The Farmer's Veterinarian: A Practical Treatise on the Diseases of Farm StockBurkett, Charles William
Science
The Farmer's Veterinarian: A Practical Treatise on the Diseases of Farm Stock
Burkett, Charles William
Veterinary medicine
=FISTULAE.=--A chronic discharge from some tubelike channel, with no
tendency to heal. Fistulæ are most common in horses. They may be located
on the withers (fistulous withers), on the side of the face (tooth
fistulæ), on the breast bone (sternal fistulæ), or on the lower jaw
(salivary fistulæ). Fistulous withers are caused from some external
injury (the animal rolling on a rock, ill-fitting collars, the saddle
pressing on the withers, or from being struck by a club). Tooth fistulæ
are caused by a decayed tooth. The pus in trying to get out of the body
takes the easiest course and eats through the bones of the face and
escapes, causing a chronic discharge. A sternal or breast fistula is
caused by some sharp object being run into the breast and striking the
breast bone, injuring it and causing decay and pus formation. A salivary
fistula is caused by an injury to the tube which carries the saliva from
the gland to the mouth.
=Symptoms of Fistulous Withers.=--At first a large swelling appears on
one or both sides of the withers. In about a week this enlargement
becomes soft, and the fluid contained in it can be distinctly felt. If
left to itself the swelling gets larger and softer, and in a month or so
breaks and discharges the contents. The fluid that comes from the
swelling is first thin and streaked with blood; later it contains
yellow-appearing masses. The last material is the pus. The sack that
formed at the time the fistula was caused is a hard, firm membrane. This
keeps the wound from healing. For this reason the discharge becomes
chronic. The wound may heal and there will be no pus discharged for a
month, then the old opening will be broken and the pus will flow out
again until the sack is emptied. This healing of the wound and then
breaking again may be kept up for years, unless the disease is properly
treated. As a general rule, the affected animal runs down in flesh.
[Illustration: FISTULOUS WITHERS
Sometimes only the skin and tissue immediately under it become affected.
In such cases little trouble need be anticipated; but if the cause is
not removed, the deeper structures, muscles and bones, may become
diseased.]
Treatment for fistulous withers consists of opening the swelling and
inserting muslin strips that have been dipped into terchloride of
antimony. Insert one and remove, inserting another and leave in the
opening for three or four hours. Repeat this operation every four or
five days for a month. In addition rub on the outside of the swelling
once every two weeks a mixture made of 2 teaspoonfuls of cantharides
and 4 tablespoonfuls of lard. The tooth fistula usually calls for the
removal of the tooth and thorough disinfection of the opening from the
face through to the mouth. With a sternal fistula the diseased bone may
need to be scraped and then antiseptic washes used daily. The salivary
fistula is more difficult to treat. Better have the veterinarian to
examine, and an operation may be necessary.
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