Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
If the blow is made directly on the side of the chest the percussion is
called _immediate_; if made upon an elastic solid body (pleximeter) laid
on the outside of the chest it is _mediate_. The readiest and perhaps
the best pleximeter is the middle finger of the left hand which is to be
applied flat upon the side of the chest to receive the blow directed
perpendicularly to its surface. In fat or fleshy subjects it should be
pressed firmly on the surface so as to compress and condense the soft
parts and render them better conductors of sound. Some use flat pieces
of ivory, silver, caoutchouc but in employing these the nails of the
right hand must be carefully pared, lest by striking the solid body they
produce a sound which interferes with the true pulmonary resonance.
In examining the chest the two sides should be compared and if allowance
is made for the dulness felt in the lower half immediately behind the
left elbow caused by the position of the heart, and the deadness of the
sound on the last few ribs on the right side where the liver is
situated, any further deviation from a bilateral symmetry of sound is
indicative of disease. The general resonance will be decreased by a full
stomach which prevents the full inflation of the lungs, and it will be
increased if the animal stands on a wooden floor with an empty space
below. A short statement of the degrees of resonance over the different
parts of the chest in the various races of the domestic animals in a
state of health may prove useful.
=Horse.—Left side.= In the upper third the resonance is full behind the
shoulder. It diminishes from the 13th rib backward and from the
decreasing thickness of lung the blows should become less and less
powerful. In this space forcible striking brings out the drum-like
resonance of the abdominal organs.
In the middle third the sound over the 5th and 6th ribs is distinct but
not full; it increases to the 11th rib and then decreases to the last.
In the lower third a very slight resonance may be observed over the 4th
rib.; over the 5th, 6th, and 7th, where the heart approaches the surface
the sound is dead; while from this to the 13th rib a slight resonance
may be made out.
=Right side.= The upper third resembles that on left side from the
shoulder as far back as the 13th rib behind which anything above the
gentlest blows brings out a drum-like sound from the large intestine
(double colon) especially. This is clear when that is distended with
gas.
In the median third the resonance resembles that on the left side. In
the lower third it equally corresponds as far as the seventh rib behind,
which sound is dull because of the proximity of the liver.
=Ox.—Left side.= The upper third is clear in sound from the eighth to
the tenth ribs, and behind this by gentle tapping to the second last
(twelfth). Forcible striking, however, brings out the drum-like sound of
the upper sac of the paunch which always contains more or less air.
Public-domain text, read in full here on John Shaqi.
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