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 production of waste matters in the system_ is necessarily
proportionate to the amount of tissue destroyed. This appears in the
blood mainly as urea, the organic acid of urine (hippuric in herbivora,
uric in carnivora), together with phosphates, sulphates, and chlorides.
These thrown off by the urine give it its high density. If not thus
thrown off they remain as poisons in the circulation and bring about
that prostrate, sunken, debilitated condition which characterizes the
advanced stages of all severe and continued fevers—_the typhoid
condition_. This is not to be confounded with the specific _typhoid
fever_, in which a special fever germ expends itself, mainly on the
bowels, and that runs through a regular course. The _typhoid condition_
is that state in which an animal system, already greatly weakened by a
severe disease, and perhaps further prostrated by a specific
disease-poison, is subjected to a species of poisoning by the retained
chemical products of the waste of the tissues.
_Types of Fever._ These are as characteristic as the types of
inflammation, and of the same kind. The _strong_ type of fever which
attends on an acute inflammation in an otherwise healthy vigorous
system, is spoken of as a _high_ or _inflammatory_ fever. The _weak_
type which occurs in a broken down or debilitated system, or in
connection with the action of a specific disease germ, or with the
saturation of the system by waste chemical products is known as _low_,
_typhoid_ (better _typhous_), or _adynamic_ fever. That form which
persists in the utterly debilitated system, where the power of
assimilation is practically lost, is known as _hectic_.
TREATMENT OF INFLAMMATION AND FEVER.
Treatment will be guided very largely by the type of the attendant
fever. If that is of a high type, with a hard, full, rapid pulse, bright
red mucous membranes, a clear eye, and well sustained strength in a
strong, vigorous animal, what is known as antiphlogistic (depleting,
depressing) treatment is admissible at the outset. But in many cases
with a low type of fever, a weak, rapid pulse, pallid, yellow, or livid
mucous membranes, a coated tongue, a dull or sunken eye, much depression
and prostration, swaying on the limbs in walking, pendant head, ears,
eyelids and lips, and varying and irregular temperature of the limbs,
etc., such measures are forbidden from the first, and tonics and
stimulants are demanded from the outset. Between the two extremes there
are many grades, which demand a judiciously adjusted intermediate
treatment. The general principles only of each characteristic form of
treatment can be here formulated, it being understood that no two cases
can be most advantageously treated in precisely the same way, but that
according to its special grade each case will demand its own specific
management applied according to the skill of the physician.
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