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
Definition. Symptom. Sign. Constitutional symptoms—local, objective,
subjective, direct—idiopathic, indirect—symptomatic, premonitory.
Anamnesis. Position. Movements. Decubitus. Acute. Chronic. Fever.
Sthenic. Asthenic. State of limbs, muzzle, nose, snout, palmar-pad,
hoof, bill, digits, mouth. Thermometry. Normal temperature, in doors,
in field, at work, in hot season, in nervous subject, in thirst, in
youth—age, starvation, plethora, cold, sleep, rest, stimulants,
suppressed perspiration, eliminants, antipyretics. Fever temperature,
morning, evening, transient elevation, persistent rise, sudden
fall—collapse, crisis. Fatal elevation. Rise during defervescence.
Pulse. Respiration. Skin, staring coat, pallor, coldness, dryness,
harshness, mellowness, pliancy, hidebound, yolk, clapped wool, scurfy,
lesions, itchiness, tenderness, loss of hair, emphysema, anasarca,
sweat, sebum. Expression, life, dullness, paralysis, dropsy,
jaundiced, eye, discolorations, photophobia, amaurosis, pinched face.
Nasal mucosa, red, violet, etc., nodules, polypi, osseous disease,
pentastoma, œstrus, discharge from teeth—sinuses—actinomycosis—tumors.
State of the bowels, kidneys, nervous system.
The usual basis of diagnosis must be a clear and intelligent observation
of the symptoms of disease. A _symptom_ is an appreciable evidence of
disease. A _symptom_ however may indicate illness, without affording the
means of diagnosis, while the term sign is often used for a
pathognomonic symptom—one by which the disease can be identified. Used
in this sense a _sign_ may be said to be a diagnostic symptom.
1. =Constitutional Symptoms= are such as affect the entire system, like
a rise of body temperature, or a shivering fit.
2. =Local Symptoms= are confined to a definite area as redness,
tenderness, swelling, ulceration.
3. =Objective Symptoms= include all that can be recognized by the senses
of the observer. These alone are available in dealing with the lower
animals.
4. =Subjective Symptoms= can only be felt by the patient himself, as
pain, giddiness, cold, heat, blindness, numbness. Such symptoms are
therefore only obtainable from the human patient who can tell how he
feels. In the lower animals they can only be matter of inference, thus
pain may be inferred from lameness or wincing on pressure, and giddiness
from unsteady gait. The fact that the veterinarian is restricted to
objective symptoms renders his task a specially difficult one, yet this
has its compensation, as this very restriction tends to train the
observant practitioner to greater skill.
5. =Direct Symptoms= (=idiopathic=) are those which are connected with
the seat of disease, as the redness, exudation, and swelling of
inflammation.
6. =Indirect= (=sympathetic=, =dependent=) =Symptoms= are observable at
a distance from the actual disease:—as when headache attends on
dyspepsia, or lameness in the right shoulder upon disease of the liver.
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