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
The _physical signs_ of lung disease vary. If pneumonia is present it is
betrayed by its characteristic symptoms. In the absence of inflammation
there is dullness on percussion over the affected area, and on
auscultation an absence of the respiratory murmur, and perhaps abnormal
clearness of bronchial, cardiac and other sounds from deeper parts. It
differs from pneumonia in the absence of fever and of any crepitation
surrounding the consolidated portion. The expectoration is serous or
watery, rather than rusty or purulent.
The _prognosis_ is always grave in proportion to the incurable nature of
the primary disease. Chronic valvular or Bright’s disease, miliary
tuberculosis or malignant tumors would render the case hopeless, while
in acute pneumonia, or nephritis or parasitism there may be some hope.
The _treatment_ will largely consist in the therapeutics of the primary
disease, yet we may also seek to relieve the dangerous symptoms of
œdema. The frequent change of position may serve to limit hypostatic
accumulation. Diuretics or purgatives in strong patients will favor
absorption. Pilocarpin more than any other agent secures temporary
absorption but cannot be continued owing to its depressing effects.
Digitalis is often valuable in improving the heart’s action, and acting
freely on the kidneys. Dry capping on the chest acts as a derivative.
ATELECTASIS. COLLAPSE OF LUNG.
Atelectasis in bronchitis, congenital, etc. Airless condition in the
absence of exudation. Causes, congenital persistence in butcher
animals. Blocking of air tubes by exudate—ball valve. Desquamation of
ciliated epithelium. Compression by hydrothorax, pneumothorax, and
false membrane. Symptoms. Percussion flatness, juvenile respiration
elsewhere, blowing sounds loud. Drum-like sounds on emphysema and
pneumothorax. Cyanosis. Lesions, depressed, flesh-like,
non-crepitating lobules or lobuletes, sink in water, dilatable.
Treatment, rouse respiratory centres, douches, cold and warm,
slapping, electricity, forced inspiration, diet, massage. Treat
attendant disease.
This has been already referred to as a result of bronchitis, but it
deserves special mention as a sequel of that affection, and in various
domestic animals, as an independent condition. The condition is one of
consolidation of lung by the complete exclusion of air, but without any
infiltration of its substance by inflammatory exudate or dropsical
effusion. The tissue remains in its normal state apart from the fact
that its bronchioles and air sacs are undilated. The affected portion
has a solid dark fleshy appearance. The collapsed portion often
represents one lobule or group of lobules which communicate with a
single bronchium.
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