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
=Diminution of the respiratory murmur=, like its =increase=, may be
=partial= or =general=. =General diminution= is seen in anæmia, in low
fevers, in all very prostrate conditions from the mere want of power to
dilate the chest; in general emphysema (broken wind, heaves), in general
miliary tubercular deposit in the lungs, or in that form in cattle in
which the tubercle has been replaced by cretaceous deposits, from the
animal’s inability to fully dilate the air cells; in enteritis,
peritonitis and metritis the chest is more fully dilated because of the
pain attendant on that act, and the breathing being short and quick the
murmur is correspondingly low. In certain brain diseases with sluggish
respiration the sound is equally feeble.
=Partial diminution of murmur= is more surely indicative of lung
disease. It may arise from partial congestion when a supplementary
murmur will be observable over other parts of the lungs, and a crepitant
râle soon appears in the congested part; from local emphysema in which
there is increased resonance in percussing the part; from tubercular or
cretaceous deposit, when there will be exaggerated murmur elsewhere, or
from bronchitis with blocking up of one or more small bronchial tubes
and with louder respiratory sound in other parts.
=Absence of respiratory murmur= may be due to various causes, all of a
diseased nature. Hepatisation of lung may be recognized when this
condition is found associated with a crepitating râle around the margin
of the silent part, and when percussion shows its solidity and want of
resonance. Splenisation is associated with absence of respiratory sound
and dullness on percussion, but no surrounding crepitation. Absence of
sound in water in the chest is confined to the lower part of the chest,
keeps the same level and ratio of increase in front and behind, and in
the horse on the two sides, and has been preceded by the characteristic
catching breathing and the friction sounds of pleurisy. Large tumors and
extensive and circumscribed tubercular deposit will give rise to absence
of sound over a limited area and plugging up of one or more bronchial
tubes will lead to a similar result. Hepatisation of lung and water in
the chest are, however, the common causes of loss of respiratory murmur.
The =bronchial or tubal sound= may be increased in pitch and in
harshness in two conditions. 1st. In the early stages of bronchitis when
the lining mucous membrane of the air passages is dry, thickened and
inelastic. 2d. When that portion of lung intervening between one of the
larger tubes and the surface of the chest is solid (hepatised) and thus
proves a better conductor of sound than in the normal condition.
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