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 term inflammation (from inflammo, I set on fire), is suggestive of
the local heat of the inflamed part, just as fever (febris) indicates an
elevation of the temperature of the body at large. Celsius enumerated
the features of rubor, calor, dolor and tumor (redness, heat, pain and
swelling) which have come down to our own time as at least suggestive of
inflammation. But any diagnosis, based on these alone, would be today
woefully inadequate. Redness occurs in the transient blush, heat in the
febrile state, though no inflammation can be recognized, pain is present
in neuralgic and other nervous affections, and swelling in dropsy and
tumor. On the other hand redness is entirely absent, for a time, after
the outset of inflammation in nonvascular tissues (cornea, articular
cartilage), the heat of the inflamed part may be actually lowered when
there is much exudation around the capillary vessels and lessened flow
of blood, pain may be absent in some circumscribed inflammations of the
lungs, and swelling is not at first visible in the inflamed cornea or
compact bony tissue. These phenomena which are so common in inflammation
and, in general so characteristic of it, cannot therefore be accepted as
infallible evidence of its existence, nor can their absence be held as
absolutely implying its nonexistence.
=Forms of Inflammation.= This morbid process might be divided almost
indefinitely according to the organ invaded, the cause, and type, yet it
will be more convenient to deal with it generically and notice
=inflammation in nonvascular and vascular tissues= respectively, and the
different types of =granular degeneration=, =exudative inflammation= and
=croupous inflammation=. It will be requisite further to notice an
=acute= and a =chronic= type.
By dealing first with the changes in the anatomical elements of the
tissues and in the innervation, we shall virtually cover the phenomena
observed in nonvascular tissues, and later the changes in connection
with the circulatory system will give the additional characteristics of
inflammation in vascular tissues.
CHANGES IN THE TISSUE ELEMENTS.
=Death of cells and tissue.= By the application of an irritant (acid,
heat, etc.,) a certain thickness of tissue with its enclosed cells is
killed, and a thin layer of necrosis is usually produced. This does not
constitute inflammation, but it acts as a foreign body, often septic, in
producing inflammation in the parts adjacent.
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