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
_Causes._ In some instances the conditions remain from birth, the lobule
never having been called into use. This is seen especially in cattle and
other meat producing animals, in which active breathing is
systematically suppressed in the interests of rapid growth and the
deposition of fat. In the improved breeds the lungs remain larger than
the exigencies of the life demand, and large portions remain out of use.
In bronchitis the condition is acquired, and is mainly dependent on the
blocking of a bronchial tube with tenacious mucus or a desiccated mass.
The pathological lesions of bronchitis favor this since one of the
earliest changes in the inflamed mucosa is the desquamation of the
columnar epithelium. This removal of much of the cilia and the paralysis
of much of what is left annihilates for a time the normal method of
clearing away the secretion, and this being now produced in excess
blocks the tubes. This secretion virtually acts like a ball valve in
favoring the exit of the air during the convulsive expiration of
coughing, and hindering its entrance during the succeeding inspiration.
The bronchia and bronchioles decrease in size to near their termination,
so that, as forced out in coughing, the secretion enters the larger tube
and allows the exit of air, which as drawn back in inspiration it enters
the smaller tube and closes it against any possible ærial entrance.
Mendelssohn and Traube demonstrated this action by introducing a shot
into a dog’s lung, and in two days the left lung was found collapsed and
the right one the seat of complementary emphysema. The violence and
frequency of the cough therefore bears a ratio to the occurrence and
extent of atelectasis. Other causes are the compression of the lower
lobes of the lung by hydrothorax, by pneumothorax (developed by
lacerated lung or perforated chest wall) or by a false membrane
contracting in process of organization.
_Symptoms._ As a congenital condition in the improved meat producing
animals the condition is rarely recognized in life and cannot be said to
be a defect. The collapsed lobule being farther removed from the air may
be a more favorable field for the growth of pathogenic bacteria, but on
the other hand these do not so readily penetrate it as if the tubes were
open. When the collapse is more extensive, the contrast in the flatness
on percussion and indistinctness of the respiratory murmur on the
affected side, and the marked resonance and loud murmur on the other,
may serve to identify the affection. In extensive, traumatic cases this
contrast is much more prominently marked, as the expanded portions have
to take on extra compensatory work and are not infrequently rendered
emphysematous. The drum-like sound in percussion of such parts, and in
the upper part of the chest in pneumothorax are pathognomonic of these
conditions. Again in hydrothorax the horizontal upper level of the area
of dulness betrays a liquid cause. Severe cases are marked by cyanosis.
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