Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
=Internal Exploration.= This is accomplished in the larger animals with
the oiled hand in the rectum, the nails having been pared short and even
to avoid injury to the mucosa. In ponies and yearlings the kidney may be
felt, and this may be true also of mature animals of larger species in
cases of hypertrophy or floating kidney. The ureters, bladder and
intrapelvic urethra are easily felt in the male. The empty bladder lies
on the anterior border of the pelvis; when full, it projects forward
into the abdomen but retains its pyriform or, in the very young animal,
its fusiform shape. In the female the sensation is somewhat modified by
the presence on its upper surface of the uterus dividing into its two
horns anteriorly. The single enlarged horn of pregnancy is especially
misleading.
The female urethra, cervix and bladder may be explored through the
vagina. To explore the cervix vesicæ and urethra the fingers are slowly
drawn back from the bladder along the median line of the floor of the
vagina. In the _mare_ the cervix and adjacent portion of the bladder can
be further explored with the index finger introduced through the opening
of the urethra in the floor of the pelvis and at the junction of the
vagina and vulva. In the cow the urethra is too small to be readily
explored from within, and the orifice is still further guarded by the
two lateral blind canals of Gærtner, into which the unskilled fingers
more readily pass. Success only attends the careful search for the small
central lower orifice. In the _smaller animals_ the finger only can be
introduced into vagina or rectum and the urethra, cervix and bladder
only can be felt. _The result of such exploration_ is straining even in
healthy conditions but which becomes excessive in nephritis, pyelitis,
renal, urethral, vesical or urethral calculus, cystitis, rectitis or
enteritis.
The _ureters_ are tender when inflamed, and they are swollen in calculus
obstruction with an elastic feeling in front of the stone.
The _bladder_ is very sensitive when overdistended, inflamed or pendent
on the abdominal floor, or when the seat of calculus. In the absence of
any liquid contents a calculus is felt as a hard solid mass firmly
clasped by the contracted vesical walls. If liquid is present the solid
hard calculus is felt movable in the fluid. An empty contracted bladder
is firm and pyriform. An empty flaccid bladder, resulting from rupture
or exhaustion, is flabby, with indefinite form and, if the seat of a
lesion, tender. It varies in consistency with neoplasms (papilloma,
sarcoma, carcinoma, or epithelioma). These have not the free mobility of
the calculus floating in urine, and their point of connection with the
wall may often be made out. When a solid body is felt, or suspected to
be in the contracted bladder, an injection of sterilized water will
usually facilitate diagnosis, and a differentiation of calculus and
neoplasm.
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