Diseases of cattle, sheep, goats and swineMoussu, G. (Gustave)
Science
Diseases of cattle, sheep, goats and swine
Moussu, G. (Gustave)
Veterinary medicine
For these reasons the vesicular murmur is heard at its maximum intensity
at this point. Towards the upper and lower limits of this zone are found
the great bronchial divisions, so that auscultation should always be
practised with the greatest care at this point. The middle zone occupies
approximately one-third of the total depth of the thorax. The vesicular
murmur becomes weaker as one passes backwards, and finally disappears at
a considerable distance from the angle of the hypochondrium, following a
curved line the convexity of which is directed forwards, and which is
continuous with that limiting the upper zone.
These peculiarities are due to the anatomical arrangement and mode of
insertion of the diaphragm on the internal surface of the hypochondrium.
The inferior zone is very limited, and corresponds externally to the
inferior third of the thorax, and topographically to the cardiac lobe or
middle lobe of the lung and to the inferior portion of the posterior
lobe.
As these pulmonary lobes are of comparatively slight thickness, the
vesicular murmur is feeble. It can be heard over a trapezoidal space,
forming a prolongation of the middle zone, but not below in the region
of the sternum or pectoral muscles.
The fourth zone extends over the mass of the olecranian muscles. It is
of triangular form, in consequence of the inclination of the scapula and
humerus. Except in very fat animals the vesicular murmur is readily
audible through the muscular mass on the right side better than on the
left, on account of the development of the right anterior pulmonary
lobe.
On the left side the beating of the heart is heard above the pulmonary
sounds.
Clinically one may hear an exaggeration of the ordinary respiratory
murmur whenever the lung is actively exercised, as, _e.g._, immediately
after trotting. This exaggeration, however, is often pathological. It is
known as “juvenile or supplementary respiration,” when due to the fact
that some other portion of the lung is not acting.
The respiratory murmur may be lessened in certain morbid conditions,
such as emphysema and congestion of the lung, and may completely
disappear in pneumonia or broncho-pneumonia, a fact which is even of
greater significance.
In various pathological conditions the respiratory murmur may also be
modified. On the other hand, the movement of air in the bronchi also
produces various sounds of importance.
A number of different bronchial sounds may be distinguished; these
include both inspiratory and expiratory sounds, for sometimes an
expiratory sound may become audible and clearly appreciable, or may
acquire characters of the greatest importance.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account