
Fig. 1. Anterior presentation, with hind feet engaged in pelvis. A very
serious malpresentation, in which it is generally impossible to save the
fetus if delivery is far advanced. The indications are to force back the
hind feet.
Fig. 2. Thigh and croup presentation, showing the fetus corded. The cord
has a ring or noose at one end. The two ends of the cord are passed between
the thighs, brought out at the flanks, and the plain end passed through the
noose at the top of the back and brought outside the vulva. The fetus must
be pushed back and an attempt made to bring the limbs properly into the
genital passage.
Fig. 3. Croup and hock presentation. The indications in this abnormal
presentation are the same as described for Fig. 2.
Fig. 4. Posterior presentation; the fetus on its back. Turn the fetus so as
to make a normal anterior presentation.
Fig. 5. Sterno-abdominal presentation. The fetus is on its side with limbs
crossing and presenting. The limbs least eligible for extraction should be
forced back into the uterus.
Fig. 6. Dorso-lumbar presentation; the back presenting. The fetus must be
turned so that one or the other extremity can enter the passage.
PLATE XVIII. Abnormal positions of the calf in utero. Surgical instruments
and sutures.
Fig. 1. Twin pregnancy, showing the normal anterior and posterior
presentations. (From Fleming.)
Fig. 2. Abdominal dropsy of the fetus; normal presentation; fore limbs
corded. (After Armatage.) The drawing illustrates the method of puncturing
the abdomen through the chest with a long trocar and cannula. The fluid is
represented escaping from the cannula after the withdrawal of the trocar.
Fig. 3. Tallich's short, bent, crotchet forceps. The forceps have bent and
toothed jaws, which are intended to take hold of the fetus where neither
cords nor hooks can be applied, as the ear, nose, or skin of cheek.
Fig. 4. Clamp for ear, skin, etc.: 1-1, blades with hooks and corresponding
holes; 2, ring to close the blades; 3, stem with female screw for handle;
4, handle, which may be either straight or jointed and flexible.
PLATE XIX. Monstrosities. This plate illustrates various malformations and
diseases of the fetus which act as the cause of difficult parturition.
Figs. 1, 2, 3. Fetuses with portions of their bodies double. Fig. 1 (from
Fleming), double head, neck, and fore limbs. Fig. 2 (from Encyclop. der
Gesam. Thierheilkunde, 1886), double head, neck, fore limbs, and body. Fig.
3 (from Fleming), double faced.
Fig. 4. Fetus with head very much enlarged. (From Fleming.) This affection
is known as hydrocephalus, or dropsy of the brain, and is due to a more or
less considerable quantity of fluid in the cranial cavity of the fetus.
Fig. 5. Skull of the calf represented in Fig. 4. The roof of the skull is
absent. (From Fleming.)
PLATE XX. Instruments used in difficult labor.
Fig. 1. Long embryotome with joint.
Fig. 2. Long, sharp hook. This instrument is about 3 feet in length,
including the handle. Hooks of this kind, both blunt and sharp, are applied
directly to the fetus to assist in delivery.
Fig. 3. G¸nther's long-handled embryotome. This instrument and that
represented in Fig. 1 are of special value in cutting through muscular
tissue and in separating the limbs from the trunk when the fetus can not be
removed entire. These embryotomes are usually 30 inches long, but may be
made either longer or shorter.
Fig. 4. Jointed cord-carrier, used in difficult parturition to carry a cord
into regions which can not be reached by the arm.
Fig. 5. Instrument used to rotate or turn the fetus, known as a rotator.
Fig. 6. Dilator of the neck of the womb, used when conception can not take
place owing to a contracted condition of the neck of the womb.
Fig. 7. Repeller. An instrument from 2 to 3 feet long, used to force the
fetus forward into the womb. This operation is generally necessary when the
presentation is abnormal and the fetus has advanced too far into the narrow
inlet to the uterus to be moved.
Fig. 8. Cartwright's bone chisel. Including the handle, this instrument is
about 32 inches in length; the chisel portion is a little more than 2
inches long and 1 to 1-1/2 broad. Only the middle portion is sharp, the
projecting corners are blunt, and the sides rounded. This instrument is
used for slitting up the skin of a limb and as a bone chisel when it is
necessary to mutilate the fetus in order to effect delivery.
* * * * *
[Illustration: PLATE XVIII.
ABNORMAL POSITION OF CALF IN UTERO.
SURGICAL INSTRUMENTS AND SUTURES.]
[Illustration: PLATE XIX.
MONSTROSITIES.]
[Illustration: PLATE XX.
INSTRUMENTS USED IN DIFFICULT LABOR.]
[Illustration: PLATE XXI.
INSTRUMENTS USED IN DIFFICULT LABOR.]
* * * * *
PLATE XXI. Instruments used in difficult labor.
Fig. 1. Embryotome, an instrument used when it is necessary to reduce the
size of the fetus by cutting away certain parts before birth can be
effected. This instrument may be long or short, straight or curved.
Fig. 2. Also an embryotome. The blade can be made to slide out of or into
the handle. The instrument can thus be introduced into or withdrawn from
the genital passage without risk of injury to the mother.
Fig. 3. Schaack's traction cord. This is merely a cord with a running noose
at one end and a piece of wood at the other, to offer a better hold for the
hand.
Figs. 4_a_ and 4_b._ Reuff's head collar for securing the head of the
fetus.
Fig. 5. Curved cord-carrier, used in difficult parturition to carry a cord
into regions which can not be reached by the arm.
Fig. 6. Blunt hook, used in difficult parturition.
Fig. 7. Short hook forceps, used in difficult parturition.
Fig. 8. Blunt finger hook.
* * * * *
DISEASES FOLLOWING PARTURITION.
By James Law, F. R. C. V. S.,
_Formerly Professor of Veterinary Science, etc., in Cornell University._
FLOODING (BLEEDING FROM THE WOMB).
Though not so common in the cow as in the human female, flooding is
sufficiently frequent to demand attention. It may depend on a too rapid
calving and a consequent failure of the womb to contract when the calf has
been removed. The pregnant womb is extraordinarily rich in blood vessels,
especially in large and tortuous veins, which become compressed and almost
obliterated under contraction, but remain overfilled and often bleed into
the cavity of the womb should no contraction take place. Cox records cases
in which the labor pains had detached and expelled the fetal membranes,
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