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
=Left Side.= _Behind the shoulder_ in the _upper third_ of the chest the
sound is loud and somewhat harsh, the respiratory murmur being here
supplemented by the noise of the air rushing through the larger
bronchia. From the 13th rib the respiratory sound is alone heard and
becomes weaker to the second last (17th).
In the _middle third_ the respiratory murmur is moderately clear from
the 4th to the 6th rib, it becomes louder and clearer to the 9th from
which its force gradually diminishes and is lost over the 16th. In the
_lower third_ over the 4th, 5th, and 6th ribs the respiratory sound is
replaced by the sounds of the heart, each beat being distinctly divided
into two sounds, the first dull and prolonged, the second short and
quick. The respiratory murmur is heard over the 7th and 8th ribs, is
weaker on the 9th and lost over the 10th. In the middle and lower thirds
but especially towards the posterior part of the chest, abdominal sounds
are often heard. They consist chiefly in gurgling or in a noise like
that caused by the air rushing into a bottle which has been turned upon
its side when full of water. Such sounds are easily distinguishable from
those occurring in a diseased chest as they bear no relation to the
rhythmical action of breathing.
=Right Side.= In the _upper and middle thirds_ the sounds do not differ
from those of the left side. In the _lower third_ the respiratory sound
is clear from the 4th to the 7th ribs; from this it decreases and is
lost at the 10th.
=Ox.= In very lean cattle the respiratory murmur heard in front of the
shoulder and over the scapula is more distinct than in the same region
of the horse.
=Left Side.= In the _upper third_ a clear respiratory murmur is heard
over the 8th, 9th and 10th ribs but is lost about the 11th. In the
_middle third_ the vesicular sound is feeble at the lower margin of the
region and immediately behind the shoulder because of the proximity of
the base of the heart. Towards the upper margin it is loud and harsh
being complicated by the _tubal_ sound. It is full and clear over the
7th rib whence it decreases in force to be lost at the 11th above and
the 10th below. In the _lower third_ the double heart beat is alone
heard over the lower part of the 4th rib, the respiratory murmur
reappears over the 5th and 6th whence it becomes weaker and is lost at
the lower and upper margin of the region respectively over the 8th and
9th ribs.
=Right Side.= The sounds of the _upper third_ simply repeat those of the
left side. In the _middle third_ the chief difference is the greater
clearness and strength of the respiratory and tubal sounds immediately
behind the shoulder. In the _lower third_ a moderately strong
respiratory murmur is rendered harsh by a tubal sound due to the
proximity of the large bronchus going to the anterior lobe of the right
lung. The respiratory murmur continues with diminishing force to be lost
over the 8th and 9th ribs.
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