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and divide into 12 powders. The administration of purgatives which promote
a watery discharge from the mucous surface of the bowels also tends, by
diminishing the serum of the blood, to bring about absorption and a gradual
removal of the fluid contained in the abdomen. Large doses should not be
given, but moderate ones should be administered morning and night, so as to
produce a laxative effect on the bowels for several days. To attain this
end the following may be used: Sulphate of soda, 8 ounces; powdered ginger,
half an ounce; to be mixed in 2 quarts of tepid water and given at one
dose.
* * * * *
DISEASES OF THE DIGESTIVE ORGANS.
DESCRIPTION OF PLATES.
PLATE I. Position of the first stomach (rumen or paunch) on the left side.
The area inclosed by heavy dotted lines represents the rumen; the
elongated, shaded organ is the spleen resting upon it. The skin and muscles
have been removed from the ribs to show the position of the lungs and their
relation to the paunch.
PLATE II. Stomach of ruminants.
Fig. 1. Stomach of a full-grown sheep, 1/5 natural size (after Thanhoffer,
from R. Meade Smith's Physiology of Domestic Animals): _a_, rumen, or first
stomach; _b_, reticulum, or second stomach; _c_, omasum, or third stomach;
_d_, abomasum, or fourth stomach; _e_, esophagus, or gullet, opening into
the first and second stomachs; _f_, opening of fourth stomach into small
intestine; _g_, opening of second stomach into third; _h_, opening of third
stomach into fourth.
The lines indicate the course of the food in the stomachs. The incompletely
masticated food passes down the esophagus, or gullet, into the first and
second stomachs, in which a churning motion is kept up, carrying the food
from side to side and from stomach to stomach. From the first stomach
regurgitation takes place; that is, the food is returned through the gullet
to the mouth to be more thoroughly chewed, and this constitutes what is
known as "chewing the cud." From the second stomach the food passes into
the third, and from the third into the fourth, or true, stomach, and from
there into the intestines.
Fig. 2. Stomach of ox (after Colin, from R. Meade Smith's Physiology of
Domestic Animals): _a_, rumen; _b_, reticulum; _c_, omasum; _d_, abomasum;
_e_, esophagus; _f_, opening of fourth stomach into small intestine.
F¸rstenberg calculated that in an ox of 1,400 pounds weight the capacity of
the stomach is as follows:
Per cent.
Rumen, 149.25 quarts, liquid measure 62.4
Reticulum, 23.77 quarts 10
Omasum, 36.98 quarts 15
Abomasum, 29.05 quarts 12.6
According to Colon-- Quarts.
The capacity of a beef's stomach is 266.81
Small intestine 69.74
Cecum 9.51
Colon and rectum 25.58
Fig. 1. Clinical thermometer, 4/5 natural size. This is used to determine
the temperature of the animal body. The thermometer is passed into the
rectum after having been moistened with a little saliva from the mouth, or
after having had a little oil or lard rubbed upon it to facilitate its
passage. There it is allowed to remain two or three minutes, then
withdrawn, and the temperature read as in any ordinary thermometer. The
clinical thermometer is made self-registering; that is, the mercury in the
stem remains at the height to which it was forced by the heat of the body
until it is shaken back into the bulb by taking hold of the upper portion
of the instrument and giving it a short, sharp swing. The normal
temperature of cattle varies from 100∞ to 103∞ F. In young animals it is
somewhat higher than in old. The thermometer is a very useful instrument
and frequently is the means by which disease is detected before the
appearance of any external sign.
[Illustration: PLATE I. SHOWING THE POSITION OF THE RUMEN.]
[Illustration: PLATE II. STOMACH OF RUMINANTS.]
[Illustration: PLATE III. INSTRUMENTS USED IN TREATING DISEASES OF
DIGESTIVE ORGANS.]
[Illustration: PLATE IV. MICROSCOPIC ANATOMY OF THE LIVER.]
[Illustration: PLATE V. ERGOT IN HAY.]
[Illustration: PLATE VI. ERGOTISM.]
Fig. 2. Simple probang, used to dislodge foreign bodies, like apples,
potatoes, eggs, etc., which have become fastened or stuck in the esophagus
or gullet.
Fig. 3. Grasping or forceps probang. This instrument, also intended to
remove obstructions from the gullet, has a spring forceps at one end in the
place of the cup-like arrangement at the end of the simple probang. The
forceps are closed while the probang is being introduced; their blades are
regulated by a screw in the handle of the instrument. This probang is used
to grasp and withdraw an article which may have lodged in the gullet and
can not be forced into the stomach by use of the simple probang.
Fig. 4. Wooden gag, used when the probang is to be passed. The gag is a
piece of wood which fits in the animal's mouth; a cord passes over the head
to hold it in place. The central opening in the wood is intended for the
passage of the probang.
Figs. 5_a_ and 5_b._ Trocar and cannula; 5_a_ shows the trocar covered by
the cannula; 5_b_, the cannula from which the trocar has been withdrawn.
This instrument is used when the rumen or first stomach becomes distended
with gas. The trocar covered by the cannula is forced into the rumen, the
trocar withdrawn, and the cannula allowed to remain until the gas has
escaped.
Fig. 6. Section at right angles through the abdominal wall, showing a
hernia or rupture. (Taken from D'Arboval. Dictionnaire de MÈdecine, de
Chirurgie de Hygiene): _a a_, The abdominal muscles cut across; _v_,
opening in the abdominal wall permitting the intestines _i i_ to pass
through and outward between the abdominal wall and the skin; _p p_,
peritoneum, or membrane lining the abdominal cavity, carried through the
opening _o_ by the loop of intestine and forming the sac S, the outer walls
of which are marked _b f b._
PLATE IV. Microscopic anatomy of the liver. The liver is composed of
innumerable small lobules, from 1/20 to 1/10 inch in diameter. The lobules
are held together by a small amount of fibrous tissue, in which the bile
ducts and larger blood vessels are lodged.
Fig. 1 Illustrates the structure of a lobule; _v v_, interlobular veins or
the veins between the lobules. These are branches of the portal vein, which
carries blood from the stomach and intestines to the liver; _c c_,
capillaries, or very fine blood vessels, extending as a very fine network
between the groups of liver cells from the interlobular vein to the center
of the lobule and emptying there into the intralobular vein to the center
of the lobule; _v c_, intralobular vein, or the vein within the lobule.
This vessel passes out of the lobule and there becomes the sublobular vein;
_v s_, sublobular vein. This joins other similar veins and helps to form
the hepatic vein, through which the blood leaves the liver; _d d_, the
position of the liver cells between the meshes of the capillaries; _A A_,
branches of the hepatic artery to the interlobular connective tissue and
the walls of the large veins and large bile ducts. These branches are seen
at _r r_ and form the vena vascularis; _v v_, vena vascularis; _i i_,
branches of the hepatic artery entering the substance of the lobule and
connecting with capillaries from the interlobular vein. The use of the
hepatic artery is to nourish the liver, while the other vessels carry blood
to be modified by the liver cells in certain important directions; _g_,
branches of the bile ducts, carrying bile from the various lobules into the
gall bladder and into the intestines; _x x_, intralobular bile capillaries
between the liver cells. These form a network of very minute tubes
surrounding each ultimate cell, which receives the bile as it is formed by
the liver cells and carried outward as described.
Fig. 2. Isolated liver cells: _c_, blood capillary; _a_, fine bile
capillary channel.
PLATE V. Ergot in hay: 1, bluegrass; 2, timothy; 3, wild rye; 4, redtop.
Ergot is a fungus which may affect any member of the grass family. The
spore of the fungus, by some means brought in contact with the undeveloped
seed of the grass, grows, obliterates the seed, and practically takes its
place. When hay affected with ergot is fed to animals it is productive of a
characteristic and serious affection or poisoning known as ergotism.
PLATE VI. Ergotism, or the effects of ergot. The lower part of the limb of
a cow, showing the loss of skin and flesh in a narrow ring around the
pastern bone and the exposure of the bone itself.
* * * * *
POISONS AND POISONING.
By V. T. ATKINSON, V. S.
[Revised by C. DWIGHT MARSH, Ph. D.]
DEFINITION OF A POISON.
To define clearly the meaning of the word "poison" is somewhat difficult.
Even in law the word has never been defined, and when a definition is
attempted we are apt to include either too much or too little. The
following definition given by Husemann is perhaps the best: "Poisons are
those substances, inorganic or organic, existing in the organism or
introduced from the outside, produced artificially or formed as natural
products, which, through their chemical nature, under definite conditions,
so affect some organ of a living organism that the health or well-being of
the organism is temporarily or chronically injured." The common conception
of a poison is any substance which, in small quantity, will destroy life,
except such as act by purely mechanical means, as, for example, powdered
glass.
Some substances that are not usually looked upon as poisons may destroy
life if given in large doses, such as common salt. Other substances which
are perfectly harmless when taken into the body in the usual way are
poisons if injected into the circulation, such as distilled water, milk, or
glycerin. Living organisms are not "chemical substances," and are not
considered in this connection.
SOURCES OF POISONING.
Poisoning may come from many causes, among the chief of which are the
following:
(1) _Errors in medication._--By using the wrong substance or too large dose
an animal may be poisoned.
(2) _The exposure of poisons used for horticultural, technical, or other
legitimate purposes._--Poisons used for spraying plants, disinfecting,
poisoning vermin, dipping cattle or sheep, painting, smelting, dyeing, or
other purposes may be so handled as to come within the reach of animals.
(3) _Damaged food._--Food that has undergone putrefaction or certain kinds
of fermentation or heating, may have become poisonous, producing forage
poisoning, meat poisoning, cheese poisoning, etc.
(4) _Poisonous plants in the pasture or forage._
(5) _The bite or sting of a poisonous insect or the bite of an animal._
(6) _Malicious poisoning._
THE ACTION OF POISONS.
The action of poisons may be either local, and exerted directly on the
tissues with which they come in contact, or remote, acting through the
circulation or the nervous system; or both local and remote 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 inflammation. When any corrosive agent is taken
into the stomach in poisonous quantities, a group of symptoms is developed
which is common to all. The tissues with which the agent comes in contact
are destroyed, sloughing and acute inflammation of the surrounding
structures take place; intense pain in the abdomen and death ensue. In a
like manner, but with less rapidity, the same result is reached if the
agent used be not of a sufficiently corrosive nature to destroy the
tissues, but sufficiently irritating to set up acute inflammation of the
mucous membrane of the digestive tract. If the poison exerts a remote
influence alone, the action is quite different, little or no local effect
being produced upon the digestive organs.
To produce an effect on some part of the body distant from the channel of
entrance, a poison must have been absorbed and carried in the blood to the
central nervous system or other region involved. The poisonous effect of
any substance is modified by the quantity used; by its chemical
combinations; by the part of the animal structure with which it comes in
contact; by the physical condition of the subject; and also by the rapidity
with which the poison is excreted. As an illustration, opium may be given
with safety in much larger doses to an animal suffering from acute pain
than to one free from pain, and to an adult animal with greater safety than
to a young one. The rapidity with which the poison is absorbed, owing to
the part of the body with which it is brought in contact, is also an
important factor. So marked is this quality that some agents which have the
power of destroying life with almost absolute certainty when introduced
beneath the skin, may be taken into the stomach without causing
inconvenience, as curara, the arrow poisons, or the venomous secretion of
snakes. Other agents in chemical combination may tend to intensify, lessen,
or wholly neutralize the poisonous effect. For example, arsenic in itself
has well-marked poisonous properties, but when brought in contact with
dialyzed iron it forms an insoluble compound and becomes innocuous.
Idiosyncrasies are not so noticeable in cattle practice as in practice
among human beings, but the uncertainty with which some drugs exert their
influence would lead us to believe that well-marked differences in
susceptibility exist. Even in some cases a tolerance for poison is
engendered, so that in a herd of animals equally exposed injurious or fatal
effects do not appear with uniformity. For example, among cattle that are
compelled to drink water holding in solution a salt of lead the effects of
the poisoning will be found varying all the way from fatality to
imperceptibility.
GENERAL SYMPTOMS OF POISONING.
It is not always easy to differentiate between poisoning and some disease.
Indeed, examination during the life of the animal is sometimes wholly
inadequate to the formation of an opinion as to whether the case is one of
poisoning or, if it is, as to what the poison may be. A chemical and
physical examination after the death of the animal may be necessary to
clear up the doubt. On the other hand, the symptoms may be of such a nature
as to point unmistakably to poisoning with a certain agent. In general, the
following classes of symptoms may be regarded as indicative of poisoning:
Sudden onset of the disease without visible cause, a number of animals
being similarly affected at once, with severe gastrointestinal disorder or
derangement of the nervous system, or both; sudden alteration of heart
action in relation to frequency, force, or rhythm; local irritation,
dyspnea, or change in the urine or urination.
After death, lesions of the greatest variety may be found, and it is
necessary for one to be skilled in anatomy and pathology in order to
determine their significance. Oftentimes the stomach and intestines are
red, have thick walls, and contain blood. This signifies a severe irritant,
such as arsenic or corrosive sublimate. Other alterations sometimes found
are inflammation of the kidneys or bladder, points of hemorrhage in various
organs, changes in the blood, congestion of the lungs, and certain
microscopic changes.
GENERAL TREATMENT.
The treatment of animals suffering from poison must vary according to the
nature of the toxic agent. There are a few general plans of action,
however, which should be followed so far as possible. In man and in some of
the smaller animals it is possible to eliminate unabsorbed poison by the
use of the stomach pump or by causing vomiting. These proceedings are
impracticable in cattle. It is well, therefore, in many cases to endeavor
to expel the unabsorbed poison by emptying the digestive tract, so far as
may be, with a nonirritating purge. Castor oil in doses of 1 pint to 2
quarts is adapted to this purpose. If the poison is known to be
nonirritant--as a narcotic plant--from 10 to 20 drops of croton oil may be
given with a quart of castor oil. When poisons are somewhat prolonged in
their effect, Epsom salt in doses of 1 pound can be given advantageously.
To protect the mucous membrane from the action of strong irritants, one may
give flaxseed tea, barley water, the whites of eggs, milk, butter, olive
oil, or fresh lard. Chemical antidotes may sometimes be used for special
poisons, as advised below. In general, if an acid has been taken it may be
neutralized with an alkali, such as chalk, magnesia, bicarbonate of soda
(baking soda), ammonia (diluted), or soap. If the poison is an alkali, such
as caustic soda or potash (lye), or ammonia, an acid, such as diluted (1
per cent) sulphuric acid or vinegar, may be administered. Special
treatments and antidotes are considered below.
A poisonous agent may be so gradually introduced into the system as to
slowly develop the power of resistance against its own action. In other
cases where the poison is introduced slowly the poisonous action becomes
accumulative, and, although there is no increase in the quantity taken,
violent symptoms are suddenly developed, as if the whole amount, the
consumption of which may have extended over a considerable period, had been
given in one dose. Other agents, poisonous in their nature, tend to
deteriorate some of the important organs, and, interfering with their
natural functions, are productive of conditions of ill health which,
although not necessarily fatal, are important. Such might properly be
called chronic poisons. Poisons of themselves dangerous when administered
in large doses are used medicinally for curative purposes, and a very large
percentage of the pharmaceutical preparations used in the practice of
medicine if given in excessive quantities may produce serious results. In
the administration of medicines, therefore, care should be exercised not
only that the animal is not poisoned by the administration of an excessive
dose but that injury is not done by continued treatment with medicines the
administration of which is not called for.
MINERAL POISONS.
ARSENIC POISONING.
Of the common irritant and corrosive poisons, arsenic, especially one of
its compounds (Paris green), is likely to be the most dangerous to our
class of patients. The common practice of using Paris green and other
compounds of arsenic as insecticides for the destruction of potato beetle
and other insect enemies of the farmer and fruit grower has had the effect
of introducing it into almost all farming establishments. White arsenic is
also a principal ingredient in some popular dipping preparations, and
poisoning from this source occasionally takes place when, after dipping,
animals are allowed to run in a yard in which there is loose fodder. The
drippings from the animals falling on the fodder render it poisonous and
dangerous to animal life if eaten. Familiarity with its use has in many
instances tended to breed contempt for its potency as a poison. Rat poisons
often contain arsenic. The excessive use of arsenic as a tonic, or of
"condition powders" containing arsenic, has been the means of poisoning
many animals. This is the common poison used by malicious persons with
criminal intent. The poison may also be absorbed through wounds or through
the skin if used as a dip or bath.
If a large dose is given, at once acute poisoning is produced; if repeated
small doses are given, chronic poisoning may result. The poisonous dose for
an ox is from 3 drams to 1 ounce.
_Symptoms._--The symptoms of acute poisoning first appear as those of
colic; the animal is restless, stamping with the feet, lying down and
getting up. There is tenderness on pressure over the abdomen. The acute
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