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://www.archive.org/details/cu31924000300263 fr II I ' 1 i I ^ NOTES ON :9, o>) mwiss @f From the Lectures of LEONARD PEARSOK.B. S., V. M. D. Prof, of Theory & Practice of Veterinary Medicine, VETERINARY DE?ARW.fflNT , UNIVERSITY OF PENNSYLVANIA. 18 9 3-94. oOo Compiled and revised for the Undergraduates of THE VETERINARY DEPARTMENT by MARSHALL & SALINGER. Ill i m Miwp rwnmMfc t t m, utii% a ,mi» 2P Dece 6 2 7f^ Printed by Mirr.eograi3hie Proc-ess at tlis PHILABELPKIA TYTEY/RITSR EXCHANGE , 133 South 5th Street, Philadelphia. NY5 3^HW ■ 4- o — DISEASES OF THS5 DIGESTIVE TRACT. CHAPTER 1. STOMATITIS t- Is an InflaMnation of the mucous memisranes of the mouth: Divided into -many classes: In Veterinary practice five forms are recognized: Three of which are contagious. 1. Catarrhal. ^ 2. A.phthous, ( contagious ) 3. - Pustular, ( contagious ) 4« Ulcerous. 5. Croupous, ( contagious ). Also Thrush, which is caiiised- Ijy fungus. Corpus albicans . CATARRHAL STOIiATITIS:- Is a catarrhal inflammation of- th© m» m. of mouth, due to burns, as hot foods, irritant medicines, as Choral HydrSite, Alcohol, Tui'pentine and strong tinctures, or Oil of Tar, Abstinance from food is one of the most frequent catuses. Epithelial cells are not brushed away, aiid. cause an irritation by ptitrefying. Also caused by a fungus in the food. M. m. of the mouth is more p3?S!dis posed to Stomatitis while teething, due to excessive flow of blood. SYMPTOMS:- Redness and dryness of m. m. of mouth. Great p?o« Ruction of mucous, which later turns into pus and coilsots ia th© comers of the mouth, on the cheeks, behind the molars and causes a disagreeable odor. Often saliva is secreted in enormous amounts, and runs in long strings from the mouth. t If constant chewing motion is kept up; saliva becomes mixed wl,th air and forms foam about the mouth and nose. Some cases that are severe, serum in submucous, con.- tis. pushes epithelial cells away and forms a vescicle, in other cases, small lumps are seen on m. m. , th@ size of a grain" of wheat which are intensely red and palnfftil caused by the stop- page of miucous glands. If these be squeezed, pus will es- cape . 'PROGNOSIS:- Favorable, rarely fatal, submits readily to treat- ment. If the animal be weak and young and complicated by othor diseases, the prognosis is less favorable, since death may result from exhaustion and pyaemia or septicaemia from Excessive sloughing. (2) TREATidJENT ; - Cooling antissptic and astringent washes, cold water will remove collected material, adding -tannin, alum or po- tassiiiffl chlorate. If putrid, use antisepfeic solutions in the mouth, as creolin, carbolic acid, boracic or salicylic acid. Water the animal frequently, use a syringe or sponge to. wash out the mouth. ULCSROUS STOMATITIS;- Ulcers on.m. m. of the gums along the border of the teeth, seen mostly in dogs when young and weak; fre- quently follows distemper; gastro intestinal catarrh, oatar-» rhal stomatitis, decayed teeth or trai^raatisms. It is caused by4.mic.r0 organisms, and the above are predisposing causes. SYLIPTOiiS:- First, redness of the m. m. swells, becomes puffy and usually sharply outlined. ^ The red changes to bl^ie;, and the line of separation becomes more marked, and then suppura- tion takes place and a piece of gum falls out exposing bone which is dark blue or black. In three to four days a small piece of bone bee ones loosened, and can be easily removed. After removing the bone, the bottom of the pit contains granulations. Ulcers may be the size of a pea, or the whole length of the Jaw may be involved, pus cells may "be carried to other parts of the mouth and the catarrhal form may be a complication. Bad odor, ai^imal depressed, slight fever, no appetite, drinks very little, emaciation takes place rap- idly, odor becomes scattered and shortly the whole animal stinks, saliva, pus and blood are frequently dischai*ged from nose and mouth. Nose is dry, conjunctiva is injected and deep ulcers can be found. Part of the cheek may become af- fected secondarily. PROGITOSIS;- Depends upon the age and. condition of the animal. In a yoving animal it is bad on account of lost strength, especially after distemper, and is somotiines seen in lambs and calves. In these the prognosis is better than in dogs. TPJSATI-IENT:- Give the animal cloan dry bed, easily digested food that needs no mastication, milk, broth, etc. Disinfect the mouth with v/arra water, creolin, boracic or salicylic acid, permanganate of potash ±b good to destroy bad odor, but has a disagreeable taste, ^''2 2 and Ag ^°3 in chr'onic cases are good. 3^i Sulphuric acid solution is good especially where the bone is affected. When the animal begins to re- cover, tinctui'e of aloes and myrrh, benzoin or iodine are good- Contagious forms of Stomatitis, will be found in lectures on contagious diseases. LAMPAS LAidPAS:- The erectile tissue of the hard palate, becomes engorged with blood in lower part and may project below the incisors seen especially during teething. Physiological while feeding (3) and teethinCi when It exists permanently v/e may. scarify. Be careful of the palatine artery which lies under the third bar, as hemorrhage from this place is very hard to control on ■account of the peculiarity of the arterial v/all, and the surrotiftding tissue. If artery he cut, apply a pressure bandage through the mouth upon the outside, and fasten to the halter. PTYALISM. PTYALISM:- Excessive production of saliva which may be true or false: False when only apparent in cases -where animal cannot swallo-sr and saliva runs from the mouth, as in Pharyngitis e True where it is really an overproduction of saliva. CAUSES:- Fresh food, hay and clover, ensilage, roots and other foods which stimulate the salivary glands. When the animal ■ becomes used to this food it disappearsa If not^ it is due to some nerve lesion, v/hlch sometimes cannot be located, SYMPTOMS:- Redness of m. ra. and tenderness over the parotid gland, and saliva runs from the mouth. TREATI/iENT:- A tropla, grs, 1 to 5 tfill check the flow of saliva from one to two days to be given in the feed, Potassium Iodide 15 grs. to is good and v/111 sometimes cure it, but the effect is not positive. PAROTITIS:-, "INPLAMLITION OP THS PAROTID GLAND" : - CAUSES:- Traumatisms, extension of inflaixnation of neighboring organs, as from sub parotid lymph gland, skin, pharynx, mouth or due to metastatic abscess. Sometimes may be idiopathic. SYliEPTOMS:- Swelling of parotid gland, increased flow of saliva followed by dryness of m. m. of th© mouth, difficulty in sv/allowing. In severe cases th© surrounding tissue becomes swollen, movements of the Jaw are interfered with and animal cannot chew. Parotid gland is enlarged, loose from the slcin and painful on pressure. There are affections which may be mistaken for it. But here th© gland is immovable ov©t swel- ling, shoi/ing that it is deeper- TREATIvlENT:- Open abscess and treat antiseptically.. If in doubt, poultice or use Priessnitz Bandage. , PHARYNGITIS. PtlARYNGITIS:- The respiratory and digestive passages cross each other in the Pharynx. ' The pharynx is lined by delicate mo m. and is easily chilled and congested. Change of climate and temperature affects the pharynx readily. Is often the seat of pathological processes occurring during the course of other diseases, as Foot and Mouth Disease, Pixrpura Hemorrhagica, Strangles, Cerebrospinal Meningitis, Tetanus, Glanders, etc. (4) CAUSES:- Traumatisms as swallowing foreign bodies such as rootsj corn cobs or. bone in dogs. Irritant medicines as turpentine chloral or strong tinctures. Repercussion or chilling is a cormion caitise. Seen more often in young, soft horses than in hard workers. Comcnon in western horses just shipped. Taking horse from warm stable into cold air also a cause, so best not to have stable too -warm. In other cases it develops from inflammation of neighboring organs as from laryngitis rhinitis or stomatitis. In some eases thought to be contagious; but this form has never been seen in this country, ALTERATIONS:- Similar to stomatitis. Inflamiation' of the m. m« First catarrhal and finally in extreme cases necrosis and loss of tissue. First increased redness of m. m. Then dry- ness. Increased redness may be diffuse or in patches. These mostly become confluent, mucous and catarrhal discharge may collect aiid form tenacious coating on m. m. In some eases fibrin may be thrown o-afc and collect with msicous and pus, and is then called a croupous or diptheretic membrane » But it is not a true Diptheretic membrane as this is caused by Kl©b's Loeffler baccillus. Sometimes a part will necrose and drop out leaving a pit or ulcer. But this is seen only in very se- severe cases. In mild forms may have some oedema of the pharynx interfering with respiration and deglutition. Where Oedema interferes with circulation deep suppuration takes place more, easily. If restricted to small area, it is kn.own as abscess; if in large area, is called phlegmon, pus may form and burrow, dissecting the tissue and tracts are formed which run down beneath the m. m. of the pharynx and larynx* A complication that is not rare, is abscess in the post phar- yngeal lymph glands. These abscesses ar6 quite serious, as they may discharge into the larynx and thus cause death. Pus ■ may drop slowly into the larynx and cause laryngitis. This complication however, is not serious. Asphyxia is the usual cause cf death, it is due to pressure or collections on the m. m. of the pharynx thus closing the passage. SYMPTOMS:- At first, rather indefinite, slight loss of appetite, little elevation of temperature, and sometimes a cough. Soon animal carries the head in a peculiar stiff manner. Pressure on the pharynx causes pain; appetite becomes jiil from ina- bility to swallow, animal may take food in mouth and drop it again, called quidding. In other cases the animal will chew carefully and try to svrallow, but the food will be returned tlirough the nostril; saliva escapes from the mouth, animal is thirsty, endeavors to drink, but the water comes out at nostril again, which is characteristic of this disease. The patient prefers soft food. The reason that food is returned through the nostril is that the pharyngeal muscles are par- alyzed and the soft palate is not raised, thus the posterior (5) nares are not closed. "When there Is but a simple Inflammation of m. m. , the food Is not returned as the muscles are not paralyzed. If m. m. of th© larynx is involved, will have a slight cough from irritation, but the cough may be present without laryngitis. M m. of the head are red, as a result of an increased circiilation in the head. Swelling is mostly symmetrical, unless there is an abscess on only one side. In post pharyngeal abscess, swellinig is in the lower part of parotid gland;- swelling is airways seen there and is an ■unfayoraible symptom. The fever curve is not at all typi- cal » If much supjaoration, temperature is highe If not, it will be lo'w. In pharyngitis we have external symptoms before the rise in temperature. In contagious diseases, such as strangles, we have rise in temperature first, then the local symptoms. Some secondary symptoms may arise from loss of- appetite and inability to eat, and may cause a stomatitis. Saliva remains and irritates; we find a stagnant mass of food in the stomach and intestines Miich may eventually caiase gastro intestinal catarrh. The pulse is somev/hat accelerated in railed cases. When suppuration conmences, pulse becomes weak and very rapid: 75 to 90, The pulse rate is more or less constant in relation to the temperature, course is acute, runs from six to fourteen da:^, and in that tim-e animal either recovers or dies. If raach suppuration, chronic inflam- mation may follow the acute form. Where abscesses- form, fistulous tracts may develop and last indefinitely. Post pharyngeal abscess may break internally or externally; the former more probable* If the abscess breaks internally, pus may enter the larynx, go down- the trachea and cause traumatic pneumonia, gangrene and death. If contents are discharged slowly, pus enters the pharynx and does not enter the lungs, as it is coughed out-. It may also cause a severe laryngitis and death may restilt. In other cases re-absorption may take place, causing pyaemia. On account of the complication which may arise in this disease, a careful examination of the parotid glands, larynx and lungs should be made every time you visit the animal. DIAGNOSIS:- Is easy; loss of appetite, regurgitation of food; tenderness and swelling of throat, cough, svich. symptoms as the above occur together only in this disease. We inust differentiate from ptyalism. PROGNOSIS:- Is favorable, percentage of death is low, but be cau- .tlous in making pirognosls. Oedema of glottis or abscess may develop rapidly and cause death over night. This disease is however, benign in most cases. TREATMENT:- Clean stall; good ventilation; keep animal warm; best to keep in warm stable. Pood should be soft and not irritant. Hay is excluded; also whole grains and dry meals, as they require too much chewing, oats and corn not good* (6) Grass and bran mashes are good. Roots, apples, turnlpE?, car- rots > beets, middlings, and ground bai'ley. Bread soaked in water or milk is ranch ixsed in liiropean countries. Keep the head clean on account of regurgitation of food -vrhich collects on halter strap, feed box, etc. Sponge out nostrils three or four times p^sr day with antiseptic solution. Rinse out the rnouth often. If swelling is large and hot, it is isrell to use cold applications to the- neck v/ith cloths or ice bags for two to three hours at a time. Later when abscess develops, use warm priessnitz bandage to hasten formation of pus. This will cause .abscess to break externally. It is advisable to use antiseptic on this bandage. Blisters hav© been reeonmended by sane, but are not advised in the aciate state, as it pro- duces an oedema that may cai3se asphyxia and death. It may be resorted to in chronic cases. Steaming is advisable at all times, inhalations of steam causes the coating on the m. m. to soften and it is then more easily removed. Iodine, bella- donna, creolin, or carbolic acid are very good to put into the steaming apparatus. For dogs with pharyngitis, the mouth can be opened and pharynx is easily visible. It, is w©ll to apply a 2fo solution of- tannic acid to the pharynx, paint on with camels hair brush, Intralanyngeal injections may be used, being made into the eric o -tracheal ligament. The syr- inge used for this pur-pose is like a hypodermic syringe, but is larger and has a strong curved canula, the opening of which is on the upper surface. Pass the canula through the crieo- tracheal ligament quickly- This treatment was first used one hundred years ago and is now in general use in Prance and Germany. Strangles and laryngitis, are also treated in this manner; abscesses are seldom seen from these injections, Canula must be very sharp so as to pass at once through the laryngeal m. m. It must be done quickly and with force, • \% sol. of chloride of zinc "bfo of tannic acid should be used. If pus be present, use creolin solution. In chronic cases use Ag. °3 or the following prescription: - Iodoform, 5 parts ' Glycerine 50 Aquae Dist, 50 This is soothing and protective. Open abscesses as soon as possible to keep them from breaking internally. These ab- ■ scesses are back of the pharynx and under the parotid glando Don't cut through the gland. Make a transverse incision at the inferior border of parotid gland and btir-row under the gland with fingers or closed scissors. If no abscess is found, the opening does no harm, on the contrary it will cause a counter irritation and so do good. Where dyspnoea is present, it shows that there is swelling in the pharynx. This swelling may increase greatly and. tracheotomy should be (7) done- as a pirecautlon. Bad results seldom follow this opera- tion. Best results are obtained from local treatment, sucli as bandages and steaming. Complications of gastro intestinal catarrh, require treatment. Internal treatment shoxzld be iised for its general effect. Sodiujn sulphate, bicarbonate of soda, and sodium chloride (Carlsbad salts) if they can be given, are good. It is difficult to give remedies by the mouth, as the animal cannot swallov/ and they may go y an operation. The most important part in treatment of chronic tympanitis is the removal of the cause. :iassage, hydrochloric acid and carlsbad salts with rhubarb is good. When there is neither tuberculosis or gastro-intestinal catarrh, suspect a foreign body in the stomach. Operate and remove by rumeno- tomy. Regulate diet-, rrive digestible food and plenty of vater, IMPACTION 0? THE RULIEN. SYlTONYi-lS : - Mawbound, Over-eating, Grain-siclc. ETIOLOGY:- Due to eating excessive' quantities of food and is rath- er frequent. Any kind of food may cause it, as ensilage, grain and even good hay; hunger is a predisposing cause. SYlvlPTOMS:- Loss of appetite, food ^ili not be noticed. Light colicy pains, uneasiness, kicking and drawing hind feet for- •tvard. Looking ciround at side, sT.7itching tail, constipation hard, black balls of faeces. Abdomen on left side is large and palpation of rumen yields a doughy mass- Pits on pressure '.vhich remains for some time, sho'^ing lack of peristalsis and presence of solid food. Hay be difficulty in ST7allo\ving and saliva may drip from m.outh. TyiTipanitis may be present as a secondary symptom. Diagnosed sometimes by rectal examination, when doughy mass can be felt. Temperatv-re not elevated. M. m. congested. Eyes have an anxious expression. Little dys- pnoea. Pulse rapid. Animal always lies d07/n on the right side . COURSE:- Varies depending upon digestibility of the food. May get well spontaneously. Paeces become softer and the diar- rhoea may cure the disease. If animal dies, it is either from asphyxia or exhaustion. diagnosed:- Rather easy; distinguished from tympanitis, in that it is the 1st si'mptom noticed, while in impaction it is sec- ondary. Diagnosed from gastro-intestinal catarrh by the his- tory and by palpating the rumen which is not doughy and comes on more sloT/ly. In oxen, inguinal hernia resembles it: there is colic and peristalsis is paralyzed. Ey rectal examination the intestines can be felt in the inguinal canal. TREATMENT:- Starve for 2 to 3 days. Exercise, massage and light stimulants as alcohol. In more severe cases give a purre sodii sulph. lb. l*--^/2 and tartar emetic one half (■^//ij'^ounce, dissolve /s in water and give as a drench, the other ^/s at intervals of 3 hours. V/here much depression give alcohol, spts. ammon. arom- , tr. veratrine, grs. 2 to 3, eserine grs. l--^/2 to 2. If these drugs are not effective, perform ruxien- otoray and remove contents of rumen. This operation is neither dangerous nor difficult, but the results are not always good. DO not defer the operation until the animal is too much de- pressed. (25) OPERATION FOR RUIffiNOTOMY. Hot necessary to cast animal but stand v/ith right side against a T-Tall, so that hind quartesis are at end of the v/all around which the tail can be pvilled. Have one man at the hips and one at shoulder to press cot; against the -jail. The middle of the triangle should be thoroughly cleansed with soap and water and then disinfected with hydrochloric acid. Gilp the hair in a vertical strip 2 in. wide and 5 in- long. Make a vertical incision commencing. at point where trocar is intro- duced and made downward aboiit 5 in. long. Three stitches should be taken to unite the skin and rumen after the incision • has been made so no food will get into abdominal cavity. Then an aseptic towel is placed around the edges of the wound and contents removed with hand. Close the opening by three sets of sutures, sev/ the walls of the rumen with -cat gut so that peritoneal walls come together — ~^:^~^ ^^ ^ -■' ' ■ — in this manner, as it heals more readily; 6 to 8 sutures are sufficient. Then the abdominal muscles are stitched with cat gut. The- skin may then be closed by pins or cat gut.. The results of this opera- tion are tisually good, but paunch may tmite to the walls at this point and so hinder peristalsis: if so the animal will never do -^ell and had better be destroyed. SCOURS. GASTRO - IHTESTIN-\L CATAR Rj:I....p.Il, CAIiVES . Fecessary to treat separately because often confoimded with contagious dysentery. It is of v/ide distribution and of frequent occtirrence. ETIOLOGY:- Variety of causes traced to improper feeding or care; also weakness of the dam. Chronic digestive disturbances as occur in Tuberculosis, Hoven and Catarrh, milk becomes so altered as to cause Gastro-Intestinal Catarrh of calves. ' In chronic disturbance of nutrition the milk is changed and the calf suffers. Feeding cows on too highly nitrogenous food will alter the milk and is less digestible. Damaged ensilage will also cause scours in calves, also milk that is too rich in fats as seen in Jersey herds, so the calve.s are often piit with common ordd coWs. If milk contains too much casein,* albxmien or if cow has 'been given medicines as ethereal oils, they are excreted in the milk. Excessive exercise of the dam will also cause milk to be indigestible, especially in hot weather. These points are important in milk inspection. Many other causes damage milk which cannot oe detected by tlie usual .mode of inspection. To be- of any use t'le heici should be in- spected as \7ell as the milk. Another conmon cause is wrong (26) management of calves; allowing them to nurse but tv/loe or three times a day and then overfill their stomachs. Calves should be fed. at short intervals. Another cause is nursing in winter when the udder is cold, (cow beine out in the cold supposed to cause it), also cold damp stalls, etc. The only organ used by a calf to any extent is that of digestion and sa where it is chilled almost always the digestive tract is af- fected as these are the parts that are worked most and these are often affected. Most of the above causes operate before weaning. Retention of the meconium irritate this tract and cause scours. During teething chewing is painful. Parasites in the intestines in some cases. Calf may be born v;ith weak ^ * digestive tract and the least excitinf^ cause will produce it. '• In such cases best not to raise calf as it will always be un- thrifty. ALTERATIONS:- Same as in cattle. In mild cases the alterations are not in proportion to the symptoms. Congestion causes paiix. but after death the congestion disappears. Stomach may con- tain hard, curdling mass (In calves the 4th stomach is the largest). M. m. is red and somewhat thickened due to the oedema. Epithelium may peal off and small ulcers may be formed. Usually the mesenteric lymph glands are considerably enlarged and softened, of a pale pink or yellowish color- SY!,!PTOMS:- Diarrhoea comes on suddenly; loss of spirit and' vital- ity, depressed appetite. Temperature may 'be slightly elevate^ but not until late. Respirations a little accelerated and pulse rapid. .Diari-hoea consist of dark., mushy faeces of an unpleasant odor and becomes thin as molasses. It may become . -^ as thin as water and cause hair of tail and esciitcheon -to drop I out. Calf gets thin and weak, faeces contain mucous and blood. .Calf shows abdominal pain, feet drawn together and bpck arched, head is hung and lies dovm often. ■ Frequently tympanitis is seen on both sides of abdomen showing that trouble is in the intestines. Disease sometimes reaches a certain stage and remains so for several days and is then said to run a chronic course; cause of death is prostration result- ing from the diarrhoea. Catarrhal. Pneumonia may complicate and cause death. PROGlTOSIS:- Depends upon cause and if this can be removed, if not too far advanced, is good. TREATimiT:- 1st directed toward the food. It must be of the best, should be given in small quantities at short intervals. Warm pen and clean straw. Medicine is of secondary importance but is useful. Lest put calf on another cow if cause cannot • be discovered. Meal and bran roasted until brown mixed into a mash or drench or given v^ith boiled milk is good. Strong coffee is of value. Raw eggs without the shell should be given. Give chalk instead of the shells. Eec-in with a lax- ative to remove the irritant from the intestines, i. s. oi. ,(27) ricajai^ ' Por a calf from a few days old to six weelLs may give 1 ^/2 to 3 Otmces. Spsom salts or linseed oil may 'be given iji a slightly larger dose than the castor oil. IThen fermentation, is going on give sodii bi-carbonate, chalk or lime water as 4 drencho Where faeces have bad odor give creosote gtts» 3 tg 5, Greolin gtt5« 15 to 1 dram. T-i;?ice daily indefinitely. If mach weakness due to the diarrhoea, give giom opium grs. 3 tp 15 after the oil and after this po-'j/dered rhubarb root 30 to 60 grso This TJill also assist digestion.. Use brandy as it is stimulating and constipating. If much pain a thin mustard plaster over the abdomen is good as it Y/ards off serious in- flamraation= TRAmiAillG GASTRITIS; SYHONYIAS : - Gastric disturbaiices caused by foreign bodies in the stomach; Traumatic indigestion. ETIOLOGY:- If bodies are sharp they often pass into the perleai"- dium. and cause pericarditis^ Trautiiatic indigestion precedes this disease. Foreign bodies are divided into three- groups, viz: 1st 5 Blunt bodies such as stones, hair, etc, 2nd, Sharp bodies of such a nature as not to penetrate far, as nails, screws, etci- and can only go a certain distance to the head» 3rd, Sharp bodies as pins, needles, etc. that can pass throi^^ into the heart. Bodies from any of these classes are fre- quently found in a cow's stomach as she has such an awkv/ard way of taking food into the mouth by the tongue^ It is not chfiv/ed before s'i7allowing even if fed artif iclally;. Tongue and lips have hard and insensible m^ m. and so the covy does not discover foreign bodies in the food. (Rare to' find these bodies in the stoxnachs of other animals). This disease is more frequently seen in Germ.any where cattle are tended by women as they have hair pins, pins, etc. about them which are liable to be dropped into the food. Also where cattle have a long trough in front of them the body is pushed along till it reaches the end of the trough and is eaten by the cow at that place. ALTERATIONS:- Depend upon the nature of the body and the extent of the mutilation. If round and blunt as leather, stone, etc. it simply irritates the m. m., and causes catarrh. If of ," the second class it penetrates the m. m. from pressure of fopd and peristalsis and passes deeper into the walls until it can go no farther. There it remains and acts as a continual irri- tant. It most frequently lies In the lower part of the stom- ach on account of gravitation* Yfells of second stomach are lined by a honey comb m. m. and the ridges are one. half inch hi/^h and the forei.n;n body is caught In thR -FniricT m- r^^-.r r.o- (28). boundsa belo-v? "Dy the abdomen. Above on paunch, behind by the fourth stOinach. In front by the diaphracm. Fibrin is between the second stomach and diaphragm in old anirjials as sho-^m in autopsies and may find an opening made by the foreign body Into the thorax. Peritonitis may spread and extend over the whole diaphragm. The foreign body is sharp passes into the • ■ thorax, lung, and pericardium as the apex of the heart is only from one half to one inch from the diaphragiii- It m.ay pass to ■,..■,,,, the abdominal vail and form an abscess, or it may enter the pectoral muscles and escape in that "^vay. SY^rlPTOMS:- Depend upon the nature of the body. Blunt bodies that do not cut cause chror^i-c gastro-intestinal catarrh and cannot be distinguished from it. They first cause gastric and then intestinal catarrh from poor preparation of food. Sharp bod- ies at first cause indigestion u-ith more or less pain, depres- sion of peristalsis. Loss of appetite, colicy pains, trending of hind legs and the usual colicy s^onptoms, due to pain from the passage of foreign body through the walls of the stomach. If the body is large and causes large area of inflamm.ation then 'there is decided loss of appetite and sluggishness of the animal. If the body is small the digestive disturbances are not so marked, as the area of inflamm.ation is small and the appetite remains about normal but after the body reaches the diaphragmi there is a short hacking cough. Pressure at the zyphoid cartilage causes pain. May be pain about the attach- ment of the diaphragm due to extension from the point of irri- tation to the attaclTfient. Almost diagnostic v/hen found. As the body passes forward there is more coughing, rapid breath- ing, which may be shallo\Y and the animal may have pleurisy. Disinclination to move, back arched, feet close together, temiperature slightly elevated, animal does not lie down, pain on defecation as the contraction of the abdominal m.uscle presses on the painful diapliragm and motion is restricted causing constipation- Later heart sym.ptoms come on as described under traumatic pericarditis. Differential diagnosis from gastro-intestinal catarrh is that it comes on slov/ly while this comes on suddenly and there is great pain over the second stomach. Hay resemble tuberculosis as there is coughxng and emaciation. If crepit- ant and sibilant ralesare are heard and enlarged glands are found it Is probably tuberculosis as we also have lung symp- toms first preceded by emaciation but in this disease we have loss of appetite and indigestion first followed by the lung s ymp t oms . TREATltENT:- Slaughter and save the besf or may perform rumenotomy and try to remove the foreign body. The body may pass only for a short distance and fall back into the stomach, lie there and do no harm or may afterwards start another injury. Has even been known to pass out through the intestines. It is claimed that r\imenotom.y relieves one half the cases. (29) GASTRO-INTESTIHAL CATARRH OP GARNIVORA. It is rather frequent and its most eoramon ^cause is over loading' of the stomach. Animal should be fed twice daily and pet dogs three times- By feeding only once daily the stomach is over loaded and if he cannot digest it, it is omit- ted without causing much nausea. This prevents frequent attacks of gastro-intestinal catarrh. Indigestible substances as candy, ice cream, etc., are causes. May be due .to chilling distemper, parasites, gastric ulcer and sometimes from gastric disturbances of nutrition and too much blood in the intestinal ra. m. SYIvIPTOMS : - Over filling the stomach. Dejected, ill at ease, then appetite is lost. Drinks but little, slight frothing at the mouth or cords of saliva hanging from the mouth. Gets up and lies do7,'n, especially on his belly. May be an impaction of gas, the animal then gulps- Plead down, and the contents of the stomach is discharged. SoraStlmes does not vomit, then the m. m. is irritated. Is easy to diagnose in dog as he car. vomit and is subject to diarrhoea v/hich is not the case in a horse. Vomiting, is the most constant symptom but not charae- terlstlc as the animal may vomit from obstruction of the oesophagus or intestines, parasites, peritonitis, frights, gastric ulcer, excessive coughing as in bronchitis, which is due to irritation of the faeces. \Vliere dog vomits after each meal it is apt to be gastric catarrh. Odor slightly sour. Vomited food is just like v/hen eaten, later it may contain mucous or blood a.nd in bad cases bile stains the vomit yellow. Depression of appetite, rapid pulse, warm nose, offensive breath, slight pain over stomach (not constant)-- Intestinal catarrh is somewhat similar. Usually depression of appetite, pain on pressure over intestines. Diarrhoea not always pres- ent. In old chronic cases often violent constipation. Very bad odor to faeces- Voided frequently and tall becomes soiled- Slight pain on defecation , (tenesums) . Faeces mixed with a little- blood-, bile or- pus. Bile duct may be occluded and faeces then become white and there is considerable jaundice. PROGNOSIS:- In acute eases it is good unless animal is weak from other diseases. In chronic cases prognosis should be made with caution as it is usually unfavorable. TREATMENT:- First free the stomach and intestines from stagnant food by an emetic, purge or both. Most emetics are depress- ants but apomorphine depresses as little as any and is best. /lOO to /lO of a grain or tliree to ten millograms in solu.- tion hypodermically. Veratrine ^/2 to 3 or 4 grains ov mus- tard ipecac 5 to 30 grs. Tartar emetic, zinc sulphate", or cupric sulphate should not be used as they are too depressant. As a purge castor oil or syrup of buckthorn fl^Qr^ rmr.^ ov,^ «,.,„ (30) be given together. Calomel may also be used /s of grain every two hours. Give six doses* After this feed carefully. Best of food. Raw., finely chopped beef in small quantities. Milk is not so good as beef= Give for two or three days then other feed may be givBn« During this time give hydrochloric, acid, pepsin or tincture of gentian. May give them together. Tincture. of nuxvomicae, quinine or tincture of rhubarb are also good where there is constipation. If much diarrhoea, give astringents and soothing substances as bismuth grains five to fifteen with 2 to 3 gtts. of creolin or carbolic acid 3 to 5 gtts. If necessary opium may be given but it causes obstinate constipation. Argentic nitrate in pills made of bread is useful especially if ulcers are suspected and very old cases. Make rectal injections of tannin, alum, sugar of lead or argentic nitrate 1 to 2.%, These are of especial value where tenesmus is presents Of obstinate vomiting, give ice pills, potassium bromide, cocaine, creolin or carbolic acid. Calomel is good where the faeces have a bad odor, it is a good disinfectant to the alimentary tract. Also naphtholine grs. 5 to 30 is used for the same purpose.. Give brandy or claret for its stimulating and astringent action. Good nutritious food as raw eggs, or meat, bread and boiled milk. CQNSTIPATIO¥. May be a symptom or a disease. In old horses and dogs the bowels are loose, their tone and peristalsis is depressed and we have obstinate constipation. May also be due to Indigestible foods as bread in too large quantities, vpge- tables or much mush especially when made of corn meal. Bones and dry foods lead to constipation. May be due to mechanical obstructions. Due to foreign bodies as bone, strictures from scar tissue or hard faeces. In large prostates pressing on the rectum, .collection of pus in anal gland or hemmorhoids will cause it. In old dogs constipation may be habitual. The' rectum is enlarged and hard masses 'collect here which is too large to pass out of the anu,-s,' May be due to 'diminished se- cretions of mucous membrane of stomach and bowels as in high fevers and chronic gastro«d.ntestinal catarrh and where m. m. is replaced by scar tissue. In liver disease bile acts as a laxative and inactivity of the liver causes constipation from lack of bile. In peritonitis and entex'itls all movements are painful and as the dog does not exercise he becomes con- stlpated- SYMPTOMS:- Characteristic when advanced, not so in acute cases as we cannot watch dog continually and so do not know the nature of the faeces. In horse with constipation we usually have colicy pains but in dog he may pass no faeces for days and yet (31) defecate, but do not succeed yet siu^vs much pain. Aniraal hovels and runs a long distance from the pain which it causes. If successful in defecating the faeces v/ill be hard. May be covered vJith mucous, blood, pus, or may be white from the ab- sence of bile. By palpating the abdomen we may feel a hard body as a sausage like mass from the anus forward. Rectal examination reveals a hard mass of faec«,s. Anus red and pain- ful to pressure. Sometimes when of long standing rectal exam- ' ination will show nothing as the hard mass is farther forward. Peristalsis may or may not continue. If obstruction is com- plete the animal may vomit .and the ejecta have- a slight odor of faeces. Carries tail high and has a straddling gait. This may last from a few days to six weeks and cause death- from en- teritis or necrosis of the wall of the intestine, may cause peritonitis. A stricture may be formed at the point of obstruction due' to irritation and scar tissue formation. PROeNOSIS:- Usually good but in dogs may be bad. DIAGNOSIS:- Is easy if there is a good history. But in starvation he passes no faeces. Do not m.istake starvation for this dis- ease. TPJBATMENT : - Is divided into three classes, viz: 1st, Dietetic, 2nd, Mechailical, and 3rd, Medicinal. If has lasted several days give no food for a fev/ days but plenty of water, milk, eggs and plenty of finely chopped meat. , 2nd, Give injections of large quantities of vrarm water as it softens the faeces. Later may use cold water to soothe the intestines and relieve the heat. Also to stimulate per- istalsis. It may be necessary to use large quantities of warm water. Glycerine may also be used as an injection and is claimed to be very good, but is no better than water except it lubricates the v/alls of the anus and rectum. Exercise is very important in habitual constipation and massage should be used. By making a digital examination a piece of bone may be fovmd. In obstinate constipation- always make a digital examination. 3rd, CATHARTICS. Castor oil is best as it does not irritate; 1 dram to 2 oz. accordirj/: to the size of the dog. Calomel is non irritating; grs. ^/e repeated several times'. Or may give 4 or 5 grs. 'at one dose. If these do not act may use croton oil but it is irritant and violent. Give gtts. 1 to 5 with castor oil. (Always with castor oil and never alone). Never use croton oil if there is irritation or in- flamiiiiation of intestines or stomach. Eserine is sometimes used grs. V40 to V20 subcutaneously. After treatment, is exercise and proper food. (32) PORfiIGN BODIES IN INTESTINES OR STOMACH. Dogs sometimes swallow for*eign bodies. Like cows they .swallow bodies intentionally. The bad effects depend upon the body and where it lodges. Seen especially in house dogs that carry things in their mouths as pins, needles, balls, etc. May remain in stomach and do no harm or pass out through abdominal v/alls and cause no bad results. Case on record Where a dog swallowed a needle and tv/elve years later died. Neither stomach nor needle v;ere -injured. These bodies may lodge at the pylorus causing irritation, obstruction and death. If the body becomes lodged there v/ill constipation be first, fever, loss of appetite more or less vomiting, having ' odor of faeces. The obstruction may be located as a hard knot by palpation. Sensative to pressure. May get a clear history of having swallc^ed a body but these histories are often false. Where the body lodges in the stomach or intes- tines it usually produces necrosis, suppurative perotoritis and death. In old cases the body may remain in the intestines for months and faecal matter be passed, usually producing enteritis, peritonitis and deatli. DIAGNOSIS:- Hard unless a clear history is obtained or can be felt through the abdominal v/all. TREATJ.IENT : - Depends upon nature of body, location and time in the intestinal tract or stomach. If not sharp, as a coin, etc., and emetic will sometimes remove it. If sharp, this is dan- gerous as it causes the object to perforate the stomach. If it has been in the' stomach several hours give bulky food as oat meal, bread, etc. with a laxative and try to carry it through the canal. Usually it lodges and laparotomy has to be performed. Is done much like ovariotomy. Draw out the intes- tines, locate the body, make longitudinal incision and remove it. Sew it up and recovery usually takes place» If much irritation or gangrene is present cut out a portion of the intestine and sew the ends together. Always take out a sec- tion long enough to remove all the diseased wall. Hewett in 1865 reports a case of a dog having swallowed a fork. Lapa- rotomy was performed and the animal recovered. Another case on record where dog swallowed a fork and the prongs punctured the skin of the abdomen. Pork was removed and the dog re- covered. G ASTRO-INTESTINAL CATARRH OF SWINE. ETIOLOGY:- Spoiled food, arsenic, (frequent) putrid milk, spoiled slops or worms. SYIVPTOMS:- Loss of appetite', diarrhoea, vomiting, depressed, sluggish, seeks cool places, grunts, moves with reluctance and squeals. Nose v/arm, abdomen may be tender to pressure. (33) TREATllJSNT : - Remove cause. If due to bad food give emetics and purgatives. Veratrine in alcoholic solution .03 grain subcu- taneously is the best emetic for a pig. Have a syringe ^lith a strong needle and Inject immediately back of the ear. This is most convenient place in a pig and not liable to form an abscess- Calomel 15 grs. to 1 dram at one dose. Regulate the diet, give good food and if valuable, give bread, boiled rice, oat meal, etc, for a few days. If diarrhoea be present give 40 to 50 grs. of opium (pulv). 'DISEASES OP STOJ-iAGH AND INTESTINES OF FOWLS. GASTRO -INTESTINAL CATARRH. Usually called diarrhoea. Occurs especially in finely bred birds. Change of climate, exposure, intestinal parasites or tuberculosis (frequent in birds). SYIIPTOMS: - Ruffled feathers, wings spread slightly, head down, depressed, appetite lost, diarrhoea, faeces voided frequently and are soft. Feathers about the anus become stained. Animal soon dies from exhaustion if not relieved. ALTERATIONS:- Same as in Other animals. Congestion and exfolia- tion of m. m. , etc. Rarely enteritis. TREATIAENT:- Keep in a 7/arm, clean roost- Food should be soothing and astringent as rice v^ater, oat meal, rav; beef, barley water, hemp. If a valuable bird. give small pieces of choco- late (constipating) or bread soaked in brandy, especially for parrots. Give mucilaginous drinks of linseed tea instead of ■water. Small doses of tannin, silver nitrate or opiuin may be given. To stimulate the appetite give onions, pepper or cinnamon mixed with butter and given as a pill. CONSTIPATION. Shown by absence of faeces or if passed are very hard. TREATIvIENT:- Green food, vegetables, grass, sloppy mush, cold water and rectal injections. Powdered senna leaves mixed with ' butter and given as a pill. Powdered rhubarb root 5 to 15 grs. given same as the above. Calomel -^/lO to JL--^/2 grs. may also be used, mixed with honey or butter. In singing birds tinct- ure of rhubarb root 1 to 2 gtts. is very good. COLIC . This term is used in many ways. Generally applied to every condition of abdominal organs accompanied by pain such as liver colic, kidney colic, etc. But vie will call.it colic when in digestive tract only. (34) A. -- Symptomatic B. -- False. C. -- True. This is an old classification but is still much used. SYJ,iPTOllA.TIC COLIC is a general term and occurs as a symptom of other diseases. As an oedematous pneumonia of horse, authrax of cattle, poisoning by arsenic, copperas and sugar of lead. FALSE COLIC. Many diseases that have their seat in the abdomen but are not in the gastro-intestinal tract are called false colic- As in kidney disease. According to Dieckerhoff distention of the bladder is not accompanied by ^ pain. I.Iay be due to an obstruction of the gall duct and cause a local peritonitis. This causes the pain. TRUE colic:- All diseases of stomach and intestines that are accompanied by pain. Many diseases of this tract are accompanied by pain as gastro-intestinal catarrh, enteritis, etc., but are not called colic. The above is an old classifi- cation. Colic is that- disease of the gastro-intestimal tract that cannot be diagnosed as any, other disease. May have colicy. pains in hernia. It is better to diagnose colic than the true lesion as tympanitis, etc., as it gives the ov/ner a. better Impression. Another definition for colic is an obstruction to the gastro-intestinal tract accompanied by pain. This is true in most colics but sometimes there is no obstruction. DR. PEARSON'S DEFINITION. Colic is a collection of dis- tinct diseases of stomach and intestines due to varying causes and are principally characterized by pain and can be but imperfectly diagnosed- This is the best but does not define the condition. One, that did would make an exceedingly long definition. Ancient writers such as Carmamello and Vegetius described colic as the principal .disease of the horse. This included hernia and other conditions now recognized as distinct diseases. It- is the most common disease of the horse. 40^ of all cases of sickness in horse are colic. 12^ of v/hich are fatal. Dr- Bullinger's statistics of 12,857 cases 13^ proved fatal. For the last ten years 10^ have proved fatal. In the Prussian Army 11-V4X- In 40^ of all horses that die, death can be traced to colic It has been estimated that Q% of a veterina- rians practice is colic. The average percentage of deaths from colic is Vb%. ETIOLOGY:- Many conditions cause it. -When a" horse is in its natural state there is but little colic; but the manner of care and food predispose to it. Still we find that the conformation of the horse is of such a nature that after colic starts it is more apt to be severe than in any other animal on account of the inability to vomit. The large caecum pre- disposes to it and the large mesentery allows much movement and hence dlsDlnf»emfinf.H nnri or>+o»,«.T (35) causes:- Atmospheric influence is important and has much to do with digestion. When moist and damp digestion is slower and circulation less active. In damp ^^eather there are many eases of colic even when same food is given as in pleasant weather. The reason' is not known but thought to alter secretion of digestive juices and peristalsis is lessened^ Exposure to inclement weather. Yet it is more likely to cause Gastro- • Intestinal Catarrh. V/eakness and paralysis of the large in- testines cause it by leading to obstruction and pain. More fre.quent in old horses. Yoixng horse may be seen with a par- alyzed caecum or large intestiije and may prove fatal. After starving for a time the stomach is depressed and then if fed only the usual quantity the stomach cannot digest it and.im-" paction occurs. Over feeding especially if feed is concen- trated as with grain, is worse than with straw or hay. The latter are not so apt to cause it as the animal will not eat ..enough. In these cases where grain is fed in large quanti- • ties the colic comes on shortly after feeding. If from star- vation or from over feeding of hay or straw the colic will not come on for several days. Feeding food which the animal is not accustomed to, as peas, bran, clover, etc. Impure or cold water is supposed to be a cause. Some colts lick the earth and swallow dirt which accumulates in the intestines and caxise what is known as SAND GOLIC In crlbbers and wlndsuokers air is swallowed which weakens the stomach and causes colic. Calculae may form especially where middlings, bran, products of wheat j etc. are fed. Maybe many small ones or one large one. They first irritate the m. m. causing gastro-intestinal" catarrh, pain, sometimes obstruction and death. They contain ammonia, magnesium, phosphate and usually starts from a por- tion of metal such as a nail, screw, etc. Parasites as as- carides may collect in a large mass causing obstruction and colic. Irritant drugs as aloes causing super-purgation and colic. Stenosis is a rare cause due to the formation of cicatricial tissue. First doing little harm and finally leading to an entire obstruction. A more frequent cause of obstruction is dried masses of coarse food, old hay, straw, corn, fodder, etc. These form hard masses and. cause obstruction and colic. May be a result of a tumor in the intestines as sarcoma, fibroma, or tuber- cular growths. In horse it is mostly melanotic sarcoma. May be due to adhesions,, of neighboring organs or to another part • of the intestines.. This checks peristalsis and colic is the result. Strangulation of intestines may be due to hernia. This may be internal, in the mesentery "and is then called colic as it cannot be diagnosed; or may occur in the dia- phragm, omentum, or protrusion of one portion of intestine as into the rectum. (36) A volvulus 4s a twisting of the folded colon occur^ng most often in colic. The intestines may become tangled and ■ twisted causing death. May have an invagination. One portion of Intestine is pushed into another and is due to, a paralysis of one part of the intestine and peristalsis forces another part into the paralyzed portion. Thus s -^ — ' Emboli or thrombi may cause it. Throrabolic - embolic colic is a characteristic and distinct form and usually described separately. Death is nearly always 'due to obstruction of the intestine, may be caused by contraction, etc. Pain may be due to mechanical irritation or contraction of intestines press- ing on the nerve endings« as in tympanitis, there is a dull pain. TEKIENATION:- llfo recover, the obstruction being overcome. In Vb% the. obstruction remains and the hprse dies from rupture of the intestine, peritonitis, or toxaemia develops from the reabsorption of this material frpin the peritoneuiiiji which occurs rapidly and the animal dies in a short time. There may be no rupture, the m. m. being inflamed causing an enter- itis and death. In old chronic cases the animal may die from exhaustion and starvation especially where the intestines are paralyzed. Enteritis is the most common cause of death from colic. In tympanitic colic there is interference with respi- ration causing death by asphyxia, or to passage of gas into the blood, poisoning the animal. This gas is usually ^2^ and °°2, SY5JPT0MS:- May be slight or marked. They vary greatly. ' If at work, he becomes disinclined to move, takes short steps, tries to stop and lie down. If in stall, restless, walks about, 111-at-ease, turns head from one side to the other, walks about, looks at flank, kicks at the belly with hind legs, swn:ches the tail in a peculiar manner, lies' down and gets up again. May lie down easily as. if. the abdomen is tender and may make several attempts to get down before he does so when down, may grunt considerably. May be violent and throw them- selves dow?i recklessly and may injure themselves in doing so ??^Pn,^>Sn J^J^»/^'^"^1 ^^«h, or rupturing the intestines (frequent). Pain is not constant but severe at times. It ^fn^!nl 1?^^^^^^^'' ^""^ tl^^animal will eat and drink but ■ pain soon returns and animal will not eat during the pain of the'h;rsrtf?::/" '^J abdominal, cavity on the^ladder caus.es rrequentiy. This leads many people to believe thit it i« the cause of the disease. ThLp 4. ^" ^^-^^^^^ t^at at is m «olio. M... ..>.,,.!..!. :^^^^^ ^! ^^1^°"^ "'^ch urine passed in colic. . May try to void faei»p.s ■fv.at« +.i„« ,m_ ^■,.. _. .•. . ^ •^"- -t*icces irom the same pressure. walls are draw] distended. At first brJIttorisTi^ttr"-^' ^' " ^^ '''^^ vxj.»cab« progresses it becomes more so. Where the pain is very great the ^h^Z/^ .^ ^ CUD Thiq i«s r.^^\^^^ ? abdominal walls are drawn 7:.J^tl ^^^'V:^l "^'.''^ tympanitic colic as it i. :(37) If rupture of the stomach takes place it may be as. high as 100. or even 120, If the pulse is small it is usually taken as a bad «agn and prognosis should -be made accordingly.. May find the same condition of pulse in bad case of spasmodic colic. M. m. usually red and In bad eases extremely so, espe- cially if bordering qn enteritis^ If an internal hemorrhage talces place or rupture, m. rac becomes pale. The senses are usually benumbed by the pain and may not notice the whip, etc. This may be due partly to the intoxication of the horse with C°2 which reduces brain activity. Sweating begins at the ears, elbow or" flank. Usually profusely and is due to pain. Peristalsis in most colics is paralysed or reduced especially in tympanitis. In spasmodic colic it is intensified. May assume peculiar position. Lies on the side and stretches out the heado .May kneel in front and stand behind^ Will some- _. times sit on buttocks and stand in front. (Dog. fashion). May balance himself on the backo These positions give relief which accounts for the peculiar attitude. Other symptoms may. be noticed such as vom.iting. Animal will be standing with arched neck, chin close to the breast, abdom-inal muscles contracted, the. throat moving spasiiKi.dically. He gulps and may discharge food from the nostrils This usually indicates rupture of the stomach but is not necessa- rily fatal.- In other cases the horse may become almost insane much resembling "rabies. He rears, kicks, bites, plunges, etc. May v/alk in a circle resembling cerebritis, which may be kept up for hours at a time. In most fatal cases symptoms become worse and worse until he becomes too weak to make these movements. Will then rest' against the stall, stagger, fall on his knees, tries to rise again, finally falls and dieso The horse may get so weak that these violent symptoms do not develop and the animal appears better, Thqse cases termi- nating in enteritis have a. rapid pulseo M-' m. red-. Pain not ..■.■■. so severe but constant. The circular motion may be noticed and usually ales of eiihaustiono COURSE:-- Depends, upon nature of lesion and extents Is divided into Acute and Chronic-^.- A- ACUTE:- Most colics are acute» Recovery or death usually takes place in 20 hourji. Most, oases get well or die in less than 10 hours- B. CHRONIC:- May last 'from a week to a months Especially where the caecum is paralyzed-. Animal may be free from pain for a , day or t-wo. If the case be one of light impaction usually gets well as soon as peristalsis starts. In spasmodic colic the animal may get well in a few minutes. Can usually deter- mine whether a horse is getting better by watching peristalsis •'., and when established is a good symptom. It may be the only sign for prognosis that wehave„ Passing of faeces is usually a good sign.... In impaction of the caecum we may produce a ' ' purge with aloes and still' the impaction remain aQd cause death. • ■ > C38) OOMPLIGATIONS : - Often occur diirine c^Llic btit can not always be determined. ■. 1. Displacement of intestine is common. Seen in 50^ of colics. Results from excessive peristalsis in spasmodic colic or from distention with gas. Or may be caused by violent movements of the horse.. It is serious and it is usually the large intestine that is twisted. 2. Paralysis of one part and adjacent parts being active it is pushed into the paralyzed part and causes intussuscep- tion« 3. Rupture of the stomach or intestine and contents dis- charged into the abdomen. Is usually due to distention by gas, Pound on the large curvature of the organ. This is because the muscle is weaker here- May occur at the small curvature and is usually then covered by the mesentery. Death does not' follow so quickly from the latter as in the former condition. Order of susceptibility for rupture is, stomach, caecum, large colon, rect-um, iliiim and jejunum. Rupture may be due to violent movements c Rupture of the stomach is the most frequent J due to its situation. Gas can not be so easily distributed to adjacent parts as the pylorus is quite small and easily obstructed. Gas remains in the stomach but in the intestine .it can pass in either direction. Kien the walls of the stomach or intestines are ruptured we can determine after death that the outer wall ruptured first, muscular next, then the mucous coat on account of the serous coat being less elas- tic Before the mucous coat is ruptured it is forced out like a hernia. The animal frequently vomits when the rupture is incomplete. The mucous coat is forced out like a hernia and this stretches out the folds of m. m. around the oesopha- gus and food can escape. miBx). the rupture is complete vomit- ■ing is impossible and food is forced out of the rupture into the abdominal cavity. ALTERATIONS;-- Are divided into two classes, viz: 1st, alterations of position and 2nd, alterations of structure. Position, dislocated, twisted, knotted, e.tc. These bring about sudden death. Dislocation of the caecui-n and • floating colon are most common. Caused by the violent move- ments of the horse, \fhenever there is a tY;ist we find natural coxor or a little paler anterior to the twist. Back of this there is increased redness on account of the stagnated blood Lumen of artery is closed. This dark colored intestine usually becomes softened and will sometimes lead to perfora- tion but the animal usually dies before this takes place. (B). structure:- This occurs in nearly every case-. Inflammation of m. m. occurs in varying stages. May be catarrhal or' even necrotic. Pound in all parts and especially in caecum and floating colon. (39) ^ , 1st. Increased, redness of m. in. which s^^/ells and causes oedema. It extends to the serous membrane, making the intes- tines black. Later fibrin forms and may even become necrotic. Internal' hernias are also found. Mesentery may be ruptured causinG a strangulated hernia- Intestine may pass into the foramen of V/inslo7/ or the superior incuinal ring which usually is not diagnosed. The peritoneum may be inflamed which coimiences in the intestines. The peritoneum is red and the blood vessels are distended. Pibrin may be present on the surface.. In old cases adhesions may take place. Aneurisms from the great mesenteric artery may form. Great mesenteric artery is about five inches from the diaphragm, and nearly tv/o inches in length, then divides. A thrombus forms in the aneurism and causes colic The clot branches and pieces may break off. This clot results from the parasite known as ■Strongylus Armatus. It is short and threadlike. 6 to 8 averaging 9 found in each thrombus. It causes a traumatic end--arteritls. Y/hen a clot forms in this artery (is frequent 90fo on the post table in Germany) a little piece breaks off and floats into the arteries which supply the intestines with blood. If it is small it causes but little trouble. We also have secondary alterations as hyperaemia of the lungs, en- gorgment of the heart, friable kidney and liver, peritonitis, etc. DIFFERENTIAL DIAGNOSIS:- We must diagnose from other diseases and then between the different kinds of colic. May be confounded with azoturia. We have sudden development of intense pain, rapid pulse, red. m. m. and inclination to lie down. In azo- turia the history, paralysis of hind limbs, usually cannot rise, hard croup, dark urine, etc. Labor Pains m.ay be mis- taken for colic. These are active pains, intermittent, same as in colic. The difference is that in labor the animal does not lie dov/n and get up as frequently, swelling of the vulva, peristalsis normal, and vasing,l examination will m.ake diagno- sis. Retention of urine must also be considered. The animal stretches out and attempts to urinate often. In colic he does the same thing on account of pressure on the bladder. Is sometimes necessary to catheterlze In-order to make differen- • tial diagnosis. In cystitis may show same symptoms. Rectal examination will prove this. Appetite continues also peristalsis is nor- mal. Inflammation of the uterus may be similar to colic. Abdominal pain, lies down, discharge from the vulva, in met- ritis and vaginal examination should alv/ays be made if the diagnosis is in doubt. Strangulated hernia is hard to diagnose from colic. If in the foramen of V/inslow it cannot be made but if it takes place in the abdominal wall or inguinal canal it can be made and treatment will cure it. (40) ■ In Nephritis the animal does not get up and lie down, pain on the transverse ends of the lumbar vertebrae and the chemical examination of the urine sho-57s albvimen, casts and epithelial cells. In Hepatitis there is pain in the abdominal region, no appetite and v/hen icterus is present diagnosis is easy. Intestinal Catarrh may resemble colic There is loss of appetite, colic y pains and unless acute there is gradual devel- opment of the symptoms and a change in the faeces. In Enteritis we also have abdominal pain of a severe type but it is more constant. Rapid pulse, elevated temperature, m. m. red, flanks drawn up, and faeces may be blood streaked. Ulcers of the stomach and intestines, may show collcy pains. Differential diagnosis is very hard. Abdominal pain, colic, wretching, diarrhoea, may be streaked with blood. Emaciation, symptoms of colic continue and run chronic course. In some cases inflammations of the brain colicy symptoms may be noticed, also in pleurisy, purpura hemorrhagica, influenza, etc. Surgical lesions may also show colicy symptoms. Thrombo- sus of pelvic arteries. After exercise colicy symptoms may develop. VARIETIES OF COLIC,, All colics cannot be treated in same manner, hence for convenience of study they have been divided into Six (6) classes: 1. Spasmodic (Rheumatic). 2. Engorgment. Due to overfeeding. 3. Thrombotic -- Embolic Colic (Congestive) - 4. Obstruction. Includes twists, calculi, etc. 5. Tympanitic. 6. Helminthic. SPASMODIC COLIC, Most frequent and occurs without structural change. Pain is due to the violent contraction of muscles and pressure on sensory nerves. Claimed to be akin to rheumatism, (not sup- ported by good proof). Most often seen in spring and fall. Due to exposure, draughts, etc More common in well bred horses. Mules more susceptible than horses. Pain intense, but does not last long. Intervals of ease. This is the only form where peristalsis is accelerated and we hear metallic splashing sounds due to gas being forced through intestinal tract suddenly. COURSE:-. Usually short and generally recover- Animal mav dis-from complications. Pain is so great that he throws himself about violently causing rupture, volouslus, invagination, fracture, etc. Most all quack mixtures "are based on this form of colic (41) E i: G R G M E IT T G L I G . This f oral "is far mo-re serio-iLs especially If ^ood lodgv in the stomach. The stomach and Intestines become paralyze so that food can not possibly be moved- This is the most fatal form of colic 90^ a^e said to die. History is important. Are usually told that the horse got loose and ate too much food and then has colic Or if had no food for several hours and then gets double quantity of feed. With such history diagnosis is easy= Sometimes may have it v^hen a nonnal amount of feed has been taken, due to , some exertion which impairs digestion^ symptoms:- Pain prolonged. May have intervals of ease but no com- plete absence of pain. Peculiar manner of standing. Front feet forward and apart and hind legs backward. May sit dog fashion. Or may lie on the back with feet in the air to re- lieve pressure on the mesentery. May last two or thrse d.ays and terminate in recovery or death- There is great nausea and the animal may succeed in vomiting through the nose. THROMBOTIC EMBOLIC COLIC. May be acute or chronic. May last from a few hours to several days and terminate either- in death or recovery. The chronic form is the more fatal. Sometimes it is very mild and lasts but a short time and usually cannot be diagnosed from any other form of colic. symptoms:- Considerable dull pain and no intervals of ease. It is not a violent pain but is stupefying. Pulse is very weak and rapid. M. m. dark. Faeces not voided or in si-nall quan- tities. Animal usually lies down much and moves but little. After two to three days an inflammation of the intestine occurs. In the chronic form symptoms are not so v;ell pro- nounced. In three or four days the animal apparently re- covers but in a few days dies. Cases have been known to ter- minate in complete recovery. Death due to rupture or to the reabsorption of the products of putrefaction in the stomach. If they get well may do- so by increase in collateral circula- tion. Sometimes there is intussusception and a part of the intestine ?/hich is inside sloughs off and recovery takes place. This is not common. Rings of intestine have been found in the dung. OBSTRUCTION COLIC- Most eom.plicated and difficult of all. Due to such a variety of causes. Pain resembles that of thrombotic -embolic colic. It is usually constant but moderates slightly at times. The intermissions of pain are very short. It is a (42) himself about as in other forms of colic Voids dung fre- quentlv in hard dark balls covered with mucous. By rectal examination, may be able to discover the cause. May attempt to urinate frequently. Pain is sometimes very slight and may be constipated only for three or four days. Pain begins when the inflammation commences. May run a chronic course as in calculi. May last for months with occasional attacks of colic. Caec-um may become impacted and then have constant pain. Fodd will pass as there is no obstruction of the upper part of the caecum. Aloes can be given and cause purgation but the ob- struction usually remains. Occurs in old horses. If volvou- lus exists pain is constant, violent and ustially terminates fatally. Pulse is fuller and stronger than in thrombotic- embolic colic and m. m. not injected till late. This is the most characteristic point. FLATULENT COLIG. Accumulation of gas in the intestinal tract. SYiff'TOMS:- Swelling of abdomen. Percussion of abdomen gives a tympanitic tone. Pain is violent. Congestion of m. m. Heart rapid and weak. Respiration quick and difficult. Logs of appetite. Urine is discharged in dribbles. A little gas may escape from the anus. Death is due to rupture of the intes- tines or stomach, intoxication from absorption of carbon dioxide, or from interference of respiration. Runs a rapid course. HELMINTHIC COLIC. This form of colic is especially seen- in colts. Caused by worms in the intestinal tract, and will be studied with parasites. TREATlvlENT : - Almost everything has been advised. Consider the lesion that causes the pain and remove it if possible. If due to irreparable change in the intestines as obstruction, paralysis, etc. can not be cured, so is better to kill the horse, if you are positive of the diagnosis- Spasmodic colic if left alone will cure itself. We can not al^/ays tell just what lesion is present so it is well to treat every case seriously. The principal indications for the treatment of colic are three. 1st. Stimulate peristalsis < except in spasmodic colic). 2nd. Quiet the pain. 3rd. Relieve intestines of faeces and gas. Place the animal in a large box stall v/ith plenty of straw so thiat he can walk about in it. Exercise stimulates peristalsis, so is -^ell to v,'alk the horse. This also keeps (43) iilixi from throv,'ins himself. Contraindications for walking are weakness, great distention of the abdomen and feeble rapid heart. Apply irritants or cloths wet in hot water to the abdominal walls. This will stimulate peristalsis and counter irritation prevents inflammation of the intestines. Rectal injections with cold water will stimulate nerves of intestines. Use a rubber hose and a funnel, pass it in two feet. This is better than using the syringe. Introducing water slowly will sometimes cause it to pass as far forward as the caecum. The syringe will never force it farther than ten or twelve feet. Be careful to neither tear- nor rupture the intestine- as it is very tender- So is best to introduce the hose v/ith the hand. Soap or salt water are sometimes used, but these do no good and are rather irritating. Remove as much fasces from the rectum as can be reached with the hand. This will also assist in making differential diagnosis. Most common treatment is to give laxatives or purgatives. Aloes and Glauber's salts act more rapidly if given in solu- tion than in the solid form. Although there is some danger in drenching, from the fluid passing into the t. 'ache a. May use tincture of aloes, salts or oil. As an electuary, ex- tract of aloes, sodlui-n sulphate, licorice powder and molasses mixed together will be found very useful. Small quantities . given frequently are often of value. Grot on oil in castor oil may be used if there is obstinate constipation. Sometimes these purgatives will have no effect and after death we may find that digestive function is abolished and intestines paralyzed and the purgative not absorbed therefore use drugs subcutaneously. Sserine grs. 1 to 2 will usually operate in 15 minutes to ^/2 hour. After using eserihe the animal becomes uneasy, sweats, heart stimulated and pain may be intensified. Dung is at first voided in hard masses, then becomes soft. 50 lbs. of faeces have been passed after an injection of l--^/2 grs. Larger doses are dangerous as it may cause oedema of the lungs and should therefore never be given if any lung trouble exists. If eserine does not operate in three or" four hours may give another dose. After a large dose there is trembling, weakness, difficulty of respiration, de- pression of the heart and death, usually from paralysis of respiration. Eserine should be kept in tablets. If kept in solution it will turn red in a few days and become valueless after three or four weeks. The red color is not always a sign that the drug will not act. Relieve pain as it is humane. Lessening violence of the horses movements will prevent rup- ture of the intestines, fracture of bones, etc Tincture capsicum, camphor, peppermint, ginger, alcohol, turpentine, cinnamon are all more or less valuable as they are antispas- modic, but ether, alcohol, chloral, Hoffman's anodyne, morphia (44) and comiabis Indica v;lll relieve pain. Best in these cases is from 5 to 8 grs. of morphia and is most used. If a larger dose be siven the animal becomes excited and more violent. Tincture of opivim is not so good as it depresses peristalsis and acts as an astringent which checks the flov/ of seci'etions. Fid. ext. connabis indica 1 dram every half hour has been found very useful. One ounce has been Ql'VQn at one time; but this is too much for a single dose. Chloral in ":eixk. solution or as an electuary -vrill be found useful although is very irritating. If there is a tendency to inflammation the m. m. should be protected by using castor oil or linseed tea. If the inflammation has already begun £^ive calomel 3 drams as this is also antiseptic. TREATMENT POR SPASMODIC COLIC Treatment is not important unless the animal is very violent. Give morphia 3 to 5 grs. Hoffman's Anodj/ne, Squibbs mixture, ether, alcohol, chloroform or asafoetida. Do not give eserine as this stimulates peristalsis. Cold injections must be avoided. £ N Q R G M E N T COLIC. Give laxatives as aloes, Gla^^ber's salts or rhubarb root as an electuary. This vill stimulate digestion and can be made and kept on hand. Is not safe to give large doses of laxatives or purgatives as these increase peristalsis and favor rupture. May give six drams of aloes and follow by the above electuary. Infusions of cold \?ater into the rect'Om and kneading of the intestines are good treatment. If the animal is very violent morphia or connabis indica may be used. This is a fatal form of colic and animal frequently dies in spite of treatment. THROMBOTIC EMBOLIC COLIC. Rather unsatisfactory to treat as v/e cannot 'remove the cause; but after it occurs death is due to putrefaction, so give laxatives as calomel to disinfect the intestines and so retard putrefaction. Calomel 1 dram every 2 or 4 hours for 4 or 5 doses. If this does no good give small doses of eserine, aloes or rhubarb. Heart should be stimulated "Hrith digitalis. If fever is present use quinine. Ordiharv drenches do harm in this fonn of colic. (45) OBSTRUCTION COLIC. Determine the nature of the obstruction. Purgative treat- ment does harm In this form of colic. Rectal examination should al7/ays be made as v;e may detect hernia, intussusception^ calculi, dislocations, etc. The most frequent dislocation is the displacement of the upper layer of the folded colon toward the left side of the horse. The mesentery is tense and pres- sure causes pain. If the bands are twisted it signifies dis- placement. This may be replaced by rectal manipulation. If you find an obstruction due to calculus at some distance from the rectum you may try laparotomy. This is heroic treatment but has been tried several times v/ith success. ¥/hen it is due to intussusception and is diagnosed very little can be done for it= Laparotomy may be tried. If there is a hernia treat it accordingly. If obstruction is due to food, use eser ine grs. 1 to 2. Injections of cold water into the rectum and colic mixtures do no good. FLATULENT COLIC. Acciimulation of gas in the alimentary tract, Chief indi- cation for treatment is to remove the gas» Puncture with a trocar on the right side as gas usually forms in the large intestine; but sometimes it occurs in the small intestine. Always puncture where you get the tympanitic sound on percus- sion. Use a trocar about one-eighth of an Inch in diameter- The horse is more susceptible to peritonitis than cattle are. Use antiseptic precautions. Insert the trocar quickly so it passes through the intestine with one stroke. It should be removed after all the gas has been removed. If bloating con- tinues puncture again. Repeated punctures are not dangerous. Don't put it off too long. If the horse is getting v/eak make the puncture at once. In some cases we may have to puncture several times as the gas is in the intestine away from the abdominal walls and is thus out of reach of the trocar- In these cases by a rectal examination can usually find the dis- tention in the pelvic flexure of the colon. Should then dis- infect the rectum and instruments and puncture through the rectum. First inject pure water then bi-chloride solution 1 to 3000. This is often the only treatment required and the danger is but slightly more than in the ordinary operation. INTERNAL TREATMENT:- Ant-acids do no good as they dp not reach the intestine. Don't give them- Mild laxatives as sodliim sulphate, small doses of aloes or rhubarb are good. Eserine may be used if the distention is not too great. Don't use it after puncturing. Connabis indica is indicated as it stops pain and keeps the anlEoal quiet and thus lessens the danger of rupture. Chloral is good as it relaxes the muscles and if the spasms are beyond the obstruction the mass may pass out. Ether 1 to 2 ounces in one quart of water as an injection per rectum is also good. (46) HELMINTHIC COLIC. HEBAINTHIO colic:- Treatment is same as for ivorms. Tartar emetic is best 2-^/2 to 3 drams in the drinking \7ater, one dose. Turpentine, santonine, male fern and areca nut are also used. PRSVENTION OP COLIC. Sometimes the causes are unavoidable. Peed regularly and not too much. Water should not be too cold. For spasmod- ic colic "Squibb 's Colic Mixture is good. (A '^Tr. Capsici Tr- Opii Spts. Camphorae aa 1 ounce. Ghloroformi 3 ounces. . Spts. Vini Rectif. 4 " M. Sig. Give two tablespoonfuls at a dose. COLIC OP CATTLE. Comparatively rare and but three varieties. Viz: 1st. Obstruction. 2nd. Spasmodic, and 3rd. Impaction or constipation. In obstruction colic the lesions are same as in the horse, intussusception, hernia, etc Symptoms are also the same. Uneasy, switching the tail, looks around at side, bellov/s, etc. There may be tympanitis or filling of the flank. TREATIvtENT : - Eserine l--^/2 grs. If constipation give a laxative. Epsom or Glauber's salts, oil, aloes or croton oil 15 to 20 drops. Rectal injections are better here than for the horse as they go farther. PROGlTOSIS:- Usually favorable. Recovers in 1 or 2 days and leaves the animal well- Intussusception is common in cattle and they seem to be predisposed to internal hernias. These are the two principal causes of colic in cattle. Intussusception usually occurs in the large intestine. Inguinal hernia is more i-- common than in the horse because the inguinal canal is larger. The peculiar manner in which cattle are sometimes castrated predisposes to inguinal hernia. The cord is broken off and often adheres to the upper inguinal ring making a cord from this place to the lumbar region and forms an easy place for a hernia as the intestines become lodged at this point. SYICPTOMS:- Symptoms of both are similar. Usually signs of colic at first. Uneasiness, lying down, etc. Pain usually lasts frorn 13 to 24 hours or until the restricted part is devital- ized but when other parts are involved pain returns. Often the animal becomes easy; but has no appetite nor passes any faeces. In such case be careful about the prognosis. This condition may last for several days. The faeces may be soft, later hard (47) and voided iisrith pain and covered with raucous and blood, peris- talsis suppressed, tympanitis, slight rise in temperature, pulse feeble and general weakness. Finally staggers and dies. These symptoms are not characteristic but by a rectal examina- tion we can usually detect the obstructed portion of intestine much better than in the horse as we can reach farther. The obstruction is formed as an elongated tumor, soft, doughy and painful to the touch. Do not mistake the left kidney for an intussusception as it hangs low. These conditions are found more common in hilly countries as Switzerland, but are found all over the world. The characteristic symptoms are the colicy pains followed by periods of ease. Constipation and faeces covered with blood and mucous, absence of peristalsis. Tumor can be diagnosed by rectal examination. TREATMENT:- Drugs are of no use. Surgical treatment Is sometimes effectual. Manipulation per rectum may b-e of use. In intus- susception the part may slough off then heal: but this is not common. It is best to kill the animal and save the meat if there is but little or no fever- The meat should not be used when the disease is of long standing a? there is gangrene and septicaemia and is poisoned by the ptomaines, etc., for these are not destroyed by cooking. LAPAROTOMY. Securely fasten the animal to a wall or cast on the left side. The operation is not so serious as in the horse. Dan- ger of -peritonitis is about the same as in the dog. Disinfect the right flank thoroughly and make the incision through the skin and muscles. 5 or 6 inches long. Tear through the peritone\«n with the fingers. Then introduce the sterilized hand and attempt to find the intussusception. Replace it and close the wound. But if gangrene be present excise the gan- grenous portion and suture the Intestine together. Then close the opening in the abdomen. In excising the intestine be sure and remove all the diseased part and suture so that the serous membranes are in contact as these gi-anulato more readily. Make several stitches then tighten them. The turned in portion shotild be posterior . Give nothing but -vvater for several days and recovery usually takes place. Keep in clean, dry stall. COLIC IN DOGS. Due usually to worms, constipation, or a rheumatic condi- tion of the Intestinal v.*alls. Worms are the most common cause and is accompanied by bloating. Rheumatism is rather a vague condition and it is probable that the tenderness on pressure and colicy pains are due to tenderness in the abdominal walls or from peritonitis. (48) DIAGNOSIS:- Is easy- TREATMENT:- Discover the cause and treat accordingly' COLIC IH SV7INE. Due to injestion of irritant foods as putrid slop, etc. SBtPTOMS:- Uneasy, v/alks about, squeals, and scratches the sides, looks around and muscular treinbline, may have cramps, appetite is depressed and there is constipation. TREAT1.IENT : - Purgatives as Glauber's salts or rectal injections of wan-n ivater- Subcutaneous. Injections of veratrine /lOO to ^/lOO of a dram in alcohol best given immediately bade of the ear. Keep in a v/arra place and recovery soon follows. GASTRIC AND INTESTINAL ULCERS. These ulcers are often seen in the stomach and intestines and develop from no apparent cause. Often results from an inflammation of this tract or obstruction to circulation. May be symptomatic and as complications of rinderpest, rabies, foot and mouth disease, purpura hemorrhagica, dysentery, diarrhoea, if long continued, gastro-enterltls, poisons, for- eign bodies and parasites. May be from inflammations as hem- orrhagic erosions, or due to obstruction of circulation in ' wall of the stomach called peptic ulcers. Occurs after severe inflanTOations. The inflamed tissue is lost and forms a pit lined by granulation tissue, which forms an ulcer at seat of lymph follicles. Peptic Ulcer in stomach and duodenum (anterior part) from shutting off of circulation usually thus the alkaline blood is shut off and the gastric juice acts on the m. m. dissolving it, forming a round pit or peptic ulcer- This is found only where there is acid gastric juice. If ulcers are large they are called erosions and differ only as to size. They are acute when lined with granulation tissue. Chronic Ulcers have a thick indurated wall almost like cartilage. May form anywhere but especially in the Peyers patches. They may grow to an enormous size. We may have the infectious material cast off the ulcer healed leaving a small star shaped cicatrix at this point. Peptic Ulcers in the fourth stomach of calves are seen quite often and said to be due to parasites. They have a sharp border which is round. Also found in horses, sheep and dogs. Rarely leads to perforation and usually does not pene- trate beyond m. m. and sub-mucous tissue. More frequently an inflammation extends to the outside and causes an adhesion of intestines to surrovmding tissue. Cannot diagnose between the two forms during life. (49) SYMPTOMS:- Much like chronic gastro-intestinal catarrh. Loss of appetite, poor digestion, emaciation, cattle fall off in flesh. The food which they eat does no good. Runs a long course. May have tjinpanitis, constipation and colicy pains at times. In dog we have vomiting after each meal especially if food is at all irritating. If in the intestines he has diarrhoea and the faeces are stained with blood. Gets weak and dies of eiTiaciation and exhaustion. In horses we have colic after meals and may have death from rupture. Recovery may take place but is rare as ulcers are seldom diagnosed. There are colicy symptoms after feeding and colic comes on at regular intervals. The animal may eat v/ell but nutrition is poor, gets thin and dies. diagnosis:- Indigestion. Vomiting, colic, progressive emaciation. May be hard to differentiate from gastro-intestinal catarrh but in ulcers the symptoms are more pronounced. In cattle traumatic indi- gestion resembles it very much. But tliere is also pain on pressure over this region. TREATlviENT:- Palliative. Assist digestion and neutralize the hydrochloric acid in the stomach. Peed on good food and may be necessary to givd astringents. In dog with gastric ulcer give Carlsbad salt repeatedly in small doses to stimulate secretion of gastric juice and to neutralize excessive hydro- chloric acid which is present. Feed on milk, eggs, and chopped raw beef. Dose of Carlsbad salt for a dog is from 30 to 50 grains. Where intestinal irritation is present give bismuth subnltrate, or bismuth in pill form. May give tannin. Cuprlc sulphate or acetate of lead. If there is much pain present give morphia or chloral. To stop vomiting give co- caine in pill form coated with gelatine, bromide of potash, creosote or creolin. In horse and cow give digestible foods, and Carlsbad salts. If hemorrhage is present give tannin, acetate of lead, or cupric sulphate. GASTRIC AND INTESTINAL HEMORRHAGE. CAUSES:- Many. It is not rare to see vomiting or purging of blood. Certain mechanical or chemical Injuries to the m. ra. are followed by bleeding. Parasites, irritant dr^igs, such as tartar emetic. May result from a blow as from hooking, etc. Presence of ulcers also cause it. It is seen during general diseases as distemper of dog, influenza of horse, etc. in which there is a severe inflammation of the intestines. Venous engorgement obstructing the return of blood to the heart as in heaves, liver trouble, etc. Bleeding from the rectum is due to proctitis, inflammation of m." m. or from hem- orrhages. Proctitis is most often seen in cattle due to irritant, foods or repercussion. Pii*,s often seen in pigs and dogs as the veins are here larger than in the horse. May also occur in horses and cattle. (60) symptoms:- Vomiting of blood and passing blood in the faeces. When from the Intestines it is black, tarry, putrid and mixed with faeces. When from the colon or rectum the blood is purer, not so dark in color or putrid. May have rapid bleed- ing from rupture of large vessels and death result quickly. Have same siTnptoms as from any internal hemorrhage or rupture of the aorta. Pale m. m. , extremities cold, pulse v/eak and rapid and later not felt at all, weakness, staggers. J.'Iuscles tremble, fails to the ground, eyeball rotates, piipils dilated and dies in convulsions. HEMORRHOIDES . ( PILSS ) . Easy to recognize. Painful red svrelling at the rectum, faeces covered with blood, tail carried high, legs wide apart, puffiness about the anus, constipation- Bleeding usually not great. May have a clot in these veins, vmich becomes infected gets soft and carried to other parts causing pyaemia and death. Digital examination causes pain and fingers will be covered with blood. M. m. is thick and in large folds, and the rectum contains masses of hard faeces. About the same symptoms in the horse but not 'qaite so much distress as the faeces are softer but later constipation follows and v/e have same siTOptoms as in dog. Rectum protrudes from the anus which is red and hot. IN HEMORRHAGIO PROCTITIS of cattle. The condition differs from piles in that the inflammation is diffuse, ex-^ tent's all over the rectum and there is no dilation of anal plexus of veins. There is a catarrhal inflammation of the whole rectum. Stiff, gait, legs apart, tenderness over loins, constipation, faeces mixed with blood, high fever, tenesums, on rectal examination the m. m. is swolen, sensitive and hand will be covered with blood- To determine whether hemorrhage is due to traumatism v/e examine carefully for other symptoms. There may be tender spot ©n side of abdomen like a bruise which leads us to suspect traimiatism. It is difficult to differentiate foreign bcdy in the intestines from gastric ulcer as the symptoms are similar, colic, blood passed in each case. In small animals may find hard bedy by palpation and in cattle find pain over the second stomach. It is impossible to determine this in the horse as foreign bodies are rarely swallowed by the horse, for the lips are more delicate, so we diagnose ulcer. It is Important to tell v/hether blood, comes from the stomach or lungs. That from the stomach is dark, fluid and acid in reaction due to the gastric juice. That from the lungs is of a lighter color frothy and. alkaline in reactisn. (60) SYMPTOMS:- Vomiting of blood and passing blood in the faeces. When from the intestines it is black, tarry, putrid and mixed with faeces. When from the colon or rise turn the blood is purer, not so dark in color or putrid. May have rapid bleed- ing from rupture of large vessels and death result quickly. Have same sirinptoms as from any internal hemorrhage or rupture of the aorta. Pale m. m. , extremities cold, pulse weak and rapid and later not felt at all, weakness, staggers. J/Euscles tremble, falls to the ground, eyeball rotates, pupils dilated and dies in convulsions. HEMORRHOIDES . ( PILES ) . Easy to recognize. Painful red svfelling at the rectum, faeces covered "sirith blood, tail carried high, legs wide apart, pufflness about the anus, constipation. Bleeding usually not great. May have a clot in these veins, v;hich becomes infected gets soft and carried to other parts causing pyaemia and death. Digital examination causes pain and fingers will be covered with blood. M. m. is thick and in large folds, and the rectum contains masses of hard faeces. About the same symptoms in the horse but not -(jiite so much distress as the faeces are softer but later 'constipation follows and we have same symptoms as in dog. Rectum protrudes from the amis Y/hlch is red and hot. IN HEMORRHAGIC PROCTITIS of cattle. The condition differs from piles in that the inflammation is diffuse, ex-^ tends all over the rectum and there is no dilation of anal plexus of veins. There is a catarrhal inflammation of the whole rectiim. Stiff gait, legs apart, tenderness over loins, constipation, faeces mixed with blood, high fever, tenesums, on rectal examination the m. m. is swolen, sensitive and hand , will be covered with blood. To determine whether hemorrhage is due to traumatism we examine carefully for other symptoms. There may be tender spot on side of abdomen like a bruise which leads us to suspect traumatism. It is difficult to differentiate foreign bedy in the intestines from gastric ulcer as the symptoms are similar, colic, blood passed in each Pharynx has putrid contents and is called p utrid sore throat, di phtheri a of horse or cerebro s pinal meningitis . -Ve also have more or less irritation of the stomach and intestines. M m. is red and swollen. Many other cases are seen like these --rith sink- ing temperature J, slow, full pulse, staggering gait, inability to swallow. Later falls and dies from asphyxia. This is often diagnosed as cerebro spinal meningitis. Has been caused by food; but the fungus has not yet been discovered » Some years ago an outbreak occurred in Philadelphia due to feeding brewer's grain. Has also been caused by feeding ensilage. (57) It occurs in cattle; but horses seem to be more susceptible- Autopsy shows more or less irritation of the stomach and in- testines. May find very little or none; then the condition is not TDroperly speaking gastro enteritis but is merely related to it. In other cases may find the lungs congested from decubitus. Paralysis is the chief s:/mptom.^ T.nfiltration of serum in the vicinity of the brain, cord and along large nerve trunks. A lemon yellow colored serum also seen between the muscles and about the kidneys and all loose connective tissue about the throat. diagnosis:- Is often difficult as it resembles so many other dis- eases. The aetiology is of great importance; but should not depend upon it entirely. Be careful not to diagnose it as contagious because several animals are affected at the same time. IQien there is profuse diarrhoea and weakness, it re- sembles dysentery. Yet in dysentery the nervous symptoms are absent, there is no staggering and runs a long course. An- thrax resembles it and it comes on suddenly. M. m. is red, death follows in a short time. Lesions of septicaemia are seen after death. Microscopic examination of the blood re- veals the rod shaped bacillus. Anthrax cultures are also characteristic. Where rinderpest is prevalent, differential diagnosis must be made. There is diffuse diarrhoea and sudden death in this disease. The genito urinary tract is usually affected and large patches of m. m. drop out. Influenza In the horse also resembles this disease in some respects. There is prostration and weakness, staggering gait, m. m. are mahogany colored, legs swollen, w^eakness comes on late in the disease, and is contagious. TREATMENT:* Is not satisfactory. 5'irst indication is to empty the bowels and remove the poisonous products, give aloes, Glaub- er's salts or eserlne. The last is best unless the animal is very weak. In dogs and pigs give emetics and purgatives. Disinfectants are good; but we cannot disinfect the bowels. Calomel is perlrmps as good for this purpose as anything. ' Salicylic acid and creolin are also used. If ravich weakness and the temperature is subnormal give aromatic spirits of ainmonia, digitalis, alcohol, ether or camphor. Blanket the animal. In collapse rectal injections of warm water are good and apply warm blankets wrung out of hot water. Should also combat the effect of the poison that has been absorbed, and is acting on the nervous system. Tincture nux vomicae or Powler's solution are both good. Continue the use of calomel and if the heart Is vreak give digitalis. 'im (58) TOXIC GASTRO- ENTERITIS. There are about sixty different poisons so we cannot consider each one separately. The most important are: - caustic alkalies, potassitim and sodium hydrate, ainmonia and lye. They cause intense irritation of the alimentary canal. SYMPTOMS:- Slobbering, red m. m. of the mouth, difficulty in swallowing, vomiting (in dogs) diarrhoea, muscular weakness and collapse. If the poisoning be due to ammonia fumes there will be irritation of the trachea and lungs causing rapid and difficult breathing and asphyxia. ALTERATIONS:- Croupous membranes form on the mo m. of the pharynx, stomach, and intestines, which is dark brown, swollen, eroded and may be lost in places. TREATMENT:- Give vinegar or dilute hydrochloric acid or sulphuric acidc Vinegar is best and can be given in large doses. Follow with demulcents, such as mucilage, linseed tea a^^d opium. POISONING BY ACIDS. This is similar to poisoning from alkali. They are not volatile so the lungs are not usually affected. Sulphuric acid causes black, charred, discoloration of m. m. Nitric acid causes yellow m. m. Hydrochloric acid causes white m. ra. These cause no croupous membranes to form; but the m. m. bleeds easily. Colicy pains. Pulse rapid and weak, collapse and death- TREATMENT:- Dilute alkalies, as bi-carbonate of soda, soap, chalk and demulcents. Later give stimulants. POISONING PROM GOmON SALT. Is more common than from either alkali or acid poisoning as from drenches with strong brine, etc. Potassium nitrate acts similarly. Pour to six pounds is fatal to a horse 5 to 7 lbs. is fatal to cattle, ^ /% for a pig (he is most suscep- tible to salt poisoning) In dog one half dram to every two pounds of body ^^elght is fatal. SYIIPTOMS:- Gastro-enteritis, paralysis, sluggish, vomits and purges, mouth red, hot and dry, thirst, colicy pains, urinates frequently showing irritation of the bladder- Paral- ysis is variable. May loose use of the hind legs. In pig paralysis occurs in all parts of the body like a fito Gnashing of the teeth, showing irritation of the gastro-intes- tinal tract. May die in three hours; but usually in from six to twelve. ALTERATIONS:- Redness and swelling of the m. m. Hyperaaraia of the spinal cord, and sometimes of the brain substance, hydro- cephalus may be noticsd. (59) TKEATME1>T*?: - Give israter frequently; demulcents and stimulants as alcohol, T^hiskey, bi-andy, ether or spirits of camphor. In ^igs, where cramps are present give morphia or chloral v;here poisoning is not due to salt alone there is more irritation to the brain and gnashing of the teeth. ARSENIC POISONING. Is conrnon on account of being used in so many different forms. It is easy to recognize in the tissues as- it preserves the organs and the animal may not putrefy for a long time. This is characteristic of arsenic poisoning. It is used as arsenious acid, Paris green, shield's green, rough on rats, Powler's and Donovan* s solution. Chronic arsenical poisoning may occur where arsenic is manufacttu-ed, which is rare in this country. It enters into the composition of most condition po7;ders and may in this way cause poisoning. Also in heave-cures it is much used. In the acute poisoning we have irritation of the gastro-intestinal tract, vomiting, loss of appetite, colic, purging, faeces have a bad odor and may be mixed with blood, tympanitis is usually seen, sometimes there are nervous symptoms as paral- ysis. If solid arsenic is used the irritation may cause perfo- r-a.tion of the stomach and even the abdominal wall in one place. When given as Powler's solution the local irritation is reduced to the minimum. The chief symptom in chronic arsenical poisoning is paralysis of the jav/ or hind legs. ALTERATIONS:- Corrosion of the gastro-intestinal tract, catarrhal inflammation of the stomach and Intestines, faeces soft, bad odor and may find arsenic in the stomach. If chronic poison- ing there is fatty degeneration of the gastro-intestinal gland, liver, kidney and sometimes a softening of the brain. TREATMENT:- Hydrated sesquiodide of Iron freshly prepared, sodium carbonate or chloride of iron. Give any preparation of iron. May give water from the tub In a blacksmith shop. Also give demulcents, eggs, milk, gruel, oil, linseed tea or glycerine, ERGOTISM. jBRGOTISM:- Not common in this country especially the East. Is caused by a fungus called "Claviceps Purpurea" Ergotine is the poisonous property. Ergot is more common in rye, also found in wheat, barley and all grasses. Grows toore readily in wet weather. If acute poisoning it produces gastro-enter- Jtis, abortion, depression of pulse, death from exhaustion. If chronic, irritation may be absent, may have drying \3i^ and dropping off of the extremities, as ears, tail and feet. Due to contraction of the blood vessels, cauting dry gangrene. This form is the most frequent. TBBATMENT:- Change food, then tannin in small quantities to neutralize the alkaloid: give chloral or morphia to dilate the blood vessels. Locally use hot imter, also a little alcohol, .mustard and turpentine. (60) DISEASES OF THE LIVER. These diseases are hard to diagnose and often unsatis- factory to treat. There are two methods of diagnosis, viz: 1. Percussion and palpation- 2. Appearance of the visible m. m- and character of faeces. Jaundice, icterus and yelloTirs are synonyms. It is di- vided into t\70 classes: 1st. Hepatogenous from the liver- 2nd. Haematogenous, due to alterations of the blood as in influenza there is a yello-";/ color and no lesions of the liver- Due to breaking dovm of haemoglobin- Hepatogenous Jaundice is divided into two classes: (a) Catarrhal. (b) Hepatic. CATARRHAL JAUHDICE. Due to catarrh of the intestines and bile duct. It is common in dogs but not frequent in horses. Starts as a catarrh of the duodenum. M. m. is sTitolien. This closes the opening of the bile duct which swells, bile collects, is absorbed and stains the tissues of the body. Irrational feeding, improper food, infectious diseases as influenza, oedematous pneumonia, etc • M. m. swell and causes same trouble. ALTERATIONS:- Catarrhal inflammation Of ra. m. of the duodenum and bile duct. May have biliary calcu3,ae or Inspissated bile, which is a hard dry mass almost like calculus that obstructs the duct. Back of this "the ducts of the liver are distended even the liver itself may be enlarged. It has a greenish col'or and the tissues of the body are stained yellow. In old animals it may cause anaemia, less red blood corpuscles and more v/hite ones. The corpuscles may vary in size. Seconda- rily may have fatty degeneration of heart, liver and kidiieys. SYJ.IPTOMS:- Easy to recognize and better marked than any other, form. Diminished appetite, for all food, gastric irritation, vomit shortly after feeding ,{ln dog), tongue coated and at first there is diarrhoea. In addition there is distinct discolora- tion of the tissue, first seen in the sclera, around the gums, lips, conjunctiva and skin. In bad cases the urine Is yellow, still worge cases the urine is dark brown or greenish Showing presence of bile. It may stain paper yellow and If shaken the froth Is yellow. Diarrhoea lasts but a short time, there is then more or less constipation. Hard masses, offen- sive odor, high color, white or gray, and in dog may be nearly chalky. The faeces may contain fine drops of fat due to ab- sence of bile in the Intestines. Bad odor »n»^ nniny ay*e> oi «« (61) due to this. (Bile renders fat digestible so is necessary In the intestinal tract). Later in the disease there is depres- sion, lies in one place, sicht and hearing: defective., sleeps a good deal, heart slow, pulse full but belo'/T normal, tempera- ture subnormal, becomes v/eak and comatose and dies in collapse. prognosis:- If in dog should be cautious. Not good especially if \7ell advanced. In horses it is al^^ays good, as they respond to treatment. TREATt^lENT : - Stimulating the liver makes it v^rorse unless the ob- struction is removed. Carlsbad salts is best. In dogs give emetics occasionally to remove undigested food. It is 7/ell to stimulate peristalsis as it exerts pressure on the liv-r- Massage should be tried in dog. In horse it is not applicable. Give stimulants, coffee, caffeine, camphor, etc Ether is advisable in acute cases. Give easily digested food. Por dog raw meat finely scraped. Horse should be given green foods. Avoid strong purges or chologogues. HEPATIC J A U !T D I G E . Is due to diseases of the liver from neoplasms, parasites obstruction or anaemia due to altered function. G0NGi3STI0:i OP THE LIVER. Seen in fat animals that have but little exercise. Som.etimes due to obstruction of the hepatic vein, from lung diseases or may complicate infectious diseases. ALTERATIONS:- Liver is enlarged, dark and granular. If it is broken it shov/s that it is not softened. On section the specimen shows that it is darker in the centre than on the periphery. In old cases this color is quite marked due to the distention of the interlobular vein^ There is also fatty degeneration due to pressure. SYlvlPTOMS:- Hard to recognize and can scarcely be diagnosed. May have tenderness, disturbance of digestion, a little abdominal pain v/hlch lasts a long time. Also a yellov; discoloration of m. m. This disease is seen in fat, plethoric animals that do little or no v/ork. TREATJffiNT:- Remove the cause- Give laxatives and exercise. HEPATITIS . HEPATITIS:- This may follow congestion. Pathologists divide it into five classes. 1st. Parenchym atous (Usually acute). 2nd. Suppurative (with abscess). 2^^* Necrotic (in which an area dies). 4th. Perihepatit is. 5th. Interstitial (Inflarnraatlon confined to connective tissue of the liver). The first four are about the same in aetiplogy but differ m degree and cannot be separated cllnlcallv. (62) CAUSES:- Are same as for congestion of the liver. In addition we have contagious and infectious diseases accompanied oy liver trouble, as influeniia, oedamatous pneumonia, tuDerculosis, glanders, and sometimes in anthrax but in this the animal usually dies before it can develop. alterations:- The liver is enlarged, edges are round and blunt, is friable and easy to tear, pale in color, frequently accom- panied by inflammation of the peritoneum and diaphragm. Cells are swollen and often degenoration is seen. The inter- lobular connective tissue is hypertrophied, and small dark spots from hemorrhage are noticed. SYli^lPTOMS:- Rather vague. Like consestion; but more pronounced. Indigestion and a little Icterus, temperature a little high, (103°), pain on pressure over the liver and slight tenesmus, due to pressure on the liver. Respirations a little acceler.- ated. There are a fev cases on record in which a horse has had a peculiar lameness in the right front leg, being carried out as far as possible. This peculiar gait v;as no d'oubt mani- fested in order to relieve pressure of the liver. TREATMENT:- Glauber's salts, antiphlogistics and stimulants If necessary. Careful feeding and nutritious food. INTERSTITIAL HEPATITIS. INTERSTITIAL ILEPATITIS:- Known as cirrjiosis of the liver. It is an inflammation of the connective tissue of the liver which becomes thickened and multiplied, it then contracts causing atrophy. ALTERATIONS:- It is small, tough and pale, cut surface may be gr'ay or white. Connective tissue bands may be thick and abnormal. SYl.iPTOMS : - Hard to recognize where it is a rare disease but in some places it is common as where the soil is vret and swampy. Is thought to be due to certain plants which are injested but this has not been demonstrated. In man is known as gin- drinker's liver. V/here the disease is prevalent it is not hard to diagnose. Constipation may alternate 7/ith diarrhoea and rapid emaciation follov/i The sjnmptoms are much like gas- tro-intestinal catarrh. May have vertigo, usually weak and occasional attacks of colic At first there is no fever; but later may rise to 102 P. and remain at that point till death. The course of the disease is from several months to years. Is alv/ays chronic. (63) TREATMENT:- Not much value. May preverxt the animal from getting worse by changing to a different locality and change the feed. Keep the bovjels loose, give diuretics and alkalies as sodi- blcarbonate. Exercise as light work. Sometimes thorough drainage of the soil will remove the cause. AMYLOID DE6EN.E RATION. Rare in all animals except the horse. In it there are a few cases on record. Is usually a result of chronic inflam- mation in some other organ or chronic suppuration as from fis- tulae. May also follow chronic nephritis, pleurisy, etc. ALTERATIONS:- Enlarged, borders rounded, soft, friable, serous membranes thickened, color grayish brown. Begins in the blood vessel walls and extends later to the parenchyma and affects all the tissues. The chemical test consists in adding Lugol*s solution to a cut section, it becomes red, then add sulphuric acid and it changes to a blue. symptoms:- Not recognized, disorders In digestion are not pro- nounced, not much Icterus, usually passes un-recognized. It is not important, .yet it renders the organ friable and so predisposes to rupture and haemorrhage and the animal may bleed to death. Signs of internal haemorrhage are the same as those of external, viz: v/eakness, irregular gait, pale m.m. These symptoms become more pronounced till he falls and dies in convulsions. In this disease haemorrhage is usually accom- panied by collcy pains. If the haemorrhage is but little, the animal may recover; but is never valuable even if he does; because he is liable to an attack of haemorrhage any time and bleed to death. PROGNOSIS:- Bad. TREATMENT:- Is of no avail. Give stimulants. Large quantities Of water, as it acts as a diuretic. Give laxatives as constipa- tion is always present. Good food is Important. The animal may do light work. Diseases of the Peritoneum . 1st. Acute Peritonitis. 2nd. Chronic Peritonitis and 3rd. Ascites. ACUTE PERITONITIS. This disease is found in all domestic animals but soma are more susceptible than others. Arranged in order of sus- ceptibility are horse, ox, sheep, cat^pig, dog and fowls. More frequent in cattle than in horses as they are more often subjected to its causes. (64j ETIOLOGY:- Primary and secondary. Priitiary where it is not a result of some other disease. Secondary is the form that results from some other disease, as enteritis, ulcer of in- testines, rupture of abdominal organs, etc. The first form may result from chilling. CAUSES:- Traumatisms, accidents, operations, etc. It is the most frequent cause of death in castration. May be due to bleeding or dirt entering the peritaneal cavity. May follow hernioto- my, spaying, punctured abdomen as from hooks, parturition and may follow inflammation of other abdominal organs. May complicate an arthritis, is then said to be metastatic. ALTERATIONS:- Minute ©r large red spots are found after death on the peritoneum. Are mare numerous at the point of irritation- Surface of the peritoneum is opaque and rough, is not shiny, will also be found covered with layers of coagulated fibrin which cause it to be rough, fluid in the peritoneal sac. May be thin, transparent, pure serum or may contain floe" culent masses of fibrin or brownish colored blood or pus cells. If it is caused by penetr-ating wounds that are suppurating, there are granulations on the surface and pus is formed. • This peculiar form occurs after penetrating v/ounds in cats and dogs where there is no opening into the peritoneal sac In older cases that are not chronic there may be a reabsorption of these products. The seruia is first absorbed, fibrin later, some remains and forms fibrous tissue which may cause adhe- sions v/ith other parts. Sometimes there is an oedematous condition of the abdominal walls. They are thick and swollen, the intestines contain putrid food and are distended v/ith gas and may result in septicaemia or asphyxia. It may be circum- scribed v/hen due to an inflammation in the organ or tissues beneath the portion of peritoneum. SYJ.iPTOMS:- Not so typical as in many other diseases and depend upon the extent and location of the trouble. If the lungs, kidneys, etc,, are. involved there is interference of function, but where peritoneuj-n alone is affected, it has no function, hence there are no typical symptoms. Pain ©n pressure is always present, Gut is sometimes so deep and protected from pressure that it is difficult to cause pain in this manner. May sometimes detect it in such cases by rectal examination but not always. Always have fever if at all extensive. Does not run a regular course, may be high or low alternating, etc If extensive, the temperature may be 105 or 107; but if slight 102. Pulse very rapid and weak. May be hard and wiry in advanced cases. The pulse does not bear constant relation to the temperature as in most diseases. May havo low temperatu.re and very rapid pulse. Heart tone high and shrill usually, not always. Part of the fluid is absorbed and more is formed. This is taken up by the blood, diluted and changes the pulse and irritates the heart. The abdomen is drawn i;.p by tension (65) and contraction of its muscles to relieve pain by making a general firm pressure. Later in the disease there is a tend- ency toward enlargement of the abdomen due to distention of the intestines with gas; because peristalsis is paralyzed and food ferments. Also due to a collection of fluid in the per- itoneal sac. Constipation is always present and faeces are voided in small dry balls or none at all. Later still the respirations are accelerated, short, shallow, and are of the costal type. Animal is sluggish, stands or lies in one place. Shows pain on movement, later does not move due to cerebral depression. Eyes half closed, ears droop, and finally becomes insensible (almost) or may die in a comatose condition. Iiyhere the inflammation is extensive death occurs in a short time; but if localized he often recovers. TREATMNT : - Hot satisfactory if large areas are affected. Best results are obtained in animals that are the least suscepti- ble to the disease. Treatment is both local and general. First plenty o'f cold water should be applied to the abdomen. Can use either bandages or hose. Where the animal is not valuable enough to pay for continual irrigation, hot cloths are better as with the Priessnlta bandage. If not so acute apply mustard, oil of turpentine, mercurial ointment, which seems to act well in horses. In dogs or pigs open the abdornen by trocar and inject fluid as Lugol's solution after drjalning off the fluids. This sometimes results favorably. In dog as large as a setter inject 6^8 ounces and drain it off qvilclcly. Apply antiseptic bandages. INTERNAL TREATMENT:- Opium was used for years to deaden pain and depress peristalsis, but later Epsom salts has been used and these watery stools seem to do most good. (Used by surgeons - physicians use opium). As opitun has oeen used for so long a time and did good it seems best to go back to that treatment. In animals use opium and calomel. Calomel will prevent constipation and is also antiseptic on account of its action ■on serous membrane. Opli 3 to 4 drams about 4 times daily. Cattle 3--^/2 drams. Dogs grs. 1 to 6. Calomel 1 dram to horses T. 1. d. It is well to give diuretics to remove fluids: as ol. Juniper, buchu; give digitalis to stimulate heart. If there is secondary peritonitis treat the original condition. Peritonitis sometimes kills very quickly, there- fore depend as much on external as on Internal treatment. Horse may die before opivira acts. (66) CHRONIC PERITONITIS. CHRONIC PERITONITIS:- Not so conmon. Usually results from the acute, or from foreign oodles, tumors, as In tuberculosis or In horse from melanotic sarcoma.. It is generally localized to a small area. Peritoneum is greatly thlelcened, cuts IVf-e tendon, surface is raw, granulating and" the peritoneal sac contains more or less fluid. Adhesions are usually present, uniting the different organs. Sometimes the inflammatory area is encapsulated- SYMPTOMS:- About same as in acute. Pain on pressure and on move- ments. Temperature elevated. Heart and respiration acceler- ated. Abdomen is not distended as the animal is not consti- pated. Gas does not accumulate and W^ have no tympanltiso Appetite is poor and the animal is sluggish: collcy pains may be very noticeable which is hov/ever usually not constant. Although the Intervals of ease are not those of perfect health. There may be more fluid in the abdomen than in the acute foinn. TREATMENT:- Diuretics and laxatives, use counter irritants. Puncture the abdomen and inject Lugol's Solution (in dogs) ' acts better here than in the acute form. Use about 2^ strength. ASCITES, DROPSY. ASCITES, DROPSY:- It is most common in dog, but is also seen in sheep, goat and horse. It is really a symptom and not a priiaary disease. Always results from some other condition; usually from interference of circulation, in heart or outside of the heart. Valvular disease is the most frequent cause, or it may be caused by pericardial adhesions. Also chronic lung disease as tuberculosis, emphysema; Impediment may be in kidney due to Interstitial nephritis. Cirrhosis of the liver also causes the same condition. Obstruction of the portal vein by tumor or pressure is a coimion cause. Also results from excessive pressure on vessel walls, they are stretched •' and weakened, blood escapes, especially in£o the peritoneum. Chronic diseases accomijanied by great weakness; blood becomes thin, diminished in albumen and corpuscles, and serum escapes. Old mange cases may be followed by ascites, resulting from thin blood and imperfect nutrition of the vessel v/alls. The quantity of fluid that passes into abdominal cavity Is some- times enormous. 40 gallons have been found In a horse, 5 gallons in a dog, it is yellow, clear and transparent and may contain little flakes of fibrin, if due to a previous peri- tonitis it may contain blood; peritoneum Is slifi;htly thickened and epithelial cells are sometimes desquamated, "leaving the deeper layer exposed. Organs are all pale, anaemic and fria- ble. Diaphragr-i is pressed forward and heart is hypertrophied. Liver Is yellow and small, kidneys pale and intestines contain but little faecal matter- (67) SYl-.iPTOMS : - Increase in size of the abdomen, which is pendulous and small at the top; palpation proves contents to be fluid. Ghanging position of the animal changes position of the sT/el- ling, as by holding him up by front legs. In horse leading up inclined plane. Respirations accelerated because thorax is smaller, due to pressure. No fever. Heart a little fast. M. m. pale; anim.al dejected; in dog sits on haunches, because this makes respirations easier = Horse, ox and sheep lie down a good deal and bed sores are formed. Constipation and d.iarrhoea alternate; animal gets weaker and weaker and dies of emaciation. Usually ter- minates in death from emaciation, septicaemia or pyaemia. COURSE:- Chronic, may last for years. As lon|; as fluid remains in the- abdomen, there is no iinmediate danger. In old cases the abdominal walls become oedematous and often produce large swellings externally. PROGNOSIS:- As to life, is not dangerous as long as fluid rem.ains in abdominal cavity, but is dangerous when it escapes into subcutaneous connective tissue. DIAGNOSIS:- Not hard to make. V/e must differentiate between this and peritonitis. In ascites there is absence of pain on pres- sure and no fever. Must also diarrnose from pregnancy by rec- tal or vaginal examination or by palpation. Fat animals are liable to be mistaken for ascites, but in these cases, we get no fluctuation on palpation and the location of the sv;elling is not changed by t}ie position of the animal being altered. The animal is fat in all parts of the body and it comes on slowly. Bladder may become distended and drops on floor of the abdomen, here also there is fluctuation; but vaginal examination reveals the outline of the bladder- Make an exploratory puncture with trocar and the odor will determine whether urine or not- TREATMENT:- General remedies to remove fluid by kidneys, skin, bov/els, etco Diuretics and laxatives to remove fluid from the bodyo But this is only palliative. Treat the cause as heart, lungs or kidneys. Give digitalis but this causes gas- tro-intestinal catarrh if too long continued. Give Carlsbad salts, bicarb, of soda, alcohol, etc., along v/ith digitalis to prevent this trouble. Strophantus is good to alternate with digitalis. Acetate of potash and caffeine are the best diu- retics and cause the least irritation. Juniper is good; but irritates the kidneys if too long continued. Use trocar to draw off fluid; but sometimes an incision is made; the latter mode is not good treatment, as we must then use antiseptic bandages. Injections are not rational. We must treat primary condition and this is not in the peri- toneujn. Do not draw off the fluid too rapidly and afterwards wrap bandage about the abdomen, to maintain the usual pressure on the abdominal vessels and so prevent anaemia of the brain. (68) DISEASES OF THE GEHITO-URINARY TRACT. Examination of the urine is v6ry important in diagnosis of diseases of the urinary organs. It is the same to these diseases as percussion and auscultation are to the diseases of the lungs and heart. Kidneys are situated very deeply and so we cannot examine them directly; but by examination of the urine we can diagnose almost all the various diseases. It is important to examine for albumen, blood, tube casts, epithe- lial cells, white blood corpuscles and micrococci. In man it is an easy thing to collect urine, "but in animals it is ob- tained either by having man in constant attendance to collect urine as soon as voided, catheterizlng or having leather pocket suspended under sheath. Urine of a dOg is still more difficult to collect, w.e may put dog in a slatted cage and have pan underneath to catch the urine. The best v7ay is to catheterize the animal. Urine of each species differs. Urine of horse is light yell0T7 in color. It is slightly clouded and a little stringy, due to the mucous and V7hen poured it is of a stringy nature. It Is also sticky and on standing it gets brovm or a sediment forms. The odor is aromatic and later it becomes aramoniacal. Reaction is alkaline. Urine of sheep is much like that of the horse, but more brownish; it is clearer and even sometimes perfectly clear. On standing a sediment forms. It has a slight odor, is thin and alkaline in reaction. In calves it is a lighter yellow, (straw colored) without odor, acid reaction and clear- In swine, light colored, acid reaction and unpleasant odor. In dog , light color, unpleasant odor, acid and darker after hard work. Urine Is chiefly v/ater containing compounds of organic and inorganic matter. Contains urea, uric acid, hlppuric acid, kreatln, xanthln, indlcan, phenol, coloring matter and mucous. Inorganic compounds, sodium chloride, potassixam chloride, ammonium chloride, phosphates of sodium, calcium and magnesium, oxide of lime, carbonate and oxalate of calcium , and carbo- nates of the alkalies. These rary with the animals' surrotind- Ing conditions and slightly on seasons. A valuable examina- tion of urine can be made without the use of instruments, collect urine, observe it carefully and we may thus determine all that is necessary to know. Quantity should be observed, not absolutely but near enough; whether more or less than normal . Horse passes from 8-12 lbs. a day. Ox " " 8-20 " " " Sheep " '• 1- 3 " " " Dog " " 1-5 " " " (69) In most diseases the amount Is diminished, but in poly- urea, diabetes and hyperaemia of the kidney it is increased. It is also diminished ^^i'hen dry food is fed or animal sweats profusely. Color is of value, normally yellow, but in dis- ease it may toe pale, brown, red or blaclc Color depends usually on its concentration and is proportionate to its specific gravity,. In fever it is usually concentrated and of a dark color- When horse does no v;ork, sv/eats- but little, does not breathe rapidly, urine is pale and large in amounts. Hard work and highly nitrogenous food, as peas, beans, cotton seed, meal, clover, etc, makes urine dark. ?/hen blood is present or from santonin it is redj when col6r£iig matter is dissolved as in a^oturia it is brown; in oedemataus pneumonia it is reddish brovm; also in influenza- Transparency is determined by holdinr; urine in the light; if opacity is due to mineral salts, they soon settle to the bottom. If due to organic matter it is usually clear. Tube casts cause urine to become opaque. This can usually be seen by the naked eye. Cloudiness is always abnormal , except in horses; the reason for this is that urine is kept in bladder for a long time and is then mixed with mucous; certain fermentations in bladder also accounts for opacity. In bladder and urethral diseases it contains mucous and epi- thelial cells and is therefore cloudy. Ifhen the urine of a horse is clear it indicates disease; if it is acid it is usually clear. Uric acid in a large quantity indicates dis- ease. CONSISTENCY:- Of most animals it is thin. In horse it is thick and syrupy. In disease urine may become thicker or thinner. In polyurea it becomes thinner; in fevers, cystitis and neph- ritis it becomes thick from tube casts and cells. Odor is also important. Each species has a different odor- Change in this indicates dlseas.e. Ammoniacal taint is the addition to normal urine and results from fermentation and. indicates disease of the bladder. These before mentioned facts will enable us to diagnose most any disease of the gen- ito-urinary tract; if not the urine had better be examined cliemically. Specific gravity. Horse: 1040 -- 1050 Ox 1030 — 1045 Sheep 1040 -- 1070 Swine 1010 — 1015 Dog 1016 — 1060 Specific Gravity varies in inverse ratio to the volume. In fever the sp. gr. is higher and the percentage of solids is greater. In chronic diseases it is lower- Chemical exami- nation of urine is both qualitative and quantitative. The latter is not of much Importance. For diagnosis and treat- ment the former is sufficient. First point to determine is the reaction by the use of litmus paper^ The amount cannot be determined. V/hen litsius is turned red quickly it must be exceedingly acid. Reaction in carnivorae is acid. In herbivorae it is alkaline and deviation from this shoi«?s some abnormal condition. In her- bivorae acid urine is usvxally catised by starvation from living on their own tissue. Urine contains uric acid same as in carnivorae- Alkaline urine in dog usually results from catarrh and fermentation in the bladder and turns litmus paper quickly. Then test for albxjmen, gaul coloring matter, inorganic salts, etc. CHEMICAL .EXAMIIJATION. GHacrCAL EXAJ-ttNATIOH:- Commences b;^ determining the reaction, next test for albumen. If found in large quantities it indicates disease, although a trace of it is found in nearly every sample of urine. Tests should be made by the regular known tests. Add acetic acid to make it acid and boil. If albumen is present it will coagulate. This does not positively prove tiaat albumen is present as we may have a coagulum from other substances as phosphates. Nitric acid is added to dissolve the phosphates. Albumen is sometimes found in cows well advanced in pregnancy and is here supposed to be physiological. It is also found in some cases after a severe race and after great exertion. There are many diseases accompanied by albumen in the urine as in albumen urea. It is a sjiMptom of many diseases and the most common cause is a change in the parenchyma of the kidney and is due to inflanmations. The partition wall that separates blood from urine becomes dis- eased and albumen is fotind in the urine. To show presence of tube casts chemical and microscopical examination must be made. If these are found it shows that the parenchyma is dis- eased. Second. Albiomenuria may come from other causes such as changes in the composition of the blood* Yfhen a small amount of albumen is injected into the blood it becomes changed and causes albumenuria. It is also fotind in severe blood diseases as influenza, anaemia, leucaemia, etc. It is also found after severe sweating, large quantities of water are removed from the blood but it soon disappears. Third. Changes in renal circulation or in any part of the circulation will cause it. These are mostly of the char- acter of venous engorgement, lung and heart diseases, also high fevers* . Fourth. It is found in local diseases of the urinary tract as cystitis and urethritis, catarrh and hemorrhage from the bladder. It is necessary to make examination of other parts of the body to diagnose alb^Jmenuria. The tests for chlorides and phosphates are not important and are not often (71) made. In testing for chlorides it must be remembered that chlorides are dimdnished in fever and from exudation of in- ternal "organs. Phosphates are increased in gastro-lntestinal catarrh and after hard work. Also in rheumatism and in o-steo porosis^ Test for gaul coloring matter is not often made- Add dilute filming nitr-ic acid and note the color. IftTiere bilirubin or bilivirdin is present we have a change in color. It is foupd in catarrhal icterus, intestinal catarrh and also in severe blood diseases. Test for sugar is not important and it is rare to find sugar in the domesticated animals. Test for uric and hippuric acid is of no value. Indican is of more importance in the horse as it is found normally in the urine; but if found in large amounts it indicates disease. Test : add equal parts of pure HCL. and then a few drops of GaCl- If indican is present it changes to blue. It results from, putrefaction in the intestinal tract and usually occu-"s during gastro-intestinal catarrh. Microscopical examination is important; but is not always essential- Allov; urine to stand in conical shaped glass and draw off the fluid and examine the sediment. 1st. Examine without staining and then stain with gentian violet. The mineral crystals have no significance; organic substances are of more value. Among these are mucous or epithelial cells that may come from any part of the urinary tract. These cells differ in form.. Cells from the parenchyma are usually blocky, thick, cylinj3rical and rich in protoplasm. When the cells are from the pelvis of the kidney they are blocky, thick, rich in protoplasm and usually have prolonga- tions resembling a molar tooth. Where cells come from the bladder they are pale, large flat cells with a nuclei. Tube casts (urinary cylinder) are found in all forms of nephritis. They are cylindrical, long, curved-j and sometimes branching; or they may be short and represent casts of the kidney. There are two kinds of casts, viz: Hyaline and epithelial. The hyaline are made up of fibrin thrown into the tube and show deep inflammation. They are sometimes pure and sometimes have epithelial cells attached- They are opaque or transparent. V/hen opaque they are described as waxy. Epi- thelial casts are the same shape, showing that epithelial cells are cast off and these cells are seen all over the cast. When blood is present as in haematuria it gives a red brown color. Cells may or may not oe found in it and all that is seen is the color. In such a case we diagnose haemaglo- blnurea. We also find blood in the urine after a traumatism. A dog that has been run over will show it. Heavy draft horses show it from starting heavy loads. It is also seen in neph- ritis, hyperaemia of the kidney, pyelitis, cystitis, urethri- tis, and all inflammations of the lower urinary tract. Calculi in the bladder or kidney has been known to show it. Parasites such as the £ustronp:ylus gigas and sometimes filaria In the blood will cause it. (72) Blood can be mixed with urine and blood corpuscles and stand for 5 or 6 days before corpuscles will be dissolved. Hemorrhages' will cause haematuria, that is if the hemorrhage is of the urinary tract. Where blood comes out in flocculent masses the bleeding takes place in the bladder oi* in the lower urinary tract. When blood Escapes pure, the bleeding is below the bladder as in the urethra. The presence of pus in the urine is important and usually indicates cystitis. Presence of bacteria in the urine is not very important. It may be the anthrax or tubercle bacillus; but these diseases are diag- nosed in other ways. Micro-organisms of fermentation are the only ones usually found in urine. DISEASES OF THE UlilA^Y TRACT. CONGESTION OP THE KIDNEY. Divided into active and passive. Active is caused by irritating food, acting as diuretics, as resinous plants, weeds and foods, covered with fungi, which irritate kidneys, predisposing causes. Phlethora, congestion of other abdominal organs, infectious diseases as influenza, oedematous pneumo- nia, distemper, contagious pleuro-pneumonia, etc. PASSIVE CONGESTION:- Results from congestion of abdominal organs due to organic diseases of lungs and heart. ALTERATIONS:- Kidney is enlarged, swollen, soft, of a bright red color showing excess of blood. They are also oedematous and friable. Small hemorrhagic spots are seen showing rupture of capillaries. These are all the alterations that can be seen with the naked eye; but this is sufficient for diagnosis. In older eases the microscope will show that the renal epi- thelium has undergone fatty degeneration. It looks fatty and small drops of fat collect on the cut surface of cross sec- tion. The congestion may end in nephritis. SYMPTOMS:- The animal is inactive, stands with back arched, re- stricted gait, disinclined to move.. Temperature is elevated ' also pulse. Appetite impaired or not changed. M. ra. may be but slightly injected. The quantity of urine passed is in- creased in quantity, pale, and of a very low specific gravity. In passive congestion the quantity of urine passed is dimin- ished. This is usually of long standing. Albumen and some- times hyaline casts are found. There is no fever and no irri- tation in region of the kidney and runs a long course. TREATJ.IENT : - A case of active conf^estion from irritant foods change the food at once. Give bran, pure oats, good hay, roots and green foods. Relieve kidney of work by giving purges such as aloes, which causes evacuation of large quantities of water. If the case is severe and has lasted a long while and neph- ritis is coraraenclng, treat accordingly. In passive con,c;e8tion examine heart and lungs. Give remedies to stimulate the heart as digitalis, strophantus, etc. Plenty of f»vpv.r»-f co C73) NEPHRITIS. Inflammation of the kidney. There is less known about this disease than any other disease of domestic animals. The pathology is taken from hianan works. Reason for this is that animals are less predisposed to nephritis than the human family. The usual cause in man is alcohol which of course is not indulged in by animals. It is classified into acut e and chronic nephritis. AETIOLOGY:- Acute is due to many causes. Horses are especially susceptible. It sometimes follows hyperaemia of the kidney, traumatisms and pre-existing diseases as oedematous pneumonia, bronchitis, tuberculosis, glanders, etc. ¥/here there is high fever there is an alteration of the kidney. It is sometimes due to chilling; but this is a rare cause. A more common cause is irritant foods and drugs that are excreted by the kidney as cantharides after having been applied as a blister for a long time, also turpentine, croton oil, arsenic, lead or mercury. Ingestion of food covered \vith fungi or moulds. Raw potatoes or flaxseed will cause it especially when mouldy. ALTERATIONS:- Sometimes indistinct. Kidney may appear normal in size and consistency- In advanced cases they are somewhat enlarged, red, swollen and friable. Hemorrhagic spots on sur- face or inside of kidney. The pelvis will contain thick mu- cous. Microscopical examination shows the lesions more pronounced. The parenchyma undergoes the same changes as in inflainrnation of any other organ. There is a peeling off of the superficial layers. Blood vessels are large and there is exudation into the connective tissue. Y/e find dead cells, pus cells and fatty degeneration is actively going on* The lesions may be confined to the glomerulus or they may invade the whole organ. In calves small areas of suppuration are found in connection with the uriniferous tubules but not in the blood vessels. In other animals abscesses are found; but not enough to cause death. Kidney shows fibrous tissue prov- ing that the healing process is going on. In tubercular neph- ritis v/e find the same conditions resulting, as in other parts of the body. The same in- glanders - SYfjlPTOMS:- Y/ell marked. Stiffness of gait, hind legs carried apart.' Back arched and takes short steps with hind legs. Animal shows pain on movement. In very bad cases percussion will show pain over the kidneys. This pressure should be exerted over kidney and not over spinal coluimT.. The animal will have difficulty in getting up. Appetite is poor and on account of pain on movement constipation results. There is no fever usually but after disease has lasted a few days it begins and gradually gets higher. Positive diagnosis cannot be made without urinary analysis, as these same symptoms are seen in strains, lumbago, psoas abscess, etc. Urine contains (74) ^/lO of 1/^ of aXbumen, and the coagulum occupies a large space . in the test tube as it is flocculent. Urine is voided in small quantity on account of the inflammation of the part. It is lightly colored and of high specific gravity. In some very bad cases horses have been knoTim to pass no urine for seven days. Cattle five days- This fact is due to excessive Inflammation and inflamma- tory products obstructing the tubes of the kidney- Where this condition lasts for three days or longer we have the symptoms of uraemia manifesting themselves. The nervous system becomes poisoned producing convulsions and coma. The nervous system first becomes excited, then loss of co-ordination, the animal falls, struggles violently, later v/e h^ve depression, the animal is stupid, dull, insensible and dies in collapse. In uraemia the temperature may go up to 106-108. COURSE:- Of acu.te nephritis usually about 14 days. Varying from eight to fourteen. prognosis:- The disease is usually fatal therefore the prognosis should be made with caution. As long as urine is passed in considerable quantities the prognosis is not as unfavorable. If uraemia develops this of course adds to the gravity of the disease. Differential diagnosis cannot be made in any other way than by making urinary analysis. TREATMENT:- Remove cavise if possible. Podd should be examined. Put in a well ventilated box stall and keep, well blanketed. Give nutritious foods. Per a dog it is best to put him on a milk diet. For a horse, bran, clean hay, grass and roots are the best foods. Relieve the kidneys by diaphoretics and laxa- tives. A subcutaneous injection of pilocarpine is best as it causes sweating and salivation. As laxatives we may use so- dium sulphate, aloes or calomel. It is advisable to apply a Priessnitz bandage to the back for warmth and moisture. Counter irritation over abdomen and thorax will be found useful. The object of this is to cause ti'ansudation of serum. Mustard is best for' this purpose. Don't use cantharides or turp(entine as these irritate the kidneys still more. To' in- crease action of the skin, use a stiff brush and then put on a heavy blanket. V/he're small amount of urine is passed give small doses of diuretics. Large doses are contraindicated. Best is acetate of potash, digitalis or caffeine. Very little can be done for uraemia. It is more fatal in horse than in dog. Give purgatives and sweat the animal. Inimerse dog in hot water and then rub thoroughly. Hot blankets should be used for horses. Give chlorate of potash and chloral hydrate. (75) CHRONIC .NEPHRITIS. CHRONIC NEPHRITIS:- Same sjinptoms and the same course as the acute form, although they are not so pronounsed. AETIOLOGY:- Very indefinite » Does not often follow the acute and is not a seqiaenceo Supposed to be due to irritant weeds, continued use of copper or lead salts especially when glanders was treated with these drugs » Chief cause is the pre-existence of some other disease as glanders? chronic bronchial catarrh and bacilli have been found, in the kidney and most eases are ascribed to these germs. They enter by the blood tiirough ulcers in the skin, throat, etc» The kidney being made up of minute capillaries, germs will lodge here and multiply. It often follows parturltitlon in mares and cows. Micr-o-organisras are taken up to the kid- neys through the uterus. Chronic nephritis may affect the parenchyma or interstitial part of the kidney. SYMPTOMS:- Vary. The disease comes on slowly with vague symptoms. Loss of appetite, stiff gait, depression, oedema of hind and front legs, abdomen, sheath and when very bad the lower part of head and neck^ Urine is voided in small quantities^ Sp, Gr= high and the color is dark and contains albumen, casts, epithelial cells, fat globules and bloodc- This inflammation interferes with circulation, increasing the work of the heart causing hyper trophyo Pulse is hard and full and the heart beat is metallic and loud, enlargement of heart is easily detected. May last for years; but most cases terminate in uraemia- The other form of nephritis is confined to the inter- stitial connective tissue, increased flow of blood resembling congestiono There is more urine than normal, of a low sp. gr. ligh't color* clear, contains little albumen and fcere Is no oedema. The form -in v/hich we have hypertrophied heart, loss of appetite an.d depression often terminates in heart failure being due to overworko Before the heart gives out, oedema forms about the legs, belly and chest causing uraemia and death. TREATlffiNT:- Same as for the acute form» Heart stimulants and diuretics, such as digitalis, strophanthus, caffeine, etc. Digitalis and caffeine are the best-. PROGNOSIS:- f/orse than in the acute form. The animal may work for a long time; but the disease is not curable and will even- tually kill the animal. PYELITISc PYELITIS:- Inflammation of the pelvis of the kidney. This is scarcely recognizable during life, but easily recognized on the post mortem table. Results from extension of inflammation, usually follows nephritis or cystitis, poisons, infectious diseases, stone or calculus, etc. (76) alterations:- Svirelllng and catarrh of the mucous mambrane, which is covered -with thiekj creamy material. Palse membranes cover the pelvis. Inflammation may be so severe as to necrose the membrane . SYr,IPTOMS:- Similar to nephritis and cystitis- Stiff gait, depres- sion, urine contains blood and pus. Collcy srv-mptoms and often terminates in uraemia. If such cells are found diagnose pyelitis. TREATAffiNT:- Alkalies and antiseptics, bicarbonate of soda, boracic acid, salicylic acid or creolin. PROGNOSIS;- AlY/ays bad and does not yield to treatment. RETENTION OF URINE. It causes distention of the bladder, ureter and pelvis, of the kidney- More coraaion in males than in females- May cause rup^ture of the bladder. AETIOLOGY:- Foreign bodies in the urethra or neck of bladder as sediment or calculi. This sediment may be organic as pus or inorganic as salts which have been precipitated. Tumors may form in ureter, bladder or uretlira and obstruct the flow of urine. Enlarged prostate glands or faeces retained in the rectujn may press on the urethra and cause it, also foetus may be a cause. Paralysis of the bladder and sometimes in paraphlegia, as in azoturia, or may oe^cur in colic and en-d in rupture. Oramp of neck of bladdei- may cause it. SYJiffTOMS:- Pain, uneasiness, stretches out but cannot void urine. Tixis s yiTiptom is often seen in colic due to pressure on the bladder; but in this case there is no urine v/hile there is in reteni;ion and none is voided and in colic a few. drops may pass. Where paralysis is not complete a small quantity of urine may pass like in colic. In this case examine mucous membranes of the head, peristalsis, etc. If these are normal it is probaDiy retention. May last days or even weeks. Always make a rectal examination. In retention bladder is distended, tense, and sometimes painful. If the distention is great, the animal may become paralyzed behind; but can be relieved by emptying the bladder- Is often seen in pregn.ant females, as xioares and cows. When pain has lasted for a long time arid suddenly ceases v/e suspect rupture of the bladder and temper- ature soon rises. May palpate the bladder ..or tap the abdomen to make diagnosis certain. This trouble Is always fatal. Horses live one or two days. Cattle may live six or seven weeks, then die with uraemia. Horses are more susceptible to uraemia than cattle. TREATMENT:- First determine the cause. If calculus, remove sur- gically. If stricture, pass the catheter. Stone in the bladder can be diagnosed by the symptoms of cystitis, voids urine often with pain, occasional at1;acks of colic and even retention of urine. By rectal examination the stone can be (77) felt» If due to spasms of the urethra give antispasmodics or counter Irritants or even by stroking the perineum, morphine, belladonae, chloral or chloroform are usefxil. In ox it is' serious as the penis is crooked so the cathater cannot be passed. In this case open the urethra about two inches 'below the anus where it -passes around the ischium. In females it is a simple operation- In these can often start the urine with the finger- Retention of urine is not as common as supposed to be. Colic is often mistaken for this trouble. PROGNOSIS:- Is good. G -Y S T I T I S » Or Catarrh of Bladder, really belongs to surgery and is due to stone in the bladder, but is sometimes due to retention of urine or the continued use of certain drugs as cantharides, turpentine or food covered with fungi. ALTERATIONS:- Catarrhal condition, mucous membrane, red and swollen; bladder walls are thickened. M. m. leaden colored, covered with mucous and ulcerated spots. In old cases especially the m. m. is very thick and strong- In acute cases may liave diffuse suppuration beneath the m. m. in the con- nective tissue, red color, bluish venous engorgement. Con- nective tissue full of serum which is jelly like and small, areas of suppuration are seen. Usually due to septicaemia or pyaemia. SYMPTOMS:- Withers arched, voids urine frequently in small amounts. Bladder is irritated by the urine and may show much abdominal pain. Palpation per rectum is painful. Urine is thick and highly colored and contains mucous and pus, with microscope we can see many pavement epithelial cells. Chronic form is about the same; but not so painful. -TREATJdENT:- Local injections into the bladder, the m- m. should be cleaned. Pirst use bi-earbonate of soda to dissolve the layers of mucous membrane. Then inject astringents or anti- septics, in large quantities to straighten out the folds of m. m. Usually one gallon is sufficient. Can determine by rectal examination when its walls are tense. Warm bi~carbo- nate of soda 2 to 3 per cent solution will usually dissolve the material that has collected on the m. m. Follow with V2X solution of Gupric sulphate or tannic acid, or 1^ solu- tion of creolin. Give internal remedies to render the urine alkaline. Boracic acid or sodil bitartras, chlorate of soda and creolin. are given Internally; but these do but little good. (78) AZOTURIA . AZOTURIA:- Sometimes called^ Haemoglobinurea . It affects the kidneys secondarily- Some claim it is modern, others that it is one of the oldest diseaseso Is probably a disease of modern times - two hundred years at least. Old descriptions of the disease were not complete enough to make a sure diagnosis- The first good description of the disease v/e have was written in 1852. Old v/riters had many names for the trouble, as spinal apoplexy, spinal founder paralysis, haemoglobinurea, acute" Bright ' s disease and many others. More recently it has been called a peculiar form of rheumatism. AETrOLOGY: - It is a disease peculiar to the equine species alone. There seems to be a predisposing confor-mation as those of com- pact build, short backs and legs, heavy plethoric draft horses. Seen rarely in driving horses. Confined to plethoric animals solely; but an animal may be plethoric without being fat. The disease is rare in young or old animals, usually seen in the prime of life from five to ten years of age» Feeding has much to do with it, especially large quanti- ties of oats. Those fed on heavy soft feed or bran, rarely have it. Exciting causes are work or violent exercise after standing in for a few dayso Yet may develop in the stable without going out of the stall. In Bavaria thirteen out of sixty-five had this history. Chilling has \>QQn thought to have some influence in producing the disease. Prof. PrShner thinks it is one of the most important causes. Some old wri- ters thought it v/as due to some poison invested in the food but this theory has been abandoned recently; because only those in a stable that are stood in for a few days have it. alterations:- Distributed all over the body. Muscular lesions are most characteristic, especially those of the psoas, gluteal, thigh, etc. In bad cases the shoulder and forearm may be affected. There is cloudy swelling, fatty degeneration, light in color, pale, soft and friable and usually oederaatous. Fibrous, granular and stripes lost, showing degeneration. Drops of fat may be seen in the fibers, in old cases (several days) these changes are marked. Small hemorrhagic spots may be seen. Changes in the blood are characteristic; but do not develop as soon as change in the muscles. After one or two days we can find a breaking down of the red blood corpuscles and haemoglobin dissolved in the serum, causing it to appear red. Blood contains urea and other products of muscle. May find haematoidin crystals, etc The tarry black blood is not due to the lesion; butto asphyxia. The spleen is large, red and soft. Fatty degeneration of the liver in the later stages. Spinal cord, especially in the lurnbar region is red and con- gested and somewhat softened.. In old, well marked cases, blood and serum are found in the arachnoid space. Examination of the marrow of the bone is claimed to be important, it is (79) infiltrated with blood and is congested even in the early- stages. Especially in the femur, tibia, humerus, and lumbar vertebra. There may be spots of haemorrhage fi-om excessive congestion. The kidneys are normal at first; but after a day or two they become soft and the parenchyma degenerates, cells soften and are east off and the whole kidney becanes mushy. The bladder is normal, contains coffee colored urine which is thick and syrupy. Heart is soft, pale and friable and lungs filled -with blood from asphyxia. May have bed sores from decubitus, and knocking the head against objects- SYliiPTOMS:- Are characteristic. After having stood in the stable •for a time with plenty of food, is taken out and worked, be- comes excited, may show a little unsteadiness behind and stag- gers, knuckles forward on hind legs, may even w?ilk on the fet- locks. May stop here but usually gets worse and falls to the ground. These symptoms develop rapidly. Gome on in from ten minutes to half an hour. The preliminary excitement is due to pain. When down, he struggles and tries to. get up. May stagger to the feet and .soon fall again. The hind legs are paralyzed and pricking the skin causes no pain. Muscles of the thigh are hard and tense. No elevation of temperature, pulse rapid, m. m. red, usually a retention of urine which, if dravm, is coffe colored and like syrup- Contains albumen and an excess of urea. Microscopically we see epithelial cells, broken down red blood corpuscles- The color is due to haemoglobin and not to the red blood corpuscles. Urine is acid, shOT/ing abnormal metabolism. Peristalsis is depre^ped even paralyzed. Brain is not affected, appetite good, consciousness remains clear- The disease some times runs an irregular course and may only affect one hind leg; drags the toe, takes a short step, knuckles forward, croup of one side is high, sensation lost in one leg and the urine coffee colored. Sometimes one or both front legs are affected and the hind legs remain normal. This condition is unusual; but the history is the same, is lame, stands on the toe, heels high. Muscles of the scapula and upper arm are large, hard and sensation lost. Is usually an acute disease- Recovers or dies in three or four days. May die in tv/enty-four hours. If he remains paralyzed for three or four days, usually dies slowly of ex- haustion or rapidly of uraemia. If the condition lasts longer there is chronic paralysis and the animal is worthless, so must treat quickly. The lesions do not point to any distinct cause and many theories are advanced. Some say it is a kidney disease; 'but these organs are not affected till the animal has suffered a day or two. Others think it is some sort of an affection Of the spine as congestion, anaemia, etc., these lesions are (SO) also secondary. In rheumatism the museles are swollen and the urine is black, so some claim it is a rheumatic trouble. This fact cannot be denied as rheumatism is not understood thoroughly. Yet the causes, course, and termination are different, so it is probably not rheumatic. The theory of a toxic infectious material in the blood is not feasible, as it rarely affects animals that v/ork every day. If due to food it v/ould occur whether working or not. It is primarily a muscle disease. If an animal is killed v/h.en first taken, the lesions are only found in the muscles. Here the muscles are swollen, friable, congested, and cloudy swelling is found in the fibers. The theory most widely accepted at present is that the disease is due to hypernutrition. Yet the cause is not settled. Wliile working, the organs of nutrition are active and the food is utilized, but when idle too much nourishrnent is stored up and the- muscles become surcharged. Then when worked the excess of food is drawn upon and there is more than can be used, hence metabolism is more rapid and partly form.ea albuminoids are found in the muscles and poisons them. This is theory; but is born out by observation. prognosis:- Must be guarded. Warn the owner of the danger- Runs a rapid coiirse and is often fatal. Those cases that start mildly may terminate in paralysis or death, while those that are taken violently, sometimes recover. TREATMENT:- Should attempt to prevent the trouble, when standing in the stable, give short rations and exercise as v/alking for half an hour. This is especially important in heavy draft horses. As curative treatment get the animal in a box stall with plenty of room and bedding. Get him in slings if possible. If the animal cannot stand in the slings, prognosis is usually iinfavorable. Bleed freely from the .iugular. It is of great advantage if done early. Apply heat to the sv/ollen muscles and back - a Priessnitz bandage - should be changed frequently. Rub legs with alcohol, etc. Gatheterize every four or five hours. Give laxatives - large doses, of aloes, nux vomicae and calomel. Some advise eserine 1-^/2 to 2 grs, but this weakens the heart and tends to congestion of the lungs so do not give it- unless standing on the feet. Diuretics are most important, to get rid of the poisons. Give buchu, juniper and caffeine. Avoid squills, turpentine and other diuretics that are irritating to the kidneys. If there is prostration use alcohol, ether, etc If much excitement use bixsmides to quiet the animal. The appetite is usually good. Give laxative food as bran mash, fresh hay, grass, roots, etc. Avoid oats. If cannot stand should be turned every three or four • hotrrs. Rub the hips, shoulders, elbows, forearm, hock, etc., with alcohol then with lanolin to prevent germs from entering (81) the skin. Make a desperate effort to get the animal in slings should try every eight or ten hours. In every case that dies a careful post mortem should be made of all the organs. Hind legs are most often affected pro'bably because they do the most work. MILK FEVER OP CATTLE. This is also a peculiar disease and not thoroughly un- derstood and in its description there is much confusion. Some say the temperature is high, others say it is low, and still others who say it is neither high nor low; but the fact is, that there are two distinct diseases; that are called Milk Fever . It was so named because it was thought that milk circulated in other parts of the body and caused the disease. Pranck in 1860 divided milk fever into two distinct dis- eases, viz: Puerperal Septicaemia and Pue r peral Eclampsia . This division has now been abandoned and is divided into Par - turient Septicaemia and Part urient Apoplexy . They are very different in character, yet resemble each other in the fact that each occurs soon after parturition. Both have prostra- tioii and a high mortality. About 40^ die. Parturient Paral- ysis is accompanied by loss of motion, sensation, and consoiou consciousness and follov/s parturition. Parturient Septicaemi a is a real septicaemia following parturition. It is a disease of all animals. Most conmon in cow, carnivorae and mares. It is due to infection during birth or following it. Germs may be carried into the wounded uterus by the hands of the operator or may pass in from the air. There is severe in- flammation of the uterus and vagina, they are swollen, thick- ened and congested and there may be a catarrhal inflammation of the m. m. If violent, the contents of the uterus may be putrid, uterus soft and oedematous, lymph vessels and glands in this region are red, swollen and friable. Secondarily there is septicaemia, spleen and liver enlarged, heart muscles are friable, lungs congested and blood fluid. If pyaemia is present, have the same symptoms as above v/ith abscesses in various parts of the. body. The cadaver putrifies rapidly accompanied by an offensive odor. SYI-yiPTOMS : - Of Parturient Septicaemia, swelling of the genital organs, vulva is red, discharge of semifluid, thick mucous, or thin like blood and stained. Local pain and high temperature 105° to 107--^ /2°, depressed, appetite lost, weak, staggers, consciousness is not lost; but is not so acute as normal - does not respond quickly to the whip or voice, pulse rapid. Weakness pronounced, cannot rise.. It looks like paralysis but is only weakness and if the animal gets down the prognosis is bad. May terminate in one of several viays. (82) 1st. Recovers quickly - in a week or even months. 2nd. Chronic Metritis.. Srd, Increased weakness and death. Death usually occurs in 35 hours if at all. In those cases that recover the septicaemia is not well developed, yet the inflammation of the uterus may be severe. TREATMEITT : - Thoroughly disinfect the uterus. Give stimulants and antipyretics. Inject the uterus v;ith a solution of creolin, hydrochloric acid, carbolic acid in large quantities. Disin- fect the hands and wash out the uterus, nibbing its walls with- a sponge to remove all the mucous. Creolin is best; for v/e can use a stronger soliition - about one per cent. Bi-chlo- rlde 1 to 2000 might be used. This is dangerous in cattle; but in carnlvorae is comparatively safe> For stimulants give alcohol, whiskey, ether or camphor . These also lov/er temperature. Camphor can be given internally or the oil m^y be given subcutaneously. Antipyi'in may be given or large quantities of quinine. As a prevention place the cow in a clean stall before parturition and cleanse the hands before assisting in labor. PARTURIENT PARALYSIS PARTURIENT PARALYSIS:- Is seen more frequently than parturient septicaemia. It affects cows, goats and pigs. Predisposing causes are like those of azoturia - high condition, fat ani- mals, excessive feeding, lack of exercise before calving. Affects coT/s In their prime usually from the third to the fifth parturition and cows that give large quantities of milk.' Follows a quick and painless birth. Usually seen by the sec- ond or third day, rarely the fourth. Has been seen before parturition. As to causes there are many theories. First as oedema of the brain and cord. V/hile she carried the calf there was much blood in the system, the organs of circulation were hyper trophied but after calving the demand for this supply of blood was taken away and the functions of the body were disarranged and congestion of the brain and spinal cord resulted, caused by the excitement of calving. The serum is forced through the walls and causes oedema and this pressure on the vessels caused anaemia. Post mortem does not substan- tiate these views and they have been abandoned". Harmes ' theory was advanced about twenty years ago. During the act of parturition v/hen the cotyledons were torn, vessels ruptured and air entered the circulation and formed emboli which lodged in the tody and caused death, this theory is not a good one. (8S) SCHMIDT H U L H £ I M ♦ S THEORY. Due to poisons from ptoraains and bacilli enter the uterus during parturition cause fermentation, are absorbed and act li!''e ctirare, envsi"'^ r>i?.'"r'.l''r!is. This theor-"- ir al?.o abinf^or****^. The best theory is that it is due to certain leucomaines fovnd In the body (Ivluscles, as in azoturia) before calving. These depress the cord and brain. These poisons result from break- ing dovm .of albuiaen. This disease still needs much study. ALTERATIONS:- Are peculiar, not well marked, may find no abnormal . condition in any part of the body so is not inflammatory. Uterus is often normal, so there'' can be but little or no fer- mentation. Also from fiie fact that it occurs only in fat animals so the fermentation theory of Schmidt Mulheim does net hold good. Post mortem may shov/' changes but they are scarcely ever the same. May have certain parts filled with blood or may be anaemic and extend even into the brain. The pharynx is often found filled with food, v/hich may pass into the larynx and trachea. SYllPTOMS:- Usually come on about tv/o days after calving. The ani- mal is uneasy, walks about restlessly, bellov/s occasionally, shov/ing excitement, tries to defecate, may shov/ a little col- ic, is easily frightened, rolls the eyes and bellows often and loud. Later gets v/eak behind, staggers and knuckles for- ward, general v/eakness even in front. Palls down and cannot rise, v/hile dovrn ass'umes a peculiar characteristic position, lies on the side, hind legs forward and outward, head and nose thrown around to the flank. These syinptoms are always diag- nostic. May eat a litcle; but if bad there is loss of appe- tite and consciousness, will not even recognize the calf. Upper eyelid is paralyzed and droops, eyes retracted and glassy. Cornea may loose sensation and no reflex. Throat may be paralyzed and fluid or food pass into the larynx, slobbers a great deal from grating of teeth and chewing. "Also there is paralysis of the bladder and rectum and no peristalsis. Secretion of milk diminished or suspended. Pulse usually weak and feeble - from. 50 to 70 but later becomes more rapid as high as 100 to 120 er minute and feeble. Temperature nor- mal or subnormal. May go as high as 102; but if higher usu- ally indicates some complication as parturient septicaemia. More apt to be high in the beginning of the disease due to excitement. PROGNOSIS:- The disease usually runs a rapid course. In 24 hours we can give a prognosis. Is fully decided in three or four days. If a fatal termination the animal becomes v/eaker and v/eaker, falls flat on one side, cannot rise or hold the head up, respirations rapid and shallov/, heart rapid and weak, udder and skin bluish, and dies of exhaustion or pneumonia. PneuTxionia Is due to lyinf; on one side constantly or from (84) foreign 'bodies in the lungs. If the animal recovers the eye loses Its glassy appearance, appetite returns and stands, may recover in a -i7eek. In other cases there may be a paral- ysis complete or partial of the hind legs accompanied by atro- phy of the mu^files of the thigh and croup and a weak G^i''-* ■ This is incurable. 4© to 50^ die. DIAGNOSIS;- Easy. At time of parturition, paralysis, peculiar position of the animal, and low temperature. Differential diagnosis from parturient septicaemia by the absence of high temperature and no discharge from the uterus. TREATfiENT:'- Prevention, is exercise before calving. Do not take the cow from the herd and tie in a stall unless some form of exercise is provided. Should not be too fat, cut down the feed, give green feed, roots, etc. Give Glauber's salts if there iw«i any constipation. CURATIVE TREATMENT:- The pharynx is paralyzed so avoid drenches; but if she can svvallov/, giye them slowly and continuously. Position of the gov/ is very important. Should be kept propped up on the sternum to prevent a complication of pneumonia." Therefore an attendant should be present all the time. Is sure to die unless she has the best of care. Can be propped up with bags of strav;. Pur^o the animal, aloes, croton oil, epsora salts, act slowly, yet they should be given. Eserine l-v2 to 2 grains is the best. Injections of warm water to unload the rectom and catheterize - hand is usually sufficient. Give stimulants and diuretics. Caffeine one to two drams every 5 or 4 hours. S:3irits of camphor, ether, alcohol, aromatic spirits of ammo- nia. Externally apply stimulants to the legs and back and Ice bags to the head to prevent hjnperaeraia of the brain. Glau- ber's salts dissolved in 1 to 2 quarts of molasses are hlfrhly recommended. Sometimes the cow is excitable, then should tie the head to prevent severe bruises and give morphia hypoder- mically or potassium bromide, or chloral by the rectiari. Try to raise the cow in slings: rub the muscles vmll to equal- ize Circulation. EXCESSIVE SE.XUAL APPETITE • Most consaon in cows. Pound in males and females. ■•.lay be physiological especially in males. In females it is easily recognized because it is only shown while in heat, while the pathological form is shown all the time. CAUSES:- Are numerous. Too high feeding and too little work. Rare in working stallions or cows that give large quantities of milk. Small milkers often show this trouble and habitual bullers are usually worthless. Pathological causes are numer- ous. Disease of any part of the genital t--act as cysts, tuborcxuar condition of the ovaries, degenerated ovaries, dropsy of the uterus, sarcoma, carcinoma or tuberculosis. (85) Closure of the os is not a rare cause. In males a local catarrhal condition of the urethra and bladder is a cause and produces self abuse in stallions and bulls. Cryptorchids are also predisposed- SYJvIPTOMS:- Are easy to recognize. Excitement, desire for the or^I^osite se::, sonietimcs vici'^us, geni*".als rcc". anc! s'vollen. May lead to d'L;:iiiDiness or subsequent paralysis. In males there is a frequent and prolonged erection. In post mortem the ,^ lu^iibar portion of the cord is often found softened. TREATlLiiNT : - Depends on, the cause. Make a careful local examina- tion. In cow should maice a vaginal examinationj will often firxl the os closed and the uterus full of fluid « Belladonnae ointment will usually relax the contracted os, if not use the dilators. Local treatment Y/ill usually remove the fluid from the uterus if there is a cyst, remove the ovary or crush the cyst by manipulation. May find a chronically erected, hyperr- trophied cliterus most common In mares. Here it is best to remove the cliterus. Yet it -will do no good if this condition is due to some other cause. Can be removed \vlth the scissors, should use cocaine. Ovarlotom.y and castration are the last resorts and are usually a sure cure. Wlien carefully done is not serious especially in cows. As internal treatment give chloral hydrate, morphia, bromides, camphor. Camphor is best- 10 to 30 grs. twice daily. Cold applications are also valu- able. Give plenty of exercise and not too much to eat. LOSS OP SEXUAL APPETITE. Most coi-nmon in males especially in bulls. Arises frora general weakness or plethory. In females it arises frora local catarrhal condition of the uterus or vagina. Also from certain idiosyncrasies, some stallions will not serve gray mares, others ?/ill not serve bay mares, etc. TREATMENT:- Treat the symptoms. Get the animal strong if too weak. If too fat, reduce the condition. Sometimes after this has been accomplished, the condition continues. It is well then to try cantharides as this produces congestion of the genital organs. In cows give from 1 to l--^/2 drams mixed with cider or ale once per day. Mare requires 15 to 30 grains in food or 1 dram of the tincture. Caraway, mustard and pepper are recommended by some; but they have but little or no action. There may be impotency or sterility which may arise from inability to copulate or frora imperfect semen. May come from many causes as tumors, etc. In this case the semen should be examined microscopically. The speramatazoid may have a head or no tail or vice versa such semen is no gooa and there Is no treatment. It is due to trouble in the testi- cle. Sterility of females is usually a local trouble, as inflammation, closure of os, tumors, etc. uterus may be mis- placed. These troubles are usually easy to diagnose. (86) TREATIffiNT : - Locals -Dilate the os If that be the oause. 1 to 2 inches is usually sufficient. In making a vaginal examination "bear in mincLj catarrh of the vagina or uterus, tumors or dropsy of the vagina, Literus, or horns, cysts of the ovary or stricture of the fallopian tube, tuberculosis, etc. ThJ.s condition has been produced by putting foreign bodies into the uterus. MILK DEFECTS. Tills is an important question especially in the Eastern states where cattle are kept for their milk alone. Disorders of milk are In quantity and quality, and is due to many causes the most important of which is the abnormal condition of food which has direct influence on milk, method of feeding, water (cold or warm) and the time that it is given. Digestive dis- eases should be considered as indigestion reduces the quantity and quality of milk, besides it causes scours and bloating. Constitutional diseases especially fever alters the milk in such cases the udder becomes less active, milk becomes indi- gestible and produces indigestion. A number pf diseases of the udder cause change in milk. The manner in which cows are kept and the utensils in which milk is ki$pt after drawing must be considered as these all influence the milk- The cure i& easy in some cases; but it is important to determine whether milk of a single cow is defectiV'S or whether the whole her^ is diseased. If change is in a single cow it is probable tha.t the cow is diseased in some ra^jnner. A sample should 'b^' ^v^-yrn from each cow and then wait ujjtil change takes place. DEPECTS IN QUANTITY:- If cow does pot give enough milk it Ip prob- ably due to the breed of the cow; but if milk decreases sud- denly, it is ^ften traced to the change of food. This is usually not permanent and soon comes up again. If the food is not fitted for the animal the change will probably remain permanent. Pood which is poor in proteids Is not good food for milkers. Hay, ensilage and roots contain much water and starch; but are poor In proteids, they however are good when fed in connection with cotton seed, etc. Cows give less milk in cold and moist weather. Milk is reduced in quantity when cow has diarrhoea. Change of location also has tendency to decrease the quantity of milk. An animal may seem perfectly healthy; yet give less milk than she has been giving and no reason can be found for it. In such a case milk frequently and give nour- ishing and stimulating food. Sulphide of antimony often in- creases the flow of milk. In Germany a so-called milk powder is used containing: - Sulph. of antimony, 100 gramms. Juniper berries^ 150 " Sodium chloride, 500 " ■Sulphur sub. 50 » («7) The above powder should be tried in cases where no cause can be found for the decrease In milk, but examine the case carefully. Sometimes cows give more milk than their system is able to stand; this causes rapid emaciation and makes them more prone to contract diseases. Peed on non nitrogenous foods and give purges. QUALITATIVE:- Examination of milk is more Important. This really belongs to milk inspectors. Boracic acid, salicylic acid, chalk, magnesia and water are often found in milk. The latter is not so important as is supposed by many and if not found in large enough quantities for the consumers to see it will do no harm. Blood may be foimd in milk' from rupture of blood vessel in the udder- It looks pinkish or reddish and on standing becomes brown. This is hard to discover when cow is suckling a calf. While suckling the calf will shov; uneasiness and does not seem to like it. A reddish froth mtty be found. One teat only is usually affected. TREATMENT:- Cooling applications, short rations, containing little proteids. Soluble extracts from bitter and aromatic foods may be found in milk, frozen potatoes make .milk bitter- Spoiled ensilage gives it a peculiar taste. Milk may contain too small a / of solids caused by impi'oper feeding, v/eak di- gestion; give same treatment as for gastro-intestinal catarrh. Milk may contain too much fat, especially seen in sheep, this is caused by overfeeding and causes scours in the lambs. Less stimulating food. It is sometimes seen in Jersey cattle making it impossible to raise calves on such milk. Give the calf milk from a common bred cow. The milk constituents are sometimes changed which usually takes place in the udder. Some of these changes are premature coagulation, milk does not becane acid, reaction is alkaline. It is caused by disease of the udder or a peculiar form of garget. It coagulates in 6-8 hours after milking. This is coimion in summer and the excessive heat of mid summer is a cause. It is more common in the evening milk than in the morning milk. If in the udder, treat it accordingly, if from heat try to remedy it. Also well to put some nitric acid in the drink- ing water. If the disease is caused from gastric disturbance give sodii bl-carb., chalk or magnesia. This trouble is more frequently due to uncleanlin'ess of the milk vessel and milk room and is caused by the milk souring germ. Cream may be peculiarly altered. Instead of buttering it becomes frothy and thin. This frequently comes from external causes. May occur from indigestion in cow. The exact nature of this in- digestion is not known. Emaciated animals may cause cream to take on such a state. Stimtilate digestion by adding HCL. to the drinking water- (88) Blue Milk is a peculiar 'blue coloration occurring more frequently in summer and spring usually disappearing as cold weather comes on. It may affect one or all of the animals in a herd and generally occurs after milk has been draT.m. The bacillus of blue milk has been isolated and inocul-.tied vrhich is known as "Bacterivim Cyncyanum. " It has been giorr; on beef broth, bouillon and potatoes. Bacteriiirn is said to in soiud cases enter the milk through the cow but in most cases it enters after drawn. When milk undergoes this change little blue spots develop 24 hours after milk is drawn, these spots bee one larger and all the milk becomes blue, it is indiges- tible and poisonous . TREATMENT:- Stimulate digestion. Give HCL. to prevent passage of bacilli from digestive tract to the udder- It is scarcely possible for germ to pass through this way. Disinfect the stable by solution of creolin or sheep dip. The udder should be sponged the s'ame way. The milk cistern should be thorough- ly boiled also the vessel. Milk may be changed to red or yellow from a similar germ. This also takes place in the albumen. TREATMENT. Same as for the blue milk. Rapid putrefaction often takes place a fBY/ hours after milk is drawn, it follov;s feeding spoiled foods and drinking stagnant putrid water from pools, etc. More common in the west tiian in the east. Trouble may result from using dirty vessels and from improper surroundings. Milk should be kept in clean vessels , as it is an excellent culture medium for germs. Stringy milk is often met with, caused by bacterial infection producing fermentation of milk sugar- It changes into a viscus, stringy substance which generally takes place one day after drawn. It will not pour properly being stringy and large clots can be found in it. The taste is flat and offensive and the cream will not sepa- rate. Micrococci can be found in large quantities which are especially comnon in summer. TREATLIENT : - Scame as for the other conditions. The germ is usually present in the stable and so passes on the teat and then up in the udder. UDDER. There are three chief diseases of the udder, viz: Oedema of the udder, Parenchymatous inflammation of the udder, (gar- get, mastitis) and 3rdly, Infectious mammitis. OEDEMA OP THE UDDER. Caused by exposure and chilling which leads to oedema. symptoms:- Elevation of temperature, pain on -pressure, secretion of milk is reduced; but not radically changed. It may be hov/ever slightly tMckened. (69) TREATMENT:- Warm box stall. Eathe udder with cold water, lead water and laudanum. Recovery takes place quickly. PARENOHYliATOUS INFLAJ.MATION OP TI-IE UDDER. RVJTONYIIS : - Garget, mastitis. ETIOLOGY:- Same as the foiTner- Draughts. Especially seen in ani- mals that give large quantities of milk. It also results from lying on cold ground. May result from traumatism. In other cases it may be due to infrequent milking. SYMPTOMS:- Udder is swollen; hard and painful. Entire bag is rarely affected, usually ■^/■i or -^/^ only. Skin is red, slight elevation of temperature, no appetite^ pain, hind legs carried apar^ to relieve pressure on udder- IVhen disease becomes older the udder becomes insensible, furred and temper- ature drops. This is then chronic Milk becomes thick, clotted and a viscus fluid comes out resembling butter milk. Blood may be present in it. Sometim.es pure pus may be con- tained in it. This may terminate in many v/ays, viz: Suppu- ration, gangrene, atrophy and induration. SUPPURATION:- Thick pus like fluid comes from the teat remaining painful, becomes localized, abscess may form, become diffuse and the whole quarter may break down. The abscess may then break through the skin. GANGRfi'NE:- Insensible to pressure, temperature sub-normal, blue discoloration, becoming green and the line of demarcation becomes distinct and death results from septicaemia- ATROPHY:- Chronic The affected -^A becomes harder. Connective tissue forms \vhich contracts rendering the quarter so small tliat milk ceases to flow altogether. INDURATION:- Hardening without atrophy- TREATMENT:- Depends upon stage and form of the disease. Cow should be milked four or five times a day and if accompanied by great pain this should be done with a milking tube. Check milk secretions as much as possible. Diet and starve the animal. Glauber's salts should be given and if severe it is advisable to bleed from the milk vein which will lessen blood pressure. Where udder is large and more than one quarter is affected, apply a suspensory bandage. It should be well padded und may contain a poultice of flaxseed. The bandage assists materially. 10^ oil of camphor or 10^ of camphor ointm.ent should be applied several times daily and rubbed in Y/ell by massage. Hot water fomentations should be used often. 1st. Use the hot water and then apply the camphor ointment, ^fliere v;e laave the suppurative form use flaxseed poultice or pour on hot creolin and open abscess as soon as formed. Where milk fistula lias been formed treatment will be found to be very unsatisfactory. Treat the gangrenous form the same as the suppurative form by bandaging and hot creolin. This form is usually fatal. (90) Nothing can be done for the atrophic form. For the Indurative condition apply an ointment of lano- line and camphor or weakened mercurial ointment. Equal parts of pine tar and soft soap is advisable when the disease is not so severe. I N E E* C T I U S M A M M I T I S . Large micrococci enter through the teat producing catarrhal inflammation often extending" into the parenchyma and into the blood vessel- walls. There are several ways of diagnosing infectious mammitis. It appears quite suddenly, usually more than one cow affected, and generally affects the whole udder. SYMPTOMS:- Udder is swollen, painful on pressure and hard. Milk is first floeculent, becomes yellov/, thin until it is a little thicker than water. In bad cases it may be mixed v/ith pus. Putrefaction frequently takes place and there is a bad odor. In this form milk is often mixed with blood. Teat becom.es obstructed by clot, one quarter of the bag swells and usually breaks externally. TREATMENT:- Avoid carrying the germs. Isolate and disinfect. Bedding, manure and food should be burned» Don't let the same man milk healthy cows that has been milking the diseased ones. This is a very common way of carrying the gerra. It is neces- sary to milk at least every hour- If teat is obstructed put in a milking tube. The udder should be manipulated as little as possible so as not to force the germ further. Camphor oiriSlfcrnent. will be found very valuable. Apply heat by washing with hot creolin solution or use suspensory bandage and cotton. Antiseptics should be injected into the teat. Creolin 1^ lysol in -^/s or /4^ solution, strong saturated solution of boraclG acid, or one to two thousand bi-chloride. Inject with, force and then milk it out. This flushes out the cistern. Internal treatment give stimulants, diuretics and laxatives to check secretion of milk, although this is hardly necessary as milk stops flowing of its own accord. (91) DISEASES OF THE RESPIRATORY TRACT Not so common as those of the digestive tract. Although tuberculosis is very common in cattle, but it is a gen- eral disease and not restricted to the lungs. NASAL CATARRH. Divided into acute and chronic If acute, it is called Coryza, or cold. C R Y Z A . CORYZA:- Caused by exposure from cooling too rapidly and being taken from v/arm stable into the cold. Irritant dust or smoke is also a cause. SVTVIPTOMS:- Thin discharge, later becomes thick and mucous and then purulent. The first symptom noticed is the discharge, then the m. m. becomes slightly swollen and a deeper red than in health and the blood vessels are seen as red streaks. If it is very acute there may be minute hemorrhages as little red spots on the m. m. Slight elevation of temperature or none and no cough if uncomplicated. TREATMENT:- Inhalations of steam, clean food and laxatives. Steaming soothes the m. m. and softens the collection on its surface. The steam may be medicated by adding tar, creolln, belladonnae or turpentine. If the disease is severe, dis- charge profuse and inflammation deeper, it is well to inject antiseptic fluids and astringents into nose. The disease usually gets well of itself by giving pure air and good food. If the disease is very bad or is neglected it may become chronic. CHRONIC NASAL CATARRH. (NASAL GLEET). May be due to diseased upper teeth or from extension of inflammation, tumors, parasites in the nose. Collection of the sinuses, glanders, etc. may be very hard to tell from this disease. In glanders, there is really a chronic nasal catarrh and usually a few glanderous nodules present, but these may be so small that they can hardly be noticed, yet they form ulcers and pus, which is Irritant and causes catarrh (92) • Of the raucous membrane. Most of the discharge in glanders is due to this and not to the ulcers. It may also be due to catarrhal conditions, as chronic laryngitis or bronchitis. SYJ/PTOMS:- Same as coryza but exaggerated and drawn out. Dis- charge is thick and more profuse, Ivlucous mijrabrane swollen and red and if the disease has lasted several months the ani- mal becomes emaciated, then the m- m. are pale from anaemia. DIAGNOSIS:- Made from discharge and examination of m. ra. We have to exclude catarrh of the larynx by a local examination. Also absence of a chronic cough. We must exclude glanders by examination or injecting mallein. Determine if it is primary or secondary as from tooth, tumor or collection of sinuses. TREATIIENT:- Inhalations of steam or medicated steam using tar, creolln or turpentine. This is not sufficient in bad cases and strong astringents and antiseptics must be used. If the disease is very chronic of 2 or 3 years standing the m. m. is so thick and changed that we cannot cure it. It is sometimes advisable to trephine the nasal passage just below the frontal sinus and inject fluid with an atomizer. If the discharge is foetid use antiseptics and astringents as zinc sulphate or zinc chloride, or zinc sulphate and tannin alternately. A solution as zinc may be used first, and then blow in some tannic acid. If the disease is secondary, treat the cause. Usually expectorants are given such as ammonium chloride, tar, etc., but it is likely tliat these have no action. Give tonics as sulphate of iron, strychnine, quinine, (Carlsbad • salts and arsenic). Good care and pure alr- NASAL CATARRH OF SHEEP. It is divided into three classes: - 1. Simple Nasal Catarrh. 2. Simple Chronic Catarrh (so-called glanders of sheep, but incorrectly). 3. Malignant Catarrh. The first and second are like the diseases found in the horse. The malignant form is an infectious disease but the germ has not been isolated. Where a flock is infected for a long time the stable becomes the source of infection for at least two years after- There is a violent catarrh and com- plications of the m. m. like distemper in dog. It is espe- cially violent in m. m. of the nose. There is dyspnoea, the mouth is open, sneezes out pus, catarrh of the conjunctiva, eyelids red and swollen around which a crust forms. This crust is also seen around the nose. Cornea may be affected causing blindness. Laryngitis and cough may be present and accompanied by rapid breathing and may cause death by bron- chial pneumonia. There may be a vaginitis or an inflammation of membranes lining the sheath in bucks. Temperature 103-104. Appetite lost and emaciation. Death is usua lly caused by ' inanition. (S3) AIjTJSRATIONS:- Catarrh of m. m. Of nose in all cases, thick, red and ulcerated, small areas are coated witia thick, tenacious pus. 1.!. rn. may be so swollen as to close up the opening to the nose. This Inflainmation extends to other m. rn. and is the same in character. Emaciation, pale muscles, heart fria- ble, liver fatty and pneumonia may be present. TREATttENT : - Preventive. Isolate diseased animals and disinfect stable. Give good green foods as beans, flaxseed meal, cotten seed meal. Pure air. Internal and local treatment must be general as it affects a whole flock. Sponge off nose with creolin and inject out the noses of the most valuable ones. Internally give stimulants or tonics in the food such as sul- phate of iron, gentian, ginger or cinchonae. DIPHTHERIA. Of m. m. of nose in horse has been described. There is a gangrenous inflammation, etc., but these are merely more acute cases of nasal catarrh. The true diphtheria bacillus of Loef- fler has not been found in any disease of the domestic animals. TUMORS IN THE NOSE. Polyps on m. m. may start from septa or bone. Peduncu- lated may obstruct nose. They may break down into cheesy material and irritate the m. m. Carcinoma and sarcoma has been seen In dog but it is rare. The turbinated bones may become hypertrophied and swollen. TREATMENT:- Surgical. Remove them. Dermoid cyst has been seen in nose, also actinomycosis and tuberculosis. EPISTAXIS (NOSE BLEEDING). Especially seen in horse and follows traumatisms of head, excessive exertion, or from bursting of blood vessel. Also caused by local diseases as tumors, polyps or nasal catarrh. It is a coiimon symptom, of glanders and may be the first one noticed. Also seen in leucaemia and purpurae hemorrhagica and anthrax. SYMPTOMS:- Discharge of blood from one or both nostrils. Usually from one but if from both it indicates bleeding from the lungs- If from the nose, it is bright red in small amounts, large stream and is pure blood mixed with a little air- If from lungs it is churned up and filled with small bubbles. Brighter red than if from nose. It is also accompanied with much coughing. TREATMNT:- If from exertion reduce the action of the heart. Gold water over head and thorax and give anaesthetics as morphlae. This is usually not necessary. It is mostly due to local causes, so plug nostril with cotton soaked in tannin or Monsell's solution. Or we can Inject cold water, tannic acid or Monsell's solution into the nose. If the bleeding becomes dangerous give tannin or ergot Internally. (94) COLLECTION OF SINUSES. (Catarrh of the Mucolis i.lGui'brane of the Sinuses) It is really a surgical disease but intimately connected with other diseases of the nose. The mucous membrane of the sinuses is inflamed from many causes usually from colt dis- temper. Hence much pus is discharged and some of it gets into sinuses and causes catarrh mostly in superior maxillary but may affect any. Due also to tumors, chronic nasal gleet, caries of tooth or blov/ on outside of head. ALTERATIONS:- Like any catarrh of m. ra, , it is thick, red and covered by pus; rarely ulcerated. SYIjEPTOMS:- Like nasal gleet but usually affecting one side only Y/hile gleet affects both sides. Glands are swollen and hard on one side but not hard and nodular as in glanders. In old cases, the face may be bulged out. Percussion shows dullness. Discharge is not constant as in gleet, worse some days than others especially while working and holding head dovm. Eating has no influence on the discharge. It contains flakes of hard, dry pus. If diagnosis cannot be made v/ithout, we can trephine the sinus using a very small trephine, say abotit -^/3 of an inch in diameter so it will heal quickly if no pus is found. If found, we can then enlarge the opening. Pus will be discharged but it is somstimes dry and almost solid so we must use a grooved director* to explore with. This should alv;ays be done. TREATIvtENT : - Open at lowest point to give drainage. Inject anti- septics and astringents and keep open until discharge ceases and m. m. is entirely healthy. Glanders may start in the superior maxillary sinus (rare). It is important to diagnose it and bear in mind that where inflammation is simple and not specific the m. m. is smooth or may be in folds. In glanders it is nodular (shot like) or presents ulcers surrounded by indurated zone. If glanders is present and not diagnosed, the pus causes ulcers on the skin as it flows out and sur- rounds the trephine hole. COLLECTION OP GUTTARAL POUCHES. Usually due to distemper, the inCLammation spreading to the pouches. Can result from parotitis, pharyngitis or from glanders. SYI.1PT0MS:- Discharge from one nostril, flocculent, thin and some- times a bad odor, especially profuse when head is down and eating, as at pasture. It is slight when reined up in driving. Swelling on one side of the throat pronounced or slight. Elastic, tense, painful and pressure causes increased dis- charge. If very bad there is dyspnoea, (rare). TREATl^IENT:- Gatheteriae or open pouch. (95) LARYNGITIS . LARYNGITIS:- Inflammation of the raucous membrane of the larynx. Acute laryngeal catarrh is rare as a simple disease usually have pharyngitis, bronchitis, etc. with it. ETIOLOGY:- Chilling, cold windj standing when heated, exposure. Often seen after shipping. It is most frequent in spring and fall on account of sudden changes of temperature. May be caused by traxiraatisms as from improperly drenching a horse or from inhaling irritant vapors, dust, etc. Often caused by rough manipulation while drenching, as pounding the animal on the throat to maice him swallov/. Excessive use of the voice in dogs at a show will cause the larynx to become inflamed. May be due to pharangytis, coryza, oedematous pneumonia, in- fluenza, purpurae hemorrhagica, pneumonia and other diseases. ALTERATIONS:- Simple acute catarrh of upper part of larynx and may extend to all parts of the larynx. In bad cases the m. ra. is red, swollen, congested, oedematous, covered with mucous and may be corroded. SYliPTOMS:- Chief one is the cough. At first while m. m. is still dry, harsh, painful which the animal tries to suppress as much as possible. Afterwards when m. m. is moist the cough becomes moist (fatty). There may be much stringy mucous ejected . (plilegra). Rare in horses but common in dogs and cattle. Cough is Increased by exercise, feeding and drinking water for the larynx is sensitive and pressure causes cough as in movements of swalloT/ing. Cough can be produced by pressure on larynx with finger- If severe also have a little dyspnoea, respiration rapid and somewhat loud lilce a stenosis of trachea on inspiration and expiration which differs in tone. Tempera- ture usually a little elevated. DIAGNOSIS:- Nature of cough is of importance, but it is much the same as in l>s*enchitis and inflammation of the trachea. It can be excited easily by pressure. Cannot determine severity of the disease by ease with which cough can be excited but by general symptoms as fever, etc. TREATMENT:- Usually satisfactory. Fresh air is very important as in all lung diseases, avoid irritation and lessen the work of the respiratory apparatus. Peed on soft foods, that do not need much chewing. Do not work except lightly. Apply Priessnitz bandage, cold water. This v,rill be found very useful. Inhalations of steam are indicated, may add bella- donnae, tar, turpentine or creolin and alli)w animal to inhale these. Well to give expectorants to deplete m. ra. and to keep it moist and soothe it. Best is ammoniiim chloride dram 1-2, dogs grs. 10-40 with licorice root and honey to make an elec- tuary adding sodium chloride and magnesium sulphate to prevent constipation. Relieve cough so^as not to irritate m. m. Give morphia grs. 1-2-. i. d. Dogs •^/20 - ^/\0 every four hours. Bitter almond water is excellent for dogs with syrup (96) of squills, morphia and ^aiTmoniuiii chloride. We cannot spray the larynx of horses but may use intra-tracheal injections to reach the larynx, v/hich gives good results. Needle of syringe should be cii.rved and inserted into the crico-trachenl ligaments anci directed upward to spray throat. Have a sharp point and insert it quickly (not slowly) as it may otherwise push m. m. awav and fluid ma;,' pass into the sub-raucous tissue. Tannic acid b% with distilled water is good. Also /10;b alum. Best: Glycerine 50 parts Water 50 " Bismuth sub. nit. 6 " Shake v/ell befoi'e injecting. CHRONIC LARYNGITIS. CHRONIC LARYITGITIS: - Causes same as acute. Also follows general diseases as chronic Irritation from tumors as papilomas. Or may follow a mild case that was improperly treated. ALTERATIONS:- Thick m. m. Vessels sv/ollen, dilated and can be seen as red streaks. Epithelium may be lost or very thick like warts. SYlvlPTOMS:- Cough is the chief symptom. Volume large, (nearly all the air that is contained in the lungs). It is dry, full and harsh, worse at night due to the collection of raucous. Larynx is not so sensitive as in healthy horse. DIAGNOSIS:- Exclusion of bronchitis and lung diseases. TREATMENT:- Good air, quiet and Priessnitz bandage. Some practi- tioners blister, but it does no permanent good. Firing in deep points does more good than blistering but this leaves a scar, and is not advisable. Setons are sometimes passed on side of the throat. Best treatment is inhalation of steam and turpentine. Electuaries of turpentine, balsams, etc- in large doses are useful. In dog and cat we may make applications by brush or sponge tied to a stick. Lead acetate ?/loX Alurxi ^/lO;^ Nitrate of silver ^ /lofo If the disease is due to tumors the medicine does no good and Vtre may then operate but it is rarely done as the diagnosis Of tumors are not made except by the Rhino -laryngo- scope. If it is very large we can sometimes detect it by auscultation and detection of the vibrating sound. Then remove it. An exploratory opening can be made in a horse and this Is not attended with much danger - OEDEMA OP THE GLOTTIS. Acute condition and kills very quickly. Sei*ura escapes into connective tissue. It is due to severe irritating vapors or irritant drugs. Also due to chilling as bringing a liorse into the cold from a very warm stable. Tlay be caused by laryngitis or compr'jssion of the jugular"- (97) SY^CPTOMS:~ Sudden dyspnoea, head extended, breathes rapidly, each inspiration is accompanied v;ith a whistling sound. Anxious expression, cough, m. m. blue and dies quickly. TREATlvEENT : - Tracheatomy and mustard to the throat. ROARING . ROARING;- Surgical disease. A v/histling or cooing sound made on inspiration due to paralysis of muscles on left side of the larynx. Formerly all thick winded horses were called roarers. CAUSE:- Hereditary is the chief one. It occurs in families but it is not always so. Another cause is damaged food as mouldy hay or grain; also emphysema. In England, clover is supposed to cause it. Also previous diseases especially of lungs as pneiimonia, o edematous pneumonia, etc. but the cause for this is not known. Thought to be due to the recurrent laryngeal being pressed on by the lymph glands. There is an atrophy of all the muscles on the left side, especially posterior crico- arytenoid. This allows left vocal cord to become flaccid and vibrates on inspiration. TREATMENT:- There is but little to be done for it. Preventive, avoid the crosses that are known to produce it and treat pneumonia properly. Best to get the animal well quickly, and then follov/ the treatment with potassium iodide, starting Vi^ith one dram and increase lip to one ounce in a day. This is only advisable if the horse is a valuable one. Y/'e sometimes find that after an animal seems all right after an attack of pneumonia for two or three months he will suddenly commence to roar, and then cannot be used. This is thought to be caused by absorption of inflajfiimatory products of these glands. Daily hypodermic injections of grs. one to one and a half of strychnia may be of use. Firing and electricity have been tried but none of these were of any benefit. It is considered an unsoundness no matter how slight it is for there is a tendency for it to grow worse. To detect it put a man on the animal's back, place a curb bit in the animal's mouth, draw the nose close to the chest to arch the neck and gallop him. The animal will then whistle when he will not show it on ordinary exercise. BRONCHITIS -- ACUTE. Or- bronchial catarrh is identical with catarrh of any other m. ra. and the causes are the same. Slight irritation causes coryza, a little more would cause laryngitis, still more, a bronchitis and if severe enough may cause pneumonia. Some veterinarians think it is an infectious disease but this remains to be demonstrated. Often a large number of horses in the same stable may have the disease, but it is probably due to the sanitary condition , of the stable rather than to infection. (98) ALTERATLONS: - Acute Catarrh sometimes confined to a small area of limg, but may invade all parts of the oronchiai tract. SVIIPTOMS:- First sitnptom is a chill which ma/ pass unnoticfid. Chill folloY/ed by fevox'. Temperature 10o--l05. Depression, hangs the head, respirations accelerated, appetite slightly lost, thirst continues, no difficulty in swallowing, first coughs but little then becomes moi-e frequent and violent, pulse accelerated, m. m- injected, no dullness on percussion. Auscultation reveals nothing at first except rapid breathing-, then large and small moist rales, showing: fluid. Sometimes detected over the whole thorax. The cough is usually a little painful, the volume not so full as in laryngitis, and the larynx not so sensitive, usually runs a mild benign course and recovers in fi'om four to nine days. In severe cases the animal may die. In this condition there is little discharge from the nostril, respirations rapid, temperature and pulse are high, pronounced dyspnoea, large and small mucotis rales in both lungs. A severe case may pass into bronchial pneu- monia or death may follow from oedema of the lungs. TREATJ.'IENT : - Give expectorants, keep the animal strong and treat the symptoms. It is advisable to use local treatment as in- halations of medicated steam, yet it. does but little good because it does not reach the deeper parts of the lung. Y/here there is a hard dry cough and no discharge we should attempt to increase the secretions. Give ammonium chloride, squills or turpentine. Apomorphine is the best expectorant for dogs, V^O to /s of a grain three or four times daily. May be given to a horse but is too expensive. Tartar ernetic is used for a horse in doses of from /2 to 1 dram as an electuary. This is the old treatment, but not so much used at the present time. VAiere the cough is irritant or painful it is well to give morphia. Morphia in bitter almond v/ater is good for a dog. If the temperature is high it may be lowered by a cold . bath, or antipyrine 45 grs. every four hours until the effect is obtained* Be careful not to reduce the temperature too much. Should reduce not more than tv/o degrees, and if the temperature rises again the treatment can be repeated. Give digitalis if the heart is weak. Quinine is also good as it is a tonic to the intestinal tract, especially indicated where the disease has advanced to a bronchial pneumonia. Digitalis will lessen the danger of oedema of the lungs. If this com- plication does rise give ammonia, and. if not too weak it is best to bleed. CHRONIC BRONCHITIS. CHRONIC BRONCHITIS:- Is frequently a result of the acute form, yet it may develop Independently. An improper treatment of the acute form is the usual cause, sometimes may be due to other diseases as chronic interstitial pneumonia, emphysema, tuberculosis, etc. (99) ALTERATIONS:- M. m. is thickened, blood vessels are dilated, epithelial layer is thickened and covered with mucous and pus, occasionally an ulcer is seen. SYT^tPTOMS:- Temperature is not so high as in the acute form, heart rapid, cough, respirations somewhat accelerated, depression, weakness and a disinclination to v/ork, loss of appetite, emaciation, hair harsh and skin tight. Chronic laryngitis is excluded by an examination of the larynx. On auscultation sybilant, sonorous sounds and rales are heard- These are permanent but congestion may cause them to disappear after five or six hours. Dullness on percussion is not great, and the symptoms are not increased usually by \vork- TREATlffiNT : - Give stimulants and tonics. PROGNOSIS:- Not good. Can be cured but takes a long tim.e- Arse- nic is very valuable in the form of Fowler's solution or_ arsenious acid~. Can be mixed v/ith Glauber salts or given in a ball. A dose of Fowler's solution is 2 drams three times daily. Arsenious acid 3 grains. Inflammation of the bowels is the therapeutic limit. It is said to have a specific ac- tion on the epithelium lining, the bronchial tubes and air cells. It may be used with turpentine, oil of tar, oil of amber, etc. Care should be used in feeding as it frequently accompanies or follows heaves. Avoid bulky food. Moist inhalations are not useful. Intratracheal injections are worthless also because the fluid will not reach the smaller bronchioles. HEMORRHAGE PROM THE LUNGS. It is often seen. All forms of lung diseases predispose. May occur independently as by over exertion or hypertrophy of the heart. Results from a rupture of blood vessels. SY1,1PT0MS:- Discharge of blood from the nose. Is usually mixed with air and appears as red foain. If from large bl.ood vessels it flows in a thick stream. Violent cough, dyspnoea, head extended breathes rapidly, m. m. becomes pale and dies in convulsions. TREATMENT:- Not satisfactory, especially if from large blood ves- sels. Apply cold water externally to the chest- as it lowers the action of the heart. May give ergot, tannic acid or plumbi-acetatis but the value is doubtful. Inhalations of vapors of Monsell's solution are recommended, but has not been proven useful. PNEUMONIA. PNEUMONIA;- One of the most frequent diseases tliat we see next to colic. It has been classified in many ways, viz:- 1. Croupous or fibrinous. 2. Catarrhal. 3. Hemorrhagic, if air cells contain blood. (100) 4. Purulent. 5. Gangrenous if cells contain pus. 6. Caseous (tuberculosis). These are all of very little interest to the clinitian as they cannot be diagnosed during life. The diagnosis of lung diseases is the most satisfactory of any of the internal organs "'^'ith the exception perhaps of the kidney. Por diag- nosis as to area v;e have the following classification: - (A) Lobar, whole lobe affected. (E) Lobular, lobule affected. (C) Lliliary if but a very small area affected. (B) Interstitial ^jvhen m. m. is exempt from inflammation. (E) Interlobular- As to causes v.'e have:- 1. Infectious, germ. 2. Sporadic, not due to germ. (a) Glanderous pneumonia. ( b ) Tubercular pneumonia. (c) Actinomycotic pneumonia. 3- Traumatic. 4. Verminous in sheep. 5. Inhalation pneumonia as from gases. 6. Metastatic. As to extent and virulence we have:- 1. Benign if slight. 2. Malignant, severe virulent course. 3. Abortive, very rapid and recovers in a few days. 4. Ephemeral if still shorter- 5. Regular if it runs a regular course. 6. Erratic if irregular course. 7. Typhoid if much depression with it. Many of the before mentioned names might be applied to the same case. Simplest classification is:- 1. Croupous. 2. Catarrhal. 3. Traumatic. 4. Mycotic. 5. Interstitial. 6. Metastatic. CROUPOUS PNEUMONIA (Fibrinous). Inflammation of the lungs accompanied by exudation in-to the air-cells of a croupous material. It is a disease of all animals but seen more frequently in some animals than in others. It is the chief form, in the horse, ox, sheep, but in dogs catarrhal is the more frequent foriTi. ETIOLOGY:- Same as acute bronchitis. Oedematous pneumonia is sometimes called influenza but in^roperly so. It is very similar to croupous pneumonia but the latter is not infectious or if so only very slightly. Also caused by exposure and (101) overwork- Very often follows congestion of the lungs. There is a croupous exudate into the air-cells chiefly fibrin. There are four stages: - 1- Engorgement. 2. Red hepatization. 3. Grey or yellow hepatization. 4. Resolution. ENGORGElffiNT : - Usually lasts One day. Violent congestion in the lower part of one or both lungs. May be general and affect all of one lung or both lungs and then runs a rapid course. Vessels are full and there is exudation of fibrin into air passages then coagulates and we have red hepatization. Lung is hard and solid like liver, this lasts two days and then grey hepatization cornraences- In second stage the lungs are solid and sink in water. On pressure we do not get the crepitant sound. Doughy and pits on pressure. Section is red and granular due to plugs of fibrin projecting above cut surface. In third stage lung has grayish yellow appearance due to contraction of vessels so less blood and also fatty degenera- tion of fibrin in air cells and this helps to make yellow color- More oedema 1-n connective- tissue than in second stage. Lung also sinks in v/ater- Gut surface is granular but not as distinctly so as in the second stage. Lasts for variable length of time, two-six or even seven days. When softening occurs and plugs seem fluid fourth stage has commenced and this is absorbed or throv/n off- Lasts four days to two weeks. It is short in a strong animal out if the disease is violent or affects a young animal it may last long while. Resolution' is usually complete when all the exudate is removed and the lung Is normal again. SYMPTOMSr- Gome on suddenly in a few hours can see depression, chill and then rise of temperature, (much like an infectious disease) . Plrst 103-106 degrees, rapid pulse, depression, dullness, loss of appetite, respirations rather rapid and chiefly costal m. m. injected and eyelids slightly swollen sometimes. PERCUSSION:- Tympanitic at first and in a few hours have dullness, commencing. AUSCULTATION:,- Increased murmurs for short time only and soon crepitant rales are heard. Later vesicular murmurs are lost. Larger tubes are open and solid lung conducts sound so bron- chial murmurs are very distinct. Percussion gives complete dullness. In the third stage v/e have tympanitic sound and mucous rales less distinct and soon disappear. General behaviour depends on degree of the case. If it is a slight case the animal may not appear very sick- If it is extensive then the animal stands with legs apart, respirations rapid and costal, (102) head extended, nostril dilated and breathes twenty to forty times per minute. Stands persistently, if he lies dov/n it is a sign that the animal is much better or else T/ill die soon from exhaustion. crRI?=!lS:- In five to six days and fever gets higher j declines and improves or gets worse rapidly. In a strong animal recovery usually takes place in from ten to fourteen days. The animal is then -well and lungs normal. Irregular cases may disappear in a few hours. The lungs may clear up and get ^'■ell, (rare). There may be oedema of the lungs and the animal v/ill die of asphyxia or gangrene may occur from shutting off of circula- tion. We then have increase of temperature, great depression, yelloT/ discoloration of the m. m. of the eye, ^^hile the m. m. of the nose will be red. Foetid 'breath and death is the result. Heart failure may be the cause of death. Tliis occurs slowly and can be avoided by stimulants. The heart will only stop after excessive worlc for a long time. Sounds are me- tallic, short, pulse rapid and weak. It is the most cora;-non cause of death in pneumonia. Other cases result in chronic inflananation of connective tissue, epithelium causing so- called broken wind, etc. PROGNOSIS:- Usually responds to treatment, 10^ die. DIAGNOSIS:- Catarrhal commences as does bronchitis, (slowly) pre- . ceded oy cough, but in croupous pneuiiaonia cough is rarely heard but if it does occur it is small and T/eak. In catarrhal pneumonia there is a smaller area affected or several small areas. In CROUPOUS pneumonia there is complete dullness on per-cussion whereas there is a tympanitic note elicited on percussion in catarrhal pneumonia and mucous rales occur at the height of the disease. In PLfiURISY the respiration is abdominal, there is at first a friction sound which disappear:s later in the disease, there is dullness on percussion bounded by a straight line, not so in pneumonia. Oedematous pneumonia is an infectious, disease hence tZae importance of preventing the spread of this malady. The diagnosis is vague and cannot b.e made from one case, but if a number of cases in the same locality are affected at the same time the diagnosis is easy- We have in oedematous pneumonia greater discoloration of the m. m. The m. m. may be yellow, mahogany or light brown in color, often showing petechia. TREATMENT:- Keep up the strength of the animal by food and the best of care. The animal should be placed out of doors if possible under cover where he should be blanketed or at the end of a stable near a window where there is plenty of fresh air. He should be kept quiet. As the appetite is fickle it should be tempted with scalded oats, bran, etc. Chopped feed or even corn. Carlsbad salts should be given to stimulate digestion. Cold water treatment should first be tried. The chest should be bathed with cold water every five or ten minutes or a hose run over the thorax. It i^ rarely possible (103) to do this in stables. If the temperature be excessive attempts should be made to reduce it by cold water tlois fall- ing antifibrin or antipyrin in doses of tvrenty to forty grains every t^wo hours until the temperature is normal should be given- The latter treatment should only be used in the case of hyperpyrexia as these drugs tend to weaken and depress the animals Hov/ever the depression is not as apt to be fatal as the excessive high temperature. Commence in all cases with digitalis, small doses at first one dram every three or four hours or if the pulse be very weak increase to half an ounce. Quinine as an antipyretic is useful. Alcohol should be ad^ . ministered in small doses. When resolution begins diuretics are indicated. If tlie disease be severe and the animal's breathing becomes very rapid and distressed mustard should be used to prevent oedema of the lungs and the temperature must be promptly reduced. Use mustard and hot v/ater or oil of mustard and alcohol (very disagreeable to apply but acts quicker). The elbov; should be greased with lard or eosmollne on the thin skin so as to cause as little inconvenience as possible. It may be applied to the skin or smeared- on paper and then cover -with blankets. It is v/ell to walk him slowly so as tb prevent him from lying down. Allow the plaster to remain from forty to sixty minutes but on a draught horse it may remain on for several hours allowing it to dry there when the mustard may be brushed off. In an hour after removing paper no oedema is noticed the plaster should be re-applied and allowed to remain until oedema is noticed. Oil of mustard and alcohol six parts in a hundred may be used on a sponge. This will be found to have a quick action. Y/liere pleurisy is threatened mustard should be promptly used as a counter irri- tant. If gangrene is suspected inhalations of crebline are indicated. As the appetite is lost we should feed the animal arti- ficially. Drench with milk and eggs or balls of oat meal and eggs. When resolution occurs potassium iodide should be given. In a good horse this should be kept up from six weeks to three months. In a common horse one ounce will usually suffice. CATARRHAL PNEUMONIA (Lobular Pneumonia). Characterized by exudate of catarrhal material in the air cells known also as Broncho-pneumonia. The alterations are in bronchial tubes same as bronchitis. Chief cause is an attack of bronchitis. It is the most common form in the dog. Often complicates distemper. It is seen in all the species in young and old also calves and lambs. It is the usual form affecting emaciated subjects. Also results from long recumbent position. Hypostatic pneu- monia is a catarrhal pneumonia. (104) ALISRATIONS:- Catarrhal material in the air cells, little senjca leucocytes, pus cells also epitiielial cells. Fibrin is ffiOt coagulated. The disease is confined to scattered Irregular patches in oae or both lungs, and called lobular pn^etunonia. The affected area may be very small and is then called Miliary Catarrhal pneiMionia. If cut is made into lung of catarrhal pneumonia the surface is roug;.;, but not so rough as in croup- ous pnetomonia. There are no distinct stages in this disease, all portions show the same age of disease. When the lesion Is fresh it is quite red and then becomes lighter. Tissue sur- roujiding the diseased part is congested around which a dis- tinct red zone is seen. It is frequently followed by indu- ration and hardening and often by congestion. symptoms;- Like acute bronchitis and begins as sucli with the identical sjmiptoms after which the other symptoms develop. Elevation of temperature, appetite lost, respiration accel- erated, cough short and painful, depression. PERCUSSION:- Dullness' in localized areas may be so small as not to be detected. Sometimes tjniipanitic sound on percussioni AUSCULTATION:- Pine mucous rales, crepitant rales and later as cells become filled and larger mucous rale or there may be complete silence and no sound wiiatever. Does not run a regu- lar course, two to three weeks. May end in chronic inter- stitial pneximonia, emphysema, necrosis or may die of suffoca- tion from oedema. PROGNOSIS:- Usually not so favorable as croupous pneumonia. Fre* quently develops into chronic pneumonia. Weak and young animals are the most susceptible. Most common form is that which affects dogs in distemper and is fatal in about 75Jj of cases. In ox and horse it is not as- serious as in dog 2"5~3oX die. DIAGNOSIS:- Easy. Sometimes difficult to diagnose from capillary bronchitis and croupous pneumonia. Course of disease is an important point. It is preceded by an attack of bronchitis and cough. 'vVhile croupous pneumonia (Commences suddenly and no cough. Capillary broncMtis is diagnosed by^the greater severity of the sy:nptoms and accelerated pulse while the fever is not so high in pneumonia. No dullness on percussion, aus- cultation gives' vesicular murmur in capillary bronchitis. TREATIvlENT : - Similar to bronchitis. Stimulatei Keep temperature dovm. Inhalations are important. Mild expectorants in small doses and then stimulant expectorants. Also heart tonics as digitalis, strophantus, caffeine, alcohol. Antlpyrln and cold water on chest. In dogs apomorphine will be found very valuable. V/hen animal commences to recover give potassium iodide, good care and careful feeding. (105) TRAUMATIC R MEDICINAL PNEUMONIA. Caused by fluids passing Into the lungs through the lar- ynzc from careless drenching; also occurs in cerebrospinal meningitis and milk fever of cow. PATHOLOGY:- Mixed. May cause croupous, catarrhal or necrotic. May find all forms in lung at one time. SYl'IPTOMS:- Resemble first symptoms of Catarriial pneumonia. Comes on slowly. No sudden chill or fever. Confined to the anterior and inferior part of lungs. Accelerated respiration, mucous rales and then silence in affected parts. No tendency to recover- Usually v/ealoies-s follows, staggering gait; rest~ -" lessj feeble, rapid pulse, complete loss of appetite. M. m. yellov; or mahogany. Pulse •//aalcer, respiration more rapid, corna and at this stage the breath is of a sickening odor, putrid and foetid, which can be smelt for a distance, due to gangrene. Pollovyfed by death. DIAGNOSIS:- History, paralysis of tiiroat, severity of symptoms of pneujnonla, foetid breatli. Be careful in making diagnosis of traumatic pneumonia from the 'breath alone, as a necrotic tooth will give the same odor. Examine teeth, nostril and mouth in all suspected cases. PROGNOSIS:- Very, bad. Some cases recover, but the irritant re- mains in the lung. If it is not very violent and the Irritant is soluble the animal may recover. TREATMENT:- Same as for Catarrhal pneujtionia. Stimulants and antipyretics. Mustard to the chest and inhialations of creo- line. MYCOTIC PNEUMONIA. Due to grov/th of fungi in the lungs. Chief fungi i;. uhe "Aspergilus fumigatis"- Most frequent in fowls. Described -^as epidemics in some districts. It is a nodular pneumonia confin-ed to small areas may be numerous or rare from millet seed to a pea and even larger. MICROSCOPICALLY:- We see zone of hard fibrous tissue. In the centre a mass of caseous tissue and a large mass of fungi and spores, surrounded by a red zone. Nodules resemble those of glanders. Not understood where the spores come from but the supposition is that they come from the food. SYTilPTOMS : - Like Catarrhal pneumonia confined to small areas. Has a chronic prolonged course like tuberculosis. It v&ry much resembles tuberculosis in horses and cattle. Accurate diag- nosis cannot be made without the use of the microscope. PROGNOSIS:- Unfavorable but not hopeless. Antiseptic inhalations may cure, also givj stimulants. {.3-^6 ) INTERSTITIAL P N E U M IT I V Chronic Pneumonia} Obronie inf lariiinatlon of interstitial connective tissue follov;s other lung diseases especially capillary brsncihltrs. ALTERATIONS ; r- Proliferation of connective tissue betxifeen lo'^ules which is thick and strong. S'^l.tPTOMS : - Resembles clit'onic EroncliO-pneumonia with emaciation. Elevation of temperatiire ^ accGleration of respiration and pulse. T2.1npan.Ltic and absence of murmurs in small areas. Rapid emaciation resembling tuberculosis in cattle. In horses we may suspect this form of pneiiinonia as tuberculosis don't occur frequently. PROGNOSIS:- Unfavorable, small per cent get v/ell. TREATJiENT:- Absolute rest. Stimulants, expectorants and potassium iodide. Heart stimuJ.ants= Must be continued for a long tim.e. METASTATIC P N' E U M N I A . Results from diseases in other parts of the body, as abscess, tto'^ombi, etc. Sometimes emboli are carried to the lungs, lodge there and develop metastatic pneumonia. Pus also may be carried to the lung and lodge there. Teiminates in Pyaemia. Eifficult to diagnose unless there is an abscess or tiirombi, stc» as vre may suspect pyaemia from this cause. SY&/IPTOMS:- High fever and chill, dyspnoea, intense cough and pyaemia may follow. TRJL^TIvtENT: - Same as gangrenous pneumonia. Stimulants, antiseptics and antipyretics. .E M P H Y 3 E M A (Heaves). Is an overfilling of the lungs with air. Sometimes simply a distention of the lungs *by the air cells 'being too full. In other cases the air cells are riiptured and air escapes into the interstitial connective tissue. These two form.s are knov/n as simple and interstitial emphysema. Usually result from forced inspiration. If the texture is altered the forced inspiration does not have to be so excessive in old . animals. Where the cause operates for a long time and the dis- ease develops slo\7ly it caiises a distention of the air cells. The disease usually results in ]riard v/orking animals — those that travel at a rapid gait. Seen often m hunters. He fills his j-ungs with air, c-loses the glottis and does not breathe again till he lights on the other side of the fence., and the sudden stopage forces the air out and opens the glottis. SYlklPTOMS:- Alterations are seen chiefly in expiration. Breathes more rapidly than an animal with sound lungs because the capil- laries are stretched and this brings about an atrophy- They become smaller and not enough blood is exposed. Heart is hypertrophied, but this is scarcely detected except r » » » aiiscultatiom It is louder and on percussion there is an increased area of dullness. Natural sounds of the lungs are increased in intensity. Bronchial and vesioular murmurs are increased. Dry and rnoist rales (bronchial). A horse with heaves is said to be short winded* TftSAiMiSNT : " Not satlsfaetery* 3f§§d aarefuli^ Qn soneentrated food. Cut hay and plenty of grain* Moisten the food with molasses as it is t3Qth expectorant and laxative. If bronchitis accom- panies heaves treat it accordingly. Give arsenious acid be- cause it aots as a tonic and respiratory stimulant. Give 1 to 9 grains a- gay mixed with sodium of some sort in the feed. F L i; U R I S Y , Inflammation of the pleura, Any part m.ay become in- flamed. Due to many causes, as chilling, exposure, etc. V/hen from these causes it is called Rheumatic Pleurisy. In some cases as lambs and calves it seeiTis to be infectious as it arises in a number at one time from, no cause. Pneumonia Is the most frequent cause. May also complicate croupous, catarrhal or oedematous pneumonia. I-.iay result from tumors in the mediastinal pleura, or lesions of oesophagus, extension of inflammation from the pericardium, may be traumatic as from from blows. Pleurisy is usually divided into tv/o classes, viz:- 1. Dry Pleurisy (or Pleuritls Sicca). 2. Hoist Pleurisy or exudative. In dry Pleurisy there is but little exudation and no fluid. .EXUDATIVE PLEURISY:- More fluid and exu.dation. ALTSRATIONS : - Blood vessels are overfilled and distended, slight thickening due to oedema of the subpleura and it then becomes cloudy, then a collection of fibrin on the sides of the pleu- ral cavity. If the trouble stops at this point we have a so- called Dry Pleurisy. The blood vessels foi'm loops, the convexity of which points toward the surface, fibrin is tlir-own out and. sometimes forms adhesions and prevents expansion of the lungs. Dry pleurisy is not so common as the moist form. After the shreds collect on the pleura serum escapes from the blood in large quantities. 20 to 50 quarts have been removed from one horse or ox. The exudate is first yellov/ and then becomes clouAv. Sometimes it contains shreda of fibrin. Leucocytes, endothelial cells and blood are also found. May become mixed with pus, is then called suppurative pleurisy. This is not coiirnon but is met v/ith in gangrenous pneiamonia or when due to injury where the thoracic walls are perforated. If the dis- ease terminates in recovery the exudate is reabsorbed in about two weeks after it is thrown out. This part is first taken up and then the fibrin. (108) Pleurisy usually leaves some trace' as thickening of the pleura or fluid known as hydrothorax. The lungs are somewhat altered usxially the same as In pneumonia. The lungs are com- pressed so that the air is forced out of a portion and causes the so-called airless lung or atelectasis. The heart muscle is pale, soft and friable aad frequently, hyper trophied. SYlvlPTOMS:- Pleurisy usually comes on suddenly. Temperature 105 to 106, pulse rapid and weak, 75 to 100 in a hoi'se, respira- tions accelerated. Chiefly abdominal . On each expiration the animal moves the abdominal muscles a long distance, stands with the front legs wide apart, anxious expression, respiration may be so violent as to cause the whole body to swing forward and backward, great depression, pressure causes pain, percussion in the beginning reveals nothing, later there is dullness in the lower part of the chest bordered superiorly by a straight line. Auscultation shows rapid breathing, later friction sounds and after exudation has commenced we can hear a splashing sound. In the depressed area the vesicular murmur is weak and is sometimes crepitant. Urine in the beginning is lessened or suppressed; later it becomes more natural and. where reab- sorption coiimences is enormous in quantity. Usually runs an acute course, two to three weeks. Terminates in four or five days in death, occasionally due to exc-essive temperature, heart failure, septicaemia or pyaemia. May become clironic and will last for months or years and be either the dry or moist form. PROGNOSIS:- Is unfavorable. More so than in pneumonia but in man it is the reverse. DIAGNOSIS:- Diagnosed from pneumonia by abdominal breathing. Different auscultation and percussion. In pleurisy there is no discharge from the nose as there is in pneumonia and runs a less regular course. TRI:ATIvISNT : - Must be heroic. If found eai-ly irrigate the chest as in pneumonia. Apply mustard, temperature must be reduced, give antipyrin. Heart must be kept strong. Give diuretics such as digitalis, but this is not a sufficiently active diioretic, so combine it with acetate of potash. In older cases give stimulant diuretics as oil of wintergreen, turpen- tine or the balsams. French veterinarians use calomel- It has a beneficial action on all serous membranes, chest should also be rubbed with mercurial ointment. To hasten absorption give pilocarpine 1-/2 to 3 grs. subcutaneously. For -a dog VlO to -^/s gr. by mouth. A Priessnltz bandage is good. Do not irrigate or put mustard on the chest of a dog. Operative Treatment:- Puncture with a capillary trocar and remove the fluid with an aspirator- This treatment is not advised only as the last resort. The indications for this treatment are : - 1. To save life. 2. Excessive quantity of fluid in the chest. (-109) 3. If exudation is considerable and has been present Tor a long time causing the animal to become weaker and T/eaker from the exudation. 4. If suppurative should then puncture at once. METHOD OF PUNCTURING."- Disinfect the place to be punctui-ed thor- oughly, puncture v/ith small trocar and puir.p out with small aspirator. By tliis method air can be prevented from entering the chest cavity. There is but little danger in doing this operation. Do not- puncture in front Of the .fifth rib on account of the heart and not too close to the floor of the thoracic cavity because it frequently contains fibrin and this is apt to clog_the canula. Sometimes the puncture must be repeated several tlm.es. Some veterinarians advise irrigation- after making the puncture but this is not good treatment. INPECTIOUS DISEASES. An infectious disease is one comiimni cable from animal to animal. Usually, however, it is due to bacterial infection but this does not seem rational. Contagious d isease as Rinderpest, Foot and Mouth disease, Influ-enza, Distemper, Smallpox, etc. Liia smatic as jlal'-'.rlL;, Cholera, Texas Fever, Anthrax, etc. Contagio -- miasmutic Di s temper - DISTEMPER OF HORSE. (Colt Di s t empe r . S tr angl e s ) . It is an infectious catarrli of upper air passages espe- cially of nostril accompanied by suppuration of the lymph glands due to a streptococcus which is found in the discharge. If the germ is inoculated into healthy colts the disease will develop. It is a contagio-maasmatic disease and so is carried by direct contact or germ may lie dormant in stable and after many months the disease will manifest itself. It is confined to solipeds and cannot be inoculated in other animals. Youth is a predisposing cause but does affect old animals. One ease on record of an animal 24 years old having been affected and recovered. Other predisposing causes are debility, catarrh of respiratory tract, poor ventilat.ion, raw weather as in spring and fall. It is a very common disease in dealers stables and stock fa^r-ms where young horses are kept for sale. Disease is prevalent in all countries e::cept Iceland, as the disease probably was never introduced there. Infection takes place tlxrough the m. m. of the respi- ratory tract. Germ is inhaled, lodges here, m.ultipiies and penetrates the m. m. v/hich causes the disease. Likely that the products are carried into the blood from the first inocu- lation and later they are absorbed by the l^Anph glands as in first stage there is very high fever from the products in the (110) blood but later the temperature falls and thfij iytnph channels become injected. Period of incuoation is fi'-om four to eight days after exposure. SYllPTOMS:- Sudden rise of temperature IO0-IO6 degrees. Rapidity of heart is not in proportion to the high temperature as in most diseases 1 Pulse is from 50-60 showing tlrnt the blood is normal and heart is nourished properly* Nasal Catarrh soon develops. Pirst sero-mucous and then purulent material is discharged from' tlie nose. Cough, tender throat, appetite impaired, respiration slightly accelerated and a little de-. pression. Later these symptoms become more pronounced, apper? tite is gone, more depression. Intermaxillary glands are sv/ollen, painful, and often hot, and is due to beginning suppuration of these glands. From the 10th-14th day thlg s^yelling 'becomes more marked and the TJhole region becomes puffed up which soon fluctuates, breaft:s and discharges fhiclc, creamy pus. Temperature then falls, appetite comes b^elf, nasal discharge lessens, etc. Sometimes v/e may have compli- cations v;hlcii are serious or slight. 1. Pharyngitis. Often seen in distemper. Thrqat is sivollen, tender, cannot sv/allo'vi/ and post pharyngeal aljscesses may be present. 2. Catarrh of lov/er air passages j trachea, lafynx and broncliial tubes. 3. Sinuses and guttural pouches may be involved. 4. Conjunctiva may be affected and may take on a severe form. 5. Cutaneous abscesses may be seen on the back, side, thighs or anywhere. They are small, (cherry size) and some- what resemble glanderous abscesses. 6. Catarrlial pneumonia. 7. M. m. of respiratory tract may have chronic catarrh, especially nose. 8. Septicaemia or pyaemia and this proves fatal. PROGNOSIS:- Good .but varies in some regions. Also depends on strength of the individual. Out of 2200 affectecL 19 or ^ /2 of Vfo died. Fatality is usually "^AX- TREATI'.IENT: - Of a regular course is very simple. Pure air and liberty in box stall. Keep clean, green and soft food. Open the abscess as soon as formed. Internal medicine is not required. Priessnltz bandage applied to the throat to hasten suppuration may be useful as these glands alv;ays suppurate. Abscess should be opened as soon as suspected even before pus is present as this prevents metastatic ^abscess forming as pus is discharged and not absorbed. Avoid tlie arteries in opening the abscess. Make the incision only through the skin and bore a hole v/ith closed scis:;ors to the gland and allow pus to escape. If there is much discharge from the nose it is well to steam the animal. As the appetite is poor and to prevent catarrh give Carlsbad salts. Complications should be treated as they arise. cm) V INFLUENZA* Too often diagnosed. Tetmi. is used as a dumping ground, The disease should be divided into three classes, yi^;r 1? :3calma. 2. Influenza, g; Oedematous Pneumonia. 5 G A L M A . Is a peculiar disease of solipeds not often spen. There is great irritatDility of the larynx. Resembles whooping eough of children; Was first recognised and described by Dieckerhoff in Germany, aiid by Huidekoper in this country. Temperature is often as high as 106-107. Pulse rapifi and respirations are aqcelerated. No depression is one characr teristie symptom even T/ith the higii temperature: Seems to be exgited and more active tlian normal loss of appetite. Bjle- quent, spasmodic cough; Temperature falls in a fev; days and leaves a cough and the animal in an anaemic condition with loss of appptite and a little excitement. M. m. pale, horse Ig weak and rapidly emaciates. ALISRASIONS; - Are indefinite. Hyperaemia of the air passage &^&. of the digestive tract; These are the, 'only lesions but the disease has not been studied carefully because it is not oft'^n fatal.- Sometimes the anaemia is intense and the animgl dies fKom emaciation. Blood is deficient in red blood corpuscles, -white corpuscles are numerous and the organs are pale. TREATMENT:- Mild expectorants as aiiimonium chloride. Give moypiiia to quiet the excitement; Later give tonics especially i]?on. PRpGNOSlS:-"js good/ INFLUENZA "PROPER. Is more often seen th^n scalma and. is supposed to be commen. STNDiTYJAS:- Pink eye, epizootic and by the Preneh as typhoid fever because there is so much depression and fever- This is vague and also applies to many other diseases. There is no relation between it and typhoid fever in man. Is found in all parts of the world and in all seasons, but is more common some jfears than others. In 1873 there was a severe outbreak in this country. About 75^ of all of our horses were affected. It nearly suspended business. In 1883 there was an outbreak in Europe. These outbreaks have occurred every ten or fifteen years for centuries. It is by no means as common as it is supposed. It is rather a rare disease. It is sometimes diagnosed as an intestinal, pulmonary or hepatic pneumonia, etc. It is an infectious disease but the infectious prin- ciple has not yet been discovered. It is supposed to belong to the animal kingdom and due to a protozoan. This is only (112) reached by exclusion. The principal cause can be carried by the v;lnd. The outbreak in 1873 ^:pread most rapidly in the direction of prevailing winds. Can be carried by stable utensils, therraometex' and clothing oi men» One attack confers immunity. Period of incubation Is froin four to seven days. SYIIPTOMS:- Depression. Animal sleepy a>id sluggish, no appetite, elevation of temperature, m. m. are injected both of respi- ■nation and digestion, breathes rapidly, pulse rapid, sometimes 50 to 100 per minute^ Eyelids red and svollen. Next fiay there is more depression, m. m. redder, pulse more rapid and v/eaker, respirations faster, legs more stocked and looks much sicker- Third day there is profound depression, head down, eyes s\vollen and closed, respirations accelerated, appetite lost, staggers If moved, sometimes tT/itching of the muscles, sclera is yellov/ and conjunctiva mahogany colored., sometimes constipated, little colic, manure In small balls and covered with mucous. Depression and high tem.perature continues, some times diarrhoea, urine acid and contains albumen. Swelling of the legs is pronounced. Slight catarrh of the respiratory tract. Symptoms last from six to ten days and then usually makes a good recovery but may have various complications. Does not airways run a regular course,. Some of the complica- tions are pneum.onia -- most common --It comes en sudd3nly after the animal has been sick eight or ten days. It is the croupous form and a large area of both lungs are affected. 2. HEART ¥/"£AKNE3S -- Due to a change in the blood and improper noarlshment. It gets -^eol^ , there is a cloU'-'iy swelling and the animal dies from heart failure. 5. CEREBRAL DEPRESSION -- This to a certain ext3;v£ is a constant symptom- The function of the brain is lost and becomes paralyzed and is followed by paralysis of other por- tions of the Dody and may die in a comatose state. 4. DIARRHOEA -- This complication is serious from the exiiaiistion produced^ 5" FOUNDER -- Partly due to the continuous standing as in pneiomonia. The etiology is net underst,ocd. Is supposed to be a mstiistotlc lammitls but this term does not express the, conditlon- ALTERfVTIONS : - The chief trouble is' in the bloo.l The red blood corpuscles become peoullar-ly altered in shape, the edge's are serrated and 7;avy- The haem.oglobin is dissolved and when allowed to stand the buffy coat does not form as in healthy blood. This fact leads us -to believe that the trouble is due to a protozoan. There is congestion of the' m.. m. of the digestive tract and this causes the' diarrhoea. There is hyperaemia and oedema of the m. m- of the respiratory tract. A transudation of serum beneath the membranes of the brain and spinal cord and into the aratanoid spaces and ventricles. (113) Secondary alterations are sometimes not due to alteration of blood combined with the high temperature, cloudy swelling Oi the heart, kidneys, liver cells may degenerate and ecchymot- ic spots may be seen on the spleen. Skeleton muscles may be soft and friable, light colored, due to cloudy swelling. Lymph glands swollen especially the bronchial and messenteric. PROGNOSIS:- Is variable. Depends upon the outbreak. Dieckerhoff treated 1700 cases, and lost only 4^ but tliis is low. Some outbreaks as low as 1^ or as high as 20/o die. The complica- tions alter the prognosis. Usually 5 or &fa die. DIAGNOSIS:- Is easy. Symptoms are pronounced. Depression, high temperature, pulse rapid, yellow mahogany m. m» , legs swollen, staggering gaft, conjunctiva swollen. This combination of symptoms are found only in influenza- Sometimes these symp- toms are less marked it is then not so easy to diagnose from oedematous pneumonia or severe .croupous pneumonia, but In these there are lung lesions that c-an be detected by percus- sion and auscultation, yet if pneumonia is diagnosed v/e cannot tell positively whether it is the primary lesion or a com- plication. If other animals are affected in the same manner it helps us. TREATMENT:- Mild cqises with good air, care and clean food, usually terminate favorably. But usiially is more serious, high tem- perature, etc., so treat to prevent complications. Excessive temperature is often most important. May reach 106 or 108 and must be reduced at once by injections into the rectum, cold packs to the thorax, or can use antipyrlne, etc- Stimu- late the heart, it may be rapid and we-^k and pulse cannot be felt. Give tincture of digitalis 2 to 3 drams every 2 or 3 hours until a result is obtained. May give camphor and alcohol but' it is irritating so is best given siibcutaneously. Give one dram of the spirits of camphor in olive oil. An abscess may follov;. Caffeine is also good. After the tem- perature falls and the heart is not so weak give alkalies as Carlsbad salts to improve the appetite, etc. May give four or five ounces three times daily and continue until the faeces become soft, then diminish the dose. Treat the eye 7/lth warm antiseptic packs 1% creolln kept constantly on the eyes. Treat the complications as they arise. OEDEMATOUS PNEUMONIA. Is a very old disease, was described by ancient writers. Was thought to be pulmonary influenza and is so considered yet by some veterinarians. Was first recognized by Dr. Diecker- hoff. In this country was described by Dr- Huidekoper- The disease is not well named, because there is not always an oedema of the lungs. In some cases the lungs remain perfectly normal. It Is a general disease but is often accompanied by rneumonia anr^ there is oedema. In 117 cases 27 had no lung (114) leiBions. The disease is caused Dy an oval -paeteria with blunt ends and looks like diploeoecus. There ave ugiially two together -- diplo-bacteria -- found in tl:e na^al discZaarge, In hepatized lung, liver, spleen and' kidneyi It is carried by the blood, but has never yet been seen in it. It is stained by methyl blue or gentian violet, grqws in gelatin iteadily and its gro^vth- is characteristic. Germs grow as rround colonies at various points and do not liquefy gelatin when grows in bullion, sinl\"s into the body of ths fluid, upper part bein^ clear and transparent. ?^of. Shuet?:; wn TREATMENT:- Do not interfere with temperature even if it is 106° (unless very dangerous) because it runs a regular course as all infectious diseases do. The germ forms ptomaines, etc. in the blood v/hich poisons the germ as this production con- tinues there is enough to kill all the germs at the crisis of the disease. Ptoiiiaines are then removed and health returns. If the temperatui'-e is allowed to remain high there are more ptomaines formed and the crisis of the disease is reached sooner than if the temperature is reduced. If the heart is weak and irritable the temperature should be reduced.. This usually occurs if the terapsrature remains high for a few days. Can then use cold water- Antipyrine, antiflbrin or alcohol. The last drug is a good antipyretic and at the same time a heart stimulant. The heart is often weak, especially toward the end of the disease, so should give digitalis in three dram doses a day at first, then increase the dose till one to one and one half ounces per day is given. If the heart becomes slow and full stop the digitalis altogether. May use atropia, caffeine, alcohol or camphor. If depression and high temperature, oil of camphor subcutaneously Is very good. Caffeine makes a good change from digitalis. Apply mustard to the chest also a Priessnitz bandage. Give expectorants after the crisis is reached. If there is any gastric irrita- tion give Carlsbad salts and if constipated give calomel. If the -breath has bad odor give inhalations of creosote or cre~ ' ■ olin. If roaring follows give potassium iodide. If the animal becomes thin give arsenic or strychnia. V/here the disease breaks out in a stable, isolate and disinfect the (117) stalls thoroughly and supply good vent U-ation. In the German Army there is often an outbreak. Temperature of each horse is taken every night and if found "above normal he is isolated. Recently inoculation has been- tried with fairly good results. There are two methods, vlz:- 1st. Pure cultures are attenuated by growing at a low temperature till when injected into mice, they will not die of septicaemia for several days at least or even resist it. This attenuated culture is then injected into the trachea. •It causes a mild attack, and thus immunity is acquired. 2nd. Take blood from a horse that has recovered from the disease. Keep at a low temperature until serum can be collected. Inject 50 C. C. under the skin of the animal to be protected. After 5 days a second injection is made and in one week make a third injection. He is then often immune. These methods have not been tried in this country and are not likely to be as the disease is not frequent enough. TUBERCULOSIS . TUBERCULOSIS:- All of the domestic animals are more or less sub- ject to this disease. Following is the order of frequency: - cattle, swine, sheep, horse, dog, cat. Fowls are not infre- quently attacked. It is very frequently seen in cattle and swine, not so much so in sheep. It is thought to be a differ- ent variety from that attacking other animals = Lesions are much the same., but the bacilli of tuberculosis of fowls will not cause the disease in cattle and vice versa. After the jacilll is established in fowls it thrives well and spreads rapidly. -It must become accustomed to its host. Tuberculo- sis is one of the oldest diseases known recognized over many hundred years ago. The contagious nature was known thirty years ago, the bacilli being discovered by Koch in 1881. It is the most frequent disease of cattle and is very common but how common it is cannot be stated exactly as there are no accurate statistics. It is certain that it is becoming more prevalent i*ii the Eastern states and it is unknown in some Western states. In Germany all animals that are slaughtered are examined for tuberculosis, every case being noted also the origin of the animal. The per cent varies from 10-30^. It is likely that 30^ will be the average all over Germany. The percentage is not so great in the United States as shown by report of steers killed in England being exported from the United States. Partly due to these animals coming from the very far West where it is a rare disease. Out of 1000 animals killed only 2 were found to be tuberculous. Records of Eastern in- spectors show about 70X to have suffered- with the disease, la aome herds Ibfa have been known to be affected and in some (118) herds as large as 90^ have suffered. The latter figures were taken from a N. Yo herd. Other herds on the other hand are entirely free from the disease « Certain breed as the Guern- sey, Jersey and Frisian are said to be most susceptible but this is not positively proven^ Dr- Pearson does not believe in .inaking this statement until it can be positively proven* Channel Island cattle v/ere first brought here in large numbers about 20 years ago. They became very popular and brought large prices — one bull sold for 10,000 dollars before weaned. This caused them to be bred rapidly and metissage was carried on extensively which intensified the weak condition. They were closely housed and so became tuberculous. If other cattle were treated in a similar manner they would be just as susceptible to tuberculosis. SPREAD OP THE DISEASE:-' It spreads by the sputiim, etc., entering by the respiratory and digestive tract. The tubercle bacilli is thrown out by respiratory t'ract, dries and is inhaled by other animals, it also falls into trough or feed box and is often taken in this manner or i^aay be fed in milk. The bacilli may also multiply on the skin. The disease may be ".ongenital although heredity is not a chief cause. In 1,500,000 calves slaughtered in Munich only 10 had tuberculosis. Inherited predisposition is common, and may come from father, mother or both. Sometimes it spreads rapidly. In one herd iqaown to be healthy for 12 years a tuberculous calf was bought and kept in the runway in front of the cows. The next spring eight in a herd of forty died from tuberculosis, and of the balance 19 responded to the tuberculin test. The disease spreads more rapidly in a dirty, poorly ventilated stable as the bacilli are not then diluted. In swine it is more frequent in the alimentary canal due to eating tuberculous food, found more in the East than in the West because here swine are fed on slaughter-house offal. In the West where they are fed on corn the disease is very rare. In sheep the lungs are the most common seat of the disease. In the horse the intestines are the most common seat especially the raesenverie lymph glands. The disease is much more common in horse than was: supposed and is usually due to food or to tuberculous attendants. " The mesenteric lymph glands may become as large as a man's head, and cause death by colic. In dogs may be of lungs or intestines about equally divided, and Is often taken from a tuberculous master. In the cat the disease is very rare. symptoms:- Differ with location or part affected. Lungs should be examined yet a physical diagnosis is hard to make because the interferance with respiration is but slight, no elevation of temperature, appetite good, etc. If wide spread we can detect dullness on percussion and silence, sibilant or sono- rous rales on auscultation and resembles chronic bronchitis (13:91 sonorous rales on auscultation and resembles chronic bronchi- tis or chronic pneumonia somewhat. Skin is harsh and dry. Superficial lymph glands should be examined carefully espe- cially the intermaxillary before and behind shoulder, middle of the escutcheon, in flank, behind last rib in front of the hip. The last named are small in health and cannot be felt but in tuberculosis they look like small lumps. They may be large and yet the animal be free from tuberculosis. Tubercu- losis .of the peritoneum (Pearl disease) is not nearly so common as is generally supposed. Animals that have tubercu- losis should be removed from the healthy ones and the stalls, watering trough, etc. thoroughly disinfected and the stable ventilated. The disease cannot be exterminated by simply removing the diseased animals, even when the best precautions are observed the disease may continue. TUBERCULIN:- Is a chemical product of the tubercle bacillus. A culture is made in beef broth to which is added b% of glycer- ine. This is sterilized by heat and filtered through porce- lain- Is then evaporated to about /lO of its volume over a water bath. It is a brown color and is about QOfo glycerine. In closely stoppered bottles it will keep indefinitely. Ppr use it is diluted with a 1.-/2% solution of carbolic acid in distilled water which has been freshly boiled. Take the temperature of the animal in the evening and about 6 o'clock inject /4 G. C or 4 drops of tuberculin in one dram of the carbolic acid solution. If the cow is large you may inject ■'-/s C- G. or even /lO C. C. but this is the limit. If the animal is tuberculous the reaction should begin in about 6 or 8 hours, but if free from the disease there will be no change. Temperature may rise from 2° to 7°. Principle of the reaction depends upon the fact that tuberculin is a t oxalbimien . In tuberculosis there is always low fever when the disease is advanced due to the formation and absorption of tuberculin. This stimulates the heart centres and as a result the temperature rises. If tuberculosis is slight tuberculin will be formed in small amounts and the temperature remains normal as the disease progresses the animal becomes accustom.ed to this poison and may not caiase rise of tempera- ture, but when we inject a new supply of tuberculin the in- flamed area around the tubercle, due to the tuberculin formed by the tubercle bacillus, is very susceptible and even a small quantity of tuberculin causes an extension of the in- flammation and a rise of temperature. In inflanmation from other causes there will be no rise of temperature, because the fever is not due to tuberculin. Wlien injected into a healthy animal the amount is not sufficient to stimulate the heat centres. In 800 animals examined with tuberculin 280 were killed with what responded to the test and every one was found on post mortem to be tuberculous. It is possible tliat (120) the reaction will not take place if the animal is tuberculous- Dro Pearson has found three such cases but in these minute lesions were foiind which were calcified and surrounded by a thick capsule. It is thought that these cases had made a recovery. These cases are so rare that tuberculin practically detects all cases- One objection to tuberculin raised by stock men is that it is too delicate a test. It is a qualitative test not a qtiantitative. This objection is a poor one because if the animal does have but a slight attack it seldom gets better and we do not know v/hen it may become bad. Tuberculous milk is dangerous to those who use it. Bacilli have been found in milk even when the udder was free from tubercles- We have no positive proofs that people have taken tuberculosis in this manner J but v^e do have good circumstantial evidence- In a boarding school in France several young ladies died with tuberculosis. It was found that these young ladles had been drinking milk from a tuberculous cow. A four year old brother of Harper in N. Y. was sent to the country apparently healthy at the time he left home. He died with tubercular meningitis, A tuberculous cov; was found in the herd from which he drank the milk, Dr- Pepper stated recently that 60^ of children brought to the post mortem table with tuberculosis are affected in the intestinal tract showing that the disease is taken in by the food- 0- (2) -C- Golic Obstruction _____-- 41 & 46 " Prevention of - - V - - - - - 46 . " Rheumatic __---_-- 40 " Spasmodic - - - - - - - -40&44 " Squibb 's Mixture __-__- 46 Swine ---------48 " SjTuptomatic ____--- 34 " Thrombotic Embolic ----- 41 & 44 True __-_---_- 34 " Varieties of --___-_ 40 Constipation _-__-_-- 30 , " in Fowls - - - - - - 33 Collection of Sinuses __---.- 94 " " Guttural Pouches ',■.-;- - - - 94 Coryza --___^_-_-91 Croupous Enteritis - - - - - - - 53 . . Cystitis -_-_---_- 77 -D- Depraved Appetite of Cattle ----- 10 Disease of Digestive Organs of Cattle - - - 17 Diseases of Liver _______ 60 " " Genito Urinary Tract _ - _ 68 Distemper of Horses _______ i09 (4) -G- Gastric Ulcers - - - - - - - - 48 Genito-Urlnary Tract _______ 68 Glottis, Oederm of --____ _ 9S Gastro Enteritis, Mycotic _____ 54 " Toxic ----- _ 58 -H- ■• • Hemorrhage Gastric _-___-_ 49 " Intestinal - - - - - - 49 from Lungs - -,,-,-- - - 99. Hemorrhagic Proctitis of Cattle - - - - 50 Hemorrhoides --'---___ 50 Hepatitis _ _ .. - _ _ _ _ 61 " Interstitial - - - - _ ' .- 62 Hoven - - _ :: _ _ _ _ _ _ 21 -I- Irapaction of Crop --_____ 9 " " 3rd Stomach ----- - 19 . " '■ Rumen -------24 Influenza ------__- m Intestinal Hemorrhage ---___ 49 Intestinal Ulcers - - - _ _ _ _ 4Q (S) -N- Nasal Catarrh of Sheep - - - - - - , , 92 " Gleet - - - - * - - - - ' 91 Nephritis Acute _____--- 73 " Chronic ------- 75 Interstitial - - - - - - .^^ 62 Nose Bleeding -------- 93 " Timiors __-_ __-_-93 >v.*J ■ -0- Oedeito of Glottis ------- 96 Oedenimtous Pneumonia - - - - .- - 113 Oesophagus, Stricture of ------8 -'\^ " Dilation of------ 8 Paralysis -___-_ 9 Oesophagitis __-___-- 7 -P- Parotitis _____--__ 3 Parturient Paralysis _______ 82 Septicaemia -___-- 81 Peritonitis Acute -.-__-_. .,, _ 53 " Chronic ------- qq Pharyngitis -___-__-_ 3 Physiology of Digestion ------ n " " Digestive Tract of Cattle - - 17 / -*"■ (7) Piles ----_____- 50 Pleurisy - - - - - _.- - - 107 ' Pneumonia -______.__. gg " Catarrhal - — - - - - 103 " " Croupous - _ _ -. _ - 100 " Interstitial -___-- 106 " Metastatic _„_-_-- i06 " Mycotic - -. _ _ _ ' _ 105 " Oedematous - - - - - - 113 "" Traumatic ______ 105.' Poisons - - - - - - - - - - d8 By Acids --------58 " Arsenic ------- 59 • Ergot --------59 " Corranon Salt ------ 58 Ptyalism --------- 3 Pyelitis --------- 75 Putrid Sore Throat -^-----56 -R- Respiratory Tract ------- 91 • ■ _ - 97 Roaring 25 Rumenotoray -----."" -S- Scalma ___------- HI - - - - 25 Scours - - ~ ~ (a) Sexual Appetite, .Excessive - - - - - 84 " " Loss of ----- 85 Sheep, V/ool Eating - . -■ - - - - - 10 Stomatitis Catarrhal __-----l " Ulcerous _ _ _ _ -,;,;.i' - '^ Strangles ____--- - 1G9 Squibb 's Colic Mixture _-___- 46 -T- Tu'berculosis - - - - - - -- 117 Tumors of Nose _.^__-. _--93 Tympanitis of Rviminants (Acute) _ _ _ _ 21 "■ " " Chronic - - - - 23 -U- Udder __________ 88 " Oedema of -------- 88 " Parenchymatous Inflammation - - - - 89 Ulcers Gastric - - - - - - - -48 " Intestinal ______-. 48 Urine _____-__-- 68 " Chemical Examination _____ 70 " Retention of _______ 75 -W- Wool Eating of Sheep ______ xo