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
If the effusion becomes absorbed, the friction sound usually recurs for
a short time; this friction may often be felt by applying the hand to
the side of the chest. In a few cases clonic spasms of the muscles of
the neck may be present. In acute pericarditis, when the effusion is
rapid and excessive, the animal may die in a few days or recovery may
begin equally as early. In subacute or in chronic cases the effusion may
slowly become augmented until the pressure upon the lungs and
interference with the circulation become so great that death will
result. Whether the attack is acute, subacute, or chronic, the
characteristic symptoms which will guide us to a correct diagnosis are
the friction sound, which is always synchronous with the heart's action,
the high temperature with hard, irritable pulse, and, in cases of
pericardial effusion, the increased area of dullness over the cardiac
region. When the disease is associated with influenza or rheumatism,
some of the symptoms may be obscure, but a careful examination will
reveal sufficient evidence upon which to base a diagnosis. When
pericarditis develops as a result of or in connection with pleuritis,
the distinction may not be very clearly definable, neither will many
recover. When it results from a wound or broken rib, it almost
invariably proves fatal.
_Pathology._--Pericarditis may at all times be regarded as a very
serious affection. At first we will find an intense injection or
accumulation of blood in the vessels of the pericardium, giving it a red
and swollen appearance, during which we have the friction sound. In 24
to 48 hours this engorgement is followed by an exudation of
sero-fibrinous fluid, the fibrinous portion of which may soon form a
coating over the internal surface of the pericardial sac, and may
ultimately form a union of the opposing surfaces. Generally this
adhesion will only be found to occupy a portion of the surfaces. As the
serous or watery portion of this effusion is absorbed, the distinctness
of the friction sound recurs, and may remain perceptible in a varied
degree for a long time. When the serous effusion is very great, the
pressure exerted upon the heart weakens its action, and may produce
death soon; when it is not so great, it may cause dropsies of other
portions of the body. When the adhesions of the pericardial sac to the
body of the heart are extensive, they generally lead to increased
growth, or hypertrophy, of the heart, with or without dilatation of its
cavities; when they are but slight, they may not cause any
inconvenience.
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