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
The complication of infective cystitis is frequent, the congestion,
redness, ecchymosis, maculation, puckering and thickening of the mucosa,
the granular degeneration and desquamation of the epithelium, the
exposure of a raw vascular surface, the discoloration of the urine by
mucus, pus and blood, and the formation of ammonia and other products of
decomposition, becoming marked phenomena. Vesical calculus is not
uncommon, the slowness of the exit current of the urine retarded by the
enlarged prostate, tending to prevent its impaction in the orifice and
thus minimizing one of the most prominent symptoms.
_Symptoms._ Among the earliest symptoms, is some modification in the act
of micturition. Straining a few seconds before urine comes, retention,
incontinence and dribbling, discharge in a small or weak stream, and
sudden arrest of the flow and the last few drops may contain muco-pus
showing abundance of spermatic crystals, on the addition of ammonia
phosphate. Impaction of the rectum tends to occur sooner or later, the
animal making little effort to unload the viscus, and the overdistended
organ becoming more and more atonic, congested and catarrhal and
reacting injuriously on the urinary organs. Incontinence may be
especially marked during sleep, the sphincter being sufficiently
controlled by volition during waking hours. Retention may be at first
temporary from excitement and later more continuous by reason of the
greater compression of the neck by the enlarged and indurated prostate.
With the advance of the disease the urine shows abundance of triple
phosphates, and becomes ammoniacal and fœtid. A dark or bloody color of
the discharge and the presence of crystals suggest calculus.
An accurate _diagnosis_ can only be had by rectal examination. The great
enlargement of the prostate, in the absence of heat and tenderness is
characteristic. Enlargement is usually uniform, though it may be
concentrated on the right, left or central lobe. The passage of the
catheter may be obstructed, but is not specially painful at the
prostatic region as in prostatitis. From =vesical calculus= it is
distinguished by the fixity of the swelling on the neck of the bladder
as contrasted with the mobility of the stone inside that half-filled
organ. From =stricture= it is differentiated by the fact that the
obstruction offered to the catheter and the swelling of the prostate
exactly correspond in position, that the stream is lessened in force
rather than simply reduced in size, and that the history of the case
shows no antecedent cause for stricture.
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