S F", *■ THE ^'ma&mell fl. Slower tibrnnj THIS BOOK 15 THE GIFT OF 4- j&.*c.z<^m : SF 991 g| : f mellUniversit V L ">rary A treatise on the diseases of the dog; be 3 1924 000 925 "127" pplpl Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://archive.org/details/cu31924000925127 A TREATISE DISEASES OE THE DOG; MANUAL OF CANINE PATHOLOGY. ESPECIALLY ADAPTED FOR THE USB OF VETERINARY PRACTITIONERS AND STUDENTS. JOHN HENRY STEEL, M.R.C.V.S., A.V.D., PBOFESSOB OF VETEBINABY SCIENCE AND SUPEBINTENDENT, BOMBAY VETEBINABY COLLE&E; LATE DEMONSTBATOB OE AND LEOTUBEB ON ANATOMY AT THE EOYAL VETEBINABY COLLE&E OE LONDON; COBBESPONDINO MEMBEB OE THE ITALIAN VETEBINABY ACADEMY; ATJTHOB OP 'OUTLINES OP EQUINE ANATOMY,' 'DISEASES OE THE ELEPHANT,' ' BOYINE PATHOLOGY ;' AND CO-EDITOB OP THE ' QUABTEBLY JOUENAL OP VETEBINABY SCIENCE IN INDIA.' NEW YORK: / JOHN WILEY & SONS, 15, ASTOR PLACE. 1888. SIR DINSHAW MANOCKJEE PETIT, Ki\, SHBBIFP OF THE CITY OV BOMBAY; WHOSE LAEGE-HEAETED LIBEEALITY HAS, AMONG NUMEEOUS FORMS OP BENEFACTION, POUND EXPRESSION IN THE ESTABLISHMENT OF THE BAI SAKARBAI DINSHAW PETIT HOSPITAL FOR ANIMALS, THIS WOEK, WHICH ALSO AIMS AT ALLEVIATION OF THE ILLS THE FLESH OF LOWER ANIMALS IS HEIE TO, IS DEDICATED BY THE FIRST SUPERINTENDENT OF THAT HOSPITAL, THE AUTHOR. PREFACE. This book has its origin in the feeling that though since the days of Blaine and Youatt there have been many writers on canine pathology, the true bearings and progress of. that science -have not been dealt with so systematically and thoroughly as is needed to meet the requirements of the present day. As canine practice is more and more coming, into the hands of veterinary surgeons, the want of a modern systematic text-book has become more felt, and it is to. meet this want the author has prepared the following chapters. The enormous amount of valuable material contained in English periodi- cal literature has been carefully studied, the work of leading veterinarians on the Continent has been laid under contribution, and the author has not failed to con- sult all available British authorities in the interests of his readers j thus it is hoped that the combined experience of the British and foreign canine pathologists will be found condensed in this work, digested, arranged, and "steadied" by the author's not inconsiderable experience of diseases of the dog and of the specialties of canine practice. Tt is for the profession to determine whether the aims of this work have been carried out; it has been hoped to continue the systematic arrangement, careful record of personal observations, and constant eye to comparative study of Blaine, with the thorough collection and digest of CONTENTS. PA OB croton oil, Epsom salts, castor-oil, cathartic mixture. Preparation for physic. Emetics i salt with mustard is a common emetic, tartar emetic, calomel. Vermifuges : areca nut, oil of turpentine, santonin, calomel, kousso, hellebore, filix mas. Stimulants, Seda- tives, and Narcotics: opium; differences between the action of certain agents on the dog and on man ; chloroform. Anesthetics : administration ; Gruby on the effects of ether on dogs. Relation of doses for dogs to those for horses. Subcutaneous injection of medicines. External Applications and Minor Surgery : blisters, firing, setons, fomentations j baths, warm, cold ; washing, bleeding, rough means'for local bleeding; bandaging, muzzling. Leading differences between canine and veterinary surgery , 14 — 2 CHAPTER III.— DISEASES OP THE BLOOD. General remarks. SPECIFIC DISORDERS: Rabies. Its import- ance in relation to public health. Symptoms to be studied only in relation to diagnosis. Liability of owners for acts of dogs known to be mad. Diagnosis. Varieties of the disorder. Bouley's rule. Excessive affection suspicious. Fury. Escape and journeying. Attack. The water fallacy. Peculiar expression, especially in the dumb form. Bone-in-the-throat fallacy. State of appetite. Influence of sex. The eye of a mad dog. Digestive and sexual derangements. Alteration in voice. Local irritation. Blaine's views on temporary localisation of the virus. Post-mortem dia- gnosis. Mistake in prompt slaughter of a dog which has bitten a man. Incubation. Lesions of alimentary and respiratory organs. Of nervous centra. Accessory observations. The eye changes in rabies by Siedamgrotzsky. On the minute changes of the nerve- centres, by Coats, Gowers, and Kolessnikow. Pasteur's researches on the virulence of the substance of nerve-centra. Diagnostic inoculation of rabies to rabbits and birds. The differential dia- gnosis of rabies ; popular errors ; distemper, fits, canker of the ear, tetanus, &c. Appliances for seizure of mad dog. Prophylaxis. Means of conveyance of the disease. Post-mortem examinations^ precautions in. Destruction of carcass. Curative treatment un- successful. Possibility of fortifying the constitution against it not unlikely. Pasteurean system of rabies' inoculation. Extermi- nation of dogs (note on skunk bite), dogs' homes, quarantine, and other measures of repression, valuable but limited in efficacy. Breed most liable to convey the disease. Muzzling. Bourrel's operation of blunting the teeth. Measures in case of actual inflic- tion of a bite by a mad dog. If the patient be a dog and has not since bitten a man. Chances of the animal not developing the CONTENTS; IX PAGE disease after a bite. Measures to be taken when a human being has been bitten. Difficult double duty of the canine pathologist in dealing with rabies. Distemper: its fatality, specificity, prevalence, and invasion. Its relations to similar disorders of other species. Semmer's bacterium. Effects of the poison on the blood. Types. Predisposing causes. Supposed spontaneous origin. Differential diagnosis. Symptoms : General j eye ulceration. Pro- gnosis. Nervous sequela. Intestinal form. Respiratory and hepatic forms. Skin eruption. Post-mortem appearances by. Semmer. Treatment. Disinfection and measures against contagion not sufficiently enforced. Blaine's " virulent or putrid type." Medi- cinal treatment. Debilitating measures to be specially avoided. Nursing tonics. Persistency apt to be rewarded. Diphtheria : Robertson's outbreak. Structural alterations. Three types : first, second, third or nasal. Sequelae. Opinions of Law and Boss! on this subject ; the latter records a case of conveyance from a child to a dog. Letzerich on vaccination of a dog with lymph con- taining diphtheritic material. Eczema EfizoOtioa : occurs in dog. Pallin's case in a cat. Relapsing Fever, "Subba." Anthrax : not frequent in carnivora. Intestinal form most fre- quent, its causes and symptoms. Post-mortem appearances. Rougieux' account of an outbreak in fox-hounds. Toussaint's conclusions concerning anthrax vaccination of dogs. . The liability of dogs to anthrax in the form of blebs or pustules in the mouth. Conveyance of the disease by the bite. Variola Canina rare. Its relations to smallpox and Var. ovina. Malignant or Benign. Symptoms. Treatment. " Unicity " of this disease. Influence of heat and cold on its development. Glanders : Lafosse, Polli, Renault, Hertwig, St. Cyr, and Nordstrom on its conveyance to dogs. Measles: a case of fatal communication from a child. Cholera : Surgeon-Major Fairweather's Report on the cat epizooty at Delhi. Tuberculosis. Does true " consumption " occur in the dog ? Colin and Laulanie on false pulmonary tubercle due to parasites. Nodular disease apparently tubercular. Causes. Here- dity. Breeding errors. Tabes. Symptoms. Bowel and lung cases. Treatment. Gowing on scrofulous change of the liver. Septicemia : especially frequent in parturient bitches. Symptoms and post-mortem appearances. NON-SPECIFIC DISORDERS : Rheumatism. Frequent in sporting dogs. Causes. Acute or ^ chronic. Richardson's experiment on the artificial production of rheumatism. Special features of this disease in the dog. Lumbago. Chest founder and Kennel lameness. Youatt's views. Treatment of the chronic and acute forms. Prevention. Rickets : M. Voit's , experimental study of the disease. Hill's remarks. Symptoms . and differential diagnosis. Treatment. Leukemia : its study , CONTENTS. PAGE by Siedamgrotzsky. Three forma. Autopsy. Diagnosis. Inno- renza's views. Jaundice or Icterus : Causes. " The Yellows." Symptoms. Treatment. Special liability of the dog to nutritive defects. An;emia. Plethoea : "Foul" (Mayhew). Fevee: Simple, Malarious. Obscurity of such cases . . 26 — 72 CHAPTER IV.— DISEASES OP THE CIRCULATORY SYSTEM. Introduction. Simplicity of the organs. Deficiency in records of disease of them. Heart. Fibrous Deposits on. the Valves. Fatty Degeneration op the Heart. Rupture op the Heart walls. Diseases op the Pericardium. Punctured wound of the pericardium and walls of the chest. CANINE HJSMATOZOA : Filaria immitis. Worm in the Heart. Manson's researches. Diagnosis. Tuberculoid disease of the. lungs as a sequela. Symptoms. Hollingham's case. Filaria sanguinolenta. Observations by Dr. Lewis of Calcutta. Dr. Manson's views. Autopsy. Manson on the effects of these worms as causing stricture of oesophagus, pleurisy, and paraplegia. Relations of these worms to hannatozoa of man. Supposed source of the parasites. Congenital malformation of pre-caval veins in the dog ..... 73—81 CHAPTER V.— DISEASES OF THE RESPIRATORY SYSTEM. Introduction. Variation according to breed — the acute, Segenera- tive, and parasitic. Nasal chambers and their accessories ; their anatomy and physiology. Catarrh or Coeyza. Sore-throat. Ozosna. Paeasitic Ozojna due to pentastomes. Polypus in the Nostrils : Snorting, Fpistancis. Diseases op the Air Pabsages : Preliminary remarks on anatomy and physiology. Cough (Acute and Chronic), Loss of voice, Snoring, Acute Laryn- gitis, Laryngismus stridulus, Chronic laryngitis. Mayhew's cau- tion as to insertion of seton in the throat. Of the essential organs of 'Respiration : anatomy, auscultation, percussion, succussion, mea- surement. Inflammation op the Organs in the Chest, i.e. Bronchitis, Pneumonia, and Pleurisy, and their complica- tions. Causes. Symptoms. Hydeothorax : Blaine on diagnosis of this affection. Treatment. Paracentesis thoracis. Ver- minous Bronchitis : Osier's researches. Asthma or Chronic Bronchitis : Congestive and spasmodic . , g2 9* CONTENTS. XI CHAPTER VI.— DISORDERS OP THE DIGESTIVE APPARATUS. PAGE The Mouth and its appendages. Anatomy. The lingual cartilage. Worming. Teeth, their anatomy and physiology. Taktae ACCU- MULATIONS. BBOKEN TbETH. EXCESSIVE WEAB. DISPLACEMENT. Catting and rasping the Tushes. Cabies. Abscess of the Jaw. " Cankeb of the Mouth." Loss of Molars. Cleft Palate. DIS- EASES OP THE TONGUE : Glossitis. Pabaltsis. Wounds op the Tongue, incised, punctured. Blaine. Youatt's views. Ranula. Ftyalism. Ulcebation op the Lips. Wabts in the Mouth. Pharyngitis. Anatomy of the oesophagus, stomach, and bowels. Sinuses of Morgagni. Diseases and accidents of the (Esophagus. Stbiotube. Filaria sanguinolenta. Choking. (Esophagotomy. Some general symptoms of disorder of the alimentary canal : Inappetence, Indigestion, Pyrosis, Vomition, persistent vomi- tion. Colic. Diabbhosa. Constipation, Costiveness, and Tobpidity op the Bowels. DISEASES OP THE STOMACH : Gastbic Catabbh, "Husk," Gastritis, Ulceb op the Stomach, Gastbic .Fistula, Gastbic Dilatation. Pobbign Bodies in the Stomach. Observations by Mr. W. Hunting. Youatt's cases. Pabasites : Ascaris marginata, Spvroptera sanguinolenta, Olulanus tricuspis (of the cat). Whether dogs should be allowed to feed on bones ? DISEASES OP THE INTESTINES : Entebitis. Blaine on rheumatic enteritis. Dysenteby, Impaction, Calculus rare, Volvulus not recorded. Invagination or Intussusception. Lapa- rotomy. Mayhew's views on csecal disease. Pbolapsus becti v. Ani. HiEMOBBHOlDS or Piles. Fistula in Ano. Atony of the Rectum. Stbictube op the Bowel. : Mr. A. Broad's views. Ab- dominal Hebnle rare in dog. Epiplocele. Femoral and Inguinal Semite ; Hill and Friederberger's cases. Ventral Hernia. Wobms in the Bowels. " Maw worms." Ascaris marginata. Other round worms found in the intestines of the dog. Tapeworms. Taenia cucumerina, T. ccenurus, T. marginata, T. eehinococcus, T. serrata, T. literata, and Bothriocephahis latus. The corresponding cystic worms. Tseniafuges. Solosloma and Cheiracantlms. Poly- pus becti. Appendix 1.— THE DISEASES AND SURGERY OP THE PERI- TONEUM AND BELLY: Lapabotomy, Peeitonitis, Ascites. Differential diagnosis. " Tapping the Belly " v. Pabacentesis Abdominis. Appendix 2.— THE LIVER, PANCREAS, AND SPLEEN, &c. : Ana- tomy of the liver and gall-bladder. Hepatitis, Acute. " Bilious inflammation of the bowels." Mayhew's case of ' liver abscess. Chronic. Degenerations op the Lives, Rupture, Malignant Xll CONTENTS. PAGE Disease, Parasitic Disease. Distoma conjunctnm. Echinococci recorded by Reiman. Filaria hepatica, by Mather. Ectopia hepatis. The Excretory Apparatus of the Liver. Biliaby Fistula. Biliaby Calculi. Pancreas : its duct. Bernard's case of absorp- tion of the pancreas. Spleen. Splenitis. Excision of the organ. H-EMOBBHAGJo Tumoubs. Rupture of the spleen. Splenic apoplexy. Sarcomatous growth in, and other malignant disease of, the spleen. Diseases of the other ductless glands : Thyroid body. Bboncho- oele or Goitbe (" Kernels"). Youatt on heredity in this disease, and his account of acute cases. The thymus body . 98--152 CHAPTER VII.— THE URINARY APPARATUS. Anatomy. Diseases of the Kidneys. Albuminous Nephbitis (Bright's disease). Accounts of the disorder by Axe and Mathis. Nephbitis ». Retinitis. Renal Calculus. Atrophy and hypertrophy of kidney. Hydatids (Blaine), more probably cysts of retention. Para- sites. JSustrongylus gigas. Ureter blocked by calculus or dilated. Cystitis. Epizooty recorded by Blaine and Youatt. Cystic Calculus, induced artificially by Boerhaave. Mayhew on diagnosis of stone in the bladder. Lithotomy. Hill's case. Youatt's men- tion of natural lithotrity. Ruptubb op the Bladdeb. Cystic Hebnia. Stricture of neck and eversion not recorded.- Abnobmal Ueination. Retention, Suppression, Scantiness, Strangury, Incon- tinence. Pabalysis op the Bladdeb. Passing the Catheter. Pro- fuse staling. The urine of carnivora contrasted with that of herbi- vora. H.IMATUEIA. Diabetes mellitus, by Prof. Perraro. Urine with copious sediment. Pbostatio Disease. Mannington and MacGillivray's cases. Frequence of this disorder. Ubbthbitis, Balanitis, and Posthitis. Gonobbhosa. Stricture and spasm of the urethra. Seon's case of parasite in the urethra. Ubethbal Calculus ..... 153—164 CHAPTER VIII.— THE GENERATIVE APPARATUS. OF THE MALE: Anatomy and physiology. Structure of the penis. Lauscat's description of its glans. The phenomenon of " locking '' in sexual union. Posthitis. Wabty Gbowths. "Polypi of the Sheath" (Blaine). Congenital malformation of the Penis. Imper- forate Prepuce. , Amputation oe the Penis. Inflammation of the Sobotum. Castbation. Impotence. Sareocele. Obchitis. Scirrhous Testis. OF THE FEMALE : Ovaeiotomy. Atrophy CONTENTS. XU1 PAGE of the ovaries. Malignant disease. Metbitis : caused by artificial attempts to induce oestrum. Ulceration of the lining Mucous Mem- brane. Yeoman's case. Hydeombtea or Hydrops utebi. TJiebinb Displacements. Hbbnia utebi v. Hystbbooele. Bainard's case. Selle's case. Corby's case. Kopp's case. Torsio uteri. Pbolapsus utebi or " Inversion.'' Differential diagnosis. Restoration by taxis; Amputatio utebi, or Excision of the Womb. Leech's case. Broad's , inethod. Brown's case complicated with Uterine Tumour. Uterine inertia (Fleming). Post-partum Hjeiiobrhage. Mayhew's case. Lacebation op the Vaginal Walls. " Cancer?' or Tumoues op the Vagina. True Canceb. Lipomata. Condylomata, " Warts." Fibromata. Polypus. Leucorrhcea. Inversio v. Pbolapsus Vagina. Bainard's method of amputation. " Infibulation." Passage op the Catheteb. PARTUBITION AND OTHER SPECIAL PHYSIOLOGICAL PHENOMENA OP THE FEMALE : (Estrum. Superpcetation. Spurious Pregnancy (Fleming's account). Absence of oestrum. Constant desire. Pbegnancy : False pains. Hygiene of pregnancy. Parturition : normal. Difficulty not common. Beasons for this. Malposition of the Foetus. Assistance to be rendered at parturition. Premature Birth and Abortion. Delayed Pabtubition. Opebatite Intebpebenoes : embryotomy. Ompha- lotomy. Mayhew's Parturition instrument. Extractors. Forceps. The crochet, as described by May hew. The new-born pup and foetal membranes. Monstrous conditions. Moles or anidian monsters. EXTBA-UTEBINB FETATION. CESAREAN OPEBATIONS : Franck's statistics. Feser's cases. Adam's method of operation. After- treatment of Parturient Animals. Overstraining the milking powers. Adoption of a foster mother. Liability of bitch to eat her pups. The lochia. Appendix.— ORGANS AND PROCESS OF LACTATION AND THEIB DISOEDEES : The mammary glands and milk. Beten- tion op Mile. " Milk abscess," and concretions in the ducts of the teats. Mammitis. Lacteal Fistula. Malignant Gbowths op the Mammaby Gland. Tumours. To " dry up" a bitch. Warty growths and " chaps " of the teats . . , 165 — 198 CHAPTEE IX.— THE NEEVOUS SYSTEM. Extreme nervousness of temperament of some breeds of dogs as a special feature in canine surgery and medicine. Neuralgia. Williams's views as to mental disorders. Epilepsy. Vertigo. Megnin on epileptiform acariasis. Mayhew's precautions for dealing with " fits." Apoplexy, the parturient form. Injubibs to the Head Concussion, Compression, Fracture (Symond's case), Apoplectic com- XIV CONTENTS. PAGE plications. Encephalitis : Leblanc's case. Gowing's case. Hydbo- oephaluS: Illustrative case. Parasites. Paealysis. Blaine on Acupuncturation. Stross on spinal pachymeningitis. Locomotor ataxy. Pueepebal Eclampsia : Fleming's account of this disorder. Chobea or St. Vitus's Dance. Gowers and Sankey on its patho- logical anatomy. Harley's artificial production of the disease. Cbamp. Tetanus. Opisthotonos and Pleurosthotonos. Coats on the pathology of the disorder . . . 199 — 213 CHAPTER X.— THE ORGANS OF SPECIAL SENSE. THE EYE : Anatomical comparison with that of horse. Ulceration op the Eyelids : " Watery Eye," entropion, ectropium, trichiasis. Obstruction of the Lachrymal Duct. Laceration of the Supra-orbital Ligament. Tumoubs on Cabtilago Nictitanb. Conjunctivitis and Simple Ophthalmia. Granular conjunctivitis. Uloebation op the Cobnea. Staphyloma. Opacity. Deopsy op the Aqueous Chambeb. Traumatic distension of the eyeball. Deb- moid Tumoubs. Catabaot. Accidental extraction of the lens by a cat. Amaurosis. Dislocation op the Eyeball. Extirpation of the Eyeball. Persistence of Membrana pupillavis (Youatt). In- flammation of the iris and choroid. THE EAR : Ear-ache. Otitis. Deafness, peculiar form resulting from too low " cropping." Intbb- nal Cankeb, Coculet's treatment. External Cankeb. Amputa- tion of Dogs' Ears (" cropping " or " rounding "). Ear caps (Peuch's, Hill's, Mayhew's). Ticks in the Eab. Scurfiness of the flap. Hematoma or Seko-s anguineous Abscess OP the FLAP : Hunting's, Mayhew's, and Trinchera's method of treatment. Aubiculab Acabiasis : accounts by Megnin and Nocard. Polypi of the Ear. THE SKIN : Empirical notions on the subject. Views of various canine pathologists. Anatomy of the skin of the dog. Foulness. Simple Ebythema. Eczema (True dermatitis or "Surfeit"). Pityriasis and psoriasis. Gamgee on mercurial eczema. Pruritus. Alopecia or " Baldness." Vbbbuoe or " Warts." Anasabca. Erysipelas (?). PARASITIC AFFECTIONS. DERMATOZOA: General remarks on the diseases to which they give rise. Tbue Mange or Sabcoptic Scabies. Detection of sarcoptes and symbi- otes. " Dry," " scabby," and " watery " mange. " Red mange." Special points concerning the treatment of parasitic skin diseases. Blaine on mange dressings. The preparations suggested by different canine, pathologists. Folliculab Mange. The characters of Demodex folliculorum. Gruby's experiments with it. Hunting on treatment of the disease. Various authors on this subject. Skin CONTENTS. XV PAGE disease due to Leptus autumnalis, the Harvest Bug, described by Friedberger and Fleming. Ticks : Anderssen on the bush tick of South Africa. Fleas: various methods for removal of them. Lice. The Debmatophytic Diseases op the Dos : their general characters. St. Cyr's conclusions. Tinea tonsubans v. " Ring- wobm." Not to be confounded with Simple Herpes. Tinea Favosa v. " Honeycomb Ringwobm." . . . 214— 244 CHAPTER XI.— THE LOCOMOTOR SYSTEM. Separation of Epiphyses. Fbactube : of walls of cranium, of lower jaw, of vertebral, of ribs, of pelvis, of bones of the fore limb. Treat- ment of fractures. Blaine on application of splints. Peuch on fractured tibia. Mayhew on setting fractures. Fractured meta- tarsals. False Joint. Dislocations : of elbow-joint, of shoulder, of knee, hock, patella, coxee, femoral-joint, small joints of the foot. Luxation of the lower jaw. Anchylosis and Exostosis. Stiff joints, splints, spavins. Spbains. Laceration of the trapezius muscle in the cat. The FOOT : examination of it as to soundness. Sore or over-worn Feet. " Founder." Mange as affecting the feet. Sinuous ulcer beneath the Claw. Thorns. Wounds. Overgrown Claws. Amputation op the Toe. " Dew Claws." Parasites be- tween the Toes. Congenital Depoemities op the Limbs. Wolsten- • holme's case. Tenotomy. Cancerous diseases of Bones, Ostitis, and Periostitis. Amputation of the whole limb . . 245 — 257 CHAPTER XII.— POISONING. In its practical aspects. Toxicological and other experiments with drugs on dogs. Idiosyncrasies of these animals. Cabbolic Acid, its specific action on carnivora. Broad, of Bath, his method of using it with safety, and his treatment for carbolic poisoning. Kuude's treatment in the same emergency. Tobacco Water and Hellebore solutions. Mebcuby Compounds. Eczema mercuriale. Bennett on the effects of mercury on bones and its analogy to supposed syphilitic lesion's. VEGETABLE POISONING. Not common in dog. How he obtains mineral poisons. Treatment. Stbychnia. Valenti on monobromide of camphor. Feser on the toxic action of strychnia nitrate. Butler's successful case of strychnia poisoning. Lead poisoning. EUTHANASIA. Carbonic-acid poisoning (Dr. XVI CONTENTS. PAGE Richardson). Electric shock. Drowning. Prussia Acid. Snake Bite. Curara poison. Not to be used in vivisection. Stings of venomous insects .... 258 — 264 CHAPTER XIII.— MINOR SURGERY. Tusioues : Malignant. Frequent in dog. Care essential when using chloroform for operations. Melanosis. Sarcomata. Non-malig- nant, Fibrous or Fibro-vascular growths, Simple fibroma, Fibro- cystic Tumours. " Capped hock " and " Capped elbow." Warty growths. Fatty and Osseous Tumours. Wounds : their general nature, causes, and peculiarities in dogs. Reference to Parkes' experiments on gunshot wounds of the abdomen. Fleming on the best method of separating and securing fighting dogs . 265 — 268 Tabulae Statement oe Medicines eob Inteenal and External Use ...... 269—277 LIST OF ILLUSTRATIONS. Fia. PAGE 1. Physiognomy of disease in dogs as depicted by Mayhew — Pneumonia 9 2. „ „ „ „ Asthma . 9 3. „ „ „ „ Gastritis . 9 4. „ „ „ „ Colie . 9 5. „ „ „ „ Rheumatism 9 6. 7. Administration of medicines — pills (Mayhew) . . .15 8. „ „ liquid (Mayhew) . . .16 9. Dog seton needle (Feuch and Toussaint) . . . .22 10. Bandages for ears and abdomen (Peuch and Toussaint) . .24 11. Method of fastening tape on a dog's nose to muzzle him (Mayhew) 25 12. Figure of mad dog (furious stage). After Sanson . . .29 13. „ „ (dumb form). After Sanson . . .32 14. Pince collier pour saisir le chien (Peuch and Toussaint) . . 39 15. Bouley's sticks and rope for seizing suspicious dogs . . 39 16. Wire muzzle (after Fleming) . . . . .46 17. BourreFs rasp and gag for teeth (Peuch and Toussaint) . . 47 18 — 21. Distemper organisms (after Krei jewski) . . .49 22. Surra organisms, spirilloids . . . . . .58 23. Rachitic dog (Hill) ....... 67 24. General representation of circulatory organs of the dog (Chauveau) 74 25. Fatty degeneration (Quain) . . . . . .75 26. Fatty infiltration (Quain) . . . . . .75 27. Pentastome (Cobbold) ...... 85 28,29. Parasites of verminous bronchitis (from Hill on/ Dogs,' after Osier) 93 30. Arnold's patent syringe for intratracheal injection . . .97 31. Arnold's improved patent hypodermic syringe . . .97 32 and 33. Dog's teeth (Chauveau). Anterior and lateral views . 99 34. Intestines and omentum major (after Chauveau) . . . 109 35. Throat forceps (Arnold) . . . . . .110 36. Stomach (after Chauveau) . . . . . .118 37—39. Parasites (after Stonehenge) .... 134, 135 40. Liver, &e. (from Fleming's translation of Chauveau's 'Anatomy ') . 140 41. Liver disorder (Mayhew) ...... 144 42. Distoma conjunctum (after Cobbold) .... 146 b XV111 LIST OF ILLOSTBATIONS. fig. PAGE 43. Pancreas (after Gamgee) ...... 148 44. Eustrongylus gigas (after Cobbold) ..... 155 45. 46. Cystic calculi (after Morton) ..... 157 47. Os penis (after Strangeways, by Vaughan) .... 165 48. Gravid uterus of a muciparous mammal contrasted with that of the human female (from Fleming's ' Obstetrics ') . . 182 49. Mayhew's parturition instrument ..... 188 50. Mayhew's crochet ....... 189 51 — 56. Forceps and extractors of various kinds (after Fleming) 190, 191 57. Fcetus in its membranes (Fleming) ..... 192 58 — 61. Aspects of cerebral hemispheres of cat, life-size . . 202 62—65. „ „ of dog (retriever), life-size . 203 66—68. Ear-caps— 66 (Peuch and Toussaint), 67 (Mayhew), 68 (Hill) 222, 223 69. Sarcoptes canis (Gerlach) ...... 231 70, 71. Parasites in skin-follicles of dog, follicular scabies (Williams, after Gruby) . . . . . . .235 72. Acari folliculorum in hair-follicles, and also in sebaceous glands (Gruby) . 236 73. Leptus autumnalis (Friedberger) ..... 239 74. Achorion Lebertii (after Fleming) ..... 242 75. 76. Achorion SchSnleinii, illustrating stages of development (Ben- nett) ........ 243 77. Thalli, mycelia, and sporidia of Achorion (Bennett) . . 244 78. Tinea favosa crusts in various stages (Bennett) . . . 244 79. Skeleton of the dog (Chauveau) ..... 247 80. Method of setting fractured legs (Mayhew) .... 249 81. Bandage for fractured scapula (Hill) .... 251 82. Dislocation of Bhoulder-joint (Hill) ..... 251 83. Muscles of forearm and foot of the dog (Chauveau) . . 253 84. Muscles of antero-external aspect of forearm and foot (Chauveau) . 255 85. Bones of forearm and foot of dog (Chauveau) . . , 255 86. Skeleton of dog illustrating the effects of mercury (Bennett) . 260 87. 88. Two views of the femur of the same (Bennett) . . . 261 THE DISEASES OE THE DOG. CHAPTER I.— INTRODUCTION— GENERAL REMARKS. A woke on the dog has an all but universal interest. It is almost impossible to enumerate in full the various sport- ing uses to which this noble and sagacious animal has been put : greyhound, foxhound, beagle, and their allies ; pointer, retriever, setter, spaniel; terriers of various kinds and most mongrels are all more or less used in sport, and all by their conformation and mental qualities have been adapted to their special duties through the long-continued and skilled regulation of their breeding operations by intel- ligent men. In war the use of dogs is reviving ; recently an organised dog service for sentry duty at outposts has been officially originated in Russia ; and it certainly seems a legitimate method of defence in those wars where the acute senses and stealthy movements of the savage are apt to be pitted against senses blunted by civilisation and movements cramped by discipline. The fierce bloodhound tracking the runaway negro slave through marsh and over mountain may not be pleasing to our minds, but when we see his instincts turned to the detection of murderers and other criminals we agree that they are being put to a legitimate use. In agriculture throughout the world the dog finds scope for honorable and useful work, whether in the care of sheep, in the extermination of predatory rodents, or the defence of farm buildings. In travel, 1 2 THE DISEASES OF THE DOG. whether in search of the Poles or " Through the Dark Continent," the dog is a necessary part of the bold explorer's equipment. In trade some use is made of the dog in the defence of property ; but his qualities are not mercantile, he is adapted neither for pack nor cart, and although attempts have been made to force him to settle down to the quiet ways of trade in the service of the cats'-meat man, happily the law has stepped in to prevent such a perversion of the uses to which the dog was intended by nature. Arctic explorers, indeed, above the highest latitude of the reindeer, legitimately use teams of dogs of the grand Esquimaux breed, but serious mortality from epizootic diseases is a sad drawback to such use, and threatens the poor Esquimaux with practical loss of his best friend. The humane operations of the dogs of St. Bernard are well known. We have hitherto represented our canine companion as an essentially feudal animal, and so he remains to the end ; prompt in attack, sudden in raid, fierce in onslaught, obstinate and relentless in pursuit, skilled in the driving and protection of flocks, watchful on guard, and, withal, of an adventuresome and exploring turn of mind — when not more seriously engaged bringing all his valuable faculties keenly to bear on the chase — that " mimicry of noble war •" altogether he much reminds us of a Border forayer such as Scott loved to portray. Although thus bold in the field he is also a very accomplished " Carpet Knight ;" his eyes beaming with intelligence and trustful love, his docile temper, his lively temperament, all his points and qualities adapt him as the trusted and loved companion of woman and the friend of man. He has often become strangely changed in con- sequence into the so-called " fancy " breeds. To fit him for the boudoir and the dwelling-house man has so arti- ficially selected him that some dogs have no hair and others are completely concealed by their more or less beautiful locks ; some dogs are light of limb as the most delicate deer, others resemble a prize-fighter in build • some have their faces so shortened that there is no room INTRODUCTION. 3 for the full complement of teeth granted by nature, and some all but entirely refuse their natural flesh food and become as pampered and fastidious in their diet as human epicures. But man's interference with the works of nature has not been without its drawbacks. As the varieties of the dog are so numerous and his uses so varied, we find that his diseases and accidents are very important and diver- sified. Whereas the hunting dog generally suffers little from disease and much from accidents to which his reiving habits expose him, and spends his life in a state of hard " condition," at the other extreme we find the ladies' lap- dog, whose stomach refuses all but the most delicate morsels artificially prepared, whose limbs can scarcely support his weight, whose natural atmosphere is that of a close and heated room, and who has become petulant and snappish through the enervating influence of his surroundings. It is commonly said that so diverse are the manners of dogs of the sporting and fancy breeds, that he who is competent to treat the diseases of the one is not best adapted to deal with those of the other. This is not correct. The science and practice of canine pathology is applicable to all dogs — for " a dog is a dog all the world over." The skilful practitioner duly con- siders all the special features of each case, both in the determination of the nature of an attack and in the adop- tion of proper remedial measures. He certainly has a very difficult task, for in no branch of medical practice are the cases more obscure, the action and doses of medicines more complicated, and the niceties of treatment more elaborate than in canine surgery and medicine. It may well be asked whether the practitioner of human medicine or of veterinary surgery is the more competent to treat the dog when diseased. On the one hand, it may be urged that the dog is now practically an omnivore ; he lives in such close association with man that he is affected by like disease-producing influences and is exposed to the same contingencies of life. On the other, that the educa- tion and practice of the veterinarian is the more universal 4 THIS DISEASES OF THE DOG. and varied, and that he is specially instructed in the details of disease, anatomy, physiology, and therapeutics of the dog. The latter considerations must bear the most weight, but we must not lose sight of the fact that in the present day veterinary science is becoming so complex that during the period of time devoted by students to it but little attention can be given to the details of canine science, which needs, however, much care and time for appreciation of its specialities. Thus few veterinarians are really good canine pathologists, indeed it is only in London and some of our other large cities, where competition is keen and valuable dogs are numerous, that a veterinary practitioner can afford to consider dog practice on a par with that of horses and cattle. Any veterinary student at college can obtain a good practical and a fair theoretical acquaintance with the diseases of the dog ; only a few graduates can afford to develop this knowledge into a speciality of prac- tice. These remarks are made with a view to thoroughly establishing the position that to be a veterinary practitioner is not necessarily to be a canine practitioner; the two classes of practice, although generally combined, are really quite distinct. At the same time the veterinary surgeon is by education and practice best adapted in all cases to treat diseases of the dog. Touatt and Blaine in the past and Cowing of Camden Town in the present, are notable instances of veterinary surgeons who were (or are) also accomplished canine pathologists ; and if asked to enume- rate some London canine pathologists of the present time we may reply Go wing of Camden Town; Rowe of Regent's Park ; Hunting of Down Street, Piccadilly ; and Sewell. We name them in no spirit of advertisement, nor as imply- ing that they are not also skilled veterinary surgeons, but simply with a view to giving honour where honour is due we mention them as specialists in canine pathology, who are assisting to lay the foundation of an enormous development of this branch of medical science. Mr. Hunting started some little time ago a course of special instruction in canine pathology, but the movement was in advance of the times, and, we believe, was, after INTRODUCTION. the first course, discontinued. There can be no doubt that before long the public will be sufficiently impressed with a movement of this kind to give it adequate support. Pew branches of medical practice are more beset with empirics than this. We are constantly hearing of men who are " good hands with dogs/' who certainly have attained a fair amount of skill in minor operations and nursing, and so are better than the absolutely ignorant, but who are not to be trusted in the treatment of disease, for they have a knowledge neither of the interior economy of the dog nor of the action of the medicines which they use. They like medicines which show some clear and indubitable evidence of their action, hence the very frequent and excessive use commonly made of emetics and cathartics in canine practice. There is a delicacy of manipulation and a refinement in practice needed in the medical treatment of dogs which is not required so much in the treatment of larger animals. The tissues are very delicate, the nervous organi- sation is high, these patients can be more readily handled and controlled than the larger forms, and are generally nursed and tended with greater assiduity. Much tact, too, is needed in management of dog owners, especially where the fancy breeds are concerned. The pain neces- sarily inflicted at times for the ultimate benefit of the patient proves distressing to the fair owner ; instructions as to strict regimen are liable to be infringed through mistaken kindness ; and there are a number of other disturbing elements in most dog cases with which the medical adviser soon becomes familiar. The dog, as a carnivorous mammal, differs from the herbivora in a number of essential and important respects. That his movements may be prompt, free, and swift, his skeleton is light, and its component parts dense to atone for want of bulk ; they are also numerous, and have well- developed processes for the attachment of muscles. There is not nearly so much fibrous tissue in the carni- vora as the herbivora, the muscles of the former being adapted rather for sharp powerful action than for sus- 6 THE DISEASES OP THE DOG. tained and slow exertion. We find (for instance) none of those remarkable fibrous arrangements by which the horse is enabled to sleep standing and to thoroughly rest himself without lying down. The digestive apparatus is relatively much less bulky, especially the dental and intestinal portions. The molar teeth being small and short-fanged the skull requires neither large sinuses nor bulky jaws, hence it is light, and only a very small liga- mentum nuchas is required, with which again is asso- ciated the absence of long anterior dorsal spines, such as constitute " withers." The flesh food is easily digestible, and so the main operations of the process are carried on in the stomach, which is large, while the bowels are short, straight, and small ; consequently the total bulk of abdo- minal contents is small, and so the belly has but little superficial abdominal fascia to support its viscera. Vigo- rous and active movements entail a well- developed nervous and circulatory system, and from this result also well- developed kidneys, liver, and lungs ; the latter being associated with wide air-passages, and a remarkably elastic and capacious chest, which narrows anteriorly to allow free play to the fore limbs. These latter are some- what prehensile as well as adapted for locomotive purposes. Thus, there is a small clavicle, the ulna is very well developed and freely rotatory on the radius, and there are five digits armed with claws and each more or less endowed with special muscles. In the hind limb the arrangements are on very much the same pattern, but the power of rotation is much more limited, and one digit is atrophied and thrown out of work. All the organs of sense are well developed, as being much required to enable the animal in a state of nature to procure its food, also the emergencies of its life sharpen its faculties, increase its intelligence, and enlarge its brain. As the young are born in a very helpless state and are naturally subjected to many emergencies and vicissitudes dogs are polyparous, the number at a birth varying much. When nature's means of preventing dogs becoming over-numerous (such as the influences of starvation and the predations of more INTRODUCTION. I powerful carnivora) are partially or wholly inoperative the effects are very serious. This is seen to an extent in some Eastern cities in the present day, where dogs go about in bands and prove a great nuisance; also the early Australian colonists had to wage fierce war against the dogs, who bred freely and preyed upon flocks of sheep. Liability to disease is directly influenced by the size and functional activity of organs, semi-wild dogs are not predisposed to any special diseases, but artificial selection materially alters the state of affairs. It dis- turbes the wholesome balance which has been by nature established between the organs and systems of organs, and those parts which become especially developed are thereby predisposed to disease. The deleterious effects of domestication are very well marked in the prevalence of nervous disorder and cancer among fancy breeds, of rheumatism among sporting dogs, and of canker of the ear and mange among long-haired and long-eared animals. Almost all the disorders of dogs thus arise from man's mismanagement and tampering with natural conditions. Disease is not a necessary attendant on variation, but the latter must be considered a most impor- tant predisposing cause. We must accept as established by observation the following statements : — That carnivora among mammals have, as such, some special features of disease ; dogs among carnivores, different breeds among dogs, and individual dogs among those of a breed ; or, in other words, order, genus, species, variety, and individual, influence the type and character of disease. Want of care in regulation of surrounding influences is a fruitful cause of disease ; by gradual change the con- stitution may become adapted to the most varied condi- tions of diet, climate, and work, but -sudden transitions throw the animal economy into disorder. Thus the dog has almost become a herbivore in some cases, and indeed generally is an omnivore ; so greatly has the influence of changed diet affected the system that the very teeth are altered accordingly ; but if we suddenly change any dog 8 THE DISEASES OF THE DOG. from a flesh diet to meal food disease will result. Again, with regard to climate, no animal has become more universally diffused than the dog, and he has become adapted by variation to the climate of each country, but ordinary English breeds if imported into India rapidly succumb to the exhausting effects of sudden change of climate, unless they be taken very great care of. Finally, although largely due to the effects of breeding, the marked difference between the greyhound and the bulldog is also a result of their special work, and neither could be put to the work of the other without serious ill- consequences. Age, sexj and various physiological con- ditions, such as those of lactation and pregnancy, are, in dogs as in other animals, active predisposing causes of disease. The exciting causes in general are too numerous to bo mentioned in detail here. The general stmptoms of disease in the dog are, in the main, departure from ordinary habits, such as dulness, want of appetite, an unthrifty appearance, the animal being unsocial and endeavouring to hide himself, — they consist in those slight divergences from ordinary habits which will best be recognised by the master ; soon more marked signs of disorder set in and enable us to diagnose the case.* Fever is an accompaniment of most diseases and is easily recognisable ; we shall treat of it in detail hereafter. Although the arterial system of the dog is well developed, the pulse is not so good and reliable a guide as it is in diseases of the horse or man. Many dogs are very nervous, and it will be found that when they are handled by a stranger the pulse runs up so rapidly as to render it anything but a reliable guide. It should always be taken, however, and with as much gentleness as possible. The character of the beat gives us some information, and the knowledge thus acquired increases with experience. The number can best be taken at the heart by placing the * Mayhew lays great stress on the physiognomy of disease in dogs, and rightly so. Although his illustrations (as appended) are exaggerated they have a certain value in fixing on the memory the position assumed in various disorders. INTKODUCTION. Fia. 1. — Inflammation of lungs. Fig. 2.— Asthma. Fia. '3.— Gastritis. Fia. 4.— Colic. Fia. 5. — Rheumatism. (The physiognomy of disease in dogs, as depicted by Mathew.) 10 THE DISEASES OF THE DOG. hands firmly one against each side ; the heart-sounds are distinct on auscultation. The character of the beats can be determined either above the wrist (as is usual in human practice), or inside the elbow, or from the femoral artery inside the thigh. The normal beat of the dog's pulse averages 100 — 120 per minute, but the character as well as number of the beats varies much with the breed.* The respirations can best be taken by auscultation or by observation of the movements of the nostril, but they vary so much in health as to afford us really very little guidance. The colour of the mucous membranes gives us the best indications of the state of the circulation ; the state of the skin and nose, also the temperature of the limbs, assist us in our diagnosis. Auscultation is our main guide in testing the respirations and heart's beat. Also we can learn much from the general behaviour of the animal and the state of his ejecta is of value in informing us as to the nature of his diseases. The internal temperature has only recently been recog- nised as a valuable guide in canine diagnosis and pro- gnosis ; the thermometer may be inserted inside the cheek, or in the anus, or vulva. The range in normal internal temperature of the dog is 100° — 104° F. Prognosis is generally favorable ; it is really wonderful what serious injuries dogs will undergo without fatal effects, and disease makes serious ravages before death ensues, but we must always remember the liability of dogs to sudden death from convulsions. Treatment of dogs is a very delicate matter ; the doses to be given are small and require careful adjustment, often frequent repetition. In canine more than veterinary practice "placebos " are required ; the whims and humours of the dog and owner must often be tolerated, and inert agents administered, lest the owner think nothing is being done and be tempted to interfere with the case. There is much scope for zeal and energy of the nurse in superin- tending the numerous details of care of the sick animal. * "When a dog pants violently his circulation may be considered as quickened " (Blaine). INTRODUCTION. 11 In canine almost as much as in human practice must allowance be made for nervous influences. To those accustomed to handle only our domesticated herbivora under disease it will be somewhat difficult to recognise that sometimes in canine patients the nervous irritability constitutes the most serious feature of the attack. Chloral, opium, and ether are recognised as assuming a high place in the catalogue of dog medicines, and such nerve tonics as nitrate of silver and strychnia, also coffee and tea, are useful in the hands of the skilful canine physician. It is to ladies' pets, drawing-, and bed-room dogs, in fact, that these remarks especially apply — they are extremely tender under disease and suffer from intense mental feeling, and are particularly liable to chorea, fits, paralysis, and other nervous phenomena. It has been remarked, too, that in them delirium usually precedes death. Among such animals we sometimes find " malingerers " ; strange as it may seem, it is an indubitable fact, amply established by expe- rience, that many dogs at times feign sickness deliberately, perhaps with somewhat the same instinct as leads the fox, when hard pressed, to " sham " death. Again, it is such artificially bred and reared animals which, like spoilt children, require the greatest tact and gentleness with firmness on the part of the physician or surgeon in handling them for various purposes. They are apt to prove refrac- tory, especially in the presence of their fair owners, who are too apt to support them in their mutiny against medical authority. There are a number of small details as to the handling of strange and refractory dogs which are to be learned in the school of experience. We must here insist that boldness is essential, freedom from roughness and the infliction of unnecessary pain must be adopted, and seclusion during the examination of the patient. The nervousness of dogs renders attention to the details of nursing very essential in canine practice. Fortunately, as a rule dogs have kind friends and caretakers, who will willingly do what they can to lessen the pain and discom- fort of sickness, and are only apt to err on the side of f ' doing too much." 12 THE DISEASES OF THE DOG. The details of nursing consist in strict attention to the animal's comfort and well-being in such matters as food, air, bedding, and administration or application of medica- ments ; warmth is of much benefit to sick dogs, for it is found that convulsions are apt to result from exposure of them to cold ; extreme quietude and unobtrusiveness in treatment, regular administration, as gently as possible, of remedies in exact accordance with instructions ; strict cleanliness of the patient and his surroundings, comfortable arrangement of his bed, and free supply of pure air are details to be attended to in nursing. The diet must be tempting and thoroughly clean, but little weaknesses of the patient, as for pork or horse-flesh, should not be yielded to, nor the animal allowed to eat to excess. Some articles of diet are too stimulating to the skin and bowels to be admissible as food for sick animals. Food, except when used as a vehicle for medicines, should never be forced on a patient. A suitable diet (generally of boiled rice flavoured with a little soup, gravy, beef tea, or chicken broth) should be placed before the animal fre- quently, but if refused taken away and rejected, fresh food being placed before him the next time. Some forms of dog food may with advantage be used semi-medicinally, thus greaves or boiled cabbage mixed with soup causes a looseness of the bowels, and unboiled liver is valuable for a similar purpose, and will be taken when the vegetable matters are persistently refused. Boiled liver is of less value, but useful. In dogs used for outdoor work horse- flesh is valuable for conditioning, but except when much work is done it produces irritation of the skin and foul smell of the body, and is, therefore, described as " heating " ; oatmeal has a similar effect. Certain articles of dog diet are commonly spoken of as " causing worms " or " pro- ducing mange," terms which require a little explanation ; tapeworm is certainly more liable to result from a flesh than from a vegetable diet, but will not be generated by the former if care be taken to ensure the absence from the meat of cystic larvae of taeniae, such as echinococci in the liver, slender-necked hydatids appended to the INTRODUCTION 18 abdominal viscera, or measles in the flesh. No food can produce true mange, but stimulating articles of diet can produce the rashes and congestions of the skin commonly known as surfeits. Sick dogs seldom require washing entirely, as do healthy dogs occasionally, but the patient maybe much refreshened by careful cleaning of the natural orifices with tepid water and by such slight grooming, in the form of combing and brushing out the coat, as suffices to prevent matting of the hair and the skin becoming foul. The amount of attention to the skin must be carefully regulated according to the case. Exercise, with care not to weary the animal, should be given in the fresh air whenever the case admits of it. Mayhew's remarks on the examination of DOG patients are very much to the point : " Petted dogs are best examined away from their homes and in the absence of anyone who has been in the habit of caressing them. ... I usually carry such dogs into a room by myself, and commence by quickly but gently lifting them off their legs and throwing them upon their backs. This appears to take the creatures by surprise, and a little assurance soon allays any fear which the action may have excited. The dog seldom after resists, but permits itself to be freely handled. Should, however, any disposition to bite be exhibited, the hand ought immediately to grasp the throat, nor should the hold be relinquished until the creature is fully convinced of the inutility of its malice, and thoroughly assured that no injury is intended towards it. A few kind words, and the absence of anything approaching to severity, will generally accomplish the latter object in a short period." The relations of diseases of the dog to those of other animals, especially man, is a matter of importance upon which we shall have sometimes to lay great stress; in reference to rabies and parasitic diseases this branch of our inquiry attains its greatest importance. 14 THE DISEASES OF THE DOG. CHAPTER II. — CANINE PHARMACY, MATERIA MEDICA, AND THERAPEUTICS. Bearing in mind the nature and peculiarities of our canine patients, as above indicated, we must consider the specialities of canine pharmacy. Many tasteless pills of various sorts are to be purchased from the veterinary phar- maceutical chemists in London and other large towns, and they will be found neat, clean, cheap, and convenient for every-day routine practice, but they cannot be relied on to meet all requirements. As excipients, diluents, and placebos the syrups have some value, as that of poppies, of buckthorn, and of squills, in addition to their more active medicinal effects. Honey, too, more frequently finds a place in canine than in veterinary practice. Medicines, pleasantly flavoured, can be given as electuaries, placed on the animal's tongue for him to suck in, but generally for dogs the pill, draught, or enema is advocated. Pills may be given much larger than those generally used, but the small ones give least trouble ; it is better, however, to give one large pill than several small ones. The following details require consideration in the administration of pills. Firstly, the size of the animal. When it is small it must be taken on the lap, when of medium size placed standing on its hind legs with, in both cases, its back to the operator. If the animal be very large the operator must stand with it between his legs. Secondly, some animals fight and scratch with the fore paws ; their limbs must be held by an assistant or a cloth tightly tied so as to bind them to the chest. Thirdly, the jaws must be separated and kept apart. This is generally done by placing one hand so that the palm rests on the upper part of the muzzle, and pressing, with the fingers on one side and the thumb on the other, the soft parts of the CANINE PHARMACY, MATERIA MEDICA, AND THERAPEUTICS. 15 cheeks between the molar teeth ; every effort to bite then pains the animal itself (Fig. 6). Sometimes it is necessary to draw the jaws of very large dogs apart by tape tied one piece round each jaw behind the tusks and drawing them Pig. 6. Fig. 7. Administration of medicines. (Mathew.) forcibly apart, but the head must at the same time be sup- ported firmly from behind, in order that it may not be drawn away. Fourthly, with the unoccupied hand the pill must be placed well in the isthmus of the fauces, on the back of the tongue, and generally it is an advantage to give it a forcible impetus backwards by pressure from the index finger (Fig. 7) . In a little while, the animal having been at once released but his mouth kept shut, he will (on being allowed to open the mouth again) begin to lick his nose, and, if not very sick, to wag his tail, evidently well pleased with himself. This method of administration presents difficulties only in the case of large, strong dogs and to them, if not "off their feed," it is better to administer tasteless substances placed in the centre of a piece of meat which will be promptly bolted. Even substances with some strong taste or odour may be given in this way, but it should never be adopted in the case of animals with doubtful appetite, as they may discover or suspect the deceit and go altogether off their feed. Some substances of a pleasant taste or smell can 16 THE DISEASES OP THE DOG. be given in food or water, a very useful method in cases which require a long course of alterative or other treat- ment. To prevent expulsion of medicines by vomition, the head may be kept elevated for half an hour after administration. Dbaughts should seldom exceed a wineglassful in bulk, generally a dessert-spoonful as a dose will suffice. They may be given with a spoon or from the phial itself. The dog being placed as above directed for giving a pill, the third act consists in drawing out the loose, soft part of the cheek so that it may form a sort of funnel when the head is elevated (Fig. 8). The head should be held up by an assistant. One hand of the administerer is used for pull- ing out the cheek and the other for pouring in the liquid gradually to replace that which trickles between the molars and down the animal's throat to be swallowed in successive gulps. A very small amount of liquid may be given by simply pouring it from a teaspoon on to the back Fig. 8. — Administration of medicines. (MATHEW.) of the tongue, the mouth being held open as though for giving a pill. Coughing or attempts to cough should cause immediate cessation of the drenching process, but there is less liability to entry of fluid into the air-passages of the dog than of the horse, because the epiglottis of the former animal is relatively much the broader. In cases of emergency, fluid medicines may be administered by means of the stomach pump, or subcutaneous injection syringe ; but CANINE PHARMACY, MATERIA MEDICA, AND THERAPEUTICS. 17 with regard to the latter means, especially, we must remember that in some cases, and with some patients, even the slight necessary puncture might bring on con- vulsions. Bnemata for the dog must be small in bulk because his large intestine is not capacious. They are a very useful means of administration of medicine and nourishment. When judiciously resorted to they may be made to add very much to the comfort of a sick animal by preventing irritant accumulations in the bowel, such as are apt to give rise to colic or convulsions. They prove also directly use- ful for removal of worms when any occur in the large bowel. With some valuable dogs enemata may be required periodically as a matter of kennel routine, and it must be remembered that, almost always, enemata are a safer and simpler means of arousing torpid bowels than doses of purgative medicine. A syringe capable of containing from four ounces to a pint should be used according to the size of the dog. If the fluid is to be retained as nutriment or medicine, it should be small in quantity and of a bland, mucilaginous character. In all cases the nozzle of the syringe should be introduced very carefully and previously well lubricated. In cases of constipation it is always advisable to explore with the oiled forefinger beforehand in order to determine whether there is a large, dry, hard mass of faeces to be broken down. As an ordinary laxa- tive means, warm water with some soap rubbed up in it is the best enema. Mucilage of starch, linseed tea, gruel, broth, milk, and so on, are given as nutritives in the form of enema, in doses of about one pint. When prompt catharsis is to be induced by enema, castor oil, oil of tur- pentine, and common salt, of each half an ounce, may be given with about eight ounces of gruel. As an anodyne enema, useful in certain forms of colic, laudanum, sulphuric ether, and spirits of turpentine, of each one to two drachms, may be given similarly. Canine Materia Medica differs in several very important respects from that of ordinary veterinary practice. Thus emetics assume a prominent place ; a quantity of pleasantly 2 18 THE DISEASES 01 THE DOG. tasting substances, such as the syrups, must be added to the list of excipients ; expectorants and vermifuges are of much importance. Again the question of closes is one which requires careful study and is not to be based on any consideration of the relative sizes of the horse and dog. There are certain special features about the action of some drugs which we shall require to remember. Cathartics. — It is really extraordinary the differences of opinion of various authors about the action of remedies on the dog. The explanation lies in the very great differences in size and habits of the different varieties, so that the town and country canine practitioners arrive at very conflicting conclusions. Thus Prof. Dick prefers jalap one drachm, or an ounce of syrup of buckthorn, to aloes, which he considers uncertain, whereas Blaine and Youatt consider aloes in doses from a quarter to one drachm " the best and safest aperient for the dog." Mayhew says aloes is not a purgative to the dog. We may accept the following conclusions concerning cathartics as fairly correct : — Aloes may be given in very large doses and is uncertain in its action on the dog. It is not a good cathartic for this animal, nor to be relied upon in the treatment of disease. Jalap, in doses of one drachm, is a useful pur- gative ; sometimes it is combined with scammony. Calomel is too violent in its action to be used safely in most cases ; in doses of one to two grains it effectually opens the bowels. Croton oil, one to three drops, acts similarly, but is irritant. Epsom salts (3J to ^ij) is frequently very drastic. Syrup of buckthorn, rhubarb, colocynth, and senna are apt to prove uncertain in their action and cannot be relied upon except as adjuncts. Universal experience seems to have deter- mined that castor-oil is the best cathartic for the dog in doses of about half an ounce ; and the most convenient routine cathartic is that known as the " Castor-oil mixture," composed as follows : — 01. Eicini, 3 pts. ; Syr. Eham. Cath., 2 pts. j Syr. Papav. Bhe., 1 part." Dose, a dessert to a * Most dogs will lap up castor-oil given in milk. CANINE PHARMACY, MATERIA MEDICA, AND THERAPEUTICS. 19 tablespoonful.* Laxative food, such as vegetable sub- stances, should, when time admits, be given previously to the physic, to gently move on any bones or other hard matters liable to become impacted under the influence of the cathartic. Emetics. — We elsewhere deal with the abuse of these important agents. It is to be distinctly understood that they should only be resorted to when we wish to exert a sedative action or to free the stomach from something which is causing or aggravating disease. Thus they are admissible in cases of sedative poisoning, certain forms of epilepsy, and of overgorging with food ; and their adminis- tration requires the greatest judgment. Our main diffi- culty is generally to prevent the animal expelling by vomition useful medicines. A common emetic is a tea- spoonful of salt with half that amount of mustard given in warm water, but there can be no doubt that even this is occasionally dangerously irritant. Tartar emetic, a medicine which scarcely affects herbivora, is violent in its action as a sedative and emetic on the dog. However, it is the best agent with which we are acquainted for the latter purposes in doses of one to three grains. Calomel, in doses of one and a half to four grains, is emetic, but the action of this agent on the dog is very powerful and it is liable to produce violent purgation or ptyalism. Expectorants. — Squills, ipecacuanha, and rhubarb are the best agents of this class. Vermifuges. — Areca nut, in doses of one to two drachms mixed with the dog's food just before it is given to him, is an excellent, the best, tasniafuge, and is also said to drive out round-worms. Administered in this way it will be taken freely. Oil of turpentine is very prompt in its action as a vermifuge, but its administration is said to be attended with danger. However, mixed with twice its bulk of common oil it may be given safely in doses of a teaspoonful to a dessert-spoonful. Other vermifuges such as santonin (gr. j to iij), calomel (gr. j to iij), kousso, helle- bore, and filix mas are used occasionally. A vermifuge should always be followed up by a cathartic dose. 20 THE DISEASES OF THE DOG. Stimulants, Sedatives, and Narcotics sometimes are very violent in their action on dogs of high nervous tem- perament, but tbey prove proportionately valuable in the hands of the skilled practitioner. Opium can be taken in fairly large amounts, the crude gum resin being given in doses oftwo to four grains, and laudanum from half a drachm to a drachm. Blaine in warning us against adopting human doses for the dog, tells us that " a dog could take without any derangement a dose of opium which would destroy a man ; on the contrary, the quantity of nux vomica or crowfig that would destroy the largest dog would fail to destroy a man." Mercurials require the greatest caution in administration to the dog ; tobacco given internally or applied externally is apt to cause death ; and carbolic acid if applied over an extensive surface affected with mange, or licked by the animal, rapidly and fatally disorganises the blood. Chloroform, too, requires the greatest caution in its ad- ministration to the dog, and probably laughing gas would prove much better suited. In many cases there is a diffi- culty in obtaining the anEesthetic effects of the drug and the animal does not rally. Prom experience we may lay down the rule that no animal which is debilitated by dis- ease or with irregular heart's beat should be put under chloroform. It must be remembered that the arguments in favour of the use of Anjlsthetics are not nearly so strong in the case of lower animals as in that of man, that we seldom have the necessary skilled assistants available, that in the dog we have not such command over the pulse in- dications as in man and the larger herbivora, and that chloroform is known to be frequently fatal to the dog. With all due respect to the views of some authors, we are fully of opinion that all minor operations on the dog may be most safely and humanely performed without chloroform. In giving chloroform to a dog we must remember how freely he can and does breathe through the mouth. The best method is to hold a sponge on which chloroform has been poured under a cloth loosely thrown .over the head of the animal, which is held lying on its side CANINE PHARMACY, MATERIA MEDICA, AND THERAPEUTICS. 21 on a table. Gruby has studied the anmsthetic effects of ether on dogs. He gives fifty minutes as the maximum and forty seconds as the minimum time required to bring on intoxi- cation which lasted twelve to thirty minutes. Dogs twenty days old lost their sensibility in three minutes, and died in eighteen to twenty minutes ; adult dogs lost sensation in eight minutes, and died if the action of the ether was con- tinued for forty-five minutes ; copious bleeding recovered young dogs apparently lifeless ( f Veterinary Record,' iii, p. 109). Having thus touched briefly on the leading points to be remembered in canine medicine, administration, and pre- scription, we may remark that ordinary and not dangerous remedies may be given in some proportion to the doses for the horse. Generally in a prescription, grains must be substituted for drachms, and half-fluid drachms for ounces. This rule will be found a useful guide to the student as indicating the maximum limit of doses. A posological table will be found at the end of this work. The subcutaneous injection of medicines has not yet been largely made use of in canine practice, indeed the facility of administration by other methods renders it necessary only in a few cases, and the high nervous temperament of some sick dogs would render the puncture of skin not' altogether free from danger of inducing convulsions. We must now proceed to make a few remarks about Ex- ternal Applications and Minor Surgery. The skin of the dog is readily affected by external stimulants, which, there- fore, may be weaker than would be required for the horse by one-fourth. Their application must be followed by pre- vention of the animal scratching himself and biting the irritated parts. The latter may be effected by means of a wire or perforated tin muzzle, the perforated one having also the advantage that it prevents the patient licking the blistered parts and so suffering from the effects of the cantharides, turpentine, or mercury compound unintention- ally ingested. The Blister used may be in the form of a plaster, ointment, or liquid application ; it is applied as for the horse and the usual after-treatment adopted. This 22 THE DISEASES OE THE DOG. method of dealing with cases is specially required among sporting dogs in injuries, tumours, and, most frequently, joint diseases. Mustard plasters, sheep-skin, soap lini- ment, and other external stimulants familiar to veterinary surgeons are also resorted to in dog practice. Fibing is specially used for greyhounds, and other sporting dogs. The French and Arabs are very fond of it in canine prac- tice. Peuch and Toussaint urge the necessity of firing lightly and with great delicacy by means of a light leaf- shaped cautery with slightly blunted point, heated to a red-brown (about 20° of Daniel? s pyrometer). The patient may be placed under the influence of anaesthetics and the hair cut off. Some advocate the use of copper firing irons in dog cases. Setons are very useful in canine prac- tice, and are generally inserted at the nape of the neck (as in convulsions, chorea, &c.) beneath the throat in coughs, and along the sides in chest diseases. The smallest-sized veterinary seton needle may be used, or one specially manufactured for dog practice with an elliptical cutting head, long narrow shank, and longitudinal eye. Pig. 9. — Dog seton needle. (Peuch and Toussaint.) Fomentation presents no special features except that with long-haired dogs great care is necessary to prevent after-chill, and it is not generally advisable to remove the coat. The canine practitioner has a great advantage over the veterinary in that he can resort to the effects of Baths of various temperatures, which prove most valuable thera- peutic means. The warm hath, at about 76° Fahr., is specially useful in cases of nervous disorder, internal spasm, fainting, and many other disordered conditions, as an anodyne, antispasmodic, and sedative means. The head must never be submerged. The patient must at once be removed on the occurrence of any signs of weakness CANINE PHARMACY, MATERIA MEDICA, AND THERAPEUTICS. 23 such as panting and a tendency to faint. The bath should not be continued more than ten minutes, and the patient should be rapidly dried to an extent, and then wrapped up in a blanket on removal. Occasionally it will be found that the hot bath proves too much for the animal ; he must then be swiftly withdrawn and supported by stimulants. Cold Bathing and Bandaging prove valuable for general or local tonic purposes. The former is specially needed in certain nervous disorders and in atony of the skin, the latter for certain injuries. After bathing or washing of any kind it is well that dogs should have their ears and eyes thoroughly cleansed from soap or water and tho- roughly dried, even with greater assiduity than other parts of the body. In dogs with rheumatic or jaundice ten- dency cold bathing is specially to be avoided, and for routine daily cleansing dry rubbing is to be preferred to washing. Washing should not be practised too often, or it will spoil the coat. The yolk of egg is preferable to soap for cleansing the skin of the dog. We owe this useful fact to Mayhew, who smears the yellow well into the hair, pours a little water on to the back and rubs it up into a lather, then clears it off by copious ablutions ; but, even if some is left on, the dog will not on its account neglect his personal appearance. The egg does not irritate his eyes and skin as soap does. Blkeding of dogs is seldom resorted to in the present day but will occasionally be found useful. It may be per- formed at the jugular or, less often, at the cephalic and saphena. The dog is first muzzled and then held steady j the vein is opened by means of a small fleam as used for sheep, or of a lancet, after having in the case of the jugular been raised by a ligature around the neck and the hair over the seat of operation having been cut off ; 6 — 12 fluid ounces may be withdrawn, but this is rather too much in most cases, Blaine says one to eight ounces may be taken according to the size of the dog. Ohabert agrees that one or two hectogrammes of blood may be withdrawn from 24 THE DISEASES OF THE DOG. a medium-sized dog. The bleeding may be checked by removal of the ligature. Slitting the ear or cutting of the tail are rough means of local bleeding, sometimes resorted to in emergency. Bandaging is especially useful in cases of fracture, hernia, and " canker of the ear." Dogs are very liable to shift ordinary bandages, so pitch plaster, plaster of Paris, gutta percha, and starch are used to stiffen and " set " them in cases of fracture or dislocation. Peuch and Toussaint insert a useful illustration of the means of applying some forms of bandage to the dog. lie. 10. — A. Bandage des Oreilles v. Beguin. B. Abdominal bandage. (Peuch and Toussaint.) Muzzling is valuable from a surgical point of view as a means of protection of the surgeon and assistants during operations ; also to prevent the patient gnawing irritable parts in cases of disease or stimulant applications. The open wire muzzle is the best for general use j occasionally the perforated leather or punctured tin muzzle will be required to prevent licking. The ordinary leather muzzle answers very well in most cases, or a muzzle may be im- provised out of an ordinary piece of seton tape by winding CANINE PHARMACY, MATERIA MEDICA, AND THERAPEUTICS. 25 it around the nose and securing it as in the accompanying figure, which explains itself. Pro. 11. — Method of fastening tape on a dog's nose to muzzle him. (Mayhew.) The fore legs may need to be tied down by means of a towel to prevent the patient scratching. Big dogs may prove unamenable to reason and so need to be put under the influence of anaesthetics even for minor operations. It is probable that canine operative surgery will in time undergo developments to an extent much exceeding that of veterinary surgery. In dealing with dogs we often have exceptional facilities for nursing and also the patients are freely manipulable, hence the strict application of the system of antiseptic surgery is more possible here than in ordinary veterinary surgery. Also the fact that a dog, unlike most larger animals, is generally valued as a friend and companion rather than from a strict pecuniary point of view, gives room for operative interference for simple saving of life without restoration to usefulness, a surgical triumph not likely to lead to thanks from the owner of either a horse or ox in most instances. On the other hand, the domesticated herbivora as a rule require less delicate surgery than does the dog, the parts operated on are much larger, and these patients are much less liable to exaggerated nervous disturbance such as has some- times to be combated by the canine surgeon. 26 THE DISEASES OV THE DOS. CHAPTBE III.— DISEASES OP THE BLOOD. The blood of the dog is estimated to amount to one eighteenth the total weight of the body, its red corpuscles are smaller than those of man. The majority of dogs may be considered as of the sanguine temperament, although the nervous temperament predominates in toy terriers and some of the larger breeds are deeidedly lymphatic. These differences materially influence the doses in which medicaments are to be given, and also, to an extent, the remedies to be resorted to in special cases. The blood diseases of the dog have always been deemed of much importance, even when but two of them were recognised as such, distemper and rabies ; but latterly the addition of many others, such as anthrax, diphtheria, foot-and-mouth disease, glanders, and relapsing fever, to the list have rendered this branch of canine pathology specially important. The non-specific blood affections have been comparatively little studied, but they are fairly numerous and very important clinically. SPECIFIC BLOOD DISOEDEES : Babies.— This formidable disease has a terrible importance from a com- parative pathological point of view, since it annually claims human victims in considerable numbers and induces symptoms which, by their severity and the amount of mental disorder which they comprise, excite the greatest apprehension among the friends and onlookers of the case, together with the greatest pity for the sufferer. Babies has attained a sensational notoriety disproportioned to the actual number of human beings which succumb to it, and which notoriety at times becomes almost morbidly exagge- rated, indeed so much so as to impress excessively nervous, DISEASES OP THE BLOOD. 27 and hysterical persons with the severest apprehension, inducing symptoms almost resembling those of the disease. An average amount of notoriety is a decided advantage as ensuring the necessary legislative and other measures required for the repression of rabies, which otherwise would make headway, to the detriment of man and all kinds of domesticated animals, no species of which, quad- ruped or bird, is capable of resisting inoculation with rabid virus. As we wish to deal with this disease espe- cially on a sound practical basis, we shall in turn deal with its diagnosis and its prevention. We may preface these divisions of our subject by saying a little about the other matters which require notice in a systematic record of a disease. The symptoms of rabies should be examined only in so far as is required for diagnosis, and can be ascertained with safety to the observer and the public. Responsibility lies with anyone who having a dog which he knows to be " mad " keeps him alive and so runs the risk of his escaping and injuring the public* This disease has hitherto resisted curative treatment so obstinately that in ordinary cases destruction of the patient should at once follow exact diagnosis. This is a sound principle to go on, with the distinct reservation that probably, in the future, science will throw light on the treatment of specific disorders to bring about cure, whereas she now can but insist on prevention. We must leave the geography and history of the disorder to be perused in such works as Fleming's on ' Rabies and Hydrophobia,' where the sub- ject is thoroughly dealt with. Thus there remains for our consideration the question of how to determine the disease when present and how to prevent its occurrence and extension. Diagnosis. — Dogs affected with rabies differ much in their mode of manifesting the disorder, such differences depending to an extent on the habits of the animal in health. These varieties in the symptoms have led canine * As has been legally established by a ruling of Lord Kenyon quoted by Yonatt, ' The Dog,' p. 153. 28 THE DISEASES OF THE DOG. pathologists to consider that every strangeness in behaviour of a dog is to be observed with suspicion ; and Bouley has established the rule of always looking at a sick dog with apprehension, especially one which seems too fond of you, considering him to be rabid until proved otherwise. It so often happens that dangerously rabid animals but not known to be mad are brought by their owners for medicinal treatment that this rule cannot be too strictly enforced. It is remarkable that in rabies the owner is the last person to whom the animal is inclined to be aggressive, and, moreover, in certain cases the patient is excessively affectionate, licking the hands and face of his mistress, which practice has in many recorded instances conveyed the disease, especially when a pimple or other small wound has been on the licked part. The popular idea that a mad dog is furious is correct only as concerns certain forms of the disease. In the furious form paroxysms of rage are well marked, and are especially excited by the sight of strange dogs or the glistening of light on the surface of water. The violence of these paroxysms exhausts the animal, so that between them he dozes or sleeps soundly, but if disturbed awakens in a fury. The wrath of the patient varies in different individuals and stages of disease; it either assumes the form of a blind fury, prompting the dog to fly at and worry any strange object, such as a stick inserted through the bars of his cage, or there seems a sort of " method in his madness," which has been considered an "instinctive desire to propagate the affection " ; thus dogs are the special object of aversion, and cats, too, excito the animal to fury, but later herbivora and then men come on the list of those to whom he will do mischief. It is remarked that in the case of rabid herbivora the greatest fury is felt towards dogs, and this is sometimes seen in the case of human beingB. The fury is preceded by a period of strange restlessness, a quickness and irritability of the temper, and sometimes a remarkable amount of treachery. The animal is dull but watchful, and a very characteristic symptom is a tendency to snap at flies or other real or DISEASES OP THE BLOOD. 2d imaginary objects, after watching their course for a little time, as though to obtain a favorable opportunity for the act of aggression. While dozing between the paroxysms the animal often starts up suddenly and wildly. Manifestations of irksomeness of restraint occur early in the case, and the mad dog will show the greatest cun- ning in getting loose. Having done so, he will traverse enormous distances and finally return home, if he has escaped the various dangers of his journey, in a tho- roughly exhausted, perhaps paralysed, condition. The pace adopted is a slow, dogged sort of trot ; at first the Pia 12. — Figure of mad dog (furious stage). After Sanson. animal may go from side to side, evidently intending mis- chief to creatures met by him on his track, but soon he goes straight forward, attacking only when opposed, in a state of semi-stupor, his movements becoming uncertain in consequence of the combined effects of weariness and imminent paralysis. The furious animal is very sudden in his attacks, the unprovoked nature and elan of which overawe the assaulted animal, which is simply rolled over if small enough, and bitten by one or two snaps, and left in the search for a fresh victim. In this way an incredibly 30 THE DISEASES OP THE DOG. large number of sheep may be injured by one dog in a very short time. It has been supposed that sound dogs mani- fest an instinctive aversion to rabid ones, but such is not the case, as has been amply proved. The unfortunate tendency of mad dogs to travel great distances, especially during the night, has much increased the belief in the spontaneous origin of this disease ; the animal which brought it into the neighbourhood having passed through and done the mischief unobserved. Numerous cases of this kind are on record where very strict inquiries have proved instances of supposed spontaneity to be, really, unobserved inoculation. The mad dog is characterised by his contempt for threats and his fearlessness ; this is partly due to perverted or lost sensation and partly to mental perversion, which latter seems in some cases in the dog, as in hydrophobic men, associated with a remarkable degree of self-restraint, so that the hand will be seized with apparent fury, but freed without infliction of a wound after being retained in the mouth and champed for a little while. The question of whether or no this mental aversion extends to the fear of water in the dog and the superven- tion of paroxysms at the sound of falling water, as in man, has been much discussed, because it was thought that the fear of water would be a sound and easily applied test for diagnosis of rabies in the dog. Suffice it to say that it has been amply established that this is not a pathogno- monic symptom, and is altogether insufficient as a test. The rabid animal will approach water freely and drink when not prevented by spasm of the throat or the loss of swallowing power seen in the latter stages ; even then, however, he will endeavour to slake his almost insatiable thirst. The mouth becomes very dry and of a dark purple colour after the disease has been present for some time, and in the " dumb " form the lower jaw drops and the throat is swollen (a symptom which disappears at death). Occasionally the whole head is oedematous, gene- rally the tongue is pendulous, it often has been injured, and the teeth, especially the canines, may have been broken by the furious attempts of the animal to escape from con- DISEASES OF THE BLOOD. 31 finement or to destroy hard objects. In the early stages there is profuse salivation, but this does not last longer than a couple of days ; a small amount of froth may collect at the angles of the mouth, and the patient endeavours to remove it by rubbing with the paws. The animal-in such cases is generally, supposed to have a bone in the throat, a report which must be always looked upon with the greatest suspicion as probably dumb rabies. Only in the earliest stages is vomition present, and a small amount of blood may be expelled ; later there is paralysis of the alimentary canal, as indicated by obstinate constipation and the tendency of foreign bodies to accumulate in the pharynx and stomach. Such foreign matters as straws, sticks, and hair are picked up by the dog in the earliest stages of the disorder, when there is perverted appetite as indicated by appreciation of anything cold to the tongue when licked, by tendency to eat dung, either his own or that of other dogs, horses, &c, also to lap urine (which is considered very diagnostic). As paralysis of the throat sets in, the ingested matters are retained at the back of the mouth against or in the pharynx. Male dogs are most often affected, probably because there are more of them, and hot on account of any special sexual features, or deprivation of opportunity for sexual gratification simul- taneously with high excitement, as was at one time sup- posed. It has been observed, but not proved, that when a pregnant female has been bitten, any active manifesta- tion of the effects of inoculation is reserved until after parturition has taken place, then the bitch may for a time perform well her duties as a mother, but it is possible, although not proved, that she may convey the disease to her offspring in her milk. Fever is present in rabies, and in the more advanced stages there is a hollow sound in breathing, which act is especially performed through the nose. The eye of the mad dog is at times abnormally bright and red, and may present a certain amount of stra- bismus, which gives the animal an excessively sinister appearance ; in other cases (especially of the dumb form of the disease) the eyes are dull, sad, and heavy looking, and, 32 THE DISEASES OF THE DOG. very occasionally, there is an accumulation of pus at the inner angle, and simultaneously there is a purulent discharge from the nostrils. The dull appearance of the eyes, generally distressed appearance, pendulous tongue and lower jaw, dark colour of the tongue, and dry state of the mouth, give the animal a very diagnostic appearance in the dumb form, in which the disease runs its course with special rapidity, and there is a marked tendency to the early supervention of paralysis preceded by twitchings and stiffness. In this way the face, back, and hind limbs are successively invaded, and at last the animal becomes thoroughly paralysed. Fig. 13.— Figure of mad dog (dumb form). After Sanson. Apart from the gastric derangement above alluded to, the digestive organs are sometimes the seat of spasm, and the animal may collect the straw of his bed underneath his belly and press on it, apparently in the hope to relieve the abdominal pain. It has been noticed that when the digestive canal is affected the case proves rapidly fatal. In the early phases of the disorder sexual excitement is common, and bitches are much less liable to be bitten than dogs ; it has been observed in dog-packs of hounds that one of the earliest symptoms is a tendency to lick DISEASES OP THE BLOOD. 33 the anus and generative organs of another dog. Another warning symptom noticed especially early among hounds has been an alteration in the voice ; the howl of a mad dog must be heard to be realised and once heard will never be forgotten j any description will necessarily be insuffi- cient to convey its true characters, but it has been spoken of as an imperfect bark followed by a series of incompleted howls, the animal being seated on his rump with the muzzle elevated in the air and often turned backwards while it rests against the wall. Another symptom of great diagnostic value is the tendency of the animal to constantly lick or, later, bite and lacerate with the teeth some one part of the body, the seat of the inoculation wound which may be found in a green gangrenous state or merely a scar. The persistence of irritation at the seat of injury, or its recurrence with pathological changes after the wounds have apparently healed, is one of the most remarkable of the many extraordinary facts about rabies. It has led to the belief that the virus is not absorbed, but remains at the seat of injury, and there undergoes changes which render it capable of affecting the system in general ; on this is based the practice of excision of the parts around the wound as a preventive at any time before active manifestation of symptoms. Blaine was firmly convinced of the benefit of such excision, but it cannot be accepted as conclusively proved that rabies may thus be prevented. However, active measures adopted with every evidence of thorough con- fidence in their efficacy are specially necessary in dealing with dogbite in mankind, for people if not thoroughly convinced that they are out of danger are apt to work themselves into a serious semi-hysterical state closely resembling actual hydrophobia. In the dog rabies proves invariably fatal, the cases lasting from three to seven days when allowed to pursue their natural course. Even after death diagnosis is often a matter of importance ; the canine surgeon may be called on to give an opinion about the emaciated bedraggled carcass of an unfortunate animal which has been killed after being run down in the 3 34 THE DISEASES OF THE DOG. public streets, or of some less bruised and injured dog which has been more humanely but injudiciously destroyed after infliction of a bite on its owner or someone who has had to do with it. Such revengeful slaughter or prompt destruc- tion with a view to prevent accidents is an error of judgment, for if the dog had been kept alive with due precautions his freedom from rabies might be established on the clearest evidence, and thus the apprehensions of persons bitten thoroughly allayed ; for it is almost certain that no animal free from rabies, however angry he be, can give another animal or man rabies by a bite. The dog should be kept alive in order that it may be thoroughly established that rabies was not incubating in his system. The incubation of the disorder in the dog varies from a week to a year, but it is highly probable that only during the time immediately preceding and during active mani- festations of the symptoms is it that the saliva is virulent. Therefore keeping the animal alive for a short time, say a fortnight, should suffice to prove whether he was in a condition to convey the disease. It must be remembered that the body of a dog in the latter stages of incubation would present no definite and absolutely distinctive lesions of rabies. However, when the disease has set in there are some abnormalities detectable post mortem which amply suffice for diagnosis. Even in a body considerably advanced in decomposition (such as has sometimes to be examined in this relation) the accumulation of foreign bodies, generally of a nature not to readily decompose, will be detectable in the stomach and at the back of the mouth. In fresher cases the respiratory and alimentary tracts should be examined with the greatest care, as also the central organs of the nervous system (cerebro-spinal), both macroscopically and microscopically. Increased vascularity, a streaky congestion, is found at the base of the tongue and sometimes invading the whole of the fauces, especially the tonsils.. The upper part of the larynx also, is a frequent seat of this lesion, and the whole lining membrane of the trachea may be congested, or, in severe cases, spotted. In the larynx the membrane about DISEASES 0£ THE BLOOD. 3& the epiglottis is specially liable to be affected, and the pharynx is more or less involved. It has been remarked that the raging form of the disease is specially charac- terised by respiratory lesions, even the costal pleura and diaphragm being affected in some cases, whereas in the dumb form the changes are most marked throughout the alimentary canal. The salivary glands are congested, and the lining membrane of the stomach, and to a variable extent also of the intestines, is the seat of spots of extrava- sated blood and streaky stagnation; also we may find sphace- lated ulcerated patches or extravasations of blood between the coats of the stomach, and Blaine speaks of the mucous membrane as "not unfrequently sprinkled over with pustular prominences." Adhesions of the peritoneum and intussusception are often present. The body rapidly decays. The contents of the stomach are, in addition to the usual accumulation of indigestible substances, merely a small amount of coffee-coloured material, apparently extravasated blood altered in colour and characters by the digestive juices. In this, as in almost all other blood diseases, petechias may be found in any or every of the tissues, as the peritoneum, mediastinum, or substance of the heart. The meninges of the brain (especially the pia mater), and of the spinal cord at its anterior extremity, show an exceptional amount of congestion which the sub- stance of the enclosed nerve masses also occasionally shares. The arachnoid and subarachnoid fluids are gene- rally somewhat increased in quantity. The lymphatic glands throughout the body, and the spleen and liver are generally found enlarged and congested. Such are the most frequent and constant lesions detectable on naked- eye examination of the carcases of rabid animals. The degree of blood extravasation varies in different cases, being sometimes excessive and sometimes with difficulty detectable, the lining membrane of stomach, endocardium, and brain are the most frequent seat of extensive escape of blood. The conditions of the stomach, its contents, of the larynx, fauces, and base of the tongue are most useful for diagnostic purposes. Inflammations of various 36 THE DISEASES OP THE DOG. parts are described as present in this disease, but the correctness of this pathological statement has not been established. In the critical post-mortem examination it must not be forgotten to record absence of any morbid condition which might give rise to symptoms such as could be mistaken for those of rabies, nor to note the state of the tongue and teeth, whether injured or intact, nor the state of the eyes, body in general, and any evidences of severe injury. It is probable that some of the latter have been entered in published accounts of the morbid anatomy of rabies. Siedamgrotzsky (' Bericht iiber d. Veterinarwesen in Sachsen/* 1874) has recorded his special observations of the rare cases in which the eyes undergo morbid changesf in true rabies such as make the case liable to be confounded with dis- temper. These changes are essentially degenerative, such as moderate cell-heaping in the vicinity of the ulcers which form, fatty degeneration of the corneal elements, and opening out of the interstitial substance. The ulcer progresses rapidly, and may lead to complete perforation, and escape of the aqueous humour, or this may be prevented by a thin layer of fibrin or a blood-clot in the anterior chamber. Siedamgrotzsky found these changes in only six cases ; he does not attribute them to injury, but to trophic alterations due to the nervouB lesions of the affection. The changes in the central nervous organs detectable by means of the microscope have been variously described by different observers. Coats (' Eoyal Med. and Ohir. Society,' Dec. 11th, 1877) found an aggregation of leuco- cytes around the medium sized vessels of the spinal cord, medulla oblongata, pons Varolii, and corpora quadrigemina, the smallest being in the convolutions. These aggrega- tions are similar to those detectable in the salivary glands and mucous follicles of the larynx. He concludes that the lesions are very like those of tetanus, and that both * Vide ' Veterinary Journal,' October, 1876. + Youatt, especially, noted deep-seated ulceration in the eye in some cases of rabieB. DISEASES OP THE BLOOD. 37 disorders are due to blood poisons affecting the central nervous system and remarkably nearly identical localities, the irritation seeming to centre in the medulla oblongata, as probably determined by the anatomical and physio- logical relations of the nutrient vessels. Dr. Growers had found in the medulla in hydrophobia not only leucocytes around the blood-vessels but also an infiltration of the tissues with them, forming in places groups which might be termed miliary abscesses. Kolessnikow, of the Veteri- nary Institute of St. Petersburgh, found the small veins distended with white corpuscles, their walls infiltrated with similar elements, and the endothelial cells of the intima of the veins and capillaries proliferating freely, as also did the connective tissue cells of the adventitia. He also found a clear, yellowish, refractive substance between the endothelial cells and adventitia and inner coat, rarely in the lumen. These changes were especially well marked in the parietal and frontal lobes of the cerebral hemi- spheres, but were also found in other parts. Infiltration of the walls of the vessels was especially seen in the medulla oblongata. Changes were noted around the deep-seated origins of the hypoglossal, spinal accessory, and vagus nerves. The spinal canal was usually plugged with a granular mass and surrounded by lymphoid elements. Recent researches show the "leucocytes" or lymphoid cells of these observers to be bacteria. Among the other brilliant discoveries made by M. Pasteur recently, has been his observation that rabies may be communicated by inoculation with substance of the cerebral cortex, of the medulla oblongata, and with the cerebro-spinal fluid. By trephining a healthy dog and placing in contact with its brain cerebral tissue from an animal affected with either form of rabies, the disease may be conveyed with certainty m a few days. This method has been applied to rabbits and other harmless animals as a diagnostic means ; Gibier uses fowls, and considers that they recover from the disease spontaneously ; he describes a special bacterium of rabies, but his views have not been accepted by Pasteur. 38 THE DISEASES OF THE DOG. In the differential diagnosis of rabies a number of popular errors as regards the disease have to be avoided. Thus extensive frothing from the mouth, fear of water, constant firm compression of the tail between the hind legs are not seen in this disease so invariably as to make them pathognomonic. Also the presence of ranula, or cysts beneath the tongue, which used to be insisted on, is not to be relied on. It has been supposed that bitches never turn mad spontaneously, but then we do not know that dogs do so either ; certain it is that spaying as a preventive of rabies is a fallacy, although it seems to be rather extensively resorted to in France. That dogs which have been " wormed " do not go mad, and that removal of the tip of an animal's tail, taking care that one of the tendons of the depressors is drawn out and shall curl up like a worm in elastic recoil when broken, are ideas based on ignorance but not yet obsolete. The occasional occurrence of a pustular discharge from the nose and eyes with corneal ulceration in rabies have some- times led to confusion of this disease with distemper, yet the differences between the two disorders are so marked as to render such a mistake possible only with very care- less diagnosis. Pits due to epilepsy, especially those which follow distemper, differ altogether from symptoms shown in rabies. The rabid dog does not lose conscious- ness, he does not lie on the ground struggling and champ- ing the jaws and foaming at the mouth as an epileptic does ; the latter may on " coming to " bite anyone holding him and rush off, but his escape is very different from the way in which the mad dog "runs a muck." Youatt speaks of cases where dogs have been bitten on the ear and the disease thus conveyed been mistaken for canker of the ear ; in each the irritable part will be energetically scratched, but in rabies some of the earlier symptoms of general disorder will be present at this stage, and there will be no such local eruptions as are found in ear canker ; tetanus, colic, and (as we have already seen) bone in the throat have been confused in diagnosis with rabies. Such errors can occur only with imperfect examination of the DISEASES OP THE BLOOD. 39 case. The practitioner must never arrive at conclusions hastily, he must, with due precautions, thoroughly examine the animal and not decide that rabies is present without ample evidence in support of this view. For the seizure of mad dogs several mechanical means have been devised, one of which is shown in Peuch and Toussaint's 'Surgery;' the figures of these will explain themselves. Fig. 14. — Pince collier pour saisir le Chien. (After Peuoh and Toussaint.) Fig. 15. — Bouley*s sticks and rope. It must be remembered that the disease has been con- veyed by saliva smeared over the coat,* by the face of a human being having been licked by a mad dog, and even by still more obscure methods. Thus Dr. Evans, in the ' Journal of the United Service Institution of India ' for 1883 (July), mentions a case of fatal hydrophobia in a tanner, traceable to currying the skin of a cow which died from rabies in London, Canada "West, in 1866. In making post-mortem examinations of the carcases of mad dogs every precaution should be observed, although it has been * Galtier has shown that rabific saliva remains virulent in drinking-water even twenty-four hours after the diseased dog has tried to drink. This source of possible conveyance of the disease should he carefully avoided. 40 THE DISEASES OF THE DOG. accepted that virulence does not persist in the carcass twenty-four hours after death. The autopsy should not be performed by anyone with sores on the hands ; the bodies of rabid animals should be disposed of by thorough and complete destruction by means of fire or quicklime. Similar precautions should be taken with the carcases of rabid animals of species other than the canine, the several fluids and tissues of which have been found just as viru- lent as those of the dog, although the liability of the patierit to communicate the disease varies in direct relation to his natural normal ferocity. These measures of pre- caution may seem too elaborate for prevention of a disease the spontaneity of which has not been proved, and which in 98 per cent, of the cases which occur is directly trace- able to a bite ; but it should be remembered that our knowledge of disease-producing agents and their modes of diffusion, although much increased of late years, is as yet open to great expansion, and every carcass of an animal which has succumbed to specific disorder should be looked on with apprehension as a possible centre of communication and diffusion of the disease. Eabies seems to differ somewhat in accordance with geographical range, just as anthrax and other important specific disorders are known to do. Dr. Oolam, writing to the 'Veterinary Journal/ describes the dog disease of the Arctic regions. It broke out about 1859 and spread over nearly the whole of North Greenland. It is com- municable from dog to fox but there is no record of its communication to man, yet the natives have a horror of being bitten by an affected animal, although they use the skin and even eat the flesh occasionally. The Danish Government has circulated official directions for prophy- laxis. On post-mortem examination a pitchy substance is found in the intestines and ulceration for four inches on either side of the ilio-cascal valve. This disease is the same probably as occurred in Dr. Hayes 5 expedition to Smith's Sound in 1866-67, and Wares' expedition in 1875- 76. Dr. Kane in 1854 observed in the Arctic regions a disease the symptoms of "which go closely resembled rabies DISEASES OF THE BLOOD. 41 as to cause alarm," such as avoidance of water, drinking with aversion and spasm, and staggering gait, head de- pressed, and mouth foaming and tumid, also snappishness. The sunless Arctic winter is supposed to be the cause of an anomalous form of disease, " as clearly mental as in the case of any human being. The material functions of the poor brutes go on without interruption ; they eat vora- ciously, retain their strength, and sleep well. But all the indications beyond this go to prove that the original epi- lepsy, which was the first manifestation of brain disease among them, has been followed by a true lunacy. They barked frenzically at nothing and walked in straight and curved lines with anxious and unwearying perseverance. They fawn on you, but without seeming to appreciate the notice you give them in return, pushing their heads against your person, or oscillating with a strange pantomime of fear. Their most intelligent actions seem automatic. Sometimes they remain for hours in moody silence, and then start off howling as if pursued, and run up and down for hours." A strong tendency to tonic spasm, attributed to lengthened cold and darkness, affected both men and dogs. In the latter it assumed the form of tetanus, and carried off fifty-seven of them with symptoms not unlike those of hydrophobia ('Arctic Explorations/ quoted by Fleming). Rabies has been observed to assume some special features in some parts of North America ; thus we read of the " Californian Dog Disease." Walley has pointed out some of its peculiarities in Edinburgh. It most frequently assumed the dumb form and was seen in well-bred dogs, strange to say, fresh cases were most frequent on Saturday, Sunday, and Monday. Hiccough, a very rare phenomenon in dogs, occurred in one or two cases. The temperature was noted as 104'5° Fahr, in the earlier stages, very low in the late stages, in one or two instances below 95°. It was most liable to be confounded with cerebro-spinal meningitis, a sequela of distemper. Intravenous injection served to prolong life (' Veterinary Journal '). From time to time specific remedies for rabies have 42 THE DISEASES OF THE DOG. been extensively vaunted, and to an extent accepted by the medical profession, but all have sooner or later been found inefficacious ; thus, Blaine and Touatt were inclined to agree with the ancients as to the value of the box tree ; Touatt speaks favorably of Scutellaria; curara has been thought of value, and cases have recovered under its use. These specifics have temporarily enjoyed reputations not only as curatives, but as prophylactics, and have been found about as valuable for the latter purpose as spaying, worming, or extraction of the tendon of the tail. Blimi- native treatment haB proved equally ineffectual with specifics. The actual and immediate cause of the disorder is a blood poison (probably G-ibier's micrococcus), without which no case of rabies can occur. Our efforts must, therefore, be directed to limiting its range. We know some facts about this poison which tend to the encourage- ment of future research with a view to rendering the con- stitutions of animals unfitted for its development and pro- pagation. Thus, although none of the elaborate experi- ments which have been made to generate rabies spontaneously by exposure to heat, cold, ungratified sexual desire, and so on, have succeeded, and although the old idea of there being certain seasons (known as " dog days ") when as the result of heat the disease prevails especially, it is certain that some years and in certain places the disease assumes an enzootic or epizootic form. Moreover all animals bitten by mad dogs and untreated do not go mad, even many dogs entirely resist the disease. Also in different cases the period of incubation varies very con- siderably, and the disease assumes two distinct forms in the dog, the furious being especially the variety in young dogs, whereas the dumb form is seldom seen except in adults. Thus the action of the poison is influenced by constitution, and Pasteur considers that he has devised a method of rabies modulation by which the disease may be prevented or cured. This method has been tested by a French Commission of Scientists which has accepted M. Pasteur's conclusions, which are, therefore, as well sub- stantiated as they can possibly be until time and the DISEASES OF THE BLOOD. 43 practical experience of several generations shall have submitted them to as thorough a test as the Jennerian system of vaccination has been able to stand successfully. Pasteur, Chamberland, and Eoux find that the virus trans- ferred from the dog to the ape, and cultivated by propa- gation through several members of the latter order, becomes progressively feebler after each inoculation-. After a certain period of such cultivation, if it be hypo- dermically administered to dogs, guinea-pigs, or rabbits> even by intracranial injection (the most deadly method), death does not result, but the animal acquires an immunity from hydrophobia. If, on the other hand, the poison of rabies be cultivated in successive rabbits, or guinea-pigs only, its potency is intensified, and after a time is so great that a fatal issue invariably follows its inoculation. The poison as found in the dog is intermediate in strength between that of the two methods of cultivation just men- tioned. Thus, by careful selection of the medium, and the stage of cultivation, it is possible to accumulate a store of attenuated virus, which can be relied on to com- municate a modified rabies, whose inoculation shall be protective against its severer forms as that of vaccinia is against variola. Since these results were obtained Pas- teur has shown with regard to the virus of rabies that it affects the spinal cord before the medulla oblongata j it has its seat in all parts of the nervous system ; may be retained with all its virulence in the brain and cord for several weeks by freezing or by exclusion of air. This virus has not yet been found associated with any special microbe, it does not seem to be attenuated by cold, and in different species of animals comes to vary greatly in strength and properties when, by successive inoculations, the virus has attained the fixity proper to each genus. Pasteur has different kinds of rabies virus of which he is able to exactly prognosticate the action on special species. He believes that one of these serves to secure immunity to dogs virulently inoculated. He has twenty- three dogs thus rendered insusceptible of rabies. The hypothesis of the passage of the virus from the bite 44 THE DISEASES OP THE DOG. through the nervous system from the periphery is not entirely correct ; some virus enters the circulation — although intravenous or intracellular inoculation ordi- narily produces " dumb madness," furious rabies will follow when the amount of virus injected is very small, and the smaller the amount the more easily is the furious rabies brought on. In a subsequent communication we find it stated that " by a few transmissions of the virus from monkey to monkey there can be easily obtained a virus so attenuated as shall never communicate, by hypo*- dermic inoculations, the disease to a dog. Inoculations by trepanning of such virus will likewise produce no result ; but an animal will, notwithstanding, be rendered thereby proof against the disease. The virulence of the virus becomes, on the contrary, augmented in its passage from rabbit to rabbit." Such is the basis of the important Pasteurean system for rabies vaccination of dogs, as applied to mankind his methods have attained much notoriety. It is evident that we must for the present rely on the other methods of repressing the disease which have been suggested by experience. Extermination of the whole race of dogs would not suffice for the eradication of , rabies, even if such an extensive measure were practicable, for it has been amply proved that cats, also jackals, foxes, skunks,* wolves, and other wild animals, convey the disease. Something may, however, be done, especially in large towns, by causing the number of homeless dogs, such as are little under supervision and so may pass unnoticed * Col. Dodge in his 'Hunting Grounds of the Great West,' says that skunk bites (generally on a sleeping man) are invariably followed by hydro- phobia, although the skunk is not necessarily himself affected. This singu- larly fatal result of skunk-bite is supposed to be confined to the Arkansas Valley (' Veterinary Journal,' vol. v). These opinions must be taken with much reserve. Hovey considers hydrophobia from skunk-bites a different form from that caused by dog-bite, and terms it rabies mephitica. He con- siders the generation of the poison possibly associated with inactivity of the anal glands and with development of poisonous matter in the mouth follicles. He suggests that the mephitic secretion may be a natural antidote to the salivary virus ('Forest and Stream'). DISEASES OP THE BLOOD. 45 through dangerous stages of the disease, working mischief unobserved, to be lessened by painless slaughter after a definite detention in a Dogs' Home whereby the owners of dogs may have a fair chance of reclaiming favourites or useful animals which have strayed or been lost. Dogs' homes require to be most carefully supervised and worked on sound principles, lest they become centres for diffusion of disease. Quarantine is rendered unsatisfactory by the indefiniteness of the period of incubation of the disease, although a period of six months' strict quarantine would give most cases full opportunity for development, we have no guarantee that all inoculated animals would thereby be detected. Australia is at present endeavouring to secure quarantine of imported dogs, and so to ensure continued freedom from rabies which would, doubtless, spread with terrible rapidity among the dingoes or wild dogs, but quarantine, to be effectual, will require to be supplemented by other methods. Perhaps, in the future, Pasteur's system will ensure immunity ; Gibier has found that birds which have once recovered from rabies resist future attacks. Although neither " stamping out " nor quarantine can be relied on as a means of extermination of this disease, they are both valuable means of repression. There can be no doubt that the measures adopted in many large cities for the incarceration or destruction of ownerless dogs, dog taxes, enforced wearing of collars with the owner's name on, diffusion of popular information as to the detection of rabies, and the combating of popular errors on the subject, are of great value in limiting the range of this formidable disorder, and they should be encouraged as much as pos- sible and the Legislature advised to insist on them. Statistics of prevalence of rabies should be carefully prer pared, and the disease considered one of the most impor- tant to be dealt with by the authorities. That it has not been included in the Contagious Diseases (Animals) Act is a very extraordinary and serious omission, which ought at once to be rectified. No breed of dog should be specially subjected to supervision on account of rabies ; authorities are by no means agreed as to the kind in which the dis- 46 THE DISEASES Of THE DOG. ease is most often seen. Touatt has found it most fre- quently in curs and lurchers, and speaks of it being most •often communicated to horses by Dalmatians. Mayhew, whose practice lay among toy and other fancy breeds, con- sidered them most liable ; whole packs of foxhounds have had to be destroyed on account of it ; Esquimaux sledge- dogs succumb to the disorder, and the Indian pariah dog diffuses it through the country, causing deaths of such valuable animals as horses, elephants, camels, and oxen, in addition to an annual fatality among mankind. It is evident that mutszlmg cannot be universal, and there- Fm. 16.— Wire muzzle. (After Fleming). fore, although beneficial to an extent, cannot be abso- lutely relied on to prevent outbreaks of the disorder ; for dogs which have been bitten by others which are naturally ferocious, or which have been behaving at all strangely Or been sick, the muzzle should be used, that made of wire being the least inconvenient to the animal and most humane. Blunting dogs' teeth, as specially recommended by M. Bourrel, is no more reliable as thoroughly effectual than muzzling, but still has a limited value which would sanc- tion its adoption under certain circumstances. A muzzle must be removed for the animal to feed, but blunt teeth DISEASES Of TfiE BtOOl). 4? are permanently lessened in their power of causing wounds. To perform the operation the mouth is kept open by means of a gag, the tips of the canines are snipped off with small shears, and then the incisors and canines are rounded with a small rasp. Pia. 17. — Bourrel's rasp and gag for teeth. (Pbuch and Tottssaint.) (1) The operation. (2) The gag. (3) Tape. (4) Shears. (5) ~ In cases where a bite has actually been inflicted, and it has been proved that the inflictor was mad, or he may reasonably be considered dangerous, no time should be lost in dealing vigorously with the wounds. If the vic- tim be a dog (and has not since bitten a man) he should be destroyed, if of little value, rather than run the risks of retaining him alive, because dogs of all animals are the creatures opposing least constitutional resistance to the rabies virus, and they are among the most dangerous because of their predatory instincts as carnivora. When there are urgent arguments against destruction, the bitten animal should, with the greatest care, be thoroughly ex- amined, in order to make sure that all his wounds are detected and treated ; he may even need to be shaved for this purpose. The wounds having been treated' by ex- 48 THE DISEASES OS 1 THE DOCt. cision and cautery, he should be carefully washed and then must be isolated for at least two months (five or six weeks being the average incubation in dogs), and wear the wire muzzle when out of doors, and be kept under supervision (and promptly isolated on any sign of disorder of any kind or strangeness of temper) for at least one year. Few dogs will be worth the risk and solicitude necessitated in these precautions. The chances against the animal developing the disease after a bite are — (1) The inflictor of the bite may not be rabid, but if he be, (2) his teeth may have been thoroughly cleaned from morbific saliva by frequent bites of other animals or through clothing ; (3) the bitten animal may be constitutionally fitted to resist the disease, (4) or the treatment of the wound as adopted may be effectual in destruction of the virus, (5) or the free flow of blood from the wound as inflicted may suffice to wash away the virus, especially if the flow has been en- couraged by suction or cupping. When a human being has been bitten the following measures may be taken : — Suction of the wounds by some individual whose mouth is free from abrasions ; encouragement of free bleeding from the wounds ; neglect of no wound, however apparently trivial, in which the cuticle has become abraded ; application of ligature or tourniquet above the seat of injury j prompt application of caustic, especially the nitrate of silver or caustic potash, butter of antimony, or the actual or gal- vano-cautery. In deep wounds this must be followed by excision all round the injury, taking care never to actually cut into the wound, and to wipe the knife after each stroke, then cauterise the fresh wound thus pro- duced. It is advisable to repeat application of the cautery after separation of the first eschar. These measures, if carefully carried out, should be considered as practically ensuring immunity from ill effects and absolutely sufficient to allay alarm on the part of the patient and his friends. Such measures as bleeding, the cold bath, allowing a stream of water to fall from a height on the wound, and so on, must never be deemed sufficient. The duty of the canine practitioner in dealing with rabies is a DISEASES OP THE BLOOD. 49 difficult one, for it comprises the constant excitement of ap- prehension of the Legislature to secure adequate measures of repression, and the simultaneous insistance on the con- siderable chance of escape of individuals unhappily bitten. Distemper is, of the numerous diseases to which canine flesh is heir, that which annually exacts the largest tribute of fatality. It is' a specific disorder ; very wide spread in its prevalence, and supposed to have become domiciled in Great Britain within the last century, but of this we have no absolute proof. It resembles, to an extent, those specific disorders of other animals which are known as " influenza," but it seems to be a distinct and special Figs. 18 — 21. — Distemper organisms intermingled with various cells. (After Kreijewski.) disease, and not the pathological equivalent of any known disorder of man or other animals. An attempt has been made to demonstrate that it is similar to human typhoid, 4 50 THE DISEASES Otf THE DOG. but unsuccessfully, and the same result has followed com- parison of it with influenza of the horse and strangles. Possibly through confusion between this disease and true variola, the idea has spread abroad that vaccination is a preventive, but it is erroneous. All the phenomena of distemper are traceable to an altered condition of the blood, and Semmer of Dorpat, who has investigated the disorder on modern methods, comes to the conclusion that that fluid contains a special bacterium of the micrococcus form. When the blood becomes contaminated with the distemper poison almost every tissue in the body may become the seat of asthenic manifestations, and according as the symptoms are most intense in any one system of organs has the disease been considered to assume a spe- cial type, such as the hepatic, pulmonary, intestinal, cerebro- spinal, or catarrhal. It is not evident to what the occurrence of either qf these types in any particular case is traceable, but it is remarkable that when the disease is prevailing in an epizootic, form some one special type markedly predominates. Certain conditions of the system seem to favour the development of the disorder, which in this respect resembles strangles of the horse ; thus the young are especially liable to suffer, but it may occur in animals of any age ; also it is especially frequent among foreign animals, more particularly those recently imported, and it is most severe in type and symptoms in animals which are subjected to specially artificial systems of management. Various defective sanitary conditions, such as damp, ill-drained kennels, too low feeding, want of light and fresh air, and no exercise, have been considered to generate it spontaneously, but this view must be received with the greatest caution. Such influences certainly render animals liable to attack, but the contagium of the disease is so wide spread, and its communicable nature so little recognised among people in charge of dogs, that we ought to hesitate before con- sidering this specific disorder as capable of originating spontaneously. It is well worthy of inquiry whether in everyday practice there are not several distinct disorders DISEASES OF THE BLOOD. 51 diagnosed roughly as " distemper," every attack with typhoid symptoms being deemed an instance of the affec- tion. Doubtless variola is sometimes thus confused, and, also, those remarkable malnutritions which are caused in the dog by deficient light and defective feeding, and which manifest themselves as ulcerative degeneration of the cornea and of the bowels are usually considered to be distemper. , Symptoms. — The poison after incubating in the system for a period estimated as varying from one to three weeks induces febrile disturbance. As a rule the local mani- festations are those of nasal catarrh ; they begin by a watery discharge from the nostrils, which becomes mucous and subsequently purulent and most tenacious, gluing the nasal alee together, and obstructing the respiratory passages. The eyes simultaneously are involved in the catarrh, and quickly become the seat of a muco-purulent discharge which glues together the eyelids, so that in the morning they cannot be separated without artificial assis- tance. Changes in the blood supply of the Schneiderian and conjunctival membranes lead ultimately to ulceration as a result of defective nutrition ; thus in time the nasal discharge may smell most foul and be occasionally inter- mingled with blood ; the eye-changes consist in the appearance of one or more opaque spots which increase in size and extend inwards, sometimes they produce complete perforation with escape of the aqueous humour. In other instances abscesses form in the substance of the cornea and burst; they are surrounded by a ring of con- gested blood-vessels, but evacuation of their contents is followed by rapid clearing and thorough repair. Ulcera- tive changes are, in bad cases, found affecting the mucous membrane of the mouth, especially the gums against the teeth, the mouth is laden with sordes and smells most foully. This ulceration may extend to the lips, face, and neck in very severe cases (Blaine) . Cleanliness of mouth, eyes, or nostrils materially lessens their liability to ulcer- ation. During the progress of these symptoms the dog .is out of spirits, listless in movements, and falls away 52 THE D18M8K8 OF THE D00. most rapidly in flesh; he endeavours to keep in a warm place and away from observation, and in the earlier stages may vomit freely, and usually is troubled by a husky cough. Distemper is a disease the prognosis of which is attended with a very great deal of uncertainty j sometimes the antemia " pulls the animal down " to such an extent as to make it seem probable that he will be utterly unable to survive the attack, and yet he suddenly takes a turn for the better, and improves with the greatest rapidity. Not rarely in the earlier stages of the disorder he suddenly seems to improve, his fever is less, his membranes clear up, and he seems to be progressing most favorably until convulsive twitchings, or deficient power in the hind limbs, or extreme excitability indicate the imminence of the nervous system becoming involved, either in the form of epileptic fits, chorea, or paralysis. It is noted that espe- cially dogs of fancy breeds and high nervous tempera- ment are liable to epileptic fits when suffering from distemper ; the least excitement, even an angry word to another dog, will sometimes bring on this complication. In the earlier stages these fits, especially when they are not recurrent and paroxysmal, are looked upon as not a bad sign, but when they occur in more advanced cases and rapidly succeed one another, the patient is generally ultimately killed by them. In their phenomena and mani- festations the epilepsy, chorea, and paralysis differ little from those affections when they are due to other causes. The paralysis is generally paraplegia and usually precedes the fatal result. More rarely the symptoms shown in these nervous cases are those indicative of brain pressure, and the patient may walk round in one direction continu- ously in a state of stupor for some time. Young dogs suffer most from the intestinal form, which seems determined by irritation from the presence of worms in the bowels, or, perhaps, reflexly by teething. There is generally in the disorder a tendency to looseness of the bowels, and the evacuations, at first laden with mucus, are liable to become dark coloured and of most foul odour. When blood begins to appear it indicates DISEASES OF THE BLOOD. 53 ulceration of the bowels and the case is desperate. Colicky pains are not unfrequently present, and after death a very- considerable portion of the bowel may be found spas- modically contracted. In the respiratory form of the disease the symptoms are those of bronchitis of an extremely asthenic type, and corresponding lesions are found post mortem, in addition to those indicative of general derangement of the blood. In the hepatic form there is severe jaundice, with its ordinary indications, and the depression of the system is most extreme. Skin eruption, varying from puncta to large purulent ac- cumulations beneath the cuticle, sometimes occurs. Farfrom constituting a favorable critical evacuation, it is generally considered to indicate the imminence of fatal termination to the case. In India it has seemed to me much less ominous, and skin eruption is frequently followed by re- covery, the blebs burst and repair rapidly ensues, the skin* remaining scurfy for some time. The most frequent seat of this eruption is over the belly. Semmer of Dorpat records as present on post-mortem examination the following appearances : — Body emaciated, eyes and nostrils glued with purulent mucus. Lungs reddish brown, heavy, dense in consistency, and having their parenchyma infiltrated with fibrinous exudate. Com- mencing cell-infiltration of the alveoli, respiratory mucous membrane reddened, tumefied, and covered with mucus (or muco-pus) . Brain and spinal cord oedematous (and their membranes highly congested and the seat of serous effusions in some cases). Liver bright yellow and of nutmeg-like appearance, and studded with brick-red and brownish-red streaks and spots, these appearances being due to fatty degeneration. Spleen enlarged and with a marrow-like infiltrate. Kidneys congested and fatty, but this state (as also the granular degeneration of the liver) not constant. The digestive and% urinary. -mucous mem- branes present stellate patches of hyperemia and ecchy- moses. Muscular tissue of heart pale, and commencing to undergo fatty degeneration. Blood watery, serum 54 THE DISEASES OP THE DOG. contains many " globular bacteria," isolated or in ball- like clusters, or adherent to both, red and white corpuscles. Also, in addition, some delicate and fine staff-shaped bacteria. The liver-cells and tubuli uriniferi full of bac- teria. The urine brownish red and muddy, containing red and white corpuscles and epithelial cells, and many bacteria of both kinds, either free or enclosed in the blood- corpuscles or in the cells. Twenty-four hours after death the bacteria were very numerous, but they disappeared when putrefaction commenced. In the earlier stages the lungs are found in a state of oedema, later they show the signs of broncho-pneumonia ( f Deut. Zeit. f . Thier-med./ Band i, p. 204). In addition to the above, ulceration or infiltration of the nasal membrane and of that of the intestines, especially the ileum, and affecting particularly the solitary glands and Peyer's patches, congestion and dropsy of the pericardium, swelling of the lymphatic glands, especially those of the mesentery, and engorgement of the gall-bladder with thick bile have been noted. Spots due to ecchymosis are very frequent on the different serous membranes. Treatment comprises prevention and cure. We must respect the opinion, almost universally entertained, that the disease arises spontaneously, but at the same time we must adopt every measure of disinfection and isolation necessary to prevent contagion. Semmer relates a re- markable case where the disease was conveyed to two puppies from the carcass of an animal which had been -left in the cold for fourteen days prior to examination, a most extraordinary instance of contagion, which some will be inclined to consider rather one of spontaneity. How- ever that may be, there can be no doubt that hitherto disinfection has been too much neglected in this disease. Of course thorough disinfection involves destruction of carcasses, dressings, &c. We must avoid being imposed on by vaccination or inoculation as preventives. We must insist on careful avoidance of contact with the sick especially in spring and autumn, and with young dogs! Some dogs are capable of resisting contagion, but very DISEASES OP THE BLOOD. 55 few escape the disease altogether, and it may recur several times. Improved kennel hygiene should be insisted on when distemper is prevalent, and it may be necessary to " cross " a breed which seems to specially suffer from this disorder, and thus to an extent counteract any heredi- tary liability to it. When neglected, or in very hot weather, distemper assumes what Blaine has termed the virulent or putrid type, in which considerable ulceration of mucous membranes of the mouth, nostrils, and rectum takes place, the evacuations are most foul, and the body is coated with offensive discharge. The duration of attacks of this disease ranges up to three weeks, and during the whole of this time the tendency to extreme -debility is most marked, and our principal resource in medicinal treatment lies in supporting the strength of the patient in every possible way. We know no specific remedy for this disorder, but medicines will be of value in dealing with the complications which occur ; thus the catarrhs, eye lesions, epilepsy, chorea, jaundice, diarrhoea, and so on, will be dealt with on the principles elsewhere detailed in this work, but we must studiously avoid all debilitating influences and measures. Laxatives, blisters, and bleeding have been recommended, but should be never resorted to ; even the mild preliminary emetic which is spoken of as "sometimes cutting short a threatened attack" must be administered only in the very earliest stages and with excessive caution. The effects of setons may be tried for chorea when a sequela of distemper, but not during its active stages. Worms should be expelled from the alimentary canal as soon as possible, because they are apt to induce intestinal or epileptic complications. While in every respect careful nursing is being carried out, especially cleanliness being insisted on, the animal should receive quinine in port wine or in beef tea or mutton broth. Strong coffee is considered of special value in arresting the tissue changes so apt to occur in this disorder, and some of the salts of iron, such as the carbonate and the citrate, may be resorted to for a gentle tonic action. Nunn uses three to five grains of sulphate of 56 THE DISEASES OF THE DOG. quinine in a little dry sherry as a tonic for small dogs, or liquor arsenioalis five drops twice a day. It is remarkable to what an extent the animal may be reduced before death occurs and with recovery still possible. No disease of the dog requires more sustained and careful treatment and nursing than distemper, and in none is more fully exemplified the maxim that " while there is life there is hope." The vegetable tonics should be persisted in throughout the attack. Once the animal takes a turn for the better he will be found to improve very rapiply. Diphtheeia of the dog and the horse have been dealt with by Principal Kobertson, then of Kelso, in the ' Veter- inary Journal ' for 1875, p. 82. He found it extremely fatal, only three or four recoveries having occurred in between twenty and thirty seizures. The outbreak was in a kennel of high-bred greyhounds ; it first appeared among the puppies, and nearly all of them died before any of the older dogs were affected. The kennel-man thought the disease was distemper. The average duration of cases was a little over two days, but it always, when fatal, proved so before the fourth. The structural alter- ations were confined to the fauces and air-passages ante- rior to the glottis ; the glands of the throat and neck, however, were swollen, and the urine was opaque, increased in density, and charged with albumen. The disorder was observed in three types : in the first there was high fever from the outset, acute local inflammation, the mucous membrane of the fauces being dark red, tense, glistening, and smooth (apparently in consequence of infiltration of its submucous tissue). All the gland structures of the mouth and throat were more or less swollen or tender, so that deglutition was almost impossible. Emesis and diarrhoea were sometimes present. These symptoms were succeeded by a second stage, in which there was marked depression. The characteristic grey exudation appeared only when the animal survived over twenty-four hours • it was arranged in stripes or spots, always adherent, glossy, tenacious, soft, and devoid of structure, varying in thickness in different situations. Type number two DISEASES OF THE BLOOD. 57 was less acute, the fever less marked, and the local lesions never severe enough to entirely prevent deglutition. The glands of the throat and neck were early swollen, and in- creased in size rapidly. Owing to extensive infiltration of the areolar tissue there was very awkward carriage of the head, and the patient was very restless until coma set in. The third type was nasal. With less fever than in the other forms the animal was dull, had sore-throat, and a sanious discharge from the nostrils and from the mouth (the latter mixed with saliva). In these, death supervened less rapidly than in cases of the other types, and before death the mouth became laden with sordes, the breath foetid, and the lymphatic glands much swollen. Autopsy showed that the disease had involved the posterior nares but that the pharynx was most affected. Of the animals which recovered one was temporarily blind of both eyes from opacity of the cornea, another suffered from clonic spasms of the face and neck followed by paraplegia, but ultimately thoroughly recovered. The outbreak occurred in kennels in a very unsanitary state. Law mentions " croup " as one of the diseases of the dog and recommends its treatment by emetics. Bossi records a case where a dog ate excreta from a child with diphtheria, and died on the third day from suffocation. Autopsy showed the mucous membrane of the fauces pulpy and denuded of epithelium. Membranous exuda- tion was here and there found, forming compact, thick, adherent excrescences, or ulcerations blackish and very deep. The inflammation extended to the pharynx and larynx. The heart and lungs were blackish and flabby, and contained pitchlike blood, and several fibro-albu- minous concretions. Letzerich, in ' Virchow's Archiv ' for April, 1875, p. 178, describes how a dog was vaccinated with matter to which a small amount of diphtheritic mate- rial had been added. On the third day after, a soft swelling was observed at the seat of inoculation. The wound became indurated, gaping, and covered with a whitish, doughy-looking exudate. The swelling continued until the dog died, when wandering vegetable organisms 58 THE DISEASES OP THE DOG. were found in the various organs. Local diphtheria had occurred followed by secondary general diphtheria ('Veter- inary Journal/ 1875). Eczema Bpizootica is transmissible to the dog, and cases are recorded in which it has resulted from consump- tion of milk of affected animals. Veterinary Surgeon D. 0. Pallin related a serious case in a cat in which the palate was much disorganised, and which originated in this way. Bilapsing Feveb, " Sueka," has been conveyed by inoculation to dogs. The spiral organisms found in the blood in that affection propagate their species, and are "CI X* Fig. 22.— Surra organisms, " Spirilloids." very active in the blood of the dog. The period of incu- bation is about ten days, the relapsing character of the fever is well marked, and at length the animal dies from exhaustion. Antheax, although not very frequent in carnivora, yet is seen in the dog more often than is generally supposed. It is liable to result when dogs have access to the evacu- ations of cattle affected with the intestinal form of anthrax, also from consumption of uncooked flesh of animals which have succumbed to either of the varieties of this formidable disorder. Perhaps the form most frequently assumed by anthrax in the dog is the intestinal, in which the animal suffers colicky pains; the evacuations from the bowels are mixed with blood ; sanguineous matter may be expelled from the stomach by vomition, convulsions ensue after a period of deep depression, and the animal speedily dies. It is remarked that recovery takes place more fre- quently in the dog than in herbivora, and, moreover, DISEASES OF THE BLOOD. 59 that more of the former escape after exposure to infection than of the latter. However, occasionally the incautious use of a diseased carcass as food gives rise to severe disease and high fatality in a whole pack. In the most severe cases the animal falls dead, and no marked lesions are found after death, but the blood is black and thick, and the spleen enlarged. Generally some blood extra- vasations and petechise of the serous and mucous mem- branes are present, and yellow gelatinous material is thrown out round the lymphatic glands, especially those of the mesentery. Eougieux gives an interesting account of an outbreak among foxhounds near Paris, which is quoted in extenso in Fleming's ' Veterinary Sanitary Science and Police.' The disease began as swelling of the parotid (lymphatic ?) glands ; then a tumour, small and round, occurred on some part of the head, rarely on the body or limbs. Soon acute oedema of the tissues around the tumour set in, and respiration was so interfered with as to threaten suffocation. The skin covering the tumour and the buccal mucous membrane became ecchy- mosed and gangrenous, viscid saliva flowed from the mouth, the fasces were mixed with blood. The disease lasted seldom beyond five days, and death or improvement was noted about the third day. We need not enter into details as to the anthrax contagium and so on, for the veterinary surgeon will apply his knowledge as gained from experience of the disease in herbivora. Toussaint ('Veterinary Journal/ xi, p. 150) reports the results of experiments with his system of anthrax vaccination as applied to the dog. He finds that young dogs from, birth to six months old readily contract the disease from simple puncture, and die with the blood laden with bac- teridia, local and gland lesions being well marked. The first inoculation causes slight fever, and in two cases he found slight oedema at the seat of inoculation. All four animals vaccinated resisted successive inoculations by puncture. It is noteworthy that in the dog authrax is very liable, when it does occur, to assume the form of blebs or pustules in the mouth (which are probably the 60 THE DISEASES OP THE DOG. lesions described by Blaine as being by " country people " attributed to the animal having killed a toad or serpent, or having been poisoned with some acrid herb), and dogs affected with anthrax have been known to convey the disease by their bite. Variola is rare in the dog and apt to be confused, in hasty diagnosis, with the cutaneous form of distemper. There seems to be a form of variola special to the canine species, but evidence tends to show that smallpox and vaccinia are communicable to the dog, the former being liable to prove fatal, and the effects of vaccination being usually trivial. Bosenroth ('Mag. f. Thierh.,' 1860, p. 341) shows that Var. caninse is communicable to man. Canine variola very closely resembles the allied disorders in man and the sheep ; indeed, Leblanc has recorded an instance of where eleven out of seventeen dogs died as a result of disease caused by ingestion, as food, of the carcasses of sheep affected with sheep-pox. The variola of the dog is malignant or benign ; the pox may be confluent or discrete, it passes through the various stages of ery- thema, nodule, vesica, and pustule, and the latter becomes flat or even concave on the surface. Desquamation fol- lows and brownish spots are left. As these disappear, small hairless spots with scars or " pits " are left to indi- cate the seat occupied by the pox. These eruptions occur especially where the skin is thin, such as over the belly, inside the forearms and thighs. Their advent is preceded by fever, they cease to develope as soon as the desquamative stage has set in for any of the pustules. There are cases in which the respiratory organs are involved, and broncho- pneumonia, with specially early and rapid pus formation from the whole of the lining mucous membrane of the air- passages, occurs, there being much mucous rale and pro- fuse discharge of pus from the nostrils, cough in the earlier stages, and later very stertorous breathing, and a tendency to rapid fatality. In other instances the alimen- tary mucous membrane is invaded, there being profuse diarrhoea of dark, offensive, bilious evacuations. In all cases the breath and skin excretions smell very foul. The DISEASES OP THE BLOOD. 6l disease specially affects young dogs (under eighteen months old), and very young animals almost always succumb to the fever and prostration present, especially as in young animals the disease passes through its several phases most rapidly. Treatment consists in careful nursing of the patient, disinfection, isolation, and, when necessary, stimulants, vegetable tonics, and febrifuges. It is stated that in case of recovery the animal is free from future attacks ; a pro- perty of disease which has received the technical name of " unidty." Heat is said to favour eruption and confluence of the vesicles, whereas cold checks the eruption, and undue exposure is almost sure to prove fatal to an affected animal. Glanders is communicable to the dog. Lafosse men- tions a case where the animal became affected through living in a stable with a glandered horse ; Polli induced the disease in dogs by intravenous injection of disease matter and spreading it on wounds ; Renault conveyed it to dogs by inoculation from horses, and reinoculated horses from these dogs successfully ; one third of the dogs inoculated took the disease ; the infected dogs lived from three and a half to five months. Hertwig failed to cause true glanders by feeding dogs on the flesh of glandered horses, although Nordstrom succeeded. St. Cyr found the induced disease seldom fatal except when caused by intra- venous injection, and he remarks that probably one attack ensures future immunity, but this has not yet been estab- lished. Chancres seldom appear on the nasal membrane in the dog ; in Nordstrom' s cases there was bloody discharge from the nostrils, oedema of the head, redness of the eyes, and death, although generally spontaneous cure follows. Measles. — In 1876 a case was related before the Epi- demiological Society where a dog (which four years before suffered from distemper) licked the hand of a child suffer- ing from severe measles. In twelve days' time the animal sickened, a nasal discharge appeared on the second day, and on the fourth day it died with marked congestion of the throat and air-passages ('Veterinary Journal,' iii, p. 226) . Cholera has been supposed communicable to and by 62 TEE DISEASES OF THE DOG. dogs. In this connection Surgeon-Major Fairweather's report on the cat epizootic at Delhi is worthy of notice. The disease occurred during the prevalence of cholera, and cats were dying by scores, sometimes after a few hours' sickness with vomiting and profuse purging. The post- mortem appearances were like those of cholera. All the cats had a pinched appearance, eyes sunken in their sockets, and the viscera seemed to occupy less space than usual. The intestines generally contained nothing but thin fluid like rice water, in one or two instances slightly tinged pink, always completely free from bile. Congestion of the tube in one or two cases but no ulceration. Liver generally flabby, gall-bladder full. Kidneys much congested, lungs shrunken ; heart, a loose black clot on the right side. An attempt to convey disease by cohabitation with a diseased animal failed, as also did ingestion of the intestinal con- tents. Human choleraic evacuations given to cats caused vomition and purging, and in some cases death, with the ordinary appearances of the cat disease. Subsequent experiments did not confirm this result (' Veterinary Jour- nal,' iii, p. 209). Tobeeculosis. — There certainly occur in the dog some disorders of the lungs, mesenteric glands, and other parts of the body which have all the appearance of tuberculosis, and yet we are not aware of any distinct evidence having been brought forward that true " consumption," due to the tubercular bacillus, is ever found in the dog. Observations made by MM. Colin and Laulanie tend to prove the occur- rence in the dog of certain false tuberculoses in the lungs due to the filaria or strongyles in the lungs (Colin) or the arrested ova of Strongylus vasorum (Laulanie). The latter observer shows that the adult strongyles live in the right ventricle and the larger divisions of the pulmonary artery, and from there the fecundated ova pass into the pulmonary arterioles and capillaries, where they are hatched, and the embryos soon migrate into the smallest bronchi, where they are found in great numbers in sections of lung tissue examined under the microscope. The lungs in which these parasites reside are studded with small, grey, DISEASES OP THE BLOOD. 63 semi-transparent granules, which realise all the appearances of granular phthisis, but they accumulate towards the base of the pulmonary lobes and becomemore and more rare towards the apices, the reverse being the case in true phthisis. " The ova or embryos arrested in the fine arterioles become the starting-point of a nodular arteritis, combining in its structure all the characters which, since the days of Koester, have been assigned to the elementary follicles of tuberculosis. There is found, in fact, in the centre of each nodular mass an ovum or an embryo embedded in a giant-cell. The latter is surrounded by a more or less abundant circle of epithelial cells, as well as an external embryonic zone, which frequently tends to become fibrous." In fact the ova or embryos have given rise to just such lesions as Would be presented in a true tubercle the result of the bacillus of Koch ; detection of the latter in a nodule is the only exact method of diagnosis of tubercle. In dogs we find nodular disease, developed in some puppies, acquired in others, which stunts their growth and keeps them in an unthrifty, emaciated state. This is especially found as a hereditary derangement in very small terriers, pugs, and other toy breeds which are bred to the smallest possible size to suit the fancy of purchasers. Breeding in and in is supposed to be a special influence at work to induce nutritive derangements in such cases. The hereditary and congenital tendency to disease is liable to be excited by want of exercise and sufficient food, use of contaminated or bad milk, damp dwellings, and exposure to cold. In some cases the little wizened pup seems to " run all to belly," and to be preternaturally sharp, and with a pinched expression ; his coat is harsh, mucous membranes pallid, bowels irregular ; he suffers much from thirst, and his nose is often dry and hot. Post-mortem examination will show a tabid state of the mesenteric glands ; an enlarged, indu- rated condition by which they are rendered quite unfit to bring about the changes in the chyle necessary to render it nutritious. In other cases cough, foetid breath, liability to disturbances in respiration, and a tendency to diarrhoea are present, and lung disorder is found after death. 64 THE DISEASES OP THE DOG. Strict hygiene, tonics (such as cod-liver oil and iron iodide), good food, warm bed, and, especially, carefully arranged, easily digestible diet, may keep the patient alive for some time, but as he is quite unfit to breed from and will require constantly the most careful attention, it is generally better to destroy a pup thus affected. Messrs. Growing have recorded a case in the 'Veterinarian' for 1868 in which the liver was dark in colour and speckled here and there with yellow granules. These were so numerous as to render the gland almost globular in shape, compact in texture, and of the con- sistency of an ordinary fatty tumour ; its section was gran- ular and mottled with minute, yellow specks. The heart was fatty ; a fellow pup died of the same disease, marasmus, with distended abdomen due to tuberculous deposit. Septicemia. — It is a remarkable fact that although it is, to an extent, natural for dogs to feed on putrid mate- rial, yet when decomposing matter enters a wound fever of a typhoid character, followed by collapse and speedy death, occurs ; or occasionally the animal recovers after profuse diarrhoea with most offensive evacuations. This accident is especially liable to occur in bitches in which laceration of the lining membrane of the genitals has occurred and the foetus is in a decomposed state. The fever sets in some eighteen or twenty hours after inocu- lation. After death the tissues in general are found oedematous and spotted, and it will be observed that they undergo speedy decomposition. Treatment comprises stimulant tonics internally and the use of antiseptic and disinfectant lotions in frequent washing out of the diseased parts. The disease in relation to parturition is carefully described in Fleming's ' Veterinary Obstetrics.' NON-SPECIFIC DISORDERS OF THE BLOOD. Rheumatism is somewhat frequently seen in dogs, espe- cially those used for sporting purposes, and generally due to the neglect of an old sporting rule to " lie warm and dry." Thus it is seen most often in damp kennels, with a cold, DISEASES OF THE BLOOD. 65 north-easterly aspect, and where the beds are too near the ground, especially if such kennels be ill-ventilated and kept in a dirty state. The disorder is most frequent in spring and also occurs frequently in autumn. Mayhew considers it one of the diseases which result from over- feeding. It assumes either the acute or the chronic form ; the latter often results from an attack acute at the outset. The frequency of rheumatism in its several forms among canine patients contrasts rather remarkably with its infre- quence in herbivora. Dr. Kichardson's experiment on the artificial production of rheumatism has a great deal of interest to the canine pathologist. A solution of lactic acid was thrown into the peritoneal sac of a healthy dog, which died in two days, and on post-mortem examination showed marked endocarditis ; there being tumefaction of the tricuspid valve ; an inflamed and enlarged condition of the aortic valves, with fibrinous beads along their edges; endocardium red; pericardium dry (Watson). These cardiac lesions are seen also in the naturally acquired rheumatism of the dog, in which animal, however, the disease is remarkable for its little tendency to metastasis and for the frequency with which it affects the bowels, causing either inflammation or torpor of them, as specially noticed by Blaine. Also there is less liability for the joints of the limbs to be affected than in man, and more frequently there is paralysis as a sequela, which may be temporary or permanent. The most frequent forms of rheumatism in the dog are lumbago and " chest founder " or "kennel-lameness." The former is denoted by arched back, tenderness of the loins, the animal moves as if half paralysed behind and is most averse to move. He screams pitifully when touched. Generally fever at first runs high and the belly is hot and painful on pressure. The bowels are very liable to be constipated, and, until they can be acted on, the fever and lameness will not yield to treatment. Ghest founder is rheumatism affecting the subscapular muscles and those which unite the fore extremity to the trunk, so that the animal suffers pain when the shoulders and the fore limbs are manipulated, 66 THE DISEASES 01 THE DOG. also the dog moves about stiffly and with difficulty as though somewhat paralysed before. Youatt speaks of kennel-lameness as due to washing hounds, and, with Nimrod, he " deprecates even their access to water in the evening after hunting." He speaks of the disease as an ill-understood affection, and seems to distinguish between it and chest founder. The latter he mentions as a " singular complaint, and often a pest in kennels which are built in low situations, and where bad management prevails ; where the huntsman or whippers-in are too often in a hurry to get home, and turn their dogs into the kennel panting and hot ; where the beds are not far enough from the floor, or the building, if it should be in a sufficiently elevated situation, has yet a northern aspect and is unsheltered from the blast, chest founder prevails." He considers it sprain and inflammation of the subscapu- lar muscles from long-continued and considerable exer- tion, leading occasionally to paralysis, as specially seen in pointers. Treatment of rheumatism consists in opening the bowels, and then giving salicylic acid, colchicum, or iodide of potassium, together with alkaline carbonates. These sub- stances may be tried in turn, or, since the disease is very liable to recur, at the several attacks. Local treatment should comprise warm water applications followed by stimulating liniments to the affected parts. In chronic cases the joints are liable to become affected and most painful in cold weather ; setons or blisters may then prove useful. The diet must in all cases of rheumatism be moderate and carefully regulated, and the patient be kept in a warm, dry place, under strict hygienic conditions. With a view to prevention, excessive washing must be avoided, and, especially, leaving the animal to dry when he has been washed. In cases of incipient or partial para- lysis the effects of acupuncture or electricity may be tried. Eickets is a disease of special interest to the canine surgeon, for, of all domesticated animals, the dog is most liable to it. MM. Voit have carefully studied the relations of this disorder to the use of food devoid of calcareous DISEASES OF THE BLOOD. 67 matter. They found that " young animals, with imper- fectly formed skeletons, suffer more from deprivation of lime than adults and directly in proportion to their size. Young dogs fed exclusively on fat and flesh became exten- sively rachitic without any other modification of the general nutrition. The disease consisted in an inflammation of the parts of the bones in which growth occurs, and especially in the most freely moveable rays of the limbs. A similar process occurs, even though the aliment contains sufficient lime, when, from any cause, such as disturbance of diges- tion or use of too great quantities of principles tending to Fig. 23. — Rachitic dog (Hill). increase the amount of excrement, a small proportion only of the lime in the food is absorbed." These facts agree closely with the conclusions of practical observers that the disease depends on improper food, indifferent ventilation, and the want of exercise, which is so essential to the efficient action of the bowels and development of the frame. It has been observed, also, that it prevails as a hereditary disorder, especially among pugs and small bull- dogs (Blaine), and the breed of wry-legged terriers is supposed to have had its origin in the effects of this disease. Hill very justly warns us against concluding 68 THE DISEASES OF THE DOG. that all animals in which the legs are twisted and deformed are suffering from this disorder, for young dogs which have not been allowed sufficient exercise during develop- ment will have bodies too heavy for their legs, and the latter will yield under the superincumbent weight and, moreover, will, like all imperfectly used parts, develop but indifferently. Also green-stick fractures of the limb bones, and bones not " set " straight in young animals, give rise to deformity of the limbs. In truly rickety animals the joints especially will be found enlarged, and the head and belly will be disproportionately big. The disease appears at birth, the bones are soft and yield under the weight of the animal, also it is observed that only false union results from the frequent fractures in such cases. The nutritive functions in general are unsatisfactory in natural rickets, and it has been supposed to result especially from the deleterious practice of breeding in and in. Treatment. — Avoid rickety parents or such as have produced rickety offspring ; rear all pups on correct hygienic principles, giving good food, healthy milk, plenty of exercise, and adequate shelter. Give bone dust, lime- water, crushed egg-shells, with a view to supplying cal- careous matter to the system, and especially give such nutritive diet as is found to be best suited to the digestion of the patient. Cod-liver oil has been proved to be highly beneficial. Leukemia, as a disease of lower animals, has been specially studied by Siedamgrotzsky. It consists in excess of white corpuscles and relative deficiency of red, due to hyperplasia of the blood-making organs, spleen, lymphatic glands, and marrow ; hence it assumes three forms, splenic, lymphatic, and myelitic, as discoverable by autopsy rather than diagnosis. It is more frequent in dogs and cats than in other domesticated animals, and a predisposition to it is most marked in middle and advanced life. The cause is obscure ; the spleen is most frequently enlarged, the result of prolonged hyperemia of the organ, which at first is soft and distended with blood, later, firm and anaemic, its DISEASES OF THE BLOOD. 69 margins become rounded and its surface rough from thickening of its capsule. The Malpighian corpuscles may be enlarged to the size of a pea. The lymphatic glands and medulla undergo similar hypertrophies in other cases, and lymphoid tissue may be developed in other pai'ts of the body such as the liver and kidneys. Leukaemia is best diagnosed by observation of the blood from the living animal. After a progressive anaemia, extending over from three weeks to five months, the patient dies. No therapeutic method has yet been pointed out likely to affect a cure. Innorenza, of the Naples Veterinary School, has described this fatal disorder as a sequela of distemper.* Jaundice or Ictekus is bile-poisoning of the blood ; a condition of frequent occurrence in the dog, especially as a symptom of liver disorder. It is found in hepatitis, obstruction of the bile-ducts by inspissated gall or by calculi, in the earlier stages of malignant liver disease, and especially in gastro-duodenal congestion, where the tumid condition of the mucous membrane prevents the free pour- ing of bile into the bowel. Occasionally it results inde- pendently of appreciable disorder either of liver or alimen- tary canal, where the activity of the bile- secreting elements has become torpid after over-fatigue, sudden chills, ex- posure, or injury of the dog. Animals which have received over-doses of emetic and purgative medicine suffer from it, as also watchdogs constantly tied up. " In-whelp bitches occasionally become jaundiced from uterine pressure, which generally disappears after parturition " (Hill) . This disease is known to sporting men and kennel men as " the yellows." It is found in its most acute form in sporting dogs, especially greyhounds, whereas it appears in fancy breeds only as a primary stage in liver degeneration, or as an important sym- ptom inintestinal disorders such as intussusception of the bowels. Constipation has been spoken of as a common cause, but it would be more correct to consider the two con- ditions simultaneous results of torpidity of the liver and want of exercise or suitable food. The abuse of emetics and purgatives gives rise to jaundice through the turges- * ' Veterinary Journal,' iv, p. 60, 70 THE DISEASES OF THE DOG. cence of the gastroduodenal mucous membrane which they produce. Symptoms. — The animal is at first dull, sleepy, and dis- turbed in his sleep, thirsty, and refuses his food, and expels it when taken, by vomition. Bilious diarrhoea as indicated by dark stools is not unfrequently present, and some slight colic and pain on pressure over the liver may indicate a congestion of that organ. Soon the patient becomes feverish, but the attack is paroxysmal, much worse some- times than at others. The skin becomes yellow and either dry and harsh, or else, as Mayhew accurately expresses it, "rather like a skin which had been well dressed by a furrier than one which was still on a living animal." The mucous membranes, too, are yellow and may become intensely so, and the urine in severe cases becomes so dark as to look, almost red, and be commonly described as " bloody." The bowels now become very torpid, and the small amount of faeces expelled is of light brown or whitish colour. In the later stages the alvine evacuations are mixed with blood because the mucous membrane of the bowel becomes ulcerated. The patient at this stage is nmch " tucked up " in the flank, and the whole of the belly feels hard and tender ; the dog is much reduced in flesh, his coat becomes rough, his gait staggering, and death follows, generally preceded by convulsions. Treatment comprises careful nursing with administration of light soups and mucilaginous vegetable mixtures, which latter are especially useful for sheathing the ulcerated or congested gastro-intestinal mucous membrane from the acrid bile poured into the canal in the early stages. Small doses of sulphate of soda or sulphate of magnesia also assist to free the bowel from acrid bile ; starch and laudanum ene- mata are sometimes required. The kidneys may be gently acted on by nitre in small doses ; quinine and magnesia also are of benefit. When the fever runs high a small amount of blood may be extracted and the sweet spirits of nitre given as a febrifuge and sudorific. Fresh, cool, dry air and gentle exercise are most valuable as curative means and to prevent recurrence. DISEASES OP THE BLOOD. 71 Anemia in canine patients sometimes assumes a marked character and can be only imperfectly explained. Thus, dogs kept in dark places, ill cared for, badly fed, and totally deprived of exercise, undergo nutritive defects in almost every tissue of the body such as are particularly visible to the observer in the cornea, which becomes opaque in spots and ulcerated, as in rabies occasionally and in distemper not rarely. Haemorrhage or chronic disease may give rise to a similar state, as denoted by extreme weakness, pallor of visible membranes and skin, bleeding imperfectly when cut, coldness of the mouth and extremities, and, finally, paralysis and death. Autopsy shows a general bloodlessness of the tissues and a ten- dency to serous effusion, such as may have set in, under the form of anasarca of perinasum, intermaxillary space, or limbs, before death. The animal, weakened by disorder or maltreatment, may be subject to fits before death occurs. Tonics, stimulants, good nutritive food, and strict hygiene, with determination and removal of the cause operative ii» the special case, is the line of treatment suited to anasmia Where it is associated with a liability to fatty degenera- tions of organs, as denoted by weak heart with a tendency to palpitation, the effects of small doses of chlorate of potash long continued may be tried. Plethora, although common in dogs, is not liable to give rise to pathological states primarily, although secondarily it causes considerable disorder of almost every part of the body. Mayhew alludes to its occurrence, in the form called " Foul," among sporting dogs which are, in spite of close confinement and cessation of work at the end of the season, still highly fed as though in full work. Under such mismanagement the dog soon suffers from a very serious complication of disorders, each of which requires its special treatment. Fever in the dog is almost always sympathetic or one of the symptoms of blood disease, but there are, neverthe- less, cases in which while fever runs high no local disorder can be detected. Malarious influences undoubtedly affect the dog, inducing recurrent fever with absence of appre- 72 THE DISEA8ES OF THE DOG. ciable lesions detectable post mortem, a few petechias on the lungs and beneath the endocardium, a slight excess of serum in the serous sacs, a general pallor of the tissues, and a tendency to congestion of the small bowels only being present. Such cases supervene on severe exertion and exposure. They obstinately resist varied forms of treatment, and much light has yet to be thrown on their nature. The system of the dog is specially liable to nutritive changes. Thus fatty degenerations and tumours, as well as a tendency to extreme obesity with age, are extremely common, and has been noticed in spaniels, especially among the different breeds. We shall see how the occurrence of fatty degeneration of the heart and liver is frequent in toy terriers and other pets. DISEASES OF THE CIRCULATORY SYSTEM. 73 CHAPTER IV.— DISEASES OF THE CIRCU- LATORY SYSTEM. Introduction. — There is a simplicity about the circula- tory apparatus of the dog which renders it but little liable to disease ; indeed, the works on Canine Pathology of two well-known authors have no notice of this important system of organs. Doubtless with increasing knowledge of the subject we shall gradually learn that cardiac diseases of an organic form are most frequent in sporting dogs ; those of a functional nature in toy breeds. The heart is thin walled and almost globular in form ; the apex is directed back- wards, and the right side lies against the upper surface of the sternum ; but, as the breast bone is inclined obliquely downwards and backwards, the difference in the position of the heart between carnivora and herbivora is not great. The apex is rounded and formed by both ventricles, and the two sides are fairly equal in size. The pericardium is posteriorly attached to the tendinous portion of the diaphragm. The arterial and venous systems are capacious and well developed, but the lymphatic apparatus is small in proportion, although the receptaculum chyli is large and runs far forwards in the chest. The relative develop- ment of blood and lymph systems as above explained is quite in accordance with the sanguine temperament of the animal. It is estimated that the heart of the dog may vary from '3 to '7 per cent, of the weight of the animal. Fibrous deposits on the valves of the heart result from rheumatism. They form a rough surface on which fibrin becomes deposited before death, and the clot may prove fatal by occluding the cardiac openings or entangle- ment of the valves in such a way as to interfere with their 74 THE DISEASES OF THE DOG. AH? 1 1 - '9k NT' 18B25 3 ^ :s -s V 03 <» '.S "3 !s ~ o -c s .s o 5 g g |J3 |J3 _,-, -» A .S> % *8 « P3 H5 Hi a £ 03 O -t-> (» W *- o o Ph ft , -^ o t> .S "E £ t w 3 Hj •. such as calomel and aloes, are advocated by some practitioners,, but they require to be administered with the greatest; care and judgment. Cod-liver oil as a nutritive and very mild laxative is often followed by great benefit. The operation of tapping the belly, Paracentesis abdominis,, performed with the trochar and cannula (under; the usual pre- cautions) at the linea alba against the umbilicus affords some hope of relief where organic disease of the liver and spleen is absent, but it may be required several times to relieve the dyspnoea. After-treatment for the operation consists in support of the belly by means of a bandage. It is considered that in the dog, contrary to what is observed in man, all the fluid may be removed at one time without damage. 140 SHE DISEASES OW THE DOG, Appendix II— THE LIVER, PANCREAS, AND SPLEEN, &c. The liver of the dog is large, well developed, and much tabulated ; it has but a thin and delicate Glisson's capsule, vp Fig. 40. — Liver, &c, from Fleming's translation of Chauveatf's Anatomy. v.P. Vena portse. V.O. Vense cavse. B. Gall-bladder, p. Pancreas, e. Stomach. D. Duodenum. B. Kidney, p. Lobes of liver. and thus, even for its size, represents considerable secret- ing power; its gall-bladder is well developed, and the ON THE DISOEDEES OP THE DIGESTIVE APPARATUS. 141 common ducfc receives a small branch from the pancreas before terminating at the bowel at a varying distance from the stomach (one to four inches). The gall-bladder is almost buried in the substance of the liver when the lobes lie in their normal position. The bile of the dog, as of other carnivora, is yellow, it is remarkable for the fact that the whole of its bilin consists of taurocholate. The amount of bile secreted by a dog in twenty-four hours is from six to twelve drachms. Haller, from his experiments, placed the average amount secreted at twelve and a half drachms. The rate of secretion will depend upon the digestion; while the animal is fasting no bile is formed, but within a few minutes of giving food the bile is secreted freely, and continues until digestion is finished. Schwann's experiments made on dogs to determine the uses of the bile, showed that if a fistula was established between the gall-bladder and skin, and tbe common duct tied so that the whole amount of bile secreted was poured out externally, that in those animals which survived the operation for any length of time, enfeebled nutrition, mus- cular weakness, falling off of the hair, &c, occurred ; these symptoms were aggravated the longer the animal lived ; death usually took place two or three weeks after the operation. In Blondlot's experiments a dog with a biliary fistula lived three months ; he at first lost weight, then improved, but never regained his normal condi- tion. The liver of the dog is especially liable to disease, which generally assumes the form of chronic degeneration, but in tropical climates is not unfrequently acute. Diseases of the liver are in this, as in other species, characterised by jaundice, but when that distinctive symptom is not present, they are more or less obscure forms of indigestion with a tendency to anaemia. There can be no doubt that they very frequently remain entirely undetected during the life of the animal, and are often mistaken for other diseases, especially those of the stomach. If we consider the stimu- lating influence of flesh food on the liver, the largeness of 142 THE DISEASES OP THE DOG the bile excretory apparatus of the dog, and the deficiency of exercise given to dogs of the fancy breeds, we will not be surprised to find the liver a frequent seat of disease in canine animals. Hepatitis in its acute form is common in India and other tropical countries ; it also has been reported as fre- quent in the South of France. It is probably in most cases congestive, rather than true inflammatory disorder. Jaundice is a prominent symptom ; the patient becomes very dull, restless, and seeks a dark, quiet place ; much thirst is present ; frequent vomition of a material consist- ing mainly of bile occurs, but the act of expulsion seems to be not very painful. Pressure on the right side over the liver causes acute pain, and the belly is sometimes enlarged in consequence of the swelling of that organ. Breathing is quick and panting ; cough may be present. The patient eats nothing, his mouth is foul, and the gums congested ; generally the faeces are dry and pale coloured, but in some cases the bowels are rather loose. Occasion- ally, what Blaine terms "bilious inflammation of the bowels " sets in, there being much abdominal pain and a copious expulsion of bile in the frequent vomits and alvine evacuations. This proves very exhausting and may carry off the animal, the bowels after death being found inflamed probably by the acridity of the bile ; but we are warned to distinguish in diagnosis between it and irritant poisoning by the animal being more thirsty in the latter case and pass- ing blood intermingled with the black ejecta from the bowels. The acute symptoms sometimes subside gradually and are replaced by those indicative of chronic liver disorder ; in other cases symptoms of cerebral disturbance may precede death, or paralysis occur ; generally increas- ing pallor of visible membranes, and marked coldness of the mouth precede death. It having been found that this disorder may be mistaken for pleuro-pneumonia or enteritis, Blaine points out that there is less coldness of and watery discharge from the nose and mouth than in the former disease, and less pain on pressure, tension, and heat of the belly, also less prostration of strength than in ON THE DISORDERS OF THE DIGESTIVE APPARATUS. 143 the latter.* Treatment. — Certainly a moderate bleeding, when promptly resorted to, is the best means of dealing with an acute case, and its action may be materially assisted by mustard plasters over the liver and use of the warm bath. Leeches to the side over the liver have been found of benefit. The greatest care should be taken to avoid exposure to cold after removal from the bath, the patient being carefully wrapped up in a blanket. As for internal agents, we may anticipate most benefit from Epsom salts, nitre, and sal ammoniac, in small doses thrice a day.f Antimony and mercurial compounds must be avoided, the former on account of their influence on the stomach and the latter as likely to hyperstimulate the liver. Frequent small doses of dilute vinegar constitute an excellent domestic remedy in these cases, and on recovery the animal will require most careful attention to dieting. Chronic Hepatitis also is generally congestive rather than due to inflammation. It is probably one of the most frequent disorders of the dog, and may be traced to causes such as when they act powerfully and simulta- neously produce acute inflammation. These are gene- rally insidious in their effects, gradually producing con- gestion of the liver and degenerative changes of its com- ponent elements. Exposure to cold and damp, especially in a malarious climate, may cause acute congestion in a liver predisposed by a long course of high feeding uncounterbalanced by sufficient exercise. Exposure for a long time to the relaxing effects of heat, abuse of medicines which stimulate the liver, sudden immersion in watef when the animal is very hot, injury from violence over the seat of the organ, are causes of disorder. In England want of exercise, over-feeding, and the moistness of the climate are the main causes of chronic liver disorder, whereas in India it principally results also from malaria; and pro- longed high external temperature. , * Mayhew has recorded a case of liver abscess in a setter from which more than two gallons of pus of a watery character was extracted. t Williams advocates elaterium for the relief of liver congestion in dogs, it causes watery stools. ' •■-,'■, 144 THE DISEASES OF THE DOG The Symptoms are at first jaundice of a subacute cha- racter, constant dulness, frequent vomition, unthrifty coat, swollen right side of the belly, persistent thirst, indiges- tion, flatulence, and extreme irregularity of the bowels. The patient eats but little, wastes away rapidly, his belly becomes pendulous, but on manipulation this is found not due to dropsy ; piles are a common result of pressure of the swollen liver on the large veins passing through it. It has been observed that the wasting of the animal often occurs suddenly after it has been extremely fat, its skin becomes much disordered, rough, harsh, and scabby. Asthma and splenic disorders have been noted as not infrequent accompaniments. The form of distemper in which the liver is principally affected must not be taken Pig. 41. — Liver disorder (Mathew). as primary liver disease, although occasionally it induces such changes of the organ as to render it unfit to perform its duties. Treatment of chronic disorder of the liver com- prises careful regulation of the bowels by the use of salines, especially Epsom salts combined with sal ammoniac and nitre ; small doses of calomel and podophyllin are often beneficial to arouse the torpid organ to action. Aloes also may be given and the mineral acids in small doses, especially the hydrochloric, are likely to prove beneficial. Occasional stimulation of the skin of the right hypochon- drium, such as by painting it with tincture of iodine, as advocated by Hill, may be resorted to. Careful regulation of diet and exercise will prove more useful than medicine, ON THE DISOEDEES OF THE DIGESTIVE APPAEATUS. 145 but, with Mayhew, we must urge that " the food must not suddenly be reduced to starvation point. . . . The structures have been so much changed that medicine cannot be expected to restore them. The pet may be saved to its indulgent mistress, and again perhaps exhibit all the charms for which it was ever prized ; but the sporting dog will never be made capable of doing work, and certainly it is not to be selected to breed from after it has sustained an attack of hepatitis." Degbnebations op the Livee in carnivora generally assume the fatty form, the organ being enlarged and softened. Sometimes the enlargement is extreme and detectable with the greatest facility, and the liver is prac- tically a mass of fat, the result of both true fatty de- generation and of infiltration. Magendie, the illustrious physiologist, fed a dog on fresh butter for sixty- eight days; it became remarkably fat, but died ultimately of inanition. Throughout the course of the experiment the animal smelt strongly of butyric acid, and its hair was greasy. The liver was very fatty, " and, on analysis, it was found to contain a very large quantity of stearine, but little or no oleine ; it had acted as a kind of filter for the butter" (Budd). Other dogs fed wholly on fat be- came very fat but anaemic. We see similar experiments involuntarily performed by dog-owners around us on every side daily ; pampered, highly-fed pets become slug- gish in their movements, enormously fat, anaemic, irre- gular in the bowels, and big in the belly. They may succumb to coexistent fatty degeneration of the heart, or suddenly lose flesh and show all the signs of chronic hepatitis. A gradual alteration of the diet and increase of the amount of exercise taken may be tried when fatty liver is diagnosed. A small amount of fresh liver should be given occasionally in the food. Medicinally, benefit may result from small doses of chlorate of potash given daily for a long time. Cirrhosis, amyloid change, and other degenerations of the liver are not often seen in dogs. Rupture of the liver has been recorded only as a result of injury. 10 146 THE DISEASES OF THE DOG. Malignant Disease of the Livee is more frequent in carnivora than in other lower animals and generally assumes the form of spindle-celled sarcoma. The liver is seldom the only abdominal organ affected, the spleen, mesentery, and omentum being also the seat of yellowish-grey nodu- lated tumours. The patients thus affected are generally old and worn out by the disease, and their destruction is evidently the most advisable course to adopt. Parasitic Disease of the liver of the dog has been described by Dr. Lewis, of Calcutta. He found flukes, Distoma conjunctum, frequent in the bile-ducts of pariahs. Dr. Oobbold also found them in the American red fox. The latter observation was made about in ] 860 ; the para- PiG. 42. — Distoma conjunctum, after Cobboid. (a) The parasite, (i) Spines on a portion of its integument. (c) Ova. sites had given rise to " inflammation and the formation of small cysts or abscesses, apparently causing the death of the host." Cystic parasites are remarkably infrequent in or on the liver of the dog. Reiman* has observed and described invasion of the liver and other organs of the dog by echinococci. Mather observed small nema- todes (Filaria hepatica) in the liver-ducts and substance, as well as in cy^ts within the walls of the intestines. Ectopia hepatis has been also observed in canine patients. * * Deut. Zelt. f. Thiermed. u. Verg. Path.,' B. 11, p. 81. ON THE DISOEDEES OF THE DIGESTIVE APPAEATUS. 147 The Exceetoet Appaeatus of the Liver. — The dog is the animal most frequently used by physiologists for ob- taining bile in a perfectly fresh state. The non-liability of the dog to traumatic peritonitis, and the facility of access to his bile-duct accounts for his usually being selected for the production of a biliary fistula. Gamgee thus describes the operation: "An incision three or four inches long is made in the linea alba, commencing at the xiphoid cartilage, and the peritoneum having been care- fully divided the liver is raised, when the gall-bladder comes into view. This having been seized with a pair of for- ceps and drawn to the surface, the cystic and hepatic ducts are seen joining to form the common bile-duct, which is easily seen entering the duodenum. Two ligatures are then passed around this duct, one being placed as near the gut as possible, the other near the origin, of the duct. The portion between the two ligatures is cut out. The gall- bladder is no\7 fixed to the anterior part of the wound by means of metallic sutures, and then opened sufficiently to admit the little finger. The rest of the wound is closed by metallic sutures ; tbe quill suture is, perhaps, the best. Care must be taken to bring the wound in the muscles together before sewing up that of the skin. After the operation a wide roller is passed round the belly of the dog, a bole being made in it to allow the escape of the bile. If matters proceed satisfactorily the wound in the abdominal wall heals, except where the opening in the gall-bladder becomes adherent." Biliary Calculi are not rare in the dog ; they vary in consistence from inspissated bile masses to hard concre- tions. They prove of importance either as causing jaun- dice by entering the duct and obstructing it or else by the acute pain which occurs during their passage. When jaundiced animals suddenly manifest acute pain by ex- treme violence and loud cries it is generally due to pas- sage of gall-stones. This must be # encouraged and rendered less painful by warm baths and administration of opiates, and immediate relief, not only of the pain but also of any jaundice associated with it, will follow expulsion 148 THE DISEASES OF THE DOG. of the stones. They are generally present in numbers, so the pain is apt to recur. Administration of occasional doses of podophyllin or calomel will be useful to prevent stagnation of bile in the gall-bladder and duct, and its consequent inspissation. The Pancreas of the dog is large and well developed, being much more compact and well defined than that of the horse. It is V-shaped and pours its secretion through two main ducts into the bowel, one of which blends with Fig. 43. — Pancreas, after Gamgee. h, d. Coats of the bowel. ». Cavity of duodenum. c, e,f, c', Te, V. Ducts of pancreas, Openings of ducts into duodenum. p. Pancreas lobes. Bile-duct. i, I, h, g. the common bile-duct. The secretion from the dog has been obtained by tying a tube in the duct as exposed by laparotomy, but "it is quite impossible to establish a permanent pancreatic fistula like a permanent hepatic or gastric fistula, for the tube falls out in the course of two or three days, and the wound healing up, the animal gradually recovers " (Gamgee). This organ has not been ON THE DISORDERS OF THE DIGESTIVE APPARATUS. 149 recognised as the seat of disorder in the dog, except that in 1850 M. Bernard exhibited before the Soci«Ste de Biologie a dog in which a pancreatic fistula had been made, but which died in a state of extreme emaciation. It was found that the pancreas had completely disappeared j it was believed it had been digested by the bile (' Gaz. Med.,' 9th March, 1850). The Spleen is well developed and less markedly sickle- shaped than in the horse. Evidence tends to show that it is much more frequently diseased in carnivora than herbivora, and numerous cases are on record showing the nature and phenomena of splenic disorder in the dog. These cases are seldom recognised ante mortem, being mistaken for liver derangement. The various British authors on canine pathology speak of Splenitis, but appa- rently without distinct evidence as to the exact pathological state to be dealt with. Blaine summarises his views on this subject by saying, " Whenever a dog has been unthrifty in his coat, and irregular in his evacuations, I have al- most invariably found that both the liver and spleen of the animal were more or less indurated and swollen, par- ticularly the latter." This state results from long con- finement, and the animal being gorged with flesh ; the patient becomes unthrifty in the coat, much emaciated, and loose in his stools ; he husks and vomits frequently ; the evacuations are yellow and frothy, or at times ctinstipa- tion is present ; there is tumour at the left side of the front of the belly, which is painful on pressure, so the dog cries when moved; he is feverish and the visible mucous membranes pale. These symptoms, generally described as those of splenitis, should be considered as indicative of chronic spleen disorder of one of the forms to be described immediately. They are practically in- curable. Laparotomy for their removal does not generally prove successful because the spleen is seldom the onlv organ diseased, the liver (as sufficiently indicated by the above enumerated symptoms) and the mesenteric glands being usually involved; also we cannot often detect spleen 150 THE DISEASES 0E THE DOG. disease in its earliest and uncomplicated stages and it not unfrequently is the manifestation of some systemic disorder. Thus it is found in leukaemia, a disease not infrequent in the dog, and in malarious fevers. Excision of the Spleen is an operation which is not un- frequently performed for physiological inquiries, and carnivora are capable of resisting the constitutional effects of removal of this large organ, probably by compensatory increase of other hsematogenic organs, also they are very tolerant of the operation for its ablation. This non- essentiality of the spleen accounts for its being capable of undergoing extensive, disease changes without material interference with the animal's health. Medicinal treat- ment is not likely to be . effectual, although the influence of iodine and tonic doses continued for a long time may be tried, and the bowels kept open by aloes and calomel. As the organ increases in size (and it sometimes attains enormous proportions) it much encroaches on the space in the belly occupied by the bowels, and causes disturb- ance of them. Hemorrhagic Tumours of the spleen are often found in the dog ; generally they are of some standing as denoted by the conditions of successive clots. Adams, of Oossoor, relates* an instance in which the organ was of enormous size (2 1^ in. long and 9 inches broad; weight 6 lbs.) and quite a jelly-like mass lying along the whole floor of the belly. The patient was an Australian deerhound and died from rupture of the organ, where it lay against the pelvis. The rupture Mr. Adams considered due to very slight exertion, the disease of the spleen to cachexia in- duced by the change of climate from Australia to India. In my experience, these cases are always found in large dogs ; they generally involve only part of the spleen ; they usually prove fatal by rupture. They seem non-malig- nant in nature. I find three mentioned in my notebook ; one was a true hEemorrhagic tumour in a mastiff bitch in a state of chronic anaemia, another in a retriever dog, also anaemic ; in each case the spleen was detectable as en- * 'Veterinary Journal,' xx, p. 250, ON THE DISORDERS OF THE DIGESTIVE APPARATUS. 151 larged before death and bulged out behind the ribs on the left side. The third patient was a large boarhound treated at the Eoyal Veterinary College, London. On admission he was in f.iir condition, but he fell away in flesh and looked bad in his coat. The spleen was found of enormous size and gorged with blood after death, which was considered as due to splenic apoplexy, not the form of anthrax known under that name, however. Sarcomatous Growth in, and other Malignant Disease of the Spleen of the Dog is not rare. The case by Gowing, of Camden Town,* is a good example of this disease. In leukaemia and anthrax the spleen is often the principal seat of lesions detected post mortem. Diseases of the other Ductless Glands. — The Thyroid Body is well developed in dogs and liable to enlargement, either of an acute or chronic character. Bronchocile or Goitre is specially frequent in carnivora among quadrupeds, and differs in some very important respects from the same disease in man. Thus it is not endemic and is often very acute. It can generally be associated with starvation and dirt, although it is not unfrequent in newly -born pups, and as often several in a litter suffer from it, and it is generally an accompaniment of rickets or deformities, it is considered hereditary, although pos- sibly rather due to malnutrition of the female parent during utero-gestation. It especially occurs in certain breeds, pugs being most liable to it. They have large glands in the throat (vulgarly called " kernels ") while young, and the enlargement decreases in proportion to growth in the majority of cases or readily yields to absorbent treatment, external and internal. It has been noted, however, that the swelling of the glands is periodically recurrent, and so an apparently favorable result of treatment may prove deceptive. Youatt tells us "there is a breed of the Blenheim spaniel in which this periodical goitre is very remarkable ; the slightest cold is accompanied by enlarge- ment of the thyroid gland, but the swelling altogether disappears in the course of a fortnight." As a rule • ' Veterinary Journal,' x, p. 385. 152 THE DISEASES OF THE DOG. painting the part, after removal of the hair, with tincture of iodine, and the internal administration of iodine in half- grain doses morning and evening will permanently reduce the enlargement. The introduction of setons, excision of the glands, blistering, and other heroic methods should not be resorted to. In acute cases, as described by Youatt, the sudden enlargement of the thyroid is considerable, and pressure is brought about on the jugulars, trachea, and oesophagus, which are all more or less obstructed, and suffocation may result. The patient sleeps much, is dull, and may die quietly ; symptoms probably the result of jugular obstruction. In some cases suppuration occurs, and very extensive ulceration as a sequela ; these are pro- bably scrofulous in their nature, and generally prove incurable. The Thymus Body is large in puppies, and slow to dis- appear. It is entirely confined to the anterior mediastinum, and there is no record to hand of it being diseased in carnivora. THE URINARY APPARATUS. 153 CHAPTER VII.— THE URINARY APPARATUS. The kidneys of our domesticated carnivora are rounded and reniform, unlobulated, and with a single elongated papilla projecting into the central cavity of each. The bladder has muscular walls of great thickness, so that the urine is expelled with considerable force. It also is got rid of frequently, is of a lighter colour and stronger odour than that of herbivora, and contains no hippuric acid. The urinary apparatus of the dog is rather liable to calculous concretions, and Albuminous Nephritis, true Bright's disease, has been found in him, and is pro- bably more frequent than is generally supposed. Prof. Axe, of the London School, exhibited a case of this dis- order before the Central Veterinary Society, and described the granular degeneration, cystic formations (from reten- tion), fatty change, and other conditions characteristic of the disease, which he found as well developed in the kidney of the dog as of man. Mathis found in a case of this disease in the dog, arteritis and periarteritis, sclerosis, atrophy, and degeneration of the kidneys. The patient was destroyed after a period of increasing debility following endocarditis ; constipation, thirst, profuse urination, capri- cious appetite, laziness, cries when moved, and inclination to keep constantly near the fire were the principal sym- ptoms in this case ( c Jnl. de Med. Vet. et de Zoot.') . The detection of albumen in the urine is not an absolute proof of the presence of this derangement, for it may depend on the nature of the food. When in cases of obscure marasmus the boiling and nitric tests show albu- men present, Bright's disease of one or both of the kidneys may be suspected and the animal considered incurable, 154 THE DISEASES OP THE DOG. although small doses of iodide of iron and cod-liver oil may be resorted to for prolonging his life if he be a favourite. Nephbitis or Eenitis is not frequent except as a result of injury, as when a carriage passes over the loins. Thanks to the thickness of both supra- and sub- lumbar muscles of the dog this accident often causes no serious damage, but with a heavy vehicle moving at a slow pace the loin bones may be crushed and the kidneys are liable to be bruised. An abscess may form in the injured organ or it may undergo such disorganization as to become totally absorbed, for sometimes on post-mortem examination of the dog but one kidney, a large one, is found. This may also result from congenital irregularity. Calculi in the kidney cause suppuration and sometimes extensive removal of its glandular substance by gradual absorption. It is said that the imprudent use of aphro- disiacs (Touatt) and cantharides blister absorbed from the surface or licked by the patient (Hill) cause this disorder. Exposure to inclement weather and retention of urine are also advanced as causes. A patient affected with nephritis suffers from high fever, straddles in his gait, feels and shows acute pain when pressed over the loins, and moves about in a very uncomfortable way, constantly attempting to urinate. The fluid passed is scanty and high coloured and may contain pus or blood. Later, coma, insensibility, and frequent vomition sets in, the result of retention of urea in the blood. Treatment consists in keeping the animal quiet and administering opium and demulcent drinks. Opiate enemata are useful, and the loins should be stimulated, fomented, or poulticed, as the urgency of the symptoms seem to demand. Leeches have been applied to the loins with benefit. Eenal Calculus is a concretion of which we have numerous cases on record. One or both kidneys may be occupied and have undergone enlargement (with dilatation of the pelvis) and inflammatory changes. The chemical composition of the calculi, which are usually numerous, has been found to be urate of ammonia and phosphate with oxalate of lime. The symptoms vary ; at times they are THE URINARY APPARATUS. 155 indicative of very acute renal irritation and inflammation, with great pain in voiding fasces ; at other times the patient suffers but little irritation. There can be no doubt that many small calculi form and pass from the kidney without causing the animal any inconvenience, but in the bladder they may become the nuclei of new concretions. The inflammation of the kidney must be treated, and espe- cially opium given in quantity to allay, pain, which also may be effected by use of warm water. Hill recom- mends mild diuretics and laxatives to encourage the descent of the calculi, also mucilaginous drinks and sharp exercise. These cases are not easy to diagnose ; at most the presence of calculus is only, shrewdly suspected in nephritis. Atrophy and Hypertrophy of the kidney are not unfrequently found and are not always disease. They seldom are detectable during life and also seldom cause inconvenience. Hydatids of this organ, mentioned by Blaine as being more frequent in the dog than in man, are probably merely cysts of retention due to blocking up of the tubuli uriniferi, either from Bright's disease or from simple concretions of urine salts and mucus in the tubuli uriniferi. Parasites. — Eustrongylus gigas has been found in the kidney of the dog. Its female has been observed over a yard in length and as large round as the little finger. Fig. 44. — Uustrongylus gigas, after Cobboid. The Ureter is occasionally blocked by impaction of escaping renal calculi; this is generally spasmodic and 156 THE DISEASES OV THE DOG. acutely painful, but the spasm ultimately yields, and the stone passes on into the bladder. Sometimes the ureters are chronically dilated, and they may contain sabulous matter. Cystitis is generally of rare occurrence, but Blaine and Youatt have placed on record an epizooty of it observed by them in 1810. It is attributed when sporadic to pro- longed retention of urine, irritation from calculi or para- sites, and strangury induced by imprudent use of can- tharides or turpentine, internally or externally. Mechanical injury is mentioned as a cause. Perhaps it most frequently results from obstruction to the passage of urine by abnor- mality of the prostate. The patient exhibits extreme restlessness and colicky pains ; he constantly changes his posture and his hind limbs tremble ; he is anxious and extremely irritable. Fever is present, and much pain is expressed on pressure of the walls of the belly, especially against the pelvis, towards which part the animal some- times looks anxiously. Urine is passed guttatim or is suppressed, and the act or attempt at expulsion is painful. In more chronic cases the symptoms very closely resemble those of nephritis. Treatment. — Relieve pain by hot baths and opiates, which means will also overcome spasm of the urethra ; local bleeding by means of leeches to the perinasum is useful, as also are fomentations and emollient enemata. Mucilaginous and alkaline drinks may be given. The catheter should be passed to ensure the absence of reten- tion or obstruction, which must be overcome if detected. The bowels in chronic cases should be constantly regulated, and exploration made to determine whether calculus is present or no. Cystic Calculus must be considered as frequent in the dog, and cases are on record also in the bitch. Analysis has shown that these concretions are composed of triple phosphate and phosphate of lime. They vary much in size and external form, some being smooth and spherical others spicular and irregular ; naturally the latter are the source of the greatest amount of irritation. Generally THE URINARY APPARATUS. 157 more than one calculus is present, and the smaller ones and sabulous matter or gravel are passed periodically, and Gowing records that in one of his cases the latter became Fig. 45. — Cystic calculus, after Moeton. deposited on the hair below the generative opening in a bitch. The urine varies in colour ; sometimes it is red, and distinctly contains blood, in other cases it is yellow and thick from apparently pus, really urine crystals. The smaller breeds of dogs are most liable to calculi in the bladder, which are generally nucleated. Boerhaave produced one by the artificial introduction of a small rounded pebble, which acted as a centre of deposit in the course of a few months. With the symptoms of chronic cystitis we find in these cases a continuous flow of urine, and resulting excoriation. The current is uncertain, and Fig. 46.— Cystic calculus, after Mobton. may be suddenly suppressed, and the animal show much pain. In some cases there is detectable swelling in the perinseum in the male. Mayhew considers as diagnostic the animal finding a difficulty in going downstairs, having 158 THE DISEASES OP THE DOG. frequent fits of pain, " and the point of the penis is pro- truded from the sheath, never being withdrawn." The leg is not raised to void the urine, but the creature strains violently when the act has either been accomplished, or there is no power to perform it. If the dog be taken on the knee, and one knowing the situation of the contents gently manipulates the abdomen, the body may be felt within the bladder, which will mostly be contracted and emp!y. A very interesting case of calculus in the bladder was recorded by Professor Morton, and the specimen may be seen in the museum of the London School. The stone practi- cally fills the viscus, and could easily be felt during life. Mayhew frankly confesses that he has never performed lithotomy on the dog, and he doubts whether we would find it practicable, considering the delicacy of the patient and the smallness of the parts to be operated on. Cer- tainly but few successful cases are on record, but it has been amply proved as not beyond the power of the canine surgeon. Hill ( f Veterinary Journal,' vol. xiii, p. 43) describes a successful performance of the operation, but subsequent death from peritonitis. The patient was a St. Bernard bitch ; 202 calculi, varying in size from that of a millet to a potato, were extracted ; the largest weighed three ounces, and the total mass weighed nine ounces ; they were perfectly smooth and white, and mostly trian- gular in form. The case was complicated by renal cal- culus. As usual in these cases, a stone had become fixed in the neck of the bladder and caused obstruction. Unless this obstruction is removed by operation, the bladder becomes mortified and the patient dies. The operation presents no special features when performed on the dog or bitch. Touatt informs us that occasionally a large calculus in the bladder is broken down by the forcible compression exerted on it by the muscular coat. This is a remarkable instance of natural lithotrity, an operation which is seldom needed in artificial removal because the calculi are usually small and numerous. Rupture as the Bladder occurs as the culmination of obstruction of the urethral passage in cases of diseased THE URINARY APPARATUS. 159 prostate. Sometimes, also, it follows unrelieved urethi-al obstruction by calculus. After the animal lias for some time passed urine only drop by drop, and has seemed dis- inclined to move, he shows the symptoms above enu- merated as indicative of acute cystitis ; these are succeeded by evident collapse, and the patient soon dies quietly. A bloody fluid is found in the belly post mortem, the peri- toneum is congested, and the bladder (especially its mucous membrane) inflamed ; the walls are found more or less rent. This lesion is, of course, incurable. Cystic Hernia is not rare, especially in the bitch, for the neck of the bladder is rather long. It may be inguinal, femoral, or ventral. The symptoms are not generally acute, and the bladder is usually with other organs in the sac. Stricture of the Neck of the Bladder and eversion of that organ have not, to my knowledge, been recorded in canine patients. Abnormal Urination occurs as an indication of disorder of the urinary apparatus. Retention of urine is found in urethral spasm or stricture, also in cases of prostatic dis- ease and impacted calculus ; it is also seen in advanced debility and paralysis, and the distension of the bladder may be detected by manipulation of the belly. It must not been confounded with suppression of urine, the com- plete cessation of urine, production indicative of inflam- matory disease of both kidneys, or scantiness of urine as found in all fevers, and when one kidney only is inflamed. Strangury is the painful expulsion of urine guttatim, and not unfrequently that fluid is found intermingled with pus or blood. It occurs in renitis, also in cystitis, and partial obstruction of the urinary passage. Incontinence of urine occurs specially in bitches in consequence of cystic calculus or disease of the urino-genital passages. The constant dribbling away of urine causes excoriation of the skin over which it trickles. It has been known to tempo- rarily result from prolonged retention of urine in a dog of good habits shut up in a room for a long time (Youatt). Tonics sufficed to check it in the case recorded. 160 THE DISEASES OF THE DOG. Pabalysis op the Bladder results from prolonged re- tention and over-distension, but with rest the organ gene- rally regains its tone. In some nervous disorders, espe- cially apoplexy and injuries to the spinal cord, the paralysis persists, and small doses of nux vomica may be required. In cases of retention of urine the catheter must be passed. To perform this a human catheter of gum elastic is re- quired, ranging from No. 1 to No. 5, according to the size of the animal ; larger dogs even require Nos. 6, 7, and 8. The dog must be placed on its side and the penis drawn out, and then the catheter, without its wire and well lubricated with oil, is inserted into the urinary meatus and passed along the canal. The instrument meets with some obstruction at the osseous portion of the canal, but with care, patience, and delicacy of manipulation may be got beyond this. It is directed by the hand round the pubio-ischial arch, and then gradually passed to the bladder. Mayhew, who carefully describes this operation, warns us to immediately withdraw the catheter when the urine, instead of flowing in gentle slow stream, is ejected in jerks with force, " lest the bladder, energetically con- tracting upon it, should cause the point to pierce the sides of the viscus." This operation often needs repetition. Profuse staling is seldom seen in the dog. The con- stant expulsion of a little urine by these animals when excited, or on starting for a run, is so familiar a phenomenon that it can never be mistaken for disease. Abuse of diuretics, and, it is said, bad food, may induce this de- rangement. The healthy urine of the dog differs from that of vege- table feeders in the absence of hippuric acid, in its clear consistency, bright yellow colour and strong odour. Oxalic and uric calculi are more frequent in the dog than in herbivora. Hematuria is found in acute inflammations of the kidneys or bladder or as a result of injury, either external or caused by calculi. It is important to deter- mine from what part of the urinary apparatus the haemor- rhage comes, and, this having been determined, astringent and styptic means may be adopted. Mayhew has found THE URINARY APPARATUS. l6l tincture of cantharides, 3 minims to water 2 oz., useful in these cases. In renal haemorrhage the blood is passed as small worm-like clots diffused through the urine ; in vesical hsemoiThage after expulsion of urine a flow of blood occurs ; in urethral bleeding the blood, uncoagulated, trickles from the urethra without expulsive effort. The dark urine of hepatic and some blood disorders must not be considered bloody. Diabetes Mellitcjs has been studied at the University of Naples by Prof. Ferraro. He finds that the disease occurs naturally in dogs, and in causes, symptoms, and treatment resembles the same disorder in man (' II Morgagni/ 1885). Urine with copious sediment may contain excess of mucus, pus, sabulous mat- ter, or gravel. In cases of doubt a little of the sediment may be put under the microscope, but that -is usually superfluous. The passage of gravel is generally an indica- tion of a tendency to the formation of urinary calculi, if not of their actual presence. To restrict the deposit, Mayhew recommends a strictly vegetable diet, doses of ether and laudanum both by mouth and injection ; hyoscy- amus and balsams, and sometimes cubebs or other peppers, and cantharides. Prostatic Disease is so frequent in the dog that the casual manner in which it is noticed by authors on canine pathology is somewhat surprising. Touatt mentions a case of rupture of the bladder due to it, but without recognising what organ was " on the neck of the bladder the size of a goose's egg and almost filling the cavity of the pelvis ; on cutting into it, more than 2 oz. of the pus escaped." Simonds* records a chronic case of gradual increase in size of the organ bringing about mechanical obstruction to the passage of urine. Mannington, of Brighton, was called to see a thirteen-year-old spaniel which for six months had shown a rapid increase in the size of the belly without impairment of the general health, and had been noticed latterly to urinate frequently. There was found immense enlargement and tenseness of the belly, especially at the Bides ; incessant attempts to * 'Trans. V. M. A.,' 1840-41, p. 57. 11 162 THE DISEASES OF THE DOG. void the urine were made and it was sometimes passed in small quantities. General marasmus, laboured breathing, disinclination to move, and pallid visible mucous mem- branes were the other symptoms. The belly was tapped, and about a pint of sero-sanguineous fluid trickled away slowly ; the dog bore the operation well, but it had little effect in reducing the size of the abdomen, which now felt as if its contents were quite solid. The patient was given diffusible stimulants, but gradually sank and died nine hours after the operation. A tumour, the prostate in an enlarged state, was found hanging from the pubic region to the inferior part of the abdomen. It weighed 10£ lbs., whereas the rest of the carcass weighed only 15£ lbs. (' Veterinary Record,' iii, 13th October, 1847). MacGillivray, of Banff, found prostatic disease in a large retriever dog which had been passing blood and matter in his urine. Progressive marasmus, stiff- ness and unwillingness to move, pain in passing urine, which act he performed every time he was taken from the kennel (and the flow of which ended in the passage of a couple of teaspoonfuls of very thin fluid pus, the last of which was tinged with blood), and a very disagreeable smell were the most prominent symptoms. Obstruction to passage of the catheter was also observed. The patient was treated with balsam of capivi and solutions of lunar caustic injected into the urethra. Severe rigors and heart- rending cries preceded death, which occurred about three weeks after the animal was first seen. Autopsy showed the prostate gland thrice its normal size, quite engorged with thin, purulent fluid of a most offensive odour. The bladder was half full of pus, and its mucous coat much thickened.* The above typical cases, from among a number recorded, illustrate the symptoms induced by this important lesion. Prostatic disease is so seldom seen in the other patients of veterinary surgeons that it is gene- rally when found in the dog recorded as " pelvic tumour." Under this name I have had two cases sent to me for exhibition at professional meetings. The tumefaction of * ' Veterinary Journal,' vol. xiii. THE URINARY APPARATUS. 163 the gland can generally be detected by a finger inserted into the rectum ; the enlarged belly, pelvic tumour, some- times bulging perinEeum, also obstruction to passage of the catheter and to expulsion of urine should suffice for detec- tion of the abnormality. The age of the patient generally renders treatment inadvisable, as it can be but palliative. Incision into the tumour, or tapping the gland from the perinEeum, may afford relief, but this disease is in dogs, as in old men, generally cystic, there being multiple small abscesses rather than one large collection of pus. The causes are obscure, but it is evidently a senile change and may be dependent on urethral inflammation, prostatitis, or other obstruction of the ducts of the gland, which is large and well developed in the dog and embraces the neck of the bladder on three sides. Oowper's glands, on the other hand, are absent. Urethritis occurs in the dog in asso- ciation with Balanitis (inflammation of the lining mem- brane of the prepuce) and Posthitis (inflammation of the mucous investment of" the glans). It is caused by dirt, over-feeding, want of exercise, and debility, and is a fre- quent accompaniment of mange. It is generally seen in both indoor pets and watch-dogs, and, although commonly known as Gonorrh M 5i OS ^ (? Pi -«» »■> 03 tf 'A •^ ^3 £ s « ^ on 03 oa o P=t *fe» ■to £ on s 03 -to « -w U3 ^ « s rO M fcH ■a B I I I I is a « 5 2 .-B-g 3 fc £±»™. or u' •Ills"- S S «3 1 I a » St) Son S S- ■S'lS s (B " m " -"s *•»" "O 3 n 2 « D41-P 3 I I Si CO •8 •a la 3 id 1? o-g I 8 I I I I ffi n CuOW5 O CD a o * a "3-3 •° 3 IS o.g 'S * S *3 w © t> a- w bD 3.— -. 11 «h g ■§2. O bo bo is ° O ».s CD .43 11 3« » rt 3-3 ■*o3 1 ■3ffl "S3. II Ph »^6b 43 •a '1 a,s2 . • o. - • ■ o goo 2 9 Sffi "3 "8 'fl'o 1 s a i o 2 2 R •la a a a (D O a < ^ -*a •1 A OJ^ 00 3 '3 m< 270 DISEASES OF THE DOG. Jw3 * i §^' >> .3 -»V i II I I I I I I I I I J | I 2 S S -: m o * ■ J-afg 3 n 2 J= ■a e S « as to ^ * s I I Is >= g a— 1 .£ o -I: I M a i2 St £ 03 ^ on u p ° •II 1£ C5 I I 3 o Q .S — JS"2 9» •pl5=f-| a H " 5 ^ £ 3"* -12 Sb£ g+5 HO tn a - ° S K5 s* . a a & «« h. sij bo ' J 8 Bl Ph Id bD ^f -*3 ec^ fi >s 3 u o 03 a il •3 I sl'l'll i 9 D fl 8H Pi h h d s> o ■*> -< <|o3 <( W -a) "3 » h fa 2 o _. 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Y3 K ■ &j CO Q> ■s s-a-s^ « S P n, go - 9 * o k^ a ° ° a a 0O » S » 60 o o.< —■■El ^ S.-Bo o S 3 a •8.9 g r 9 S -9 ' "S «-^?'s» S .9 Q h I- H *n g Cud bo bo ot I I -a .9 ® (3 bD a g s § « s ja rt «3 la & lU I I I I r&?s I I I ■% o S a iz; ft o a t-. -^> g .9 „ » 9 w ? >> o .Q3 OCO DO £ 3" a •a ef a. :5 s x ««/ M ^a a &' I ■ a s .2 s 5» a » "« .5 -3 Ph «H " iS '« !Zi -S^ rt "8 "a *T1 j •§ "8 5 a « m*" ^ .fi o m uassi esin tiuba QO, S«« -a i "3 -02 S3 > -3 0002 S3 • a S..3 Ss-a s ■g-a 03O } }} TABULAR STATEMENT OP DOSES, ETC. 277 .2 M a r-s •J .£«& »• a'^l §1 "3.2 .■" B ■£■3 o ■> a Tl.'-3 § -i &— 2_a 3 H ,±4 no 3 o M P ^ S o) w p P aj p<^ 00 2 "£3w3m 60 a 3 a . J5"3; I III 6 S £.5° ■SB 3 soSm I I 1 I I I I ;= o Q. CD " » 2 s •3^3 §13 S S a O a) £; 0.3 a ■5 •« « s bDSy C9 I I I I I ■ DO ri DO a h» g ° a > o ■8-2 6D po » s to.a ^•3? g © a i *3 d °° § . § !3 a: -S ^ C > *«o-o; a,.g 3 ™ m.2 ° a s ™t2 -s ti H 03 ffl ^j CO i s a " ■§ a .s s .a ■S 8 a !-> 9 Pi p. ST a^ o P< a «" O oj .5 S H I I a VS3* •"•1-5 . © Itn? 5sa.S 43 ^ a « a Hi « V .3 to •55 I I >>H iM & d P.S x fc feB bo a « s ■R « CO 00 H «fl V I I •I 1 1 13 INDEX. PAGE Aberrations of intellect . . 200 Abnormal urination . . . 159 Abortion . . . . 186 Abscess, ear-flap . . . 223 — jaw 103 — liver 143 Absence of oestrum . . . 183 Acariasis, auricular . . . 224 Acaricide 224 Accumulation of tartar . . 100 Achorion Lebertii . . . 242 — Schdnleinii .... 243 Acid, carbolic .... 258 — carbonic .... 263 — prussic . . . . 263 Acupnncturation . . . 209 Administration of pills . . 14 After-treatment of parturition . 195 Air passages . . . .86 Albumen in urine . . . 153 Albuminous nephritis . . 153 Alopecia ..... 228 Amaurosis .... 217 Amputation, external ear . 220, 222 • — penis 168 — toe — uterus . — vagina . Anaemia . Anasarca . Anaesthetics Aneurism . Anidian monsters Animal parasites, skin Anthrax . Antiseptic surgery Aphrodiaia Apoplexy — parturient — pulmonary — splenic . Apparatus, generative — urinary Appendages, foetal Applications, external . 256 . 177 . 180 . 71 . 229 . 20 . 81 . 193 . 230 . 58 . 25 . 184 . 204 . 205 97 . 151 165, 170 . 153 . 193 . 21 PAGE Aqueous chamber, dropsy of . 216 Arctic dog disease . . .40 Arrow poison . . . . 264 Artificial cystio calculus . . 157 Ascarides .... 122, 132 Ascites . . . . . 138 Asthma ..... 95 Atony of rectum . . . -129 Atrophy, kidney . . . 155 — ovaries 171 Auricular acariasis . . . 224 Auscultation . . -. . 89 Balanitis 163 Baldness 228 Bandaging . . .23, 24 Barking, excessive . . 87 Baths ..... 22 Bees' stings . . : - 264 Behaviour, general . . .10 Belly, tapping the . . . 139 Benign variola . . . .60 Biliary calculi .... 147 — fistula . . . . . 147 Bilious infarction of bowels . 142 Bite of a mad dog '. . . 47 — of-a snake . . . . 264 Black cancer . 265, Bladder, eversion of . . 159 — paralysis .... 160 — rupture .... 158 Blain . . . : .105 Bleeding 23 Blisters 21 Blood 26 — disorders, non-specific . . 64 specific . . . 26 " Bloody " urine . .70 Blunting teeth . . . .45 Bone, cancer of 257 Bones ..... 245 — feeding on . . . . 123 Botbriocephalus . . . 136 Bowels ..... 108 — diseases of . ; . . 124 280 INDEX. PAcm PAGE Bowels, dropping of . . 128 Chorea . . . . . 209 — inflammation, bilious of . 142 Chorioptes . 224 — parasites . 131 Chronic bronchitis . . 95 — torpidity . 115 — hepatitis . 143 Brain . . . 199 Cirrhosis testis . . . . 170 Break down . 252 Circulatory disorders . 73 Bright's disease . 153 Circumcision . . 168 Broken teeth . . 100 Claws, mange of . 254 Bronchitis . 90 — overgrown . . 256 — chronic . 95 — sinuous ulcer . 255 — verminous . . 92 Cleft palate . 104 Bronchocele . 151 Clysters . . 17 Bug, harvest . . 238 Cold bath. . 23 Colic . . 113 Csonurus . . 207 Condition, monstrous . 193 Csesarean operation . . 194 Congenital deformities . 256 Calculus, biliary . 147 — malformations . 81 — cystic . . 156 penis . 168 — intestinal . . 127 Congestion, pulmonary . 97 — renal . . 154 Conjunctivitis . . . . 215 — urethral . 164 — granular . . . . 215 Cancer . 265 Constant desire . 184 — bone . 257 Constipation . 115 — vagina . . 179 Consumption . . 62 Canine pathology . 1 Copulation . . 166 — pharmacy . 14 Cord, spinal . 207 Canker, external . 221 Cornea, opacity of . . 216 — internal . 220 — ulceration of . 216 — in mouth . 103 Coryza . . 83 Cap for ears . 222 Cramp . . . 212 Capped elbow . . 266 Cracks on teats . 198 — hock . . 266 Crochet . . 189 Carbolic acid . 258 " Cropping " 220, 222 Carbonic acid poisoning . 263 Curara , . 264 Caries of teeth . . 103 Cutaneous tuberculosis . 229 Cartilago-nictitans tumour s . 215 Cutting the tushes . . 102 Castor-oil mixture . 18 Cystic calculus . . 156 Castration . 162 — growths . 266 Cat epizooty (Delhi) . . 62 — hernia . . 159 Cataract . . 217 Cysticercus . 136 Catarrh . 83 Cystitis . . 156 — gastric . . 117 Cysts of retention . 155 Cathartics . 18 Catheter . . 160 Deafness . . 220 — passage of . . 181 Death . 263 Catheterism . 160 Deformities, congenital . 256 Causes of disease . 7 Degeneration, fatty, heart . 75 Cephalotomy . . 188 — liver . . 145 Chambers, nasal . 82 Delayed parturition . . 187 Chances after bite of mad dog . 48 Demodex . . 235 Changes, nutritive . . . 72 Deposits on heart valves . 73 Chest . 89 Dermatitis . 226 — founder . 65 Dermatophytes . . 241 — inflammation of . . 90 Dermatozoa . 230 Cbeiracnnthus . . 137 Dermoid tumours . 217 Chloroforming . . 20 Destruction of dogs . . 263 Choking . . ios Dew claws . 256 Cholera . . 61 Diabetes mellitus . 161 INDEX. 281 PAGE Diagnosis of rabies . . .38 Diaphragm, disorders of . .97 — hernia of . . .97 Diarrhoea 114 Diet 12 Digestive apparatus, disorders of 98 Dilatation, gastric . . . 120 Diphtheria . . . .56 Disappearance of pancreas . 149 Diseases, dermatophyte . . 241 — bowels 124 — ductless glands . . . 151 — liver 146 — prostatic .... 161 — stomach .... 117 — tongue 104 Dislocation .... 250 — eyeball .... 218 Disorders, circulatory . . 73 — blood, specific . . .26 — digestive apparatus . . 98 Displacement of teeth . . 101 liver .... 146 — uterine .... 174 Distemper . . . .49 — putrid 55 Distension of eyeball . . 217 Distoma ..... 146 Dochmius 133 Dog nuisance .... 7 Doses 21 Double fcetns . . . .193 Draughts 16 Dropping of bowel . . . 128 Dropsy, aqueous . . . 216 — brain 217 — subcutaneous . . . 229 — womb 173 Drowning .... 263 Ductless glands . . . 151 Dumb madness . . . .30 Dysentery .... 126 Ear .... — ache . — cap — flap, scurfiness of . — polypi of Eating foetal membranes — pups . Eclampsia, puerperal Ectopia hepatis Ectropion Eczema . — epizootica . . — mercuriale , . 219 219 222 223 224 195 195 209 146 214 226 58 259 PAGE Ejecta, state of . 10 Electric shock . . 263 Embryotomy . . . 187 Emetics . . 19 Encephalitis . 206 Enemata . . . . 17 Enlargements, erectile, of penis 166 Enteritis 124 Entropium .... 214 Epilepsy 200 Epiplocele .... 130 Epistaxis 86 Erectile enlargements of penis . 166 Ergot of rye . 178 Erysipelas . 229 Erythema simplex . 226 Etherisation . 21 Eustrongylus . . 155 Euthanasia . 263 Eversis vesicas . . 159 Eye . Eye changes in rabies . 36 Eyeball, dislocation of . 218 — extirpation of . 218 — trumatic distension of . 217 Eyelid, ulceration of . . 214 Examination of dog patients . 13 — of foot . . 254 Excision, spleen . 150 — womb . . 177 Excretory apparatus, liver . 147 Exercise . . 13 Exostosis . . 252 Expectorants . . 19 External applications . 21 — canker . 221 Extirpation of eyeball . 218 Extractors . 189, 190 Extra-uterine foetation . 193 False conception . 183 — joint . . 250 — pains . . 185 — tuberculosis . 62 Fatty degeneration, heart . 75 — liver . 145 — tumours . 266 Favus . 243 Feeding dogs on bones . 123 Feet, sore . . 254 Female genital organs . 170 Femoral hernia . . 130 Fever . . 71 Fibroma . . 266 Fibro-cystic tumours . 266 Fibrous polypi . . 266 Fighting dogs, to separate . 267 282 INDEX. PAGE Filaria hepatica . 146 — immitis . 76 — sangninolenta 78, 108 Firing . . . . 22 Fistula, gastric . . 119 — biliary . . . . 147 — in ano . . 129 — lacteal . . 197 Fits . . . .. . 200 Fleas . 240 Foetal appendages . 193 Foetus, malposition of . 185 Fcetation extra-uterine . 193 Follicular mange . 235 Fomentations .. . 22 Foot . 253 — examination of .. . 254 — and-mouth disease . 58 Foreign bodies in stoinnch . 120 Forceps 189, 190 Foul. . 71 Foulness of skin . 226 Foundered feet . . 254 Fractures . . 245 Furious madness . 209 Gastric catarrh . . 117 — dilatation . . . 120 — fistula . . 119 — intussusception . 112 — ulcer . . 119 Gastritis . . 118 Gastro-hysterotoiny . . 194 General behaviour . 10 — symptoms . . 8 alimentary . Ill Generative apparatus . 165, 170 Genital organs, male. . 165 Glanders . . 61 Glands, ductless . 151 Glans penis, inflammation of . 167 Glossitis . . 154 Goitre . 151 Gonorrhoea . 163 Granular conjunctivitis . 215 Growths, cystic . 266 — malignant . . 197, 265 — non-malignant . 266 — osseous . . 266 — warty • . . .16 7, 198, 266 Gullet, diseases of . . 108 Gunshot wounds . 267 Heematemesis . . 119 1-IiEiiiatoma . . . 223 Hsematozoa . 76 Hematuria . 160 PAQE Haemorrhage, post-partum . 178 Hemorrhagic tumours, spleen . 150 Haemorrhoids .... 129 Harvest bug 238 Head, injuries to ■. . . 205 Heart, degeneration of .75 — rupture of . . . .75 — valves, deposits on . .73 — worms ..... 76 Hellebore 259 Hepatitis 142 — chronic .... 143 Hernia abdomiualis . . ■ 130 — cystic 159 — diaphragmatic . . .97 — femoral .... 130 — inguinal . . ... 130 — uteri 174 — ventral .... 131 Holostoma .... 137 Honeycomb ringworm .. . 243 Hornet stings .... 264 Husk 117 Hydatids , . . . 133,136 — kidney ...>.. 155 Hydrocephalus. . . . 207 Hydrocyanic acid . . . 263 Hydrometra .... 173 Hydrophobia, vide rabies. . Hydrops uteri .... 173 Hygiene of pregnancy . . 185 Hypersalivation . . . 106 Hypertrophy, kidney . . 155 Hysterocele ..... 174 Icterus 69 Incisors . . . . .99 Impaction 127 Impotence .... 169 Inappetance .... Ill Incontinence of urine . . 159 Indian arrow poison . . . 264 Indigestion . . . .111 Inertia uteri .... 178 Infibulation .... 181 Infiltration, fatty, of heart . 75 Inflammation of chest . . 90 — of iris and choroid . . 219 — of scrotum .... 168 Influences, nervous . . .11 Influenza 49 Inguinal hernia . . . 130 Imperforate prepuce . . . 168 Injection, subcutaneous . 16, 21 Injuries to head . . . 205 Intestines 108 Inoculation for rabies , . 42 INDEX. 283 PAGE Intellect, aberrations of . ■. 200 Interference operations in partu- rition .... 187 Internal canker . . . 220 — temperature . . . .10 Intestines, diseases of . .124 Intussusception . . . 127 — gastric ..... 112 Invagination .... 127 Inversio uteri .... 176 — vaginse .... 180 Iris and choroid, inflammation of 219 Ixodes ..... 240 Jaundice . Jaw, abscess of Joint, false — stiff . Eennel lameness " Kernels" Kidneys . 103 250 252 66 151 158 Laceration, ligament, supra-or- bital 215 — trapezius .... 252 — vagina 178 Lachrymal obstruction . . 215 Lactation 196 Lacteal fistula .... 197 Laparotomy . . . 127, 137 Laryngitis . . . .88 Laryngismus stridulus Lead-poisoning Leptus autumnalis . Leucorrhoea Leukaemia Lice .... Ligament, supra-orbital, lacera- tion of Lips. — ulceration of Lithotrity, natural . Liver — degenerations — excretory apparatus — rupture of . Lochia "Locking" Locomotor ataxia — apparatus Looseness of bowels . Loss of molars . voice Lumbago . Lungs 88 263 238 180 68 241 215 98 107 158 140 143 145 147 145 195 166 209 245 114 104 87 65 89 Madness, dumb — furious PAGE . 30 . 29 . 267 .165 . 81 . 168 . 197 . 146 .171 . 151 . 265 . 60 . 11 . 185 .196 . 196 . 198 . 197 . 254 . 235 228, 232 . 230 81, 199 17, 269 . 61 17, 269 . 265 persistence . 219 Male genital organs . Malformations, congenital penis Malignant growths — disease, liver ovaries spleen — tumours — variola . Malingerers Malposition of foetus Mammary concretions — glands . — tumours Mammitis Mange of claw — follicular — red — true . . Master MacG rath Materia medica Measles . Medicines Melanosis Membrana pupillaris, of . Menier's disease . . . 224 Mercury compound . . . 259 Metritis 172 Micorimyces .... 265 Milk 196 — abscess .... 196 Minor surgery . . . 21, 264 Mixture, castor-oil . . .18 Molars 100 — loss of 104 Moles 193 — canker. .... 103 Mouth, warts in 107 Monsters 193 Morbid appetite, bitch . . 195 Mouth Morgagni's sinuses . . . 129 Mucous membranes . . .10 Muzzle . . . . .21 Muzzling .... 24 Maw-worms .... 132 Narcotics 20 Nasal chambers . . .82 — polypus . . . .86 Natal callosities . . . 266 Natural lithrotrity . . . 158 Neck of bladder, stricture of . 159 284 INDEX. PAGE PAGE Nephritis . . 154 Parasitic bronchitis . . 92 — albuminous . . . 153 — disease, liver . 146 Nerve grafting . 213 — ozjcna . . 85 Nervous influence . 11 Parturient apoplexy . . 204 — system . . 199 Parturition 181, 185 Neuralgia . . 199 — assisted . . 186 Neurotomy . 213 — delayed . 187 Newly-born pup . 193 — premature . . 186 Non-malignant growths . 266 Passage of catheter . . 181 Non-specific blood diseases . 64 Pasteur's researches . 37,42 Nursing . . 12 Pediculi . . 241 Nutritive changes . 72 Penis, amputation of . 168 — bone . . 165 Penien . 165 Obstruction, lachrymal du< :t . 215 Pentastoma . 85 (Esophagotomy . 110 Pericardial diseases . . 76 (Esophagus . 107 Periostitis . 257 — diseases of . . 108 Peritoneum . 137 — stricture of . . 80 Peritonitis . 137 (Estrum . . 181 Persistent membrana pupi llaris 219 Olulanus . . 123 — vomition . 112 Opacity of cornea . 216 Pharmacy, canine . 14 Operative interference, pa rturi- Pharyngitis . 107 tion . . 187 Physiognomy of disease . 8 Ophthalmia, simplex . 215 Piles . 29 Opisthotonos . 212 Fills, administration of . 14 Orchitis . . 170 Pityriasis . . 227 Organs of special sense . 214 Placebos . . 10 Os penis . . 165 Plethora . . 71 Osseous growths . 266 Pleurisy . . 90 Ostitis 219, 257 Pleurisy, worm. . 80 Ovaries . 170 Pleurosthotonos . 212 — atrophy of . . 171 Pneumonia . 90 Ovariotomy . 170 Poisoning . . 258 Overgrown claws . 256 Polypi, fibrous . . 266 Overworn feet . . 254 — of ear . . 224 Ozsena . 84 — of sheath . 167 — parasitica . 85 Polypus nasi . 86 — recti . . 130 — vaginas . 179 Pachymeningitis, spinal . 209 Posthitis . 163, 167 Fads of feet . 254 Post-partum haemorrhage . 178 Pains, false . 185 Pregnancy . 184 Palate . 98 — hygiene . 185 — cleft . . 104 Premature parturition . 186 Pancreas . . 140, 148 Prolapsus ani . . 128 — disappearance of . . 149 — recti . . 128 Paracentesis abdominis . 139 — vaginas . 180 Paralysis . . 207 Prepuce, imperforate . 168 — bladder . 160 Profuse staling . 160 — tongue . 104 Prolapsus uteri . . 176 Paraplegia, worm . 80 Prostatic disease . 161 Parasites, brain . . 207 Prussic acid . 263 — renal . . . . 155 Psoriasis . . 227 — stomach . 122 Ptyalism . . 106 — toes . 256 Puerperal eclampsia . . 209 — urethral . 164 Pulex . 240 Parasitic affections, skin . 229 Pulmonary apoplexy . . 97 INDEX. 285 urine Rheumatism Rickets Ringworm — honeycomb . Round-worms . " Rounding " . Rupture of bladder heart liver spleen stomach . Sacculus, intestinal St. Vitus's dance Sarcoma . — spleen . Sarcoptes canis . Sarcoptic scabies Scabies, sarcoptic Scantiness of urine Scrotum, inflammation of Scurfiness of ear-flap Sedatives . Sediments, urinary Seizure of mad dogs Septicaemia Sero-sanguineous abscess ear Sense organs, special Separation of fighting dogs Setons Sheath, polypi of Simple erythema — ophthalmia . PAGE Pulmonary congestion . . 97 Pulse 8 Pup, newly-boru . . . 193 Purgatives . . . .18 Putrid distemper . . .56 Rabies 26 — inoculation . . . .42 Rachitis 67 Ranula 106 Rasping of tushes . . . 102 Rectal diseases . . . 128 Red mange . . . 228, 232 Relapsing fever . . .58 Relation of canine to human disorders Renal calculus — parasites Renitis Respirations Respiratory system Retention cysts — of milk . 13 . 154 . 155 . 154 . 10 . 82 . 155 . 196 . 159 . 64 . 66 . 242 . 243 . 132 . 222 . 158 . 75 . 145 . 150 . 120 . 127 . 209 . 265 . 151 . 231 . 230 . 230 . 159 . 168 . 228 . 20 . 161 . 39 . 64 i.p 223 . 214 . 267 . 22 . 167 . 226 . 215 PAGE Sinuses, facial . . . .82 — of Morgagni . . . 129 Sinuous ulcer, claw . . . 255 Skin 225 — foulness of . . . . 226 Skunk bite . . . .44 Snakebite . . . .264 Snoring 87 Snorting 86 Sore feet 254 Sore throat . . . .84 Spaying 170 Spavins 252 Special sense organs . . . 214 Specific blood disorders . . 26 Spermatic cord .... 170 Spinal cord . . . .207 — pachymeningitis . . . 209 Spirilloids . . . .58 Spiroptera .... 123 Spleen .... 140, 149 — excision of . . . . 150 — ruptured — tumours Splenic apoplexy Splenitis . Splints Sprains Staling, profuse Staphyloma Stiff joints Stimulants Stings Stomach . — disease of . — foreign bodies in . — parasites in . — pump . — ruptured Strangury Stricture, neck of bladder — bowel . — oesophagus . Strongylus canis bronchialis — gigas . — vasorum Strychnia . Sturdy in sheep Subcutaneous syringe Suckling of pups by women Superfoetation . Superpurgation Suppression of urine Supra-orbital ligament, lacera tion . Surgery, minor . Surra Symbiotes . . . 150 . 150 . 151 . 149 . 252 . 252 . 160 . 216 . 252 . 20 . 264 . 107 . 117 . 120 . 122 . 16 . 120 . 159 . 159 . 130 80, 108 . 94 . 164 . 62 . 262 . 133 . 16 . 196 . 183 . 114 159 215 21, 264 . 58 . 231 286 INDEX". PAGE PAGE Symptoms, general . 8 Tumours, dermoid . 217 System, locomotor 245 — fatty . . 266 — nervous 199 — fibrocystic . .266 — respiratory . 82 — mammary . . 198 Subcutaneous tissue, dropsy of 229 — uterine . 178 Sudoriparous glands . . 225 — vaginal . 179 Surfeit . . . . . 226 Tushes . 100 — cutting of . . 102 Tabes .... 63 Turnsick in sheep . 133 Tsenise . . . . 13E , 136 Twist of the womb . . 175 Tsemafuges . 19 Tapeworms 133 Ulcer in stomach . 119 " Tapping the belly" . 139 Ulceration, cornea . . 216 Tartar accumulations • 100 — eyelids . . 214 Teats, diseases of 198 — lips . . 107 Teeth .... 99 — womb . . 172 — blunting of . 46 Unicity . . 61 — broken 101 Urethral calculus . 164 — displacement of . 101 — diseases . 164 — excessive wear of 101 — parasites . 164 Temperature, internal 10 Urinary apparatus . 153 Tenotomy .... . 257 Urination, abnormal . . 159 Testes, diseases of . 170 Urine . 160 Tetanus .... 212 — incontinence of . . 159 Toes, amputation of . 256 — retention of . . 159 — parasites of . 256 — scantiness of . 159 Tongue .... 98 — suppression of . 159 Thorn wounds of foot 256 Uterine dropsy . . 173 Throat forceps . 110 — displacements . 174 Thymus body . 152 — inertia . . . . . 178 Thyroid body . 151 — prolapsus . 176 Ticks .... 240 — tumour . 178 — in ear .... 223 Uterus . . 172 Tinea favosa 243 — amputation of . . 177 — tonsurans 242 Ureter . . . . . 155 Tobacco water . 259 Urethritis. . 163 Tougue, diseases of . 104 — paralysis of . 104 Vaccination for anthrax . . 59 — wounds of . 105 Yagina, laceration of . 178 Torpidity of bowels . 115 — prolapsus of . . 180 Torsio uteri 175 — tumours of . . 179 Toxicology 258 Valves of heart, diseases o; . 73 Traumatic distension of eyeball 217 Variola . 60 Treatment . 10 Vegetable poisoning . .260 Trichina . . . . . 133 Venesection . 23 Trichocephalus . . 133 Ventral hernia . . 131 Trichodectes latus . 133 Vermifuges . 19 Trichophyton tonsurans . . 242 Verminous bronchitis . 92 — favosa . 243 Verruca? . .229 Trichisis .... 214 Vertigo . 201 True mange . 230 Voice, loss of . . 87 — fracture . 245 Volvulus . 127 Trapezius, laceration of . 252 Vomition . . 112 Tuberculosis . 62 — persistent . 112 — cutaneous . 229 — false .... . 62 Warm bath . 22 Tumours .... . 265 Washing . 13, 23 — cartilago nictitans . 215 " Watery eye " . . 214 INDEX 287 Worms in heart . 76 — in mouth . 107 " Worming " . . 98 Warty growths . 167, 266 Wounds .... . 267 — growths teats . 198 — punctured pericardium . 76 Wasps' stings . . 264 — thorn-foot . . 256 Wear, excessive, of teeth . 101 — tongue '. 105 Womb . . 172 — excision of . . 177 Worms in bowels . 131 " YellowB "... . 69 tBINTBD BY AD1ABD AND SON, BABTHOLOMEW CLOSE.