Text book of veterinary medicine, Volume 3 (of 5) — John Shaqi
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
_Symptoms._ The leading objective symptom is the tonic condition of the
muscles by which a perfect balance is established and maintained between
the flexors and extensors so that the affected part maintains the same
position which it had when the attack began, or any other position which
may be given to it during the progress of the paroxysm. The position is
only changed when the muscles involved have become completely exhausted.
During the attack the affected muscles are swollen and firm, so that
their outline may often be traced through the skin, later as the attack
subsides they become soft and flaccid. Voluntary movement of the
affected muscles is impossible until after the paroxysm. The attack
usually comes on suddenly and in this respect resembles epilepsy; at
other times there are premonitory symptoms of nervous anxiety,
excitement or irritability. There is usually considerable impairment of
consciousness, intelligence, common sensation, and even of the special
senses. In a cataleptic dog Fröhner noted mental and motor troubles,
considerable anæsthesia, and loss of sight, smell, and hearing. The eyes
are fixed, the pupils either contracted or dilated, and the urine passed
may be albuminous or even icteric.
_Course, Duration._ Like other functional nervous disorders this is
extremely uncertain in its progress. There may be but one attack or a
succession; they may last from a few minutes, to 7 days (Fröhner), or
even several weeks (Hertwig); they may end in recovery or less
frequently they may prove fatal usually by inanition.
_Treatment._ During a seizure a sudden shock will sometimes cut short
the attack, douching with cold water, an inhalation of ammonia, of
capsicum or of snuff, or the application of electricity in an
interrupted current through the spine and affected muscles. Ether
anæsthesia will not always relax (Sinkler). Inhalation of a few drops of
nitrite of amyle has proved effective in man, as has also the injection
subcutem of three drops of a 1 per cent solution of nitro-glycerine,
apomorphine hypodermically is usually effective (Sinkler). Bromide of
potassium has also been advised, and in case of coldness of the surface,
a warm bath.
When there is overloaded stomach and gastric indigestion an emetic is
indicated, and in constipation a purgative (for speedy action chloride
of barium or physostigma subcutem).
In the intervals between attacks tonics and general hygiene should be
invoked to build up the weakened nervous system. Quinine, and salts of
iron, zinc or silver with a nourishing diet and out door exercise are
especially indicated.
INSOLATION. HEAT EXHAUSTION. SUNSTROKE. THERMIC FEVER.
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