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 fatal cases the erethism subsides, but fever, dullness and emaciation
continue, the case becomes aggravated at intervals, weakness and
exhaustion increase, decubitus may become constant or paralysis ensue.
The patient dies in marasmus in one to three months.
In some the genital erethism is absent from the first. There is
dullness, prostration, anorexia, fever, hurried breathing, small rapid
pulse, colicy pains, tender abdomen, difficult defecation, coated dung,
a glairy (perhaps reddish or fœtid) discharge from the vulva, hot, tumid
tender mammæ, arched and sensitive loins, and stiffness of the hind
limbs.
In all cases alike a rectal examination detects the ovary swollen and
exceedingly tender.
_Cow._ The same general symptoms appear with characteristic
modifications. Restlessness, bellowing, pawing, inappetence, arched,
tender loins, swollen vulva with discharge, shiny and perhaps fœtid but
without contractions, abdomen pendent and flanks hollow and tender,
udder turgid, hot and painful, movements of the hind limbs stiff,
halting, straddling. There is greater tendency to salacious movements of
the croup. The diagnostic feature is palpation of the ovary through the
rectum.
In _chronic cases_ more or less of the above symptoms are shown in a
greatly mitigated form, but oftentimes there are long intervals of
apparent health. Palpation through the rectum is the final test in this
as in the more acute cases.
_Prognosis._ This is very uncertain. Unless complete recovery takes
place in a few weeks, the inevitable consequence is sterility, or death
from hæmorrhage, peritonitis, pyæmia, or marasmus.
_Treatment._ In acute cases Trasbot strongly urges bleeding in the
larger races and leeching of the flanks in the smaller. Mustard plasters
to the loins and abdomen, and cold or damp applications to the croup are
in order. Vaginal and rectal injections of mucilaginous liquids,
containing anodynes and antiseptics are indicated. Opium, belladonna,
hyoscyamus, chloral, borax, acetate of aluminium may serve as examples.
If needful to quiet the excitement, morphia, atropia or hyoscyamine may
be given subcutem. Or the anodynes may be administered by the mouth. As
a last resort, and by far the most radical treatment, castration may be
performed. With small ovaries this is best done through the vagina in
the larger animals, while with large and adherent ones the flank
operation is imperative. If the peritoneum is involved, careful
antisepsis of the cavity is desirable. In case of adhesions the
operation may be risky, but if successful it will obviate secondary
infections and establish a permanent cure. Complications must be treated
according to their nature.
OVARIAN CYSTS.
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