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
_Lesions._ In the simple catarrhal form the mucous membrane of the
lateral pharyngeal walls, the posterior pillars of the palate and the
back of the soft palate, is red, congested, with arborescent vessels,
thickening, and puckering into rugæ. The epithelium has lost its
translucency, become opaque and granular, and its desquamation in spots
and patches may leave erosions, ulcers more or less deep, and white
drawn cicatrices. When the follicles and mucous crypts are involved
(follicular) they stand out like millet seed, peas or beans, and may
show ulceration or minute abscess. In pigs especially, tonsilitis is
liable to be present, and the tonsillar follicles are filled and
distended with tenacious mucous, a caseous granular _debris_, or even a
cretaceous material. In the vicinity of the tonsils, minute abscesses
may exist in or beneath the mucosa.
Ulceration may be the result of tubercle, glanders, actinomycosis,
aspergillus, sarcoma, or some local infection, and attendant symptoms of
one or other of these diseases will guide the diagnosis. Thus in
tubercle there will be the implication of the adjacent lymph glands and
usually of distant ones; in glanders the deposits in the nose,
submaxillary lymph glands and lungs will enable one to diagnosticate; in
actinomycosis the hardness of the neoplasm and the presence of the
yellowish tufts which present under the microscope the concentrically
arranged club-shaped elements, will show its nature; and in sarcoma or
carcinoma the structure of the new tissue will decide its character. The
pharyngeal muscles are the seat of granular or fatty degeneration or of
fibroid change. Friedenreich speaks of a fold from the vault of the
pharynx which had nearly closed the passage and had killed the horse by
inability to swallow.
_Treatment._ Chronic pharyngitis is usually a very obstinate affection
and demands careful hygienic as well as medicinal treatment. Hot, foul
stables, unduly thick coats, unwholesome food, irregular feeding,
excessive meals at long intervals, overwork, undue exposure to cold and
wet, lack of sunshine or of grooming are to be corrected. Next, the
removal of mechanical irritants such as pharyngeal bots, actinomycosis
growths, etc., will be in order. Then the use of astringents and
antiseptics internally and of derivatives externally will be demanded.
An occasional embrocation of mustard, or the application of ammonia and
oil, will often serve a good purpose, and in obstinate cases the hot
iron in points will sometimes prove effective.
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