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
In some instances the acute pain seems to suddenly cease, but there is
no general improvement, the patient stands with head depressed, eyes
sunken and expressionless, ears lopped, cold perspiration, chilly limbs,
unsteady gait and imperceptible pulse. It implies merely a paralysis of
the affected bowels in connection with the extensive congestion and
extravasation.
_Course._ _Duration._ The more acute cases reach their acme with great
rapidity, death may occur after two hours illness, and in other cases it
may be delayed ten or even twenty-four hours. It may be caused by
indigestion and tympany, by volvulus or invagination, by excessive
hemorrhage, or by poisoning with toxic matters.
Recovery occurs when the vessel blocked is an unimportant one as a
branch of the left bundle so that circulation may be reëstablished from
collateral trunks; or when a more important trunk has been but partially
blocked, and after a time it either clears itself, or collateral
circulation comes in with sufficient compensation. There is a more or
less rapid disappearance of the colics and other symptoms, a free
passage of urine, the rejection of fæces, it may be in a liquid,
semi-liquid or sanguineous condition, yet enough to indicate the
restoration of intestinal tone. The patient begins to pick morsels of
food and soon acquires his former appetite.
In some instances, however, the recovery is not complete. Trasbot has
noted a case of laminitis occurring within fifteen hours after the
improvement, and in other cases there remain chronic debility and
catarrh of the intestines. The appetite remains poor, there are
occasional colics, the bowels are irregular, loose or costive, and the
fæces are dry, glossy and covered with mucus. The back is arched, the
belly tucked up, strength and vigor are both lacking, and the patient
spends much time in the recumbent position.
Complications of various kinds may follow as in other diseases of the
intestines. After even the best recoveries, a relapse is always to be
apprehended as the original cause remains and the animal is liable to be
cut off at any time.
_Treatment._ This is very unsatisfactory as the original source of
trouble, the worms, being in the blood-vessels, cannot be reached by
vermifuges that would be harmless to the host, and clots blocking the
smaller intestinal vessels, cannot be dissolved and removed. Moreover,
although we could compass the death of the worms in the aneurisms, we
would leave their dead bodies as sources of septic change, blood
coagulation and embolism.
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