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
In excessive dropsy avoid sloughing by lancing the most tensely swollen
parts to allow drainage, and keep the parts disinfected with carbolic or
other antiseptic lotion. For ascites or hydrothorax, aspirate, and apply
a compressory bandage.
During convalescence a course of bitters (cinchona, salicin, gentian,
nux vomica) and iron (phospho-tartar, iodide or phosphate) will often be
called for. Anæmia may be met by doses of peroxide of hydrogen or the
inhalation of oxygen.
In the advanced stages benefit may accrue from the use of small doses of
cubebs, copiaba, oil of turpentine or buchu, which have a tonic action
on the renal mucosa.
PURULENT NEPHRITIS.
Causes: general, traumatic, metastatic, infective, wounds, shocks,
strains, blows, falls, crowding, heavy loads, calculi, infective
embolism. Lesions: miliary or large abscesses, diffuse suppuration,
softening, disintegration, fistula. Symptoms: obscure, nephritic
symptoms following distant abscess, chill, hyperthermia, general
symptoms of nephritis, pus in urine, anæmia, emaciation. Treatment: to
external wound, antiseptics, evacuate abscess, extirpate kidney with
pyonephrosis, in dog or pig, calcium sulphide, sulphites, copiaba.
_Causes._ Aside from the main causes of nephritis, the suppurative form
may be determined by traumatic or metastatic infective conditions. Under
_traumatic_ factors may be named punctured or gunshot wounds, shocks and
strains connected with falls, blows, crowding, compression, too heavy
weights on the back (pack, rider, two wheeled cart loaded too heavily
forward and going down hill), and finally calculi in the uriniferous
tubules. Under _metastatic_ factors come all infections, pyæmia,
omphalitis, any suppurative affection of the lungs, (abscess, pneumonia,
broncho-pneumonia), pharyngitis, etc. Embolic renal abscess may start
from endocarditis, arteritis, or pulmonary phlebitis.
_Lesions._ There may be a circumscribed renal abscess like a good large
orange, or many small gray spots like millet seeds, peas or hazel nuts,
having purulent centres and containing pus cocci or bacilli. In other
cases a diffuse inflammation suppurates throughout till the whole gland
becomes a pulpy mass of pus, blood and broken down kidney tissue
(pyonephrosis). In traumatic cases the pus centres around the wound or
injury, perhaps invading adjacent parts, and even communicating through
the skin externally along the line of the original wound. The pus may
burrow in different directions in the cortex or under the capsule with
abscess at intervals (perinephritis), or along the vessels to the
medullary structure.
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