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
Among other points the following must be attended to in auscultation.
Avoid a position in which the animal can strike you with its hind limbs.
If necessary in irritable or ticklish subjects have one fore leg held
up. Select a quiet time and place, early morning or night is usually
best. Endeavor to protect the patient from the irritation of insects or
the examinations may be fruitless. Never auscultate over a contracting
muscle; the sound of muscular contraction will prevent a correct result.
If the natural sounds are indistinct increase them by exercise. The
smaller animals are examined with the greatest facility standing upon a
table or held in the upright posture with the body resting on the thighs
or on the hind feet only. Birds can be held by the wings which may be
raised and drawn inward towards the median line to expose the back and
sides of the chest.
HEALTHY CHEST SOUNDS.
In all healthy animals two distinct sounds are heard over the chest:—the
=tubal= or =bronchial= sound, and the =vesicular= or =respiratory
murmur=. The =bronchial sound= caused by the air sucking through the
larger bronchi is best heard by applying the ear to the breast over the
lower end of the windpipe or to the upper third of the chest immediately
behind the shoulder. The respiratory murmur is clear and full in the
middle third of the chest immediately behind the shoulder. It is louder
and more prolonged in inspiration than in expiration and in the right
lung than the left especially in cattle and sheep in which the former is
more capacious. It is louder in young animals than in old, hence the
name of =juvenile= respiration applied by Leblanc. In thin animals it is
better heard than in fat ones, the chest walls being thinner, firmer,
and more conducting. In animals of a nervous temperament like the
English racer it is more distinct than in the Norman, Clydesdale and
other heavier breeds. Deep, broad capacious chests emit a stronger sound
than such as are shallow, narrow and short. Exercise, fear or any
excitement accelerating the respiratory act increases the sound. A full
stomach, certain narcotics and other depressing influences lessen it.
Other things being equal the sound is lower in cattle and sheep than in
other domestic animals.
=Horse.= The ear pressed strongly upon the breast where the windpipe
enters detects a strong blowing sound referable to the lower end of the
trachea and the bronchi. In young foals a respiratory murmur is heard
when the stethoscope is applied in front of the shoulder, the limb being
meanwhile drawn backward. A similar murmur may be heard, but less
distinctly over the shoulder blade at this age.
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