Diseases of cattle, sheep, goats and swineMoussu, G. (Gustave)
Science
Diseases of cattle, sheep, goats and swine
Moussu, G. (Gustave)
Veterinary medicine
A tympanic sound, with or without metallic character, may be found at a
point where normally one would expect a clear sound (pneumo-thorax,
diaphragmatic hernia). A dull sound may be met with in the same regions,
all resonance being lost (pneumonia, broncho-pneumonia, pleural exudate,
etc.). Partial dulness and partial loss of resonance may occur in
regions which ought to give a resonant sound (deep pneumonia,
tuberculous lesions, the presence of echinococcus cysts, etc.).
Auscultation—_i.e._, examination by means of the ear—is the most
valuable method of discovering and localising pulmonary, pleural, or
cardiac lesions.
Various sensations are conveyed to the ear, depending on the method in
which the normal or pathological sounds are produced.
The deductions to be drawn as regards the nature of existing disease are
based on the intensity, character, duration, and special attributes of
the sounds noted.
Direct auscultation is the most certain method, but the ear cannot be
applied with equal facility at all points. Under such circumstances a
simple or binaural stethoscope, or the phonendoscope, may be used with
advantage.
To properly appreciate the sounds heard it is essential to be exactly
acquainted with the relation between the lung and thorax. On the left
side (Fig. 60) the anterior pulmonary lobe occupies the space between
the first and fourth ribs, in front and above the base of the heart. The
middle, or cardiac, lobe covers the left upper and postero-lateral part
of the heart from the fourth to the sixth rib. The posterior lobe
occupies all the region beyond the sixth rib as far as the twelfth.
On the right side the arrangement is similar, but the anterior lobe and
the cardiac lobe are more developed (Fig. 62).
Under ordinary circumstances the extensive movement of the lung which
occurs during inspiration produces a special sound known as the
respiratory or vesicular murmur. Contrary to what has been written, and
said, this sound in animals possessing absolutely sound lungs ends with
inspiration. Expiration is silent, though it is easy to estimate its
duration.
In auscultating the lung, we may distinguish four zones, a superior
zone, a middle zone, an inferior zone, and a scapular zone.
The superior zone is bounded by the vertebro-costal gutter, descends
approximately as far as the inferior line of insertion of the common
intercostal muscle, and extends from the summit of the scapula in front
to the hypochondrium behind.
Auscultation of this region through the ileo-spinal and common
intercostal muscle will always reveal, except in very fat animals, the
vesicular murmur to a point as far back as the eleventh intercostal
space. Nevertheless, this vesicular murmur is relatively feeble, and
becomes imperceptible beyond the eleventh rib.
The middle zone comprises the most convex portion of the ribs, and at
this point the wall of the thorax is thinnest, while the lung below is
thickest.
[Illustration: $1]
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