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
Up to the 7th day 50 per cent. were dark red; after the 7th day only
13.3 per cent.; and after the 15th day none. Up to the 7th day 83.3 per
cent. were either dark red or sero-sanguineous and not one had attained
to translucency. After the 7th day only 8 per cent. were of port wine
hue, and by the 15th day 24 per cent. of all cases of over seven days
standing were already transparent. Of all cases of over 15 days
standing, 80 per cent. were perfectly translucent and none showed the
dark red hue. Finally after the 30th day all remaining cases were
limpid. This of course must not be applied with the same confidence in
both directions. While translucency of the effusion bespeaks seven days
standing and probably fifteen or twenty, the dark red hue must not be
held to imply a recent date for the attack. A relapse in the course of
convalescence may easily and quickly stain anew a liquid that was
already limpid, or had advanced far toward this condition.
The appearance of the lung tissue in a case of confirmed pleurisy is
characteristic. The lung is of a dull red color, shrunken, slightly
collapsed, flabby, scarcely crepitant under pressure and heavier than
water or floating in water. It is tough, not friable like hepatized
lung, and its cut surface is dry, smooth, and presents the interlobular
septa very well marked. This is due to the compression by effused
liquid, and by the organizing and contracting false membranes covering
the lung and implies nothing more than simple condensation. The air cell
may be collapsed, but contains no new product and has not parted with
its epithelium and the lung can be inflated through the bronchia.
_Differentiation according to the nature of the effusion._ Pathologists
have divided acute pleurisy into the _dry_, _sero-fibrinous_, and
_sero-fibro-purulent_.
=1. Dry or fibrinous pleurisy= has usually a more acute type and the
exudate containing an excess of the fibrinogenous elements forms a
coagulum or false membrane on the affected surface tending to bind that
to the part adjacent—the lungs to the costal pleura. The serum, small in
quantity, is in the main retained in the exudate or if set free is
actively reabsorbed by the healthy pleura.
=2. Sero-fibrinous pleurisy.= This form is usually less acute and more
extended involving perhaps an entire pleural sac, or even both sides of
the chest. This is the common form of pleurisy and is that referred to
in the experiments of St. Cyr and others above. The earliest lesions in
experimental cases (with chloride of zinc solution) in dogs are an
uniform bright red congestion, with a bright, shining surface as yet
perfectly dry. There is already shedding of patches of the endothelial
cells, swelling and proliferation of the superficial connective tissue
cells and the formation of a few pus globules. This is seen in from half
an hour to six hours after the application of the irritant.
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