Special Report on Diseases of the HorseUnited States. Bureau of Animal Industry
Science
Special Report on Diseases of the Horse
United States. Bureau of Animal Industry
Horses -- Diseases
In the examination of the chest we resort to percussion and
auscultation. When a cask or other structure containing air is tapped
upon, or percussed, a hollow sound is given forth. If the cask contains
fluid, the sound is of a dull and of quite a different character.
Similarly, the amount of air contained in the lungs can be estimated by
tapping upon, or percussing, the walls of the chest. Percussion is
practiced with the fingers alone or with the aid of a special percussion
hammer and an object to strike upon known as a pleximeter. If the
fingers are used, the middle finger of the left hand should be pressed
firmly against the side of the horse and should be struck with the ends
of the fingers of the right hand bent at a right angle so as to form a
hammer. The percussion hammer sold by instrument makers is made of
rubber or has a rubber tip, so that when the pleximeter, which is placed
against the side, is struck the impact will not be accompanied by a
noise. After experience in this method of examination one can determine
with a considerable degree of accuracy whether the lung contains a
normal amount of air or not. If, as in pneumonia, air has been displaced
by inflammatory product occupying the air space, or if fluid collects in
the lower part of the chest, the percussion sound becomes dull. If, as
in emphysema, or in pneumothorax, there is an excess of air in the
chest cavity, the percussion sound becomes abnormally loud and clear.
Auscultation consists in the examination of the lungs with the ear
applied closely to the chest wall. As the air goes in and out of the
lungs a certain soft sound is made which can be heard distinctly,
especially upon inspiration. This sound is intensified by anything that
accelerates the rate of respiration, such as exercise. This soft,
rustling sound is known as vesicular murmur, and wherever it is heard it
signifies that the lung contains air and is functionally active. The
vesicular murmur is weakened when there is an inflammatory infiltration
of the lung tissue or when the lungs are compressed by fluid in the
chest cavity. The vesicular murmur disappears when air is excluded by
the accumulation, of inflammatory product, as in pneumonia, and when the
lungs are compressed by fluid in the chest cavity. The vesicular murmur
becomes rough and harsh in the early stages of inflammation of the
lungs, and this is often the first sign of the beginning of pneumonia.
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