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
The dropsical cases may come on rapidly and present all the signs of
troubled respiration together with the results of auscultation and
percussion that characterize rapid inflammatory effusion but without the
fever and acute symptoms of pleurisy. More usually it comes on
insidiously, the lung accommodates itself to the gradual increase of the
fluid and it is only when the accumulation has become excessive that the
symptoms become prominent. In heart or kidney disease the filling of the
legs and infiltrations of the eyelids and of the skin beneath the chest
and abdomen are precursors or early concomitants of the disease, but in
all cases the accumulation in the chest is to be measured by the height
of the line of dulness on percussion and the extent of chest surface
giving forth no respiratory murmur on auscultation. As the liquid rises
on both sides of the chest, as it always does in such cases in the
horse, the breathing becomes short and labored, being chiefly effected
by the action of the diaphragm and the flanks—the ribs moving only
slightly. The nostrils are widely dilated with each breath. The
previously existing want of vigor and energy, the weak pulse, the poor
appetite and the pallor of the mucous membranes become aggravated; the
animal becomes very weak and prostrate, the loins insensible, the
permanently tucked up flanks labor tumultuously, the loins rise in
inspiration, the face is pinched and haggard, the eyeballs glazed and
protruding, and death is preceded by the same general symptoms as in
rapid effusion after pleurisy. A prominent feature of this, as of all
dropsical affections, and one usually seen in the hydrothorax of
inflammation as well, is the ease with which, even at an early stage of
the disease, the long hairs of the mane and tail may be pulled out. In
many cases they come out in handfulls when the comb or the fingers are
passed through them.
_Treatment._ The treatment must be of the actively diuretic kind
recommended for the effusion of pleurisy. It is modified however in one
respect. The inflammatory action having subsided or nearly so and the
condition being now essentially one of weakness a free use of tonics is
demanded. Many a patient dies in such circumstances from the actively
depletive treatment to which it has been subjected and the want of
attention to its need of generous diet and other support. The agents
prescribed for the advanced stage of pleurisy may be given, or the
digitalis or other diuretics and bitters may be combined with iodide of
potassium in one or two drachm doses, the amount being apportioned to
the strength of the animal. Iron in the form of sulphate, perchloride or
iodide may be freely given combined with gentian, quassia, or other
vegetable tonic, and above all a liberal and easily digested diet must
be allowed. Good will sometimes result from repeated applications of
strong iodine ointment to the sides with active friction.
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