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
_Symptoms_: In its _mildest form_ bronchitis is a transient illness with
some dullness, impaired appetite, hot, dry mouth, redness of the visible
mucous membranes, a moderately strong, resonant cough, attended with
slight pain, slight rise of temperature, accelerated breathing and
pulse, and mucous discharge from the nose. Such an attack passes over in
a few days and without any medicinal treatment if ordinary precautions
are taken to avoid a repetition of its causes.
In _severe cases_ the symptoms are more intense from the first. Besides
the dullness and inappetence, hot, dry mouth, generally increased
temperature of the body (102° to 104° F.), accelerated and labored
breathing, and other manifestations of fever, there are more specific
symptoms. The cough is dry, hard, painful, often paroxysmal, and appears
as if it came from the very depth of the chest. A strong, harsh,
bronchial sound is heard over the lower end of the trachea and the upper
border of the middle third of the chest just behind the shoulder.
Percussion detects no change from the natural resonance of the chest,
nor auscultation any crepitating sound. Pressure in the intercostal
spaces causes no suffering. The expired air feels hot. The pulse though
accelerated is moderately soft and sometimes even weak, a condition
which marks inflammations of mucous membranes as contrasted with those
of the serous. The mucous membrane of the nose has a dark red hue,
especially when the inflammation extends to the smaller ramifications of
the bronchial tubes so as to impair the æration of the blood. In the
same state there is excessive dullness and prostration because of the
supply of partially venous blood to the brain. The head is held low, the
nose often supported upon the manger, and the eyelids are semi-closed
and injected.
From the second to the fourth day a free exudation takes place from the
surface of the mucous membrane, and the symptoms are materially changed.
The cough becomes more frequent but softer, looser, and attended with a
rattle from the air passing through the abundant mucous secretion. The
cooing or tubal sound heard at the lower end of the windpipe and behind
the shoulder has now given place to a _mucous râle_. A nasal discharge
appears at first watery, thin, of a whitish, glairy froth, but soon
becoming more opaque, white, milky and flocculent and having little
tendency to stick to the nostrils. This is often expelled with sneezing
and accompanied by movement of the jaws. With the access of free
secretion there is a great mitigation of the fever and the other
distressing symptoms, and, if no relapse nor complication supervenes,
recovery may be complete in a fortnight or three weeks from the onset.
From this time all the febrile symptoms decline and disappear, appetite
and liveliness return, the discharge rapidly diminishes and finally
disappears, when the patient may be said to have completely recovered.
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