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
_Pathological Anatomy._ The kidney is enlarged, soft, friable, dark red,
yellow with red spots, or having areas of hemorrhage. When fatty it is
marbled, pale yellow or white and red. The capsule is easily detached.
On section it is bloody, oozing or even dropping blood, or a pale creamy
fluid. The pelvis contains urine, thick, gelatinoid, bloody or purulent.
The latter condition must not be confounded with the thick pus-like
mucus which normally occupies the renal pelvis in the horse.
The lesions of the secreting portions of the kidney will vary with the
concentration of the inflammation in one or other of the separate
tissues.
In =glomerulitis= from toxic irritants, the capsules enclose an
albuminous liquid exudate, the capillaries are overdistended, their
walls thickened and cloudy, and thrombi with an excess of red globules
and leucocytes block them at intervals. This capillary obstruction
extends to the plexus surrounding the convoluted tubules.
In =tubular nephritis= there is congestion of the plexus covering the
convoluted tubes, and the epithelium shows cloudy swelling, with fatty
granules and hyalin droplets in the desquamating cells.
With =interstitial nephritis= there is an exudate into the interstitial
connective tissue between the tubules, and into the tubules, forming
hyalin casts. The epithelium of the tubules are swollen, granular,
opaque and desquamating.
In =suppurative nephritis= may be found all stages of abcedation from
minute points, gray or yellow, and only just visible to the naked eye,
in the midst of the deep red congested tissues, through the larger white
suppurative areas, to the extensive abscess formed by a coalescence of
the many, the intervening tissue having broken down by a necrotic
disintegration. In the earlier stages the pus infiltrates the parenchyma
so that it may be comparable to a sponge filled with this liquid.
_Treatment._ The first consideration is rest, with a warm building or
clothing to solicit the action of the skin and lessen the work of the
kidneys. Warm summer weather is favorable, or we should secure a sunny,
comfortable, loose box, or a building heated by a stove. In default of
this, warm woolen blankets, hood and leg bandages should be secured. If
the case is mild enough to allow of appetite, the food for herbivora may
be green food in summer and carrots, beet, turnip, potato or ensilage in
winter. The dog may have buttermilk or sweet milk or mush and milk. Meat
is objectionable because of the amount of urea and other urinary
products which it produces.
Trasbot strongly recommends general bleeding in strong, vigorous horses
and cattle, attacked by the disease in an acute form, but deprecates it
in the lymphatic, fat, or debilitated.
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