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
_Symptoms._ There is the early symptom of shivering followed by a hot
stage in which the limbs participate and partial sweats bedew the
surface. There are first uneasy movements of the fore limbs with some
lifting of the flanks and this discomfort increases until the patient is
panting with pain and occasionally glancing round at his heaving flanks
and even pawing as in colic. If the pleurisy is confined to one side the
corresponding fore limb is often advanced before the other. The
temperature is 102° and upward. The pulse is quick, hard and
incompressible being usually compared to a jarred wire and beats from 48
to over 60 per minute. The breathing is highly characteristic. It is
hurried, is carried on chiefly by the abdominal muscles to avoid the
rubbing of the inflamed pleuræ on each other, and has the inspiration
short and suddenly checked by an audible closure of the glottis while
the expiration is slow and prolonged. This character of the breathing is
well observed when the ear is placed against the false nostril. The
laboring abdominal muscles stand out as a ridge from the outer angle of
the ilium along the lower ends of the last ribs (pleuritic ridge). A
tremor on this line is often noticeable in the early stages. It may also
be felt by the hand laid on the costal region. The horse does not stand
obstinately still as in pneumonia, but frequently moves as if seeking an
easier posture. The short, hacking cough contrasts with the deep, rare
cough of pneumonia. The expired air is not so hot, nor the mucous
membrane of the nose so red as in the last named disease and there is no
nasal discharge. A twitching of the muscles of the chest is sometimes
seen and if the intercostal muscles are pressed upon, the animal winces
and frequently grunts. This last symptom is likewise seen in rheumatic
disease of the intercostal muscles (pleurodynia) but the absence of the
fever, the cough, and other chest symptoms sufficiently distinguish
this. Auscultation detects in the early stages in addition to a healthy
respiratory murmur, a friction sound audible in inspiration only in
short jerks near the close of the act and comparable to the rubbing of
the palm of one hand over the other laid over the ear, but this is no
longer heard when effusion of liquid has taken place into the pleuræ.
Percussion in the early stages detects no change from the healthy chest
resonance.
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