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
=Dog.= The respiratory murmur is very clear over the whole chest. It is
most intense along the middle third and becomes less clear on the 4 or 5
last intercostal spaces. The mobility of the shoulder permits an
examination of nearly the entire chest. The respiratory murmur may be
heard over the entire length of the lower third on the left side though
the heart’s sounds are equally heard over the 4th, 5th and 6th ribs.
Rumbling and gurgling abdominal sounds are much less frequent than in
herbivora and omnivora.
=Birds.= The respiratory murmur is loud, clear and almost harsh on the
sides of the thorax, beneath the wings, and considerably softer as heard
on the back.
MORBID CHEST SOUNDS.
The close study of the healthy chest sounds upon the living animal is an
essential prerequisite to the appreciation of the morbid. The abnormal
noises are so varied, merge into each other by such imperceptible
degrees, and so coexist and complicate each other that they often prove
extremely puzzling to the unpractised ear. It is no more necessary that
the musician should educate his ear to appreciate the most delicate
gradations of musical notes, than that the auscultator should educate
his in the sounds of the healthy and diseased chest. Written
instructions are of about equal value in the two cases, they prove
auxiliaries in the acquisition of knowledge but they can never supersede
the practical study of the chest. A mere theoretical knowledge is too
often useless in the presence of the patient.
The abnormal chest sounds are either modifications of those existing in
health, or superadded sounds which have no counterpart in the healthy
chest.
_Modifications of healthy sounds._ The =vesicular= or =respiratory
murmur= may be =increased= or =diminished= in force or it may be
entirely =absent=.
=Increase of the respiratory murmur=, is merely an increase in force
without any modification in character and resembles _juvenile_
respiration. If increased equally over the entire chest it is =general=,
if only in a part it is =partial=. =General increase of the vesicular
murmur= is heard after an animal has been submitted to moderate exertion
for ten or fifteen minutes. In animals at rest it is heard in active
fevers and in the symptomatic fever which attends acute inflammations.
=Partial increase= as for example in one lung only, or in circumscribed
parts of both lungs, and especially along their superior borders, is
indicative of disease of the lungs or the pleuræ. It testifies to the
impermeability to air of some other portion of lung, from congestion,
splenisation, hepatisation, plugging of a bronchial tube with tenacious
mucous, tubercular deposits, tumors, emphysema, or hydrothorax. (See
under these names.) The healthy portion of lung in such cases takes on
the function of the whole, and the loud breathing is called
=supplementary=.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account