Text book of veterinary medicine, Volume 2 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 2 (of 5)
Law, James
Veterinary medicine
_Symptoms._ In fully developed cases the abdomen is greatly distended
and tympanitic. The drumlike resonance is met with in the anterior part
of the abdomen including the umbilical region. It extends forward over
one-half of the thorax, excepting only a space of 5 or 6 inches square
in the right hypochondrium, which represents the situation of the liver,
and spleen. Auscultation furnishes no sound in the abdomen, and only in
the anterior portion of the thorax is there a distinct respiratory
murmur. The heart may beat strongly and rapidly, or weakly and slow, and
the pulse is small and thready. The abdomen is tender. The animal
stands, dull, and breathes with great effort. If made to walk it is done
slowly, stiffly and with head extended, mouth open and tongue
protruding. There is no sign of vomiting and this cannot be brought
about by tickling the fauces, or even by giving apomorphine subcutem,
though retching may be induced.
_Course._ The disease may develop into dullness and anorexia in two
hours after boisterous health; in twelve hours there may be considerable
tympany and dyspnœa; and a fatal result is reached in about thirty-six
hours.
_Diagnosis._ This is based on the transition from vigorous health to
sudden illness, with complete anorexia, inability to swallow or to
vomit, tympany of the stomach as shown by percussion, tenderness of the
abdomen, dyspnœa, disturbed heart-functions, and inactivity of the
bowels. With intestinal obstruction on the other hand there is free
vomiting of bilious and feculent matters. With peritonitis there is much
greater and more uniform abdominal tenderness, vomiting and higher
fever, but less tympany in the anterior abdominal region, and no such
complete suspension of defecation. With choking there is no such
progressive tympany, appetite and defecation are not so completely
suspended, and liquids may often pass the obstruction in small
quantities in both deglutition and vomiting. Choking is by no means so
speedily fatal.
_Treatment_ is essentially surgical. When tympany is already established
the gas must be evacuated by a small cannula and trochar. Then resort is
had to laparotomy, the incision is made on the right side large enough
to introduce the fingers, which must follow the great curvature of the
stomach as far as the pylorus which is pulled back into its normal
position on the right. The incision is now closed by an ordinary
continuous suture.
FOREIGN BODIES IN THE STOMACH. HAIR, WOOL, BRISTLE, CLOVER AND COTTON
BALLS.
Hair balls, wool balls, bristle balls, cotton balls, clover-hair
balls, oat-hair balls, paper balls, phosphatic calculi, sand and
gravel, nails, wires, needles, pins, etc., cloth, leather, whalebone,
playthings, etc. Symptoms: of catarrh or colic, dullness,
restlessness, arched back, in dog vomiting of blood, fistula.
Diagnosis. Treatment: emetic, feed potatoes, laparotomy.
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