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
In the =second stage= the condition of the lung is that of =red
hepatisation=, so called from its resemblance in color and consistency
to the liver. There are gradations between congestion and red
_hepatisation_. In the earlier stages of the latter, the lung retains a
measure of its softness, elasticity and permeability to air, though it
is considerably firmer and less permeable than that which is in a state
of congestion and differs further from it in exuding from its cut
surface not a grumous, dark bloody pulp, but a clear straw colored
fluid. In the advanced _red hepatisation_ the lung is of a firm
consistency and granular liver like appearance. In color it varies from
a bright red to a dark liver hue, the darker shades being chiefly met
with in old animals or when the inflammation and fever have been intense
and prostrating. Varying shades are seen in different lobules of the
same lung. Its air cells are no longer pervious, it no longer crepitates
under the pressure of the finger, nor floats in water, and its
friability is such that it breaks down readily when the finger is thrust
into its substance. Its surface is distinctly granular from the
fibrinous plugging of the alveoli. Such a lung does not collapse when
the chest is opened but retains its bulk and shape and in some cases the
diseased portion may, by reason of the abundance of the exudation, be
really larger than the same portion of lung in a normal state of
dilatation. Its surface may thus retain the imprint of the ribs. Owing
to the stasis of the blood in the vessels a hepatised portion of lung
cannot be injected. The exudation which infiltrates the lung tissue and
obliterates the air cells contains in the vicinity of the bloodvessels
numerous granular masses and corpuscles and in the darker colored
portions blood globules, owing to the action of diapedesis the red cells
and the rupture of minute vessels. The smaller bronchial tubes stand out
white and empty showing that they have escaped the inflammatory action.
Hepatization usually extends from the anterior lobe or lower border
upward.
=Gray hepatization= is a sequel of the _red_ and presents the same
firmness, friability and usually the same granular aspect; the lack of
crepitation on pressure, and the higher density than water. From the cut
surface a fatty or purulent fluid exudes spontaneously, or in other
cases only when pressure is applied. The granular masses and corpuscles
have disappeared, and if suppuration is not so abundant as to prove
extensively destructive to lung tissue, that is gradually cleared up and
restored to health. This state is always a very perilous one.
=Abscess of the lung= sometimes met with in animals dying of pneumonia
shows a circumscribed area of inflammation and induration with the
liquid pus in the centre immediately surrounded by a vascular (limiting)
membrane. Abscess may be single or multiple though in the latter case it
is commonly a symptom of pyæmia.
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