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
In a _post mortem_ section the principal lesions are found in the nasal
cavities and skin. The areolar tissue in both is the seat of an abundant
serous infiltration, which has taken place into the deeper layers of the
skin as well, rendering it thick, hard and unyielding. Besides the
sloughs and ulcerations on the skin and mucous membranes, false
membranes have been met with, on the lining membrane of the mouth and
air passages. The ulcers in the nose have in many cases reached the
bone, and from the abundant infiltration and softening, the membrane is
easily stripped from the walls of this cavity and of the sinuses. The
general infiltration appears to have reached the brain, which is
described as softened and having an undue amount of liquid in its
cavities. The blood contained in the vessels is dark colored and
numerous patches of extravasation are visible on the mucous and serous
membranes as well as in the interior of organs.
Unless the malady can be controlled in its early stages it usually
proves fatal. Patients that recover after it has been well developed at
times retain its effects in permanent blindness or palsy of the hind
limbs.
_Treatment._ Early and vigorous antiphlogistic measures are strongly
recommended by French and Italian veterinarians. Gellé and Ercolani
advocate the most copious bleedings. Festal insists that all other
measures are useless when this is neglected. Before adopting free
sanguineous depletion the history of his practice was a record of
deaths, whereas later his losses were in cases where from a failure to
recognize the disease at the outset, from the existence of diarrhœa,
from the patient being pregnant or from a fear that the milking
properties might be impaired, bleeding was deferred. He pushed the
bleeding to the extent of causing acceleration of pulse, quickened
breathing and heaving of the flanks, to effect which sixteen pounds had
to be abstracted on an average. If this were done early the engorgement
of the muzzle had usually greatly diminished if not entirely disappeared
in the course of seven or eight hours thereafter. The alleged benefit is
probably largely due to elimination.
Less heroic treatment is now generally adopted. An active purgative (one
and a half pounds Epsom salts) may be given even though apparently
contraindicated by the premonitory diarrhœa, and a further useful
derivation may be obtained by applying active friction or even
stimulating embrocations to the legs.
Steam with or without sulphur dioxide may be inhaled as for ordinary
_coryza_ and cold water or ice kept applied to the forehead.
Nitre in ounce doses daily or liquor of the acetate of ammonia in three
ounce doses may be given after the purging has ceased. Or drachm doses
of hydrochloric acid with bitters may be given thrice a day in at least
a pint of water.
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