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
_Treatment._ This must depend on the obvious cause of the affection. If
due to an infectious disease the first attention must be given to that.
If due to tumors or abscesses pressing on the nerves they may be
removed. If there is bulbar hyperæmia or effusion attention must be
devoted to derivation and other means of combating that. Cephalic
congestion and heat may be met by cold applications. Derivation toward
the bowels may be secured by eserine, pilocarpin or physostigmine
administered subcutem. Reabsorption of exudate may be sought by
pilocarpin, or diuretics—the latter administered by the rectum.
Electricity in weak current may be tried when the acute febrile symptoms
have moderated, accompanied by hypodermic injection of strychnia (2
grs.). Frictions around the throat with essential oils or even a
cantharides blister may be used to advantage. Antiseptic washes may be
injected into the mouth,—vinegar, boric acid, borax, sulphite of soda.
Finally the animal must be nourished by rich gruels and soups given by
the rectum, or in the smaller animals by the stomach tube.
TUMORS OF THE PHARYNX.
Varieties of neoplasms. Malignant invade adjacent and distant parts.
Symptoms: sore throat; stertor; dyspnœea; dysphagia. In cattle,
lymphadenoma, tubercle, actinomycosis. Cause cough, ptyalism,
discharge, fœtor, dysphagia. Dogs and pigs vomit. Treatment: medical;
surgical.
Tumors of the pharynx are not common in the _horse_ yet they
occasionally appear as either primary or secondary neoplasms. They are
of various kinds, as, epithelioma (Labat, Mathis), carcinoma (Casper,
Dupuy, Mathis), sarcoma (Siedamgrotzky, Johne), lipoma (Fricker),
cystoma (Degive) and melicerous (Lesbre). The malignant forms tend to
invade the surrounding tissues and spread widely into the nose, palate,
tongue, pharyngeal glands, and, secondarily, into the small intestines.
The simple tumors like the lipomata and fibromata tend to detach
themselves and hang by a pedicle (see pharyngeal polypi). The same is
true of the melicerous cyst which originating in an obstructed mucous or
salivary duct projects as a mass as large as a hen’s or pigeon’s egg
into the fauces or pharynx.
_Symptoms._ There are symptoms of intense sore throat with stertor
continuous or intermittent, increasing to dyspnœa at intervals or on
exertion. In case of pediculated tumors these attacks correspond to the
displacement of the tumor into the glottis. Deglutition is difficult or
impossible, liquids or even solids returning through the nose, mixed
with mucus and at times tinged with blood. Nasal discharge and ptyalism
are present.
In =cattle= pharyngeal tumors may be of the same nature as mentioned for
the horse, but they are far more frequently lymphadenoma, and above all
tubercle or actinomycosis. Zimmer found that of seventy-three such
tumors fifty-four were actinomycosis.
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