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
=Auscultation= and =percussion= complete the diagnosis. At the outset
the inflamed portion of lung, usually near its lower part, conveys a
_crepitating_ sound to the ear, but as consolidation extends the healthy
murmur and the crepitating râle are alike suppressed over the whole
extent of the hepatised portion around the margin of which a line of
crepitation betrays the limit of the advancing inflammation. A similar
line of crepitation encircles the hepatised mass even when the exuded
products are being absorbed and when the lung is being cleared up and
restored to its healthy state. Thus the advance of the inflammation, and
the progress of recovery can be equally followed by the crepitation
which, in the different circumstances, betokens active inflammation or
active absorption. When both lungs are involved the posterior parts are
chiefly implicated, while if the pneumonia is single it may attack the
anterior, median or posterior part, or the entire lung may become
consolidated. If hepatisation exists in the anterior part of the lung
the thick fleshy shoulder will forbid any satisfactory examination, but
if in the middle portion only, while the respiratory murmur is lost it
will be replaced by a strong blowing sound (bronchial respiration)
because the noise of the air rushing through the larger bronchial tubes
to the posterior healthy part of the lung is conveyed with greater force
to the ear through the consolidated lung tissue. This is audible from
the lower third of the chest to the upper limit of hepatization. The
respiratory murmur in the healthy lung is always louder than is natural.
=Percussion= confirms these results. Over the hepatised lung where no
respiratory sound remains, a dull, dead sound only is brought out by the
impulse of the fingers or closed fist, comparable to that obtained by
percussion over the muscular masses of the shoulder or haunch, and
forming a marked contrast to that obtained over the surrounding healthy
lung. There is not that tenderness on pressure in the intercostal spaces
which characterises pleurisy, but a sharp blow with the closed fist
leads to wincing and usually grunting because of the concussion to which
the diseased part is subjected. By increasing the force of such blows
the deepest parts of the lungs may be tested, since in this way dullness
due to consolidation of the deeper portions of the lungs may be detected
even though the superficial investing parts are healthy.
The nature of the symptoms will vary according to the extent and
character of the inflammation, from mild febrile reaction, with excited
breathing and slight crepitation, to the more severe varieties in which
the intensity of the symptoms are such as to threaten suffocation.
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