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
_Hydrothorax_ or _water in the chest_ is common to all domestic animals.
It is as we have seen one of the most ordinary results of _pleurisy_,
and may persist long after that disease has disappeared. It likewise
occurs independently of inflammation as a dropsical effusion. Thus when
the return of blood by the bronchial, pulmonary or intercostal veins, is
hindered by any cause such as tumors in the bronchial glands or
subvertebral region a passive effusion may take place through the coats
of the vessels. In imperfection of the mitral valves the regurgitation
of blood in the pulmonary veins during each cardiac systole equally
causes such transudation. Chronic disease of the kidneys (Bright’s
disease) with the retention of effete and injurious materials in the
blood leads to dropsy of the chest as in other parts of the body. Again
in many debilitated conditions parasitic and otherwise, with a tendency
to general dropsy the chest participates and a collection of fluid takes
place in the pleuræ.
The nature of the contained fluid will vary according to the conditions
in which it has been effused. If the result of inflammation there are
the different stages already indicated: _first_, of a yellow citrine
color or red from contained blood; _second_, grayish and muddy either
from contained pus or other changes taking place in the fluid; and
_third_, clear limpid and translucent as seen in the later stages. If
merely a dropsical effusion the fluid is watery clear and translucent or
with a slight straw color. The inflammatory effusion contains fibrine or
fibrinogenous elements, is associated with the formation of false
membranes, and though it may remain fluid so long as it is retained in
the chest, it coagulates rapidly when withdrawn. The dropsical effusion
rarely contains fibrine, and then only in very small amount, and it does
not coagulate when drawn off from the chest. The inflammatory effusion
usually contains a greater proportion of common salt, phosphates or
albumen than exist in the blood, and floating granules, particles and
cell forms, none of which conditions characterize the dropsical
effusions. The most prominent feature of the inflammatory effusions is
thus seen to be their power of coagulation, by virtue of the contained
fibrine, when exposed to the air.
_Symptoms._ When a sequel of pleurisy it is manifested by the symptoms
already mentioned under that head as indicating the occurrence of
effusion.
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