■«r 58th Congress, ) HOUSE OF REPRESENTATIVES, j Document M Session. j . ■- ( No. 744. U. S. DEPARTMENT OF AGRICULTURE, BUREAU OF ANIMAL INDUSTRY. D. E. SALMON, D. V. M., Chief of BureaM SPECIAL REPORT ON DISEASES OF CATTLE BY Drs, PEARSON, MURRAY, ATKINSON, LOWE, HARBAUGH, LAW, DICKSON, MOHLER, TRUM BOWER, SALMON, SMITH, AND STILES. REVISED EDITION. WASHINGTON: GOVERNMENT PRINTING OFFICE. 1904. 58th Congress, ) HOUSE OF REPRESENTATIVES, j Document - ~ ■ ^ 1 No. 744. 2d Sessw7i. ) ^JS U. S. DEPARTMENT OF AGRICULTURE, BUREAU OF ANIMAL INDUSTRY. D. E. SALMON, D. V. M., Chief of Bureau. SPECIAL REPORT DISEASES OF CATTLE, Drs. PEARSON, MURRAY, ATKINSON, LOWE, HARBAUGH, LAW, DICKSON, MOHLER, TRUMBOWER, SALMON, SMITH, AND STILES. REVISED EDITION. WASHINGTON: GOVERNMENT PRINTING OFFICE. 1904. .4 'h ^ ft LETFER OF TRANSMITTAL U. S. Department of Agriculture, Bureau of Animal Industry, Washington, D. C, 3Iay 0, 190 J^. Sir: I have the honor to transmit herewith the manuscript of a revised edition of the Special Report on Diseases of Cattle in accord- ance with the following resolution, approved April 28, 1904: Resolved by the Senate and House of Representatives of the United States of America in Congress assembled. That there be printed and bound in cloth fifty thousand copies of the Special Report on the Diseases of Cattle, with accompany- ing illustrations, the same to be first revised and brought to date, under the super- vision of the Secretary of Agriculture, thirty thousand for the use of the House of Representatives, fifteen thoiisand for the use of the Senate, and five thousand for the use of the Department of Agriculture, Since this volume was first issued several editions have been pub- lished by order of Congress, thus showing its great popularit3\ This report has been prei)ared, as was stated in transmitting the manu- script of the first edition, for the farmer and stock owner rather than for the student or veterinarian. As much practical information as possible has been brought together on the subjects treated, but it has been stated in brief and plain language. Readers who desire a more detailed account of any subject discussed herein are referred to the various special treatises. Notwithstanding the x)opular chara.cter of this work, there is no doubt that it will be found useful to the veteri- narian as well as to the farmer. Very respectfully, D. E. Salmon, Chief of Bureau of Animal Industry. Hon. James Wilson, Secretary of Agriculture. TABLE OF CONTENTS. Administration of medicines: Page. By Leonard Pearson, B. S., V. M. D 9 Diseases of the digestive organs: By A. J. Murray, M. R. C. V. S 14 Poisons and jwisoning: By V. T. Atkinson, V. S : 53 Diseases of the heart, blood vessels, and lymphatics: By Leonard Pearson, B. S. , V. M. D 70 No)iconfagious diseases of the organs of respiration: By Dr. William Herbert Lowe 85 Diseases of the nervo^is system: By W. H. Harbaugh, V. S 99 Diseases of the urinary organs: By James Law, F. R. C. V. S 111 Diseases of the generative organs: By James Law, F. R. C. V. S__. 144 Diseases folloicing parturition : By James Law, F. R. C. V. S 210 Diseases of young calves: By James Law, F. R. C. V. S 244 Bones: Diseases and accidents: By V. T. Atkinson, V. S 261 S 1 1 rg ica I ope rations : By William Dickson 285 Tumors affecting cattle: By John R, Mohler, A. M., V. M. D 304 D seases of the skin: By M. R. Trumbower, D. V. S 320 Diseases of the foot: By M. R. Trumbower, D. V. S 335 Diseases of the eye and its appendages: By M. R. Trumbower, D. V. S 340 Diseases of the ear: By M. R. Trumbower, D. V. S 354 Infectious diseases of cattle: By D. E. Salmon, D. V. M., and Dr. Theobald Smith. 357 The animal parasites of cattle: By Ch. Wardell Stiles, A. M., M. S., Ph. D 473 Mycotic stomatitis in cattle: By John R. Mohler, A. M., V. M. D . 495 5 LIST OF ILLUSTRATIONS. PLATES. J Page. Plate I. Showing the position of the rumen .-. 52 II. Stomach of ruminant 52 - III. Instruments . - 52 • IV. Microscopic anatomy of the liver - - . 52 • V. Ergot in hay 52 -' YI. Ergotism 52 " \r[I. Diagram of the circulation --- 84 "Till. Showing the position of the lung 98 • IX. Kidney and generative organs 142 ■ X. Microscopic anatomy of tlie kidney 142 XI. Calculi of kidney and bladder 142 - XII. Fetal calf within its membranes 208 XIII. Pregnant uterus with cotyledons 208 XIV. Vessels of umbilical cord 208 "XV. Normal position of calf in utero 208 ■XVI. Abnormal position of calf in utero 208 ' XVII. Abnormal position of calf in utero 208 • XVIII. Abnormal position of calf in utero; surgical instruments and sutures 208 ' XIX. Monstrosities 208 - XX. Instriunents used in difficult labor 208 -XXI. Instruments used in difficult labor 208 ' XXII. Supports for prolapsed uterus 243 'XXIII. Supports for prolapsed uterus 243 V XXIV. Instruments 243 ^ XXV. Skeleton of the cow 284 • XXVI. Devices for casting cattle 302 • XXVII. Tracheotomy and venesection 302 ■ XXVIII. Surgical instruments and sutures . - 302 'XXIX. Various bacteria which produce disease in cattle 364 XXX. Upper, or dorsal, surface of the lungs of the ox 376 XXXI. Broncho-pneiimonia 376 XXXII. Contagious pleuro-pneumonia 376 XXXIII. Contagious pleuro-pneiimonia 376 XXXIV. Portions of tuberculous lungs from cattle 424 XXXV. Tuberculous liver from cow 424 XXXVI. Tuberculous lymphatic gland 424 XXXVII. Tiiberculosis of the omentum (caul) . 424 XXXVIII. Tuberculosis of the lymphatic gland and omentum (caul) 424 XXXIX. Fig. 1. — Tuberculosis of the sirloin and porterhoiise cvits of beef. Fig. 2.— Tuberculosis of pleura of cow, so-called pearly disease 424 7 8 LIST OF ILLUSTKATIONS. Page. Plate XL. Tuberculous udder of cow 434 ' XLI. Actinomycosis .-. 436 ■ XLII. Actinomycosis cf tlie lungs 436 ■ XLIII. Actinomycosis of the jaw 436 XLIV. Section of muscle from a blackleg swelling 448 XLV. Necrotic stomatitis (calf diphtheria) 448 XL VI. Fig. 1. — Spleen in Texas fever. Fig. 2. — Normal spleen 468 XLVII. Texas fever 468 XLVIII. The cattle tick— the carrier of Texas fever 468 - XLIX. Portions of a steer's hide showing the Texas fever tick (BoopJii- lus annulatus) of the United States 468 ' L. Figs. 1 and ^. — Dorsal and ventral \'iews of male Texas fever tick {Boopliilus annulatus) . Figs. 3 and 4. — Dorsal and ven- tral views of replete female Texas fever tick {B. annulatus) _ LI. Boundary line of the district infected witli Texas, or Southern cattle, fever 468 LII. Verminous bronchitis -.- 492 TEXT FIGURES. A drenching tube 474 Piece of fourth stomach with encysted stomach worms 484 Twisted wireworms (male and female) of the fourth stomach 484 Conical amphistomes in rumen 485 Portions of an adult tapeworm {Moniezia planissima) from cattle. 487 Portion of hog's liver infested with Echinococcus hydatid 488 The thin-necked bladder worm {Cysticercus tenuicollis) 489 The common liver fluke {Fasciola hepatica) - 489 The large American fluke (Fasciola magna) 489 Portion of grass stalk with three encapsuled cercariae of the com- mon liver fluke {-Fasciola hepatica) _ 490 Isolated male and female threadworms {Metastrongylus micrurus) - 492 Section of a beef tongue heavily infested with beef measles 493 Fig. 1. 2. 8. 4. 5. 6. 9. 10. 11. 12. SPECIAL REPORT ON DISEASES OF CATTLE. ADMINISTRATION OF MEDICINES. By Leonard Pearson, B. S., V. M. D., Dean of the Veterinary Dei^artment, University of Pennsylvania, and State Veterinarian of Pennsylvania. Medicines may be administered to cattle in many ways. The chan- nel and method of administration depend on whether a general or local effect is desired, the condition of the animal, and the nature of the med- icine that is to be given. It is the easiest method, and therefore cus- tomary, to give ordinary remedies by the mouth, either with the food, or with drink, or separately. There are, however, some conditions in which medicines administered in this way ,will not act promptly enough, or wherein a desired effect of the medicine on a distant part of the body is wholly lacking, unless it is applied in some other way. The various methods of administering medicines to cattle will be considered below. By the mouth. — The simplest way to give medicines by the mouth is to mix them with the food or water. This can be done when the medicine is in the form of a powder or fluid, if but a small quantity is to be given, if it does not have a taste that is disagreeable to the animal and is not so irritant as to injure the lining membranes of the mouth and throat. The usual method of administering bulky or unpalatable doses is to mix them with a fluid vehicle, such as water, milk, molasses, or beer, and give from a bottle. A dose given in this way is known as a "drench." In administering a drench the head of the animal should be elevated a little by an assistant. This is best accomplished when standing on the left side of the cow's head and hy grasping the nose with the thumb and fingers of the right hand inserted in the nostrils; with the left hand beneath the chin the head is further raised and supported. If the animal is unruly, it may be tied in a stall or placed in a stanchion. 10 DISEASES OF CATTLE. The medicine can now be poured into the mouth by inserting the neck of the bottle between the lips on the right side. Care must be taken to avoid getting the bottle between the back teeth. The mouth of the bottle should be inserted as far as the middle of the tongue and the contents poured slowlj'. If the cow coughs, the head must at once be lowered to permit the fluid to escape from the larynx. If one per- sists in giving medicine during coughing, some of the dose may pass down the windpipe to the lungs and cause a severe or a fatal pneu- monia. This accident is especially to be guarded against when the throat is partly paralyzed or insensitive, as in parturient paresis (milk fever). In this disease it has often happened that drenches have been poured into the lungs, thus killing the cow. The amount of fluid to be given in a drench depends upon the effect that is sought and the nature of the medicine. In impactions of the stomach very large quantities of fluid may be given — as much as a gallon or several gallons at a time. Usually, however, it is not cus- tomary or desirable to give more than from 1 to 2 quarts at a dose, and not more than a pint unless it be necessary on account of the irritant quality of the drug that has to be shielded with a large quan- tity of the vehicle. Medicines that are soluble should be completely dissolved before they are given. Insoluble medicines should be finely divided by j)Owdering or by shaking, and should be well agitated and mixed immediately before they are given. In the latter case a menstruum with considerable bod}^ such as molasses or flaxseed tea or milk, will help to hold solids or oils in suspension until swallowed. Balls are large pills adapted for the larger animals. Powders or gums are sometimes mixed with an adhesive substance and rolled into balls for the purpose of convenience of administration. Balls are not so much used and are not so well adapted to the medica- tion of cattle as of horses. The process of solution is slower in the paunch of a cow than in the stomach of a horse; and if the cow is so sick as to have stopped ruminating, a ball may become covered up and lost in the mass of material in the paunch and so lie for daj's, producing no effect whatever. CapHiiles are shells or envelopes made of soluble gelatine in which j)owders or liquids maj' be inclosed. Capsules and balls are adminis- tered by being placed on the tongue well back in the mouth while the tongue is drawn forward and the mouth is held open by a block of wood between the back teeth. The ball- should be dropped, the tongue released, and the block removed as nearlj' simultaneousl}' as possible, so that the backward carriage of the tongue will throw the ball into the throat and Iciid to its being swallowed. Care must be taken to avoid having the hand cut or crushed while introducing the ball. After a little experience it is possible to do awaj' with the block of wood between the teeth for keeping the mouth open. ADMINISTEATION OF MEDICINES. 11 By the stomach. — Medicines are introduced directly into the first stom.ach by tlie use of an esophageal tube or through the canula of a trochar passed into the paunch through the side. This method is used in the treatment of diseases of digestion. By the rectum. — Medicines are usually administered bj^ the rec- tum for the purpose of controlling the bowels and for the treatment of local diseases. Sometimes, however, medicines that have a gen- eral effect are given in this waj' when, for any reason, it is not possi- ble or convenient to give them through the mouth. Only drugs that are readily absorbed sliould be given per rectum for a general effect and in somewhat larger dose or more frequently than when given by the mouth. Such stimulants as ether, alcohol, or the aromatic spirits of ammonia, diluted with from four to six times their bulk of warm ivaier, may be used in this way. Rectal injections, or enemata, are used in the treatment of consti- pation. If it is the i)urpose of the injection to soften hardened fecal masses, the water should be comfortably warm and it may have a little clean soap in it. If it is the purpose of the injection to stimu- late sluggish bowels to contraction, the water may be cold. In giving rectal injections a rectal syringe may be used, or, better, a piece of one-half to three-quarter inch rubber hose 5 feet long with a tin funnel attached to one end. The hose is soaped or oiled and introduced slowlj^' and gently into the rectum 2 or 3 feet. The fluid is then slowh^ poured into the funnel and allowed to gravitate into the rectum. The same apparatus may be used for feeding by the rectum. By the vagina. — Medicines are inserted into the vagina, and through the vagina into the womb, in a manner similar to that of rectal administration. Most of the medication made use of in this waj^ is for the local treatment of these organs. Following calving, during outbreaks of abortion, and in an infectious disease of the vagina, such injections become necessary. By the udder. — Injections into the udder are now regularly made in the treatment of parturient paresis (milk fever). For this purpose a 1 j)er cent solution of iodide of potash is commonly employed, although some other solutions and oxygen gas are also used. In mak- ing this injection there are so many precautions necessary in relation to the sterilization of the apparatus and the teats and skin that this work should be left in the hands of a skilled veterinarian. The result of tiie introduction of even a minute quantity of infectious dirt may be the loss of the udder. For making this injection one maj" use one of the prepared sets of apparatus or a milking tube and funnel con- nected by a piece of small rubber hose. The ai)paratus should be boiled and wrapped in a clean towel until needed. The udder and teats and the hands of the operator must be well disinfected, and the solution must be freshly made with recently boiled water kejit 1'2 DISEASES OF CATTLE. in a sterile bottle. The udder should be emptied of milk before the injection is made. After all these precautions have been observed the milking tube may be inserted and througli it one-half pint of solu- tion introduced by gravity air pressure or by syringe. There is i)rac- tically no danger in this mode of treatment if it is properly carried out. Injections into the udder are sometimes made in the treatment of garget, but so far with indifferent success. By the nostrils. — An animal may be caused to inhale medicine in the form of gas or vapor or to snuff up a fine powder. Sometimes, for the purpose of local treatment, fluids are injected into the nose. A medicine inhaled may have a local effect alone or a general effect. Medicated steam, carrying the volatile products of creolin, carbolic acid, balsam of Peru, compound tincture of benzoin, tincture of iodine, etc. , may be liberated beneath the nostrils of a cow so that she must inhale these soothing vapors; but such treatment is not so common for cattle as for horses. In producing general anesthesia, or insensibility to pain, the vapor of chloroform or ether is administered by the nostrils. As a preliminary to this it is necessary to cast and confine the animal. Great care is necessary to avoid complete stop- page of the heart or breathing. By the trachea. — Medicines are injected into the trachea, or windpipe, in the treatment of some forms of diseases of the lungs, and especiall}^ in that form of bronchitis or pneumonia that is caused by lungworms. For this injection a large hypodermic syringe is used that is fitted with a very thick, strong needle. The needle is to be inserted about the middle of the neck and between the cartilaginous rings of the trachea. By the skin. — Although a number of drugs, notably mercurj^, are so readily absorbed by the skin of cattle as to render poisoning easy, medicines are not given in this way for their general or constitutional, but only for their local effect. Diseases of the skin and superficial parasites are treated or destroj'ed by applications in the forms of washes, ointments, di^DS, and powders. Liniments and lotions are applied to the skin for the relief of some near-lying part, such as a muscle, tendon, or joint. ])listers are applied to the skin for the purpose of obtaining the effect of counterirritation upon a neighboring region or organ. Cold water may be applied to the skin to reduce the temperature and to diminish congestion or inflammation in a superficial area or to reduce the tem- perature of the whole body. High fever and heat strokes are treated in this way. By the tissue beneath the skin. — Hypodermic or subcutaneous injections are often made for the purpose of introducing a drug, reagent, or vaccine directly into the connecting tissue beneath the skin. Introduced in this v,'i\y, the substance is quickly absorbed. ADMINISTRATION OF MEDICINES. 13 none of it is lost, and its whole effect is obtained, often within a few minutes. There are numerous precautions necessary in making a subcutane- ous injection, most of which have to do with cleansing and steriliza- tion. It is also important to select a proi)er site for the injection, so that blood vessels, joints, and superficial nerves, organs, or cavities may all be avoided. With due regard for the necessary precautions, there is practically no danger in such an injection, but it should be attempted only by those Avho are able to carry it through in a surgi- cally clean way. Only certain drugs can be given subcutaneously, and dosage must be accurately' graduated. By the veins. — Certain medicines act most promptly and surely when introduced directly into the blood by injecting them into a vein. The jugular vein is usually selected for this purpose. Some vaccines and antitoxins are administered in this way. Intravenous injection should be practiced only by experienced veterinarians. DISEASES OF THE DIGESTIVE ORGANS. By A. J. Murray, M. R. C. V. S. [Revised in 1904 by Leonard Pearson, B. S., Y. M. D.] CHARACTER OF FOODS AND FEEDING. Diseases of the digestive organs are very common among cattle, and may often be traced to defects in feeding. The first three stomachs of the larger ruminants hold the food for a long time while it is being softened and reground to prepare it^for the fourth, or true, stomach. If the food is of improper character, or is so given that it can not be cared for by the animal in a normal way, false fermentations arise, causing indigestion and, later, organic disease. In feeding cattle there are a number of important considerations apart from the economy of the ration, and some of these are noted below. Foods must not be damaged bj^ exposure to the weather, hy frost, by molds, or by deleterious fermentations. Damaged foods retard or jirevent digestion, and sometimes they contain or cause to be generated substances that irritate the digestive tract or are distinctly poisonous to the animal. For example, hay that was rained on severely during curing has not only lost a pavt of its nutritive value through a washing-out i)rocess, but what remains is not so readily available as in good hay. Roots that have been frozen are likely to irritate and injure the digestive tract. Grass eaten with the frost on it may cause severe indigestion. Moldy foods are not all injurious, for some molds appear to have no influence on the process of digestion, but molds of other species maj' not only retard digestion and cause local injur}^ to the digestive organs, but they may also cause general poisoning of a severe or fatal type. The following molds have been shown (Dammann) to be dangerous in respect of the production of the morbid conditions enumerated : TiUeiia caries grows chiefly in wheat, and may be found with the grain thus appearing in the bran or meal. It causes paralj'sis of the throat and spinal cord and irritation of the digestive tract. The rusts, such as Puccinia graminis, P. straminis, P. coronafa, and P. arimdinacea, cause colic and diarrhea, and in some cases partial paralj'sis of the throat. Tlie rusts that occur on clovers, beans, and peas cause very severe irritation of the lining membrane of the mouth and throat, resulting sometimes in gangrene of this tissue. Polydesmvs excUans grows on the leaves of rape and turnips, 14 DISEASES OF THE DIGESTIVE ORGANS. 15 appearing in early summer. This fungus is very irritating to the mouths and feet of cattle, causing severe inflammation and the for- mation of a false membrane. In some instances this condition has been mistaken for foot-and-mouth disease, but it can be differentiated by the absence of the blister that is characteristic of foot-and-mouth disease and by the further fact that it is nontransmissible. Polytrincium trifolii, which grows on clover, causing it to become black, causes severe irritation of the stomach and intestines of cattle feeding upon it. Foods must not contain too large a proportion of woody fiber or indigestible substances. If the dry matter ingested or the bulk of the food must be very great on account of the small proportion of digestible inatter, it is impossible for the great mass to be properly moistened with and attacked by the digestive juices. In consequence of this, abnormal fermentations arise that cause indigestion and irri- tation of the digestive organs. On the other hand, a ration too con- centrated, and especially too rich in protein, is not suitable, because the animal must have, after a meal, a certain feeling of fullness in order to be comfortable and quiet, and the digestive organs require a relatively large volume of contents to fill them to the point where secretion is properly stimulated and their activity is most efficient. If too much protein is in the ration there is a waste of expensive food, and the tendency is for the animal to become thin. It is evident that a cow can not thrive on concentrated foods alone, even though these contain in assimilable form all of the nutritive materials needed for perfect support. It is because bulk is necessarj^ that the standard of about 25 pounds of drj' matter per cow per day has been reached by experimentalists. There is no objection to feeding grain or meal separately to a cow, ]3rovided enough bulky food be fed at another time in the day to keep the digestive tract sufficiently distended. In changing the ration, and especially in making radical changes, as at the beginning and end of the pasturing season, the change should be made gradually, so that the digestive organs may accommodate themselves to it. After the digestive organs and juices have from long practice become adjusted to the digestion of a certain food, which is then suddenly withheld and another of quite different character and properties is substituted, the second food is not well digested; it may even irritate the digestive canal. It is often observed that cattle lose from 25 to 100 pounds when turned onto pasture from dry stable food. This loss can readilj^ be prevented by avoiding the shock to the digestive organs of a sudden change of diet. Regularitj^ in feeding has much to do with the utilization of the ration, and gross irregularity may cause indigestion and serious disease. Water for live stock should be as free from contamination and as pure as that used for household purposes. In the winter it is well to 16 DISEASES OF CATTLE. warm the water to about 50° F. It is well to allow cattle to drink often. DISEASES OP THE MOUTH. WOUNDS AND CONTUSIONS OF THE LIPS, AND SNAKE BITE. The lips may become inflamed from contusions, which are some- times produced by a blow from the horns of another animal, or, in the case of working oxen, bj^ a blow from the driver. While cattle are grazing they are sometimes bitten in the lips by serpents, more especially when they are pastured in woods. Synqjfoms. — As a result of a contusion the lips become thick and swollen, and if treatment is neglected the swelling maj^ become hard and indurated, or an abscess may form. This condition renders it difficult for the animal to get food into its mouth, on account of the lips having lost their natural flexibility. In such cases an ox will use his tongue more in the prehension of food to make up for the inca- pacity of the lips. In cases of snake bite the swelling is soft or puify and its limits are not well defined. Treatment. — When we have to deal with a bruise, the affected part should be bathed with hot water two or three times daily. In recent cases no other treatment will be required, but if the swelling is not recent and has become hard or indurated, then the swollen part should be treated each day hy painting it with tincture of iodine. In snake bite a straight incision penetrating into the flesh or muscle should be made across the center of the swelling and in the direction of the long axis of the face. After this has been done a small wad of cotton batting should be pressed against the wounds until the bleed- ing has almost stopped. Afterwards the following lotion may be applied to the wounds several times a day : Permanganate of potash, half a dram; distilled water, 1 pint. As snake bites are usually attended with considerable depression, which may terminate in stu- por, it is advisable to give doses of whisky at intervals. Half a pint of whisky mixed with a pint of water should be given, and the dose should be repeated in half an hour if the animal is sinking into a stupefied and unconscious condition. The repetition of the dose must depend on the s^'mj^toms which the animal shows. It must be borne in mind that the object of treatment is to ward off the stupor, which is one of the results of snake bite, and that in administering whisky the object is to produce a stimulating and not an intoxicating or stupefying effect. SALIVATION. Salivation is a sj-mptom of some general or local disorder. It may be a symi^tom of a general disease, such as rabies or the foot-and- mouth disease, or it may be a purely local trouble, as when copious secretion of the salivary glands is produced by the eating of irritat- DISEASES OF THE DIGESTIVE ORGANS. 17 ing plants, such as wild mustard. In cases whore saliva is observed to dribble from the mouth, that part must be carefully examined by introducing an instrument like a balling-iron into the mouth, or, if such an instrument is not at hand, by grasping the tongue and par- tially withdrawing it from the mouth, and by placing a block of Avood between the back teeth, while all parts of the mouth are exposed to a good light, so that the i^resence of any foreign substance may be detected. The cause will sometimes be found to depend on a short piece of wood becoming fixed on the palate, its two ends resting on the upper molar teeth of each side; or it may depend on a needle, thorn, or splinter of wood becoming embedded in the tongue. Some- times a sharp piece of tin or other metal may become partiallj" em- bedded in the inner surface of the cheek. Hay occasionally possesses some quality, usually dependent upon its having heated in the mow or having become moldy, which produces salivation. Some irritant weeds in the pasture or forage may caiise salivation. Cattle rubbed Avith mercurial ointment may in licking themselves swallow enough mercury to bring about the^ame result. (See "Mercury poisoning," p. 59.) Such cases, of course, arise from the constitutional action of mercury, and indicate the danger of using such a preparation exter- nally on account of the common habit which the animals have of licking themselves. Mercury is also readilj^ absorbed through the skin, and, as cattle are verj^ susceptible to its action, it is thus easy for them to be poisoned bj^ it even without licking it from the surface. Treatment. — If salivation depends on the irritation and inflamma- tion set up b}' the ingestion of acrid plants, or forage possessing some peculiar stimulating property, the food must be changed and a lotion composed of an ounce of powdered alum dissolved in a quart of water may be syringed into the mouth twice a day, using half a pint of the solution each time. If, however, the salivation depends on the presence of a thorn, sj)linter of wood, or any other foreign substance embedded in the cheek or tongue, remove the offending object and wash the mouth occasionally with a weak solution (3 per cent) of car- bolic acid and tepid water. AYlien salivation is produced by mercu- rial poisoning or by the foot-and-mouth disease, the treatment appro- priate to those general conditions of the system, as well as the local treatment, must be applied. IRREGULARITIES OF THE TEETH, Irregularities of the teeth may be occasioned by the unequal wear- ing of some of the teeth or by some of the incisors being broken, which maj" happen when cattle are pastured on sandy or gravelly soil. The molar teeth maj^ also show irregular wear from similar causes, or from a disease or malformation of the jaw. Their edges may become sharp, or it maj' happen that a molar tooth has been accidentally fractured. 8267—04 2 18 DISEASES OF CATTLE. It may also occur that a superniimeraiy tooth has develoi)ed. in an unusual position, and that it interferes with the natural and regular mastication of the food. Treaiment. — The mouth may be examined hy grasping the animal's tongue with one hand and partially withdrawing it from the mouth, so as to expose the incisor and molar teeth to inspection, \yhen it is desired, however, to examine the molar teeth with the fingers, so as to obtain a more precise idea of their condition, an instrument like the balling-iron which is used for the horse should be introduced into the mouth, so as to separate the jaws and keep them apart while the examination is being made. Any sharp edges of the molars must be removed by the tooth rasp, such as is used for horses. Anj' sux3er- numerary tooth wiiich interferes with mastication or any tooth which is fractured or loose should be extracted. In j)erforniing such oper- ations it is desirable to throw, or cast, the animal, and to have its head held securely, so as to enable the operator to do what is necessary without difficulty. CAEIKS OF THE TEETH. The presence of caries may be suspected if the mouth exhales a bad odor and if the animal occasionally stops during mastication as if it were in pain. The existence of caries in a molar tooth may be ascer- tained by examining the mouth in the manner already described. If one of the molars is found to be carious, it should be extracted. When the crown of the tooth has been destroyed and only the stump or root is left, extraction will be impracticable. In such cases it is best to sell the animal to the butcher unless it have special value, in which case the root stumps may be removed by a veterinarian \>j the operation of trephining. ACTINOMYCOSIS OF THE JAWBONES (BIG JAW, OR LUMP JAW). [Plate XLi, XLiii.] The disease which we have now to consider is generall}" known among farmers and cattle dealers under the names of "big jaw" and "lumj) jaw." Attention is first directed to the animal by a swelling, or enlargement, of the jawbone, and the opinion generally exi)i*essed when such a swelling is observed is that the animal has received some severe contusion which has been the starting point of the swelling. The swelling described maj^ affect either the upper or lower jaw, or it may affect botli at the same time, and produce considerable swelling of the soft tissues as well as enlargement of the bonj'- structure. The swelling is somewhat jjainful under pressure and is attached to the bone and the skin. Finally soft areas appear beneath the skin, which break, forming ulcers or the openings of fistulous tracts extending back into the bone and discharging a yellowish sticky pus, which sometimes contains hard j'cllow granules or fragments of bone. As DISEASES OF THE DIGESTIVE OEGANS. 19 a result of the swelling described, the molar teeth of the upper and lower jaws may be pushed out of their natural position so that they are no longer in apposition, and they consecxuently can not serve the purpose of masticating tlie food. It may also happen that from destruction of the tooth sockets the teeth droj) out. As a result of ulceration it frequently happens that an opening forms on tlie external part of the tumor, and frequently a similar destructive process forms an opening into the mouth itself. Ever}^ swelling on the jaw of cattle is to be regarded as possibly actinomycotic if a definite cause for it is not known. In some cases it will be observed that these swellings, after growing for a short time, remain for a time or permanently in a sta- tionary condition. The living parasite, by rapidly reproducing itself, extends through the bony tissue, and, by setting up inflammation, causes increase of the swelling. The aim of treatment, then, is to destroy the parasite, thereb}^ arresting the growth of the swelling; and this is all that can be done where the utmost success practicable is attained. The importance of early treatment will, however, be understood when it is remembered that there is a continued and rapid multiplication of the parasite, and that this multiplication is attended with increasing damage to the tissues of the animal in which it is lodged. Treatment. — AVheu there is an external opening on the surface of the swelling,' it should be injected with tincture of iodine. "When there is no external opening, tincture of iodine may be j)ainted on the skin. This treatment should be applied daily, and may be continued until it is api^arent that the growth of the swelling has been checked. The iodine checks the growth of the swelling by destroying the para- site, vrhose continuous development is the means of setting up dis- eased action in the bone. Internally, iodide of potash should be administered in doses of from 2 to 3 drams dailj^, divided into two doses, and given morning and evenin^iu a pint of warm water. This treatment maj' be continued for two weeks, when it should be discon- tinued for ten days, and then repeated if necessary. Other methods have been applied in treating this disease, such as burning the dis- eased bone with the hot iron, which is said to have proved effectual in checking the progress of the disease. INFLAMMATION OF MUCOUS MEMBRANE OF MOUTH (STOMATITIS). The membrane of the mouth may become inflamed by cattle eating some irritating substance or plant, or little vesicles may form in the mouths of calves when tliej^ are affected with indigestion, constitut- ing what is termed aphtha. Symptoms. — The saliva dribbles from the mouth, and when the mouth is examined the surface of the tongue and other parts will appear red and inflamed. When j'oung animals are affected with the form of disease termed aphtha, small red elevations will be observed 20 DISEASES OF CATTLE. on the tongue and other i^arts of the moutli, having little white points on their centers, which consist of the epithelium of the mucous mem- brane raised into vesicles. These white patches are succeeded by ulcerated surfaces, which are caused by the shedding of the white patches of epithelium. Treatment. — When there is merely a reddened and inflamed condi- tion of the mucous membrane of the moutli, it will suffice to syringe it out several times a day with 4 ounces of the following solution: Alum, 1 ounce; water, 2 pints. When the edges of the tongue and other parts of the mouth are studded with ulcers, these should be painted over once a day until the affected surface is healed, with the following solution : Permanganate of potash, 20 grains; water, 1 ounce. When indigestion is associated with an ulcerated condition of the mouth, separate treatment is required. ULCERATIVE STOMATITIS (OR ULCERS IN THE MOUTHS OF YOUNG CALVES). This affection usually ajjpears in young calves about the time when they are cutting their molar teeth. Causes. — Insufficient nourishment, the debility resulting from diarrhea and from inflammation of the umbilicus (navel), and the irri- tation resulting from the cutting of the molar teeth are all predis- posing causes of this disease, but the actual cause, no doubt, is an infectious principle that is transmitted from calf to calf. This dis- ease has many times been described as dii^htheria, but the name is misleading and inappropriate, because it is not the same as diphtheria of man nor even closely related to it. SymxAoms. — In the early stage there is disinclination to feed and redness of the mouth, from which the saliva dribbles. In two or three days Avhitish points appear on some X)art of the mucous mem- brane of the mouth. These gradually extend in size and depth, and a red, inflamed zone surrounds each affected area, which finally pre- sents a yellowish, cheesy appearance, and then begins to break uj) and decompose, exhaling a fetid, disagreeable odor. Sometimes the entire thickness of a portion of the tissues composing the cheek becomes gangrenous. The decayed part is graduall}' separated from the sur- rounding living tissues by the process of ulceration. In this way an aperture will sometimes be formed in the animars cheek through which the saliva is ejected when it is masticating its food. This disease may be complicated by diarrhea, which has an exhausting effect on the animal, as is shown by great i^rostration, loss of muscular strength, and disinclination to stand. This malady often terminates in death, and it runs its course in from seven to ten daj^s. Its duration will vary according to the extent to Avhicli the animal is affected. Treatment. — The premises must be well cleaned and disinfected. Especial attention should be paid to the sterilization of the feeding utensils, feed boxes, mangers, etc. The uninfected calves should be DISEASES OF THE DIGESTIVE OKQANS. 21 isolated. Locally, the mouth may he washed with a solution of per- manganate of potash (1 per cent), or with peroxide of hydrogen, 1 part to 2 parts of water. Follow this with creolin solution (2 per cent), or lysol or carbolic acid solution (1 per cent). Finally apply with a swab or brush nitrate of silver solution (5 per cent), or the tincture of the chloride of iron, 1 part to water 2 parts. Sulphate of quinine may be given to calves three times a day in doses varjnng from 5 to 10 grains, according to the size and age of the animal, and should be repeated about four times a day. Half-ounce doses of limewater mixed with milk should be given if diarrhea is present. When the calf shows signs of debility or diarrhea is present, whisky or brandy should be administered several times a day. The stimulant should be mixed with 2 or 3 parts of water, and should be repeated three or four times a day. The diet should be nutritions, and for calves the cow's milk is to be preferred. INDURATION OF THE TONGUE (ACTINOMYCOSIS). This disease consists in a swollen, hard, inflexible condition of the tongue that is sometimes so extreme as to merit the designation "wooden tongue." The cause is the fungus of actinomycosis multi- plying and growing in the tissues of the tongue. Symptoms. — The tongue is stiff and awkward, the animal can not nse it readily in grasping food, saliva flows from.tlie mouth, the tongue on the upper surface is nodulated unevenly with yellowish swellings from the size of a pea to that of a walnut. Some of these swellings ulcerate and discharge yellow pus. Beneath the tongue the veins are engorged and the tissues liave a bluish appearance. The tongue may become so large that it can not be contained within the mouth and protrudes constantly. From interference with eating tlie animal becomes thin and weak. Treatment. — If the case is extreme, it is most economical to destroy the animal. If the disease is in the earlier stages, iodide of potash may be used as advised in the treatment of actinomycosis of the jaw, or "lump jaw." Besides this, the tongue should be painted once or twice daily with tincture of iodine, and the animal must be fed soft sloj)s. DISEASES OF THE PHARYNX AND GULLET. PHARYNGITIS (SORE THROAT). This is an inflammation of the mucous membrane lining the pharynx. It is frequently associated with inflammatory diseases of the respira- tory tract, such as laryngitis and bronchitis or pleuris5^ Symptoms. — The muzzle is dry and the saliva dribbles from the cor- ners of the mouth; the animal either does not swallow or swallows with difficulty, and holds its neck in a stiff, straight position, moving it as little as possible. The eyelids are half closed, the white of the eye is 22 DISEASES OF CATTLE. bloodshot, aud the animal occasioiialh- grinds its teeth. After masti- cating the food the animal drops it out of its mouth as if to avoid the X)ain of swallowing, and also evinces pain when pressure is applied on the pharynx externally and tries to prevent such jjressure being applied. Causes. — Pharyngitis may be produced b}' a sudden cooling of the surface of the body, as when cattle are exposed to a cold wind or a cold rain; or bj' swallowing irritant substiinces. Treatment. — The throat should be syringed three times a day with an ounce of the following solution: Nitrate of silver, 11 drams; dis- tilled water, 1 jjint. Bland and soothing drinks, such as linseed tea or oatmeal and water, should occasionally be offered. Diet should consist of soft food, such as bran mashes with a little linseed meal mixed in them. The upper part of the throat and the space between the jaws should be well rubbed once a day with the following liniment: Liquor ammonia fortior, 4 ounces; oil of turjoentine, 4 ounces; olive oil, 4 ounces; mix. Under tlie above treatment the inflammation of the throat Avill gradually subside and the animal will be able to swal- low as usual in five or six daj^s. We need hardly saj' that during its treatment the sick animal should be kept in a comfortable stable. PAROTITIS. Inflammation of the parotid gland may arise from the inflammation extending to it when an ox is affected with pharyngitis or laiyngitis, or the inflammation may commence in the salivarj^ ducts and may depend on some influence the nature of which is unknown. Parotitis sometimes arises from a blow or contusion which is severe enough to set up inflammation in the structure of the gland. Tuberculosis and actinomycosis are sometimes characterized b}- the lodgment of their parasitic causes in the parotid glands, in ^vhich case parotitis may be a sjnnptom of either of these diseases. Symptoms. — There is an elongated painful swelling, beginning at the base of the ear and j)assing downward along the posterior margin of the lower jaw. The swelling is sometimes limited to one side, and when both sides are swollen it is generally largei- on one side than on the other. The secretion of saliva is increased, the apiDctite is poor, the neck is stiff, so that it is painful to raise the head, and food is swallowed with diiricult3\ In many cases the swelling of those glands, when submitted to proper treatment, disappears in a comparativelj'' short time. In other cases, however, the gland remains enlarged, even after the animal recovers its ai^petite. In tuberculosis, lym- phatic glands beneath the parotid glands are sometimes enlarged, thus causing the apj)earance of enlarged i^arotid glands. Treatment. — A warm bran poultice, made by mixing bran with a hot 2 per cent solution of ci'colin, should be applied on the swollen gland, aud whenever the ijoultice has cooled it should be replaced bj^ DISEASES OF THE DIGESTIVE ORGANS. 23 a new one. This treatment should, be continued until the pain is less and the swelling is reduced or until an abscess forms, which may be ascertained by examining the surface of the gland with the fingers; and when, on pressing any part of the surface, it is found to fluctuate or "give," then we may conclude that there is at that x^lace a collec- tion of pus. It is well not to open the abscess until the fluctuation is well marked, as at this stage the i3us or matter is near the surface and there is less trouble in healing the wound than if the pus is deep seated. The poulticing should be continued for two or three days after the abscess has been opened. By that time the discharge of pus has ceased or become very slight, and the poulticing maj'^ be dis- continued. The wound should be sponged with tepid water once a day and a little of the following lotion afterwards applied and injected : Carbolic acid, 1 dram; water, 8 ounces. In some cases, after poultic- ing for four or five days, there will be no indication of softening at any point, and tliat treatment may therefore be discontinued, and then the swollen gland should be gently rubbed once a day with cam- I)horated oil. If this fails to promote absorption or bring about a gradual dispersion of the swelling, then to attain this object the swelling may be painted with tincture of iodine twice a day or rubbed once a day with compound iodine ointment. When the swollen gland is not being poulticed it should be covered with a piece of flannel. The diet of the animal should consist of soft food while it is under treatment. PHARYNGEAL POLYPI. Tumors form not infrequently in the pharynx, and may give rise to a train of symi:)toms var3dng according to their size and location. The tumor may be so situated that by shifting its position a little it ma}' partiallj' obstruct the posterior nares (nostrils), when, of course, it will render nasal breathing very nois}' and labored. In another situation its partial displacement may impede the entrance of air into the larjnix. In almost any part of the pharynx, but especially near the entrance of the gullet, they will interfere with the act of swallow- ing. As these tumors are frequently attached to the wall of the pharynx by a pedicel, or stalk, it will be seen that they maj^ readilj^ be displaced in different directions so as to produce the symptoms before described. Enlarged i)ostpharyngeal h'mphatic glands are not rare in tuberculosis and by pressing upon the wall of the jjharynx and restricting the lumen of this organ they cause difficulty in both breathing and swallowing. Such enlarged glands may be differenti- ated from tumors by passing the hand into tlie cow's throat after the jaws are separated hy a suitable speculum, or gag. Treatment. — The method of treatment followed in such cases is to separate the animal's jaws with an instrument termed a gag, and then, after drawing the tongue partiallj'' forward, to pass the hand into the pharynx and to gentl}' twist the tumor from its attachment. One 24 DISEASES OF CATTLE. veterinarian wlio has had considerable practice in treating this form of disease scrapes through the attachment of the tumor gradually with his thumb nail. In cases where the attachment is too strong to be severed in this way an instrument like a thimble, but possessing a sharp edge at the end, might be used to effect the same purpose, or the base of the tumor may be severed by the use of a crushing instru- ment known as an ecraseur. This accident usually happens from attempting to swallow too large an object, such as a turnip, potato, beet, or an apjjle or pear, though in rare cases choking may occur from bran, chaff, or some other finely divided food lodging in and filling up a portion of the gullet. This latter form of the accident is most likel}" to occur in animals which are greed}^ feeders. Symptoms. — The sjnnptoms will vary somewhat according to the part of the gullet or throat in which the obstruction is located. In most cases there is a discharge of saliva from the mouth; the animal coughs frequentl}^ and when it drinks the water is soon ejected. The cow stops eating and stands back from the trough, the expression is ti-oubled, breathing is accelerated, and oftentimes the animal bloats as a result of the retention of gas in the stomach. These symptoms, however, are not always present, for if the obstacle does not com- l^letely close the throat, or gullet, gas and Avater may pass, thus ame- liorating the discomfort. If the obstruction is in the neck portion of the gullet, it may be felt as a lump in the left jugular gutter. Treatment. — If the object is in the throat, it is advisable to put a gag in the animal's mouth, and, while the head is held in a horizontal direction by two assistants, to pass the hand into the pharynx, grasp the foreign bodj^ and withdraw it gradually and steadily. When the substance is lodged in the upper part of the gullet, pressure should be made by an assistant in an upward direction while the operator passes his hand into the pharynx, and if tlie assistant can not by pressure dislodge tlie substance from the gullet, the operator may by I)assing his middle finger above and partly behind the substance gradually'' slide the object into the pharynx and then withdraw it by the mouth. The i^resence of an obstructing substance in the cervical portion of the gullet may be ascertained by i^assing tlie hand along the left side of the neck, when a hard and 'painless swelling will bo found to indicate the x)resence of the foreign body. In such cases we must endeavor by gentle and persevering j^ressure with the thumb and two next fingers to slide the obstructing substance graduallj^ uj)ward to the pharynx. To facilitate this it is well to give the animal a quart of flaxseed tea or a lialf pint of raw linseed or olive oil before the manipulations described are commenced. When the substance has been bi'ought into or neai-ly into the pharynx, then the mouth gag DISEASES OF THE DIGESTIVE ORGANS. 25 should be used, the tongue drawn i^artially forward with the left hand, and the rlglit should he i^assed backward into the pharynx to with- draw the obstruction. When bran or chaff causes the trouble it is best to give a small quantity of oil to lubricate the walls of the gullet and then b}' gentle and persevering pressure to endeavor to separate and divide the mass and to work it downward toward tlie stomach. This will be assisted by pouring small quantities of oil and water down the animal's throat. It is not advisable to use the probang to push down anj^ soft material, such as oats or chaff, as this generally condenses and renders firmer the obstructing substance by x^'essing its particles or elements together, so that it forms a solid, resisting mass which can not be moved. In some cases, either because located in the chest portion of the esophagus, and so beyond reach, or because too firmly seated, the foreign body can not be dislodged from the* neck b}^ pressing and manipulating that jiart externally. In such an event we must resort to the use of the probang. (PI. Ill, figs. 2 and 3.) A probang is a flexible instrument, and adapts itself to the natural curvature of the gullet, so that if it is used cautiously there is not much risk of injury. Before passing the probang, a gag which has an aperture at each end, from which straps i)ass to be buckled at the back of the head below the horns, is introduced into the mouth. (PL III, fig. 4.) The X^robang should then be oiled, and, the head and neck being held in a straight line by two assistants, the tongue must be x^artly drawn out of the mouth, the i)i'obang cautiously passed along the roof of the mouth into the x^harynx and thence into the gullet, through which it is i)assed down. If resistance is met, gentle and continuous XJressure must be emploj^ed, under the influence of which the agent will gener- ally in a sliort time x^ass into the stomach. One must be careful not to x^ass the x^i'obang into the laiynx and thence into the windi)ipe of the cow. An animal may readily be killed in this way. This accident is indicated by efforts to cough and by violently disturbed breath- ing. If such sjnnptoms arise the probang must be withdrawn at once. To avoid a wrong passage, the end of the tube should be pressed through the throat ver^^ slowly until its x^i'esence in the esox^hagus is assured. After it is once in the esophagus care is still necessarj'-, because the walls of this tube maj^ easily be torn. There are instruments for securing and withdrawing the obstruc- tion. The simplest of these is made of telegraph-line wire by doub- ling a x^iece about 12 feet long in such a way as to leave a loop at the doubled end. This is x^assed as a probang with the object of snaring the foreign body, as a cork is removed from a bottle with a cork extractor. Some Avriters have advised that when the obstruction is lodged in the cervical (neck) portion of the gullet it should be struck with a mallet, so as to crush it and thus alter its shape, so that it ma}^ easily 2'6 DISEASES OF CATTLE. slip down into the stomach. If the obstructing substance is hard, this will be a dangerous operation, but if soft — as in case of a rij^ peai-, for example — this proceeding may be safely adopted. In all cases where pressure applied on the neck fails to move the obstruction and the probang also fails to move it, it may be divided by a subcutaneous operation or the gullet may be opened and the obstructiijg substance removed throngh the wound. In such cases the assistance of a veterinarian or a surgeon must be obtained. WOUNDS AND INJURIES OF THE GULLET. Sometimes from the rash and too forcible use of the i^robang the walls of the gullet may be more or less lacerated or abraded, and the animal consequently swallows with pain and difficulty. In such cases dry feed must be withheld for five or six daj^s, so as to allow the injured parts to heal, and the diet must be limited to linseed tea, hay tea, and thin oatmeal gruel. The same kind of diet must be fed after the oj)eration of cutting into the gullet has been performed. Sometimes the gullet is ru]3tured and lacerated to such an extent that treatment of any kind is hopeless. I have known this to occur when the handle of a pitchfork or a buggy whip has been pushed down a cow's throat to remove an obstruction. Where such treat- ment has been applied it is best to slaughter the animal without dela}", as the flesh may be utilized so long as there is no fever or general disease, and remedial treatment would be hopeless. In this connection it may be mentioned that whatever substitute may be used for a probang, which sometimes is not at hand, it should be flexible and should possess a smooth surface. A piece of new rojx?, with the end closely wrapped and waxed and then oiled, or a piece of thin garden hose, or a well-wrapped twisted wire, ma}' be used in emergencies. DISEASES OF THE STOMACH. ACUTE TYMPANITES (?IOVEN, OR BLOATING). This disease is characterized by swelling of the left flank, and is caused by the formation of gas in the rumen, or paunch. (See Pis. I and II.)' Causes. — Tj'mijanites may be caused by any kind of food which pro- duces indigestion. When cattle are first turned into young clover they eat so greedil}^ of it that tympanites frequently results; turnips, potatoes, and cabbage may also cause it; middlings and corn meal also frequently give rise to it. In this connection it may be stated that an excessive quantity of any of the before-mentioned foods may bring on this disorder, or it may not be due to excess, but to eating too hastily. Sometimes the quality of the food is at fault. Grass or clover Avhen wet by dew or rain frequentl}' disorder digestion and brings on tympanites; frozen roots or pastures covered with hoar DISEASES OF THE DIGESTIVE ORGANS. 27 frost should also bo regarded as dangerous. When food has been eaten too hastily, or when it is cold and wet, the digestive process is inipei-fectly performed, and the food contained in the pannch fer- ments, during which process large quantities of gas are formed. The same result may follow when a coav is choked, as tlie obstruction in the gullet prevents the eructation or passing up of gas from the stom- ach, so that the gas continues to accumulate until tympanites results. Symptoms. — The swelling of the left flank is very characteristic, as in well-marked cases the flank at its upper part rises above the level of the backbone and Avhen struck with the tips of the fingers emits a drum-like sound. The animal has an anxious expression, moves uneasily, and is evidently distressed. If relief is not obtained in time, it breathes with difficulty, reels in walking or in standing, and in a short time falls down and dies from suffocation. The distention of the stomach vaay become so great as to i^revent the animal from breath- ing, and in some instances the ease may be comj)licated b}^ rupture of the stomach. Treatment. — If the case is not extreme, it may be sufficient to drive the animal at a walk for a quarter or half an hour; or cold water by the bucketful may be thrown against the cow's sides. In some cases the following simple treatment is successful: A roj)e or a twisted straw band is coated Avith i)ine tar, wagon grease, or other unsavory substance, and is placed in the cow's mouth as a bit, being secured by tying behind the horns. The efforts of the animal to dislodge this object result in movements of the tongue, jaws, and throat that stim- ulate the secretion of saliva and swallowing, thus opening the esoph- agus, which permits the exit of gas, and at the same time peristalsis is stimulated reflexly. In urgent cases the gas must be allowed to escape without delay, and this is best accomplished by the use of the trocar. The trocar is a shari^-pointed instrument incased in a sheath, which leaves the sharp jioint of the trocar free. (See PL III, figs. 5a and 51). ) In selecting the point for using the trocar, a spot equall}^ distant from the last rib, the hip bone, and the transverse processes of the lumbar vertebrjie must be chosen. Here an incision about three-fourths of an inch long should be made with a knife through the skin, and then, the sharp point of the trocar being directed down- ward, inward, and slightlj' forward, is thrust into the paunch. (PI. I.) The sheath of the trocar should be left in the pauncli so long as any gas continues to issue from it. If the caiiula or sheath of the trocar is removed while gas is still forming in the paunch and the left flank becomes considerabl}' swollen it may be necessary to insert it again. It is well, accordingl}^, to observe the canula closely, and, if gas is found to be issuing from it, it should not be remoA^ed. When gas issues from the canula in considerable quantity the sound accompany- ing its escape renders the exact condition obvious. It is occasionally necessary to keep the canula in the stomach for several hours. When 28 DISEASES OF CATTLE. this is necessarj' a piece of stout cord should be ijassed round the neck of the canula immediately below the projecting rim, and then be passed round the animal's body and tied in a secure knot, and a care- ful attendant must remain with the cow during the entire period that the instrument is in place. The rim surrounding the mouth of the canula should be in contact with the skin. Whenever the person in charge of the cow is satisfied that gas has ceased to issue from the canula the instrument should bo removed. Tlie canula is to be employed only in extreme or urgent cases, tliough everyone who has had experience in treating indigestion in cattle will realize that he has saved the lives of many animals by its prompt application. When the tympanitic animal is not distressed and the swelling of the flank is not great, or when the most distress- ing condition has been removed by the use of the trocar, it is best to resort to the administration of internal medicine. Two ounces of aromatic spirits of ammonia should be given every half hour in a quart of cold water, or half an ounce of chloride of lime may be dis- solved in a i^int of tepid water and the dose repeated every half hour until the bloating has subsided. It is generally necessary to give a dose of purgative medicine after bloating has subsided, as animals frequently show symptoms of constipation after attacks of indiges- tion. For this purpose 1 or 1^ pounds of Glauber's salts may be used. CHRONIC TYMPANITES. Cattle, especially those which have been kept in the stable all win- ter, are liable to suffer from chronic tympanites. In this form the animal bloats up after feeding, but seldom swells so much as to cause any alarm. The chronic form of indigestion may also follow an acute attack like that previously described. This is also a symptom of tuberculosis in those cases in which the lymphatic glands lying between the lungs are so enlarged as to press upon and partly occlude the esophagus. Treatment. — Treatment should be preceded b}' a moderate dose of purgative medicine: 1 pound of sulphate of magnesia or sulphate of soda (Glauber's salts), half an ounce of powdered Barbados aloes, 1 ounce of powdered ginger, 1 pint of molasses. The powder should be stirred up for a few minutes with 2 quarts of lukewarm water, then the molasses should be added; and after all the ingredients have been stirred together for about ten minutes, the dose should be adminis- tered. It will generally be necessary after the operation of the pur- gative to give some tonic and antacid preparation to promote diges- tion, which is imperfectly performed in such cases. The following may be used: PoAvdered gentian, 3 ounces; powdered bicarbonate of potash, 3 ounces; powdered ginger, 3 ounces; powdered capsicum, 1 ounce. Mix and divide into twelve powders, one of which should be given three times a day before feeding, shaken up with half a pint of DISEASES OF THE DIGESTIVE ORGANS. 29 wliisky and a pint of water. It is also advantageous in snch cases to give two heaped teaspoonfuls of wood charcoal, mixed with the ani- mal's feed three times a day. The animal should also go out during the day, as want of exercise favors the continuance of this form of indigestion. If the dung is hard, the constii^ation should be overcome by feeding a little flaxseed twice daily or by giving a handful of Glauber's salts in the feed once or twice daily, as may be necessary. Roots, silage, and other succulent feeds are useful in this connection. If tuberculosis is suspected as the cause of the chronic bloating, a skilled veterinarian should be employed to make a diagnosis, using the tuberculin test if necessary. Until it is settled that the cow has not tuberculosis, she should be kept apart from the jother members of the herd, DISTENTION OF RUMEN, OR PAUNCH, WITH FOOD, This form of indigestion is caused by the animal gorging itself with food, and arises more from the animal's voracious apj)etite than from any defect in the quality of the food supplied to it. The condition is, however, more severe if the food consumed is especiallj^ concen- trated or difficult of digestion. In cases of this kind there is com- paratively no great formation of gas, and the gas which is formed is diffused through the stomach instead of accumulating in a laj^er in its upper part. On pressing the flank with the closed fist the indent of the hand remains for a short time in the flank, as if the rumen were filled with a soft, doughy mass. This form of indigestion should be treated by stimulants, such as alcohol, wine, or aromatic spirits of ammonia. But if the treatment ai)i)lied fails and the impacted or overloaded condition of the rumen continues, it may become necessary to make an incision with a sharj), long-bladed knife in the left flank, commencing at the point where it is usual to puncture the stomach of an ox, and prolong the incision in a downward direction until it is long enough to admit the hand. When the point of the knife is thrust into the flank and the blade cuts downward, the wall of the stomach, the muscle, and the skin should all be cut through at the same time. Two assistants should hold the edges of the wound together so as to prevent any food slip- ping between the flank and the wall of the stomach, and then the operator should remove two-thirds of the contents of the rumen. This having been done, the edges of the wound should be sponged with a little carbolized warm water, and, the lips of the wound in the rumen being turned inward, they should be bx'ought together with catgut stitches. The wound penetrating the muscle and the skin may then be brought together by silk stitches, which should pass through the entire thickness of the muscle and should be about 1 inch apart. The wound should afterwards be dressed once a daj^^ with a lotion and the animal covered with a tight linen sheet, to protect the 30 DISEASES OF CATTLE. wound from insects and dirt. The lotion to be used in sucli a case is made uj) as follows: Sulphate of zinc, 1 dram; carbolic acid, 2 drams; glycerine, 2 ounces; water, 14 ounces; mix. It is clear that this oper- ation requires special skill and it should be attempted onlj' by those who are competent. LOSS OF CUD. It is very common among farmers, when a cow or ox is ailing, to say that the sick animal has lost its cud. If it is meant that the animal does not ruminate or chew the cud, and that it consequently must be sick, no fault can be found with the exi)ression. In most cases, how- ever, the remark is not intended to convey the idea tliat the animal does not ruminate, but that the loss of cud is a disease in itself; that the cud has actually been dropped from the mouth and lost, and that for this reason the cow can not ruminate! AVe may here observe that loss of cud is a symptom of suspended rumination (PL II), and shows that the animal's digestive functions are not performed as regularlj^ as usual. It is a symptom of a great many diseases, and when its existence is detected it should lead the observer to try to discover other symptoms upon which to base a correct opinion as to the nature of the disease from which the animal suffers. VOMITING. This is not to be confounded with rumination, though some writers have advanced the oi)inion that vomiting is merely a disordered and irregular rumination. It is not of common occurrence in cattle, though it sometimes occurs. Symptoms. — Animals which vomit are frequently' in poor condition. After having eaten tranquilly for some time the animal suddenly becomes uneasy, arches the back, stretches the neck and head, and then suddenl}^ ejects 10 or 12 pounds of the contents of the rumen. After having done this the uneasiness subsides, and in a short time the animal resumes eating as if nothing had happened. Cause. — The cause of this disordered state of the digestive system in cattle is usually obscure, but has in some cases been traced to a partial closure of the opening into the second stomach or to a disten- tion of tlie esoiDhagus. It has been found to occur when there was cancerous disease of the fourth stomach, and experimentally it has been shown that a suspension of digestion or great derangement of the fourth stomach produces considerable nervous disorder of the rumen and sometimes vomiting or attempt to vomit. Treatment. — Easily digested food and plenty of Avater should be given. Fear and excitement, chasing, or hunying animals after eat- ing heartily are apt to bring on this result. In order to overcome irritation which may produce vomiting, the following draft should be given: Hydrate of chloral, lialf an ounce; whisky, 8 ounces; water, DISEASES OF THE DIGESTIVE OEGANS. 31 1 pint. The dose must be repeated when the condition of the animal seems to i*eqnire it. As a rule, treatment is not successful. DEPRAVED APPETITE (PICA). Cattle suffering from this disease have a capricious and variable appetite as regards their ordinary food, but evince a strong desire to lick and eat substances for which healthy cattle show no inclination. Alkaline and saline-tasting substances are especially attractive to cattle having a dej)raved appetite, and they frequently lick lime, earth, coal, gravel, and even the dung of other cattle. Cows in calf and 3'oung cattle are especially liable to develop these symptoms. Ani- mals affected in this way lose condition, their coat is staring, ' gait slow, and small Axsicles containing yellow liquid form under the tongue ; the milk given by such cows is thin and waterj-. Such ani- mals become restless and uneasy, as is indicated bj' frequent bellow- ing. The disease may last for months, the animal ultimately dying emaciated and exhausted. Depraved appetite frequently precedes the condition in which the bones of cattle become brittle and fracture easily, which is known as osteomalacia. Causes. — It is generally believed, from the fact that this disease is largely one of regions, that some cbndition of tlie soil and water and of the local vegetation is responsible for it. It is more prevalent some 3'ears than others and is most common in old countries, where the soil is more or less depleted. Cattle pastured on low, swampy land become predisposed to it. It occasionallj' happens, however, that one indi- vidual in a herd suffers though all are fed alike; in such cases the disease must arise from an imjjerfect assimilation by the affected ani- mal of the nutritive elements of the food which is supplied to it. Treatment. — The aim in such cases must be to improve the process of digestion and to supply the animal with a sufliciency of sound and wholesome food. The following should be given to the cow three times a day, a heaped tablespoonf ul constituting a dose : Carbonate of iron, 4 ounces; finely ground bone or "bone flour," 1 pound; pow- dered gentian, 4 ounces; common salt, 8 ounces; powered fenugreek, 4 ounces; mix. In addition to this, 3 tablespoonf uls of powdered (jhareoal may be mixed with the animal's food three times a day, and a piece of rock salt should be placed where the animal can lick it at will. German veterinarians have had brilliant results from the treat- ment of this disease with subcutaneous injections of apomorphine in doses of It to 5 grains daily for three or or four days. HAIR CONCRETIONS. These concretions, or hair balls, result from the habit wliicli some cattle have of licking themselves or otlier animals. As a result the hairs which are swallowed are carried round b}' the contractions of the stomach and gradually assume the form of a small pellet, or 32 DISEASES OF CATTLE. ball. These increase in size as fresli quantities of hair are introduced into the stomach, which become adherent to the surface of the hair ball. These hair balls are found most frequentl}' in the reticulum, or second stomach (PL II), though sometimes in the rumen. In calves hair balls are generally found in the fourth stomach. There are no certain symptoms by wliich we can determine the presence of hair balls in the stomach, and therefore no treatment can be recommended for such cases. In making postmortem examinations of cattle, we have sometimes found the walls of the reticulum transfixed with nails or pieces of wire, and j'et the animal during life liad not shown any symptoms of indigestion, but had died from maladies not involving the second stomach. INDIGESTION (DYSPEPSIA, OR GASTRO-INTESTINAL CATARRH). Tympanites, already described, is a form of indigestion in which the chief symptom and most threatening condition is the collection of gas in the paunch. This symptom does not always accompany indiges- tion, so it is well to here consider other forms under a separate head. If indigestion is long continued the irritant abnormal products devel- oped cause catarrh of the stomach and intestines — gastro-intestinal catarrh. Or, on the other hand, irritant substances ingested may cause gastro-intestinal catarrh, which, in turn, will cause indigestion. Hence it results that these several conditions are usually found exist- ing together. Causes. — Irritant food, damaged food, overloading of the stomach, and sudden changes of diet may cause this disease. Want of exer- cise ijredisposes to it, or food wliich is coarse and indigestible may after a time produce this condition. Food which possesses astringent properties and tends to check secretion may also act as an exciting cause. Food in excessive quantity may lead to disorder of digestion and to this disease. It is very likely to appear toward the end of pro- tracted seasons of drouth, therefore a deficiency of water must be regarded as one of the conditions which favor its development. Sym2^toms. — Diminished appetite, rumination irregular, tongue coated, mouth slim}", dung passed apparently not well digested and smelling badly, dullness, and fullness of the flanks. The disease may in some cases assume a chronic character, and in addition to the foregoing symptoms slight bloating, or tj'mpanites, of the left flank may be observed; the animal breathes with effort and each respira- tion may be accompanied by a grunt, the ears and horns are alter- nately hot and cold, rumination ceases, the usual rumbling sound in the stomach is not audible, the passage of dung is almost entirely susjiended, and the animal passes only a little mucus occasionally. Sometimes there is alternating constipation and diarrhea. There is low fever in many cases. The disease continues a few davs or a week in the mild (;ases, while DISEASES OF THE DIGESTIVE ORGANS. 33 the sevei'e cases may last several weeks. In tlie latter form the ema- ciation and loss of strength may be very great. There is no appe- tite, no rumination, or peristalsis. The month is hot and stickj^^, the eyes have receded in their sockets, and milk secretion has ceased. In such cases the ontlook for recovery is unfavorable. The patient falls away in flesh and becomes weaker, as is shown by the fact that one frequently finds it lying down. On examining animals which have died of this disease it is found that the lining membrane of the fourth stomach and the intestines, particularl}^ the small intestine, is red, swollen, streaked Avith deeper red or bluish lines, or spotted. The lining of the first three stomachs is more or less softened, and may easily be peeled off. The thii-d stomach (psalter) contains dry, hard food masses closely adherent to its walls. In some cases the brain appears to become disordered, probably from the pain and weakness and from the absorption of toxins gener- ated in the digestive canal. In such cases there is weakness and an unsteady gait, the animal does not appear to take notice of and Avill consequently run against obstacles; after a time it falls down and gives up to violent and disordered movements. This delirious condi- tion is succeeded by coma or stupor, and death ensues. Treatment. — Small quantities of roots, sweet silage, or selected grass or hay should be offered several times daily. Very little food should be allowed. Aromatic and demulcent drafts may be given to produce a soothing effect on the mucous lining of the stomachs and to promote digestion. Two ounces of chamomile flowers should be boiled for twenty minutes in a quart of water and the infusion on cooling should be given to the affected animal. This may be repeated about three times a day. AVhen constipation is present the following purgative may be administered: One pound of Glauber's salts dissolved in a quart of linseed tea and a pint of molasses. After this purgative has acted, if there is a lack of appetite and the animal does not ruminate regularly, the powder mentioned in remarks on the treatment of chronic tympanites may be given according to directions. The diet must be rather laxative and of a digestible character after an attack of this form of indigection. Food should be given in moderate quan- tities, as an}- excess by overtaxing the digestive functions may bring on a relapse. INDIGESTION FROM DRINKING COLD WATER (COLIC). This disorder is produced by drinking copiously of cold water, which arrests digestion and produces cramp of the fourth stomach, probably of the other stomachs, and also of the bowels. Causes. — It is not customary for the ox to drink much water at once. In fact, he usually drinks slowly and as if he were merely' tasting the 82G7— 04 3 34 DISEASES OF CATTLE. water, letting some fall oiit at the corners of his mouth at every mouth- ful. It Avoukl, therefore, seem to be contrary to the habits of the ox to drink largely; but we find that during hot weather, when he has been working, and is consequently very thirst}^, if he drinks a large quantity of cold water he may be immediately taken with a very severe colic. Cows which are fed largely on dry hay drink cojiiousl}', like the working ox, and become affected in precisely the same manner. In such cases they are seized with a cliill or fit of trembling before the cramps come on. Symjjtoms. — There is some distention of the abdomen, but no accu- mulation of gas. As the distention and pain occur immediately after the animal has drunk the Avater, there can be no doubt as to the exciting cause. Treatment. — "Walk the animal about for ten minutes before admin- istering medicine, as this allows time for a portion of the contents of the stomach to pass into the bowel, and renders it safer to give medi- cine. In many cases the walking exercise and the diarrhea bring about a spontaneous cure of this disorder, but as in some instances the cramps and j)ains of tlie stomachs persist, one va-Ay give 1 ounce of suli^huric ether and 1 ounce of tincture of opium, shaken up with a pint of warm water, and repeat the dose in half an hour if the ani- mal is not relieved. In an emergency when medicine is not to be had, half a pint of whiskj^ may be substituted for medicine, and should be given mixed with a pint of Avarm water; or a tablespoonful of pow- dered ginger may be administered in the same way as the remedies already mentioned. INDIGESTION IN CALVES (GASTRO-INTESTINAL CATARRH, DIARRHEA, OR SCOUR). Sucking calves are subject to a form of diarrhea to wliicli the above designations have been applied. Causes. — Calves which suck their dams are not frequently affected with this disease, though it may be occasioned by their sucking at long intervals, and thus overloading tlie stomach and bringing on indi- gestion, or from imj)roper feeding of the dam on soft, watery, or damaged foods. Suckling the calf at irregular times may also cause it. Exposure to damp and cold is a potent predisposing cause. Calves which are separated from their dams and which receive considerable quantities of cold milk at long intervals are liable to contract this form of indigestion. Calves fed on artificial food, used as a substi- tute for milk, frequently contract it. Damaged food, sour or rotten milk, milk in dirty cans, skim milk from a dirty creamery skim-milk vat, skim milk hauled warm, exposed to the sun, and fed from unclean buckets, may all cause tliis disease. Symptoms. — The calf is depressed; api^etite is poor; sometimes there is fever; the extremities are cold. The dung becomes graduall}^ softer and lighter in color until it is cream colored and little thicker DISEASES OF THE DIGESTIVE OEGANS. 35 than milk. It has a most ofOensive odor and ma}' contain clumps of curd. Later it contains mucus and gas bubbles. It sticks to the hair of the tail and buttocks, causing the hair to drop off and the skin to become irritated. There may be pain on jjassing dung and also abdominal or colickj' pain. The calf stands about with the back arclied and bellj^ contracted. There may be tj'mi^anites. Great Aveak- ness ensues in severe cases, and without promi)t and successful treat- ment death soon follows. Treatment. — Remove the cause. Give appropriate food of best quality' in small quantities. Make sure that tlie cow furnishing the milk is healthy and is properly fed. Clean all milk vessels. Clean and disinfect the stalls. For the diarrhea give two raw eggs, or a cuj) of strong coffee, or 2 ounces of blackberr}- brandy. If the case is severe, give 1 ounce of castor oil with a teaspoonful of creolin and 20 grains of subnitrate of bismuth. Repeat the bismuth and creolin with blackberry brandy and flaxseed tea every four hours. Tannopin may be used in dose of 15 to 30 grains. GASTRO-F.NTERITIS. This consists of an inflannuation of the walls of the stomachs and of the bowel. Gastro-enteritis, or inflammation of the walls of the stomachs and intestines, follows upon irritations more severe or longer continued than those that produce gastro-intestinal catarrh. Causes. — Severe indigestion may be followed by gastro-enteritis, or it may be caused by swallowing irritant poisons, such as arsenic or corrosive sublimate or irritant plants. Exposure to cold or inclement weather may produce this disea.se, especially in debilitated animals or animals fed improperly. It is claimed that if cattle feed on vege- tation infested with some kinds of caterpillars this disease may result. S]jmptoms. — Dullness; drooping of the ears; dryness of the muzzle; dry skin; staring coat; loins morbidly sensitive to pressure; fullness of the left flank, which is owing to the distention of the fourth stomach by gas. The pulse is small, the gait is feeble and staggering; each step the animal makes is accompanied by a grunt, and this symptom is especially marked if the animal happens to walk in a downward direction. There is loss of appetite, and rumination is suspended. The passages at first ai*e few in number, hard, and are sometimes coated with mucus or with blood. Later a severe diarrhea sets in, when the passages contain mucus and blood and have an offensive odor. There is evidence of colicky pain, and the abdomen is sensitive to pressure. Pain may be continuous. There is fever and accelera- tion of pulse rate and respirations. Mental dejire-ssion and even insensibility occur before death. The disease is always severe and often fatal. Po.'itmortem appearances. — The mucous membrane of the fourth 36 DISEASES OF CATTLE. stomacli has a well-marked red color and sometimes presents ulcera- tions. The wall is thickened and softened, and similar conditions are found in the walls of the intestines. The red discoloration extends in spots or large areas quite through the wall, showing on the outside. Treatment. — Very small quantities of carefully selected food must be given and the appetite must not be forced. Protect the animal well from cold and dampness. Internally, give linseed tea, boiled milk, boiled oatmeal gruel, or rice water. These protectives may carry the medicine. Tannopin in doses of 30 to 60 grains is good. Subnitrate of bismuth in doses of 1 to 2 drams may be given. Pulverized opium may be used, if the diarrhea is severe, in 1 to 2 dram doses. If the bowel movements are not free, one may give from a pint to a quart of castor or raw linseed oil. TRAUMATIC INFLAMMATION OF THE STOMACH. This disease results from the j)reseuce of a foreign bod3\ This condition is not rare in cattle, because these animals have the habit of swallowing their food without careful chewing, and so nails, screws, hairpins, ends of wire, and other metal objects may be swallowed unconsciousl3\ Such objects gravitate to the second stomach, where they may become caught in the folds of the lining mucous membrane, and in some instances the wall of this organ is perforated. From this accident, chronic indigestion results. The symptoms, more or less characteristic, are pain when getting up or lying down ; grunting and pain upon sudden motion, especially down hill; coughing; pain on pressure over the second stomach, which lies immediately above the cartilaginous prolongation of the sternum. If the presence of sucli a foreign body is recognized, it may be removed by a difficult surgical operation ; or, as is usuallj' most economical, the animal may be killed for beef, if there is no fever. DISEASES OF THE BOWELS. DIARRHEA AND DYSENTERY. [See also Gastro-iutestiual catarrh, p. 34.] The word "dysentery," as it is commonly used in relation to the dis- eases of animals, signifies a severe form of diarrhea. Causes. — Diarrhea is a symptom of irritation of the intestines, resulting in increased secretion or increased muscular contractions, or both. The irritation is sometimes the result of chilling from exposure, improper feeding, irritant foods, indigestion, organic dis- eases of the intestines, or parasites. Sijuipfoms. — Passages from the bowels are frequent, at first con- sisting of thin dung, but as the disease continues they become watery and offensive-smelling, and may be even streaked with blood. At first the animal shows no constitutional disturbance, but later it becomes weak and may exhibit evidence of abdominal pain by look- DISEASES OF THE DIGESTIVE OEGAISTS. 37 ing around to tlie side, drawing- the feet together, lying down, or moving restlessly. Sometimes this malady is accompanied by fever, great depression, loss of strength, rapid loss of flesh, and it may terminate in death. Treatment. — When the disease depends on irritating properties of the food which has been supi^lied to the animal, it is advisable to give a mild purgative, such as a pint of castor or linseed oil. When the secretions of the bowels are irritating, an ounce of carbonate of mag- nesia and half an ounce of tincture of opium should be shaken up in a quart of linseed tea and given to the animal three times a day until the passages present a natural appearance. When there is debility, want of appetite, no fever, but a continuance of the watery discharges from the bowels, then an astringent may be given. For such cases the following is serviceable: Tannic acid, 1 ounce; powdered gentian, 2 ounces; mix and divide into twelve i^owders, one powder to be given three times a day until the i)assages present a natural appear- ance. Each powder may be mixed with a half pint of whisky or blackberry brandy and a pint of water. Tannopin is a new remedy that is most useful in such cases. The dose is from 30 grains to 2 drams. Useful household remedies are raw eggs, strong coffee, parched rye flour, or decoction of oak bark. In all cases the food must be given sparingly, and it should be carefully selected to insure good quality. Complete rest in a box stall is desirable. When diarrhea is a symptom of a malady characterized by the presence of a blood poison, the treatment appropriate to such disease must be applied. SIMPLE ENTERITIS. [See Gastro-enteritis, p. 35.] CROUPOUS ENTERITIS. Under certain conditions, severe irritation of the digestive canal may, in cattle, cause a form of inflammation of the intestines (enter- itis) that is characterized by the formation of a false membrane upon the surface of the lining membrane of the intestines, and particularly the large intestines. Symptoms. — There is fever, depression, loss of appetite, diarrhea, and in the fecal masses shreds of leathery false membrane may be found. These shreds are sometimes mistaken for parasites or for portions of the wall of the intestine. Treatment. — Give a pound of Glauber's salts, followed b}^ bicar- bonate of soda in doses of 2 ounces four times daily. ENTERITIS (OBSTRUCTION RESULTING FROM INVAC4INATION, OR INTUSSUSCEPTION. TWISTING, AND KNOTTING OF THE BOWELS). Inflammation may arise from a knot forming on some part of the small intestine, from the portion of the bowel becoming twisted on itself, or from one part of the bowel slipping into another, which is 38 DISEASES OF CATTLE. termed invagination. Tliis form of enteritis occurs occasionally in animals of the bovine species. Causes. — The small intestine, which in the ox rests on the right side of the rumen, is, from the i^osition which it occupies, predisposed to this accident. It has been ascertained that animals which have shown sj'mptoms of this malady have trotted, galloped, or made other violent exertions in coming from drinking, or that they have been chased by dogs or by animals of their own species while at pas- ture. The accident is most likel}" to occur among cattle on very hilly pastures. The danger of jumping or running is greatest when the rumen is distended with food. Symptoms. — This form of enteritis or obstruction is manifested by severe colicky pains; the ox scrapes and strikes the ground with his front and hind feet alternately; keej)S lying down and getting iip again; he keeps his tail constantly raised and turns his nose fre- quentlj' to his right flank; he is frequently bloated, or tymj)anitic, on that side. He refuses food and does not ruminate, and for some hours suffers severe pains. At first he frequently iDasses thin dung, and also urinates frequentl}^ but passes only a little urine at a time. On the second day the pains have become less acute; the animal remains lying down; moans occasionally; his pulse is small and quick; he refuses food and does not ruminate. At this stage he does not pass any dung, though sometimes a small quantity of bloody mucus maj'' be passed. The animal passes very little urine. This condition may continue for a considerable time, as cattle so affected niaj' live for fifteen or even twentj" days. Postmortem appearance. — At death the bowels are found to be mis- j)laced or obstructed, as. mentioned above, and inflamed, the inflam- mation always originating at the point where the intestine has been invaginated, twisted, or knotted. Sometimes theijart is gangrenous, the comiDression of the blood vessels preventing circulation, and thus causing the death of the tissues. Treatment. — Purgatives, anodynes, and other remedies are of no service in such cases, and bleeding also fails to j)roduce any benefit. Indeed, it is usually true that in such cases treatment is useless. Some cases are recorded in which an incision has been made in -the flank, so as to enable the operator to restore the intestine to its normal position or to remove the kink. CONSTIPATION. Constipation is to be regarded rather as a symptom of disease or of faults in feeding than as a disease in itself. It occurs in almost all general fevers unless the bowels are involved in local disease, in obstructions of all kinds, from feeding on dry, bulkj' food, etc. In order to remove the constipation the treatment must be applied to remove the causes which give rise to it. Calves sometimes suffer fi'om DISEASES OF THE DIGESTIVE OEGANS. 39 constipation immediately after birth when the meconium that accumu- lates in the bowels before birth is not i)assed. In such cases, give a rectal injection of warm water and an ounce of castor oil shaken up Avitli an ounce of new milk. The mother's milk is the best food to prevent constipation in the new-born calf, as it contains a large amount of fatt}' matter, which renders it laxative in its effects. It is usually better to treat habitual constipation bj' a change of diet than by medicine. Flaxseed is a good food laxative. If the consti- Ijation has lasted long, repeated small doses of purgatives are better than a single large dose. INTESTINAL WORMS. [See chapter on "Animal parasites of cattle."] RUPTURES (VENTRAL HERNIA). Ventral hernia, or rupture, is an escape of some one of the abdominal organs through a rupture in the abdominal muscles, the skin remain- ing intact. The rumen, the small intestine, or part of the large intes- tine, and the fourth stomach are the parts which usually form a ventral hernia in bovine animals. Causes. — Hernia is frequently x>roduced by blows of the horns, kicks, and falls. In old cows hernia may sometimes occur Mdthout any direct injury. Hernia of the rumen. — Hernia of the rumen is generally situated on the left side of the abdomen, on account of the situation of the rumen. In exceptional cases it inaj take place on the right side, and in such cases it also generally happens that some folds of the intes- tine pass into the hernial sac. Hernias have been classified into simi)le or complicated, recent or old, traumatic (from mechanical injury) or spontaneous. In recent traumatic hernia there is swelling on the left side of the lower i^art of the abdomen. The swelling is greatest in the cases of hernia which are situated on the lower part of the abdomen. Unless an examination is made immediately after the injuiy has been inflicted it is difficult, and sometimes imiDossible, to ascertain the exact extent of the rupture, owing to the swelling which subsequently takes i^lace. Frequentl}' there is no loss of appetite, fever, or other general symp- toms attending the injury. From the twelfth to the fifteenth day the swelling has generally subsided to such an extent that it is possible by an examination to determine the extent of the rupture. In old cows what is termed spontaneous hernia may sometimes take I)lace without any direct injuiy. The occurrence of this form of hernia is explained by the increase in the size of the abdomen, which takes place in an advanced stage of pregnancy, causing a thinning and stretching of the muscular fibers, which at last may rupture, or give way. Such hernias frequently occur about the end of the period of gestation, and in some instances have contained the right sac of 40 DISEASES OF CATTLE. the rumen, the omentum, the small and large intestines, a portion of tlie liver, and the pregnant uterus. In old hernias the swelling is soft and elastic, and if they have not contracted adhesions to the sides of the laceration, they can be made to disappear by pressure carefully applied. Sometimes this accident is complicated by a rupture of the rumen, constituting a complicated hernia. If a portion of the contents of the rumen escape into the abdomen, the case will be aggravated by the occurrence of peritonitis. Hernia of the bowel. — When the intestines (PL III, fig. G) form the contents of the hernia, it will be situated at the right side of the abdomen. In an intestinal hernia the swelling is usually not painful, of a dough}" consistence or elastic, according as the intestine does or does not contain alimentary matter. This swelling caii generally be made to disappear by pressure, and when it has been reduced one can easily recognize the direction and extent of the hernial opening. Hernias of the bowel which are situated at the upper and right side of the abdomen are usually formed by the small intestine. They are less easily reduced than a hernia in a lower situation, but when reduction has been effected they are less readily reproduced than those occurring lower. In hernias of the small intestine, adhesion of the protruding parts to the walls of the opening, or strangulation, are complications Avhich sometimes take place. If adhesion has taken place the hernia can not be reduced by pressure, and when strangu- lation has occurred the animal shows symptoms of pain — is restless, turns its nose to the painful part, and shows those sj'^mptoms which are usually collectively designated under the term colic. If relief is not afforded, the animal will die. Hernia of the rennet, or fourth stomach. — This disease occa- sionally occurs in calves and is usually caused bj^ a blow from a cow's horn on the right flank of the calf. After such an accident a swell- ing forms on the right flank near the last rib. This swelliiig may be neither hot nor painful, even at first, and is soft to the touch. It can be made to disajipear bj' careful pressure, when the sides of the aper- ture through which it has passed can be felt. The application of pressure so as to cause the disappearance of the hernia is best made immediatel}^ after the occurrence of the accident, or when the edema which accompanies the swelling has disappeared. Treatment. — When a hernia is reducible — that is, can be pushed back into the abdomen — then, if it is of recent occurrence, it is advis- able to maintain the natural position of the parts by bandaging and to allow the walls of the laceration to grow together. The bowels should be kept reasonably empty by avoiding the use of bulky food, and the animal must be kept quiet. The following method of bandaging is recommended by liouley: First prepare a bandage (must he of strong material), about 10 yards long and between 3 and 4 inches broad, and a flexible and solid piece of pasteboard adapted DISEASES OF THE DIGESTIVE ORGANS. 41 in size to the surface of the hernia. The protrnding organ must then he replaced in the abdomen and maintained in that position during the application of the bandage. This being done, a layer of melted pitch and turpentine is quickly spread on the skin covering the seat of the hernia, so as to extend somewhat beyond that space. This adhesive layer is then covered with a layer of fine tow, then a new layer of pitch and turpentine is spread on the tow, and the piece of pasteboard is applied on the layer of pitch, its outer surface being covered with the same prep- aration. Lastly, the bandage, adhering to the piece of pasteboard, to the skin, and to the different turns which it makes around the body, is carefully applied so as to form an immovable, rigid, and solid bandage, which will retain the hernia long enough for the wound in the abdominal walls to heal permanently. If the hernia is old and small it may be treated by injecting a strong solution of common salt about the edges of the tear. This causes swelling and inflammation, which, resjpectively, forces the protruded organ back and closes the opening. There is some risk attached to this method of treatment. In small, old ventral hernias the method of compressing and slough- ing off the skin has been used successfully. If the hernia is large a radical operation wall be necessary, and this is also true when the symptoms indicate that a hernia is strangulated. This operation is performed by cutting down on the hernia, restoring the organ to the abdominal cavity, and then closing the wound witli two sets of stitches; the hmer stitches, in the muscular wall, should be made with catgut and the outer stitches, in the skin, may be made with silk or silver wire. The strictest surgical cleanliness must be observed. Bleeding vessels should be tied. Then a compress composed of ten or twelve folds of cloth must be placed smoothly over the seat of injury and a bandage applied around the bodj^, the two ends being fastened at the back. In the smaller kinds of hernia, nitric acid may sometimes be applied with success. This treatment should not be applied until the swelling and inflammation attending the appearance of the hernia have subsided; then, the contents of the hernia having been returned, the surface of skin corresponding to it is sponged over with a solution composed of 1 part of nitric acid to 2 parts of water. This treatment acts by exciting considerable inflammation, which has the effect of causing swelling, and thus frequently closing the hernial opening and preventing the contents of the sac from returning. A second apj)lication should not be made until the inflammation excited bj^ the first has subsided. In what is termed spontaneous hernia it is useless to apply any kind of treatment. Umbilical hernia. — The umbilicus, or navel, is the aperture through which the blood vessels jDass from the mother to the fetus, and naturally the sides of this aperture ought to adhere or unite after birth. In very young animals, and sometimes in new-born calves, this aperture in the abdominal muscles remains open and a part of the bowel or a portion of the mesentery may slip through the open- ing, constituting what is called umbilical hernia. The wall of the sac 42 DISEASES Oy CATTLE. is formed by the skin -which is covered on tlie inner surface by a layer of cellular tissue, and within this there is sometimes, but not ahvays, a layer of peritoneum. The contents of the hernia may be formed by a j^art of the bowel, by a portion of the peritoneum, or may contain portions of both peritoneum and bowel. When the sac contains only peritoneum it has a doughy feel, but when it is formed l)y a portion of the bowel it will be more elastic on applying pressure. Causes. — In the new-born animal the opening of the navel is gener- ally large, and this opening may sometimes give way to the pressure of the bowel on account of the weak and relaxed condition of the abdominal muscles. This defective and abnormal condition of the umbilicus is frequently hereditary. It may be occasioned by roughlj^ pulling away the umbilical cord; through kicks or blows on the belly; through any severe straining by which the sides of the navel are stretched apart. AVe may mention in this connection that it is best in new-born calves to tie the umbilical cord tightly about 2 inches from the navel, and then to leave it alone, when it will drop off in a few days in most cases, leaving the navel in a closed condition. Treatment. — It is well to bear in mind that many, and esiDecially the smaller, umbilical hernias will heal spontaneousl}'; that is, nature effects a cure. As the animal gets older the abdominal muscles get stronger and possess more power of resistance to jjressure, the bowels become larger and do not pass so readily through a small opening, so that from a combination of causes there is a gradual growing together or adhesion of the sides of the navel. In cases of umbilical hernia where there are no indications that a spontaneous cure will take place, the calf should be laid on its back, and immediately on this being done the hernia Mill often disappear into the abdomen. If it does not its reduction may be brought about by gentle handling, endeavoring, if need be, to empt}' the organs forming the hernia before returning them into the abdomen. After the hernia has been returned the hair should be clipped from the skin covering it and a compress composed of ten or twelve folds of linen or cotton should be applied, first smearing the skin with pitch and then a bandage about 3 inches wide should be passed round the body so as to retain the comjiress in position. The lower part of the compress should be smeai'ed with pitch, and also those i:)ortions of the bandage Avhich pass over it, so as to keep it solid and prevent it from shifting. In some cases it will be found that the contents of the sac can not be returned into the abdomen, and this generally arises from the fact that some i^art of the contents of the sac has grown to or become adherent to the edges of tlie umbilical opening. In such a case the skin must be carefully laid open in the long direction, the adliesions of tlie protruding organs carefully separated from the umbilicus, and after the protruding parts have been returned into the abdomen, the sides of the umbilicus must be freshened if necessary T)y paring, and DISEASES OF THE DIGESTIVE ORGANS. 43 then tlie edges of the opening l)rought together by catgut stitches; the AYOund in the skin must tlien also be brouglit together by stitclies. The wound must be careful]}- dressed eve]"}- day and a l)andage passed round the body so as to cover and protect the part operated on. In small hernias nitric acid has been used suceessfullj^ in the same manner as has been described in speaking of the treatment of ventral hernia. Sulphuric acid has also been used for a similar i)urj)ose, dilut- ing it to the extent of 1 part of acid to 3 or 5 of water. In thin- skinned animals the weaker preparations ought to be preferred, and caution must be exercised in using such i^reparations so as not to destroy- the tissues on v.iiich they are api)lied. Another method of treatment is, after the contents of the sac have been returned into the abdomen, to tie a x)iece of strong waxed cord round the pendulous i^ortion which formed the outer covering of the hernia. The string is apt to slacken after two or three daj's, when a new piece of cord should be applied above the first one. The constric- tion* of the skin sets up inflammation, which generally extends to the umbilicus and causes the edges to adhere together, and by the time the j)ortion of skin below the ligature has lost its vitality and dropped off, the umbilicus is closed and there is no danger of the abdominal organs protruding through it. This is what takes jplace when this method has a favorable result, though if the umbilicus does not become adherent and the skin sloughs, the bowels will protrude through the opening. Gut-tie (peritoneal herxia). — In peritoneal hernia of tlie ox a loop or knuckle of intestine enters from the abdomen into a rent in that part of the peritoneum which is situated at the margin of the hip bone or it passes under the remains of the sperjnatic cord, the end of which ma}' be grown fast to the inner inguinal ring. The onward pressure of the bowel, as well as the occasional turning of the latter round the spermatic cord, is the cause of the cord exercising considerable pressure on the bowel, which occasions irritation, obstructs the passage of excrement, and excites inflammation, which terminates in gangrene and death. The rent in the peritoneum is situated at the upper and front part of the i^elvis, nearer to the sacrum than the pubis. (PI. I. ) Causes. — Among the causes of peritoneal hernia considerable impor- tance is attached to a method of castration which is practiced in cer- tain districts, viz, the tearing or rupturing of the spermatic cord by main force instead of dividing it at a proj^er distance above the testi- cle in a surgical manner. After this violent and rough method of operating, the cord retracts into the abdomen and its stump becomes adherent to some part of the peritoneum, or it may wind around the bowel and then the stump becomes adherent so that strangulation of the bowel results. The rough dragging on the cord may also cause a tear in the i^eritoneum, the result of which need not be described. The 44 DISEASES OF CATTLE. severe exertion of ascending hills and mountains, drawing- heavy loads, or the straining which oxen undergo while fighting each other may also give rise to peritoneal hernia, Symjotoms. — The ox suddenly becomes very restless, stamps with his feet, moves backward and forward, hurriedly lies down, rises, moves his tail uneasily, and kicks at his belly with the foot of the affected side. The pain evinced may diminish, but soon returns again. In the early stage there are frequent passages of dung, but after the lapse of eighteen to twenty-four hours this ceases, the bowel apparently being emptied up to the point of strangulation, and the passages now con- sist only of a little mucus mixed with blood. When injections are given at this time the water passes out of the bowel without even being colored. The animal lies down on the side where the hernia exists and stretches out his hind feet in a backward direction. These two particular symptoms serve to distinguish this affection from enter- itis and invagination of the bowel. As time passes, the animal becomes quieter, but this cessation of pain may indicate that gangrene of the bowel has set in, and may, therefore, under certain circumstances, be considered a precursor of death. Gangrene may take place in from four to six daj^s, when perforation of the bowel may occur and death result in a short time. Treatment. — The ox should in the first place be examined by oiling the hand and arm and passing it into the rectum ; the hand should be passed along the margin of the pelvis, beginning at the sacrum and continuing downward toward the inguinal ring, when a soft, painful swelling will be felt, which may vary from the size of an apple to that of the two fists. This swelling will be felt to be tightly compressed by the spermatic cord. It very rarely happens that there is any similar swelling on the left side, though it is best in such cases to make a thorough examination. The bowel has sometimes been released from its position by driving the ox down a hill, by causing him to jump from a height of 2 feet to the ground, and the expedient of trotting him has been resorted to with the hope that the jolting movement might bring about a release of the bowel. If the simple expedients mentioned have been tried and failed, then the hand being passed into the rectum should be pressed gently on the swelling in an upward and forward direction, so as to endeavor to push the imprisoned portion of the bowel back into the abdomen. While this is being done the ox's hind feet shoiild stand on higher ground than the front, so as to favor the slipping out of the bowel by its own weight, and at the same time an assistant should squeeze the animal's loins, so as to cause it to bend downward and so relax tlie band formed by the spermatic cord. If the imprisoned portion of gut is freed, which may be ascertained by the disaiii)earance of the swelling, the usual sounds produced by the bowels moving in the abdomen will be heard, and in a few hours the feces and urine will be passed as usual. If the means mentioned fail DISEASES OF THE DIGESTIVE ORGANS. 45 in releasing tlio impi-isoned portion of tlie gut, tlien an incision about 4 inclies long must be made in the right flank in a downward direc- tion, the hand introduced into the abdomen, the situation and condi- tion of swelling exactly ascertained, and then a probe-i)ointed knife inserted between the imprisoned bowel and band compressing it, and turned outward against the band, the latter being then cautiously divided and the imprisoned gut allowed to escape, or, if necessary, the bowel should be drawn gently from its position into the abdomen. The wound in the flank must be brought together in the same way as in the case of the wound made in operating for impaction of the rumen. WOUNDS OF THE ABDOMEN. A wound of the abdomen may merely jDenetrate the skin ; but as such cases are not attended with much danger, nor their treatment with much difficulty, we propose to consider here merely those w^ounds which penetrate the entire thickness of tlie abdominal walls and expose to a greater or less extent the organs contained in that cavity. Causes. — Such accidents may be occasioned by falling on fragments of broken glass or other sharp objects. A blow from the horn of another animal may produce a wound which penetrates the abdomen. Exposure and i^rotrusion of some of the abdominal organs ma}^ also be occasioned by the incautious use of caustics in the treatment of umbilical or ventral hernia. The parts which generally escape through an abdominal wound are the small intestine and floating colon. Symptoms. — When the abdominal wound is small, the bowel exposed presents the appearance of a small round tumor, but in a few moments a loop of intestine may emerge from the opening. The animal then shows symptoms of severe pain by pawing with his feet, which has the effect of accelerating the passage of new loops of intestine through the wound, so that the mass which they form may even touch the ground. The pain becomes so great that the ox now not only paws but lies down and rolls, thus tearing and crushing his bowels. In such cases it is best to slaughter the animal at once; but in the case of a valuable animal in which tearing and crushing of the bowels has not taken place, the bowels should be washed with freshly boiled water, reduced to the temperature of the body, and returned, and the wounds in the muscle and skin brought together in a manner some- what similar to that which was described in speaking of ventral hernia. DISEASES OF THE LIVER AND SPLEEN. JAUNDICE (THE YELLOWS, OR CONGESTION OF THE LIVER). [Plate IV.] When jaundice exists, there is a yellow appearance of the white of the eyes and of the mucous membrane of the mouth. A similar aspect of the skin may also be observed in animals which are either partly 46 DISEASES OF CATTLE. or altogether covered witli white hair. Jaundice is then merely a symptom of disease and ought to direct attention to ascertaining, if possible, the cause or causes which have given rise to it, A swollen condition of the mucous membrane of that part of the bowel called the duodenum maj' produce jaundice, as that mechanically closes the orifice of the biliary duct. In constix^ation there is an inactive or tor- pid condition of the bowel, and the bile which passes into the intes- tine may be absorbed and cause the yellow staining of jaundice. Jaundice is one of the sjnnptoms of Texas fever. It may also arise from the presence of parasites or gallstones in the ducts, forming a mechanical obstruction to the onward flow of bile. The conditions under which jaundice most commonly calls for treatment are when cattle have been highly fed and kept in a state of inactivity. At such a time there is an excess of nutritive elements carried into the blood, which is associated with increased fullness of the portal vein and hepatic artery. When continued high feeding has produced this congested state of the liver, the functions of that organ become dis- ordered, so that a considerable portion of the bile, instead of being- excreted and passing into the intestine, is absorbed b}' the hepatic veins. Symptoms. — This disease occurs most frequently among stall-fed cattle. Pressure along the margin of the short ribs on the right side produces pain ; the appetite is poor and the animal shows hardly any inclination to drink; the mucous membranes of the eye and mouth are j'^ellow, the urine has a yellow or brown appearance, the animal lies down much and moves with reluctance, moans occasionally, and has a tottering gait. The ears and horns are alternately hot and cold ; in cows the secretion of milk is much diminished, and that which is secreted has a bitter taste; sometimes the animal has a drj', painful cough and presents a dull, stupefied appearance. Treatment. — In such cases it is advisable to produce a free action of the bowels, so as to remove the usually congested condition of the portal vein and liver. For this purpose we recommend the adminis- tration of the following dose: Sulphate of soda, 16 ounces; molasses, 1 pint; warm water, 1 quart. The sulphate of soda is dissolved by stirring it up in tepid water. Following this the animal should have a tablespoonful of artificial Carlsbad salts in the food three times daily. Tliis treatment may be assisted bj^ giving occasional injections of warm water and soap. The diet should be laxative and moderate in quantity, and may consist of coarse bran mash, pulj)ed roots, grass in the season, and hay in moderate quantity. HEPATITIS (INFLAMMATIOX OF THE LIVER). Hepatitis is an inflammation of tlie liver, and usually occurs as a complication of some infectious disease. It maj^ also occur as a complication of gastro-intestinal catarrh, or in the hot weather from overheating or damaged (putrid or fermented) foods. DISEASES OF THE DIGESTIVE OEGANS. 47 Symptoms. — The symptoms are sometimes obscure, and their real significance is frequently overlooked. The most i^rominent symp- toms are yellowness of the white of the qjq> and of the membrane lining the mouth, the appetite is poor, the body presents an emaci- ated appearance, the feces are light colored, while the urine is likely to be unusually dark; there is thirst, and pain is caused by pressing over the liver. The gait is weak, and the animal lies down more than usual, and while doing so frequently has its head turned round resting on the side of its chest. Treatment. — Give a purge of Glauber's salts, and after it has operated give artificial Carlsbad salts in each feed, as advised under "Jaun- dice." Give green food and plenty of water. Oil of turpentine should be rubbed in well once a day over the region of tlie liver. The skin on which it should be applied extends from the false ribs on the right side to 6 inches in front of the last one, and from the backbone to 12 inches on the right side of it. THE FLUKE DISEASE. * [See chapter ou "Animal parasites of cattle."] SPLENITIS (INFLAMMATION OF THE SPLEEN). This disease occurs almost solely as a result of the existence of some infectious disease, and the sjnnptoms caused by it merge with the symptoms of the accompanying causative disease. The spleen is seriously involved, and becomes enlarged and soft in Texas fever, anthrax, and blood poisoning. DISEASES OF THE PERITONEUM. PERITONITIS. Peritonitis consists in an inflammation of the peritoneum, which is the thin, delicate membrane that lines the abdomen and covers the abdominal organs. Causes. — Wounds are the usual cause in cattle. The wound may be of the abdominal Avail or of the intestines, stomach, or uterus; or inflammation maj^ extend from one of the organs of the abdominal cavity to the i)eritoneum; so this disease may complicate enteritis or inflamed womb. A sharp metal body may perforate the second stomach and allow the gastric contents to escape, irritating the peri- toneum. This disease may follow castration or operation for hernia. Symptoms. — A continuous or occasional shivering; the animal lies down, but appears uneasj^; it frequently turns its head toward its belly and lows plaintively; pressure on the flanks produces pain; has no apiDctite; muzzle is dry and no rumination; while standiiig its legs are placed well under its bodj'; j^ulse small and hard. The evacua- tions from the bowels are dry and hard. If this disease is complicated by the presence of inflammation of the ])owels, the pain is more severe 48 DISEASES OF CATTLE. and the animal is more restless. The skin is cold and dry in the early- stage of this disease, but in a more advanced stage this condition may be succeeded bj^^ heat of the skin and quick breathing. The fits of trembling, uneasiness, small and hard pulse, and tension of the left flank are symptoms the presence of which should enable one to reach the conclusion that peritonitis exists. Postmortem appearance. — The membrane lining the abdomen and covering the surface of the bowels is reddened to a greater or less extent, and there is usually considerable serous, or watery, fluid col- lected in the abdomen. Treatment. — When Ave have to do with the form of peritonitis result- ing from an injury, as when the horn of another animal has been thrust through the abdominal walls, this lesion must be treated in accordance with directions before given, but the general treatment must be similar to that which follows. Peritonitis resulting from castration or from parturition fever must also be treated in connec- tion with the special conditions which give rise to it, as the general treatment of this disease must be modified to some extent by the exciting cause. The aim must be to discover and remove the cause. The cause must be treated according to its nature. Harms strongly recommends borax in the treatment of peritonitis. lie gives 6 ounces in the first twenty-four hours, divided into three doses, and afterwards he gives 6 drams three times daily. Opium in doses of 2 to 3 drams may be given. To bring on evacuations of the bowels it is better to give rectal injections than to administer purges. The strength may be sustained by coffee, whiskj', or camphor. The body should be warmly clothed, and it is advisable, when prac- ticable, to have a blanket which has been wrung out of hot water placed over the abdomen, then covered by several drj^ blankets, which are maintained in position by straps or ropes passing I'ouud the bod}^ The wet blanket must be changed as it cools — the object of treatment being to warm the surface of the body and to determine as much blood to the skin as possible. The diet should consist of laxative food and drinks, such as linseed tea. If peritonitis assumes clironic form the diet should be nutritious, such as selected clover hay, linseed cake, grass, etc., and iodide of potassium should be given in dram doses dis- solved in a pint of water three times a day. DROPSY OF THE ABDOMEN (ASCITES). In this disease there is a serous, or watery, effusion in the cavity of the abdomen. Causes. — When old animals are fed on innutritions food or wlien an animal is reduced by disease, they become anemic; or, in other words, their blood becomes impoverished and dropsj' may follow this DISEASES OF THE DIGESTIVE ORGANS. 49 condition. An innutritions and insufficient diet will produce tlie same effect in young animals. It is one of the results of peritonitis, and may also arise from acute or chronic inflammation of the liver, such as is of common occurrence when flukes are present in the liver in large numbers. Heart disease and chronic lung disease may be followed by ascites. It is sometimes, in calves, a sj^mptom of infes- tation with worms.' Symptoms. — A gradual increase in the size of the abdomen at its lower part, while the flanks becomes hollow; pallor of the mucous membrane of the mouth and eye; weak and sluggish gait; want of appetite, and irregularity in ruminating. On percussion, or tapping the surface of the abdomen with the fingers, a dull sound is produced. If the hand and arm are oiled and passed into the rectum so far as possible, on moving the hand from one side to the other the fluctua- tion caused hy the presence of fluid in the abdomen may be felt. Treatment — The cause must be discovered if possible and removed. The diet should be nutritious, and in those cases where we have merely to deal with anemia (the bloodless state) arising from insuffi- cient diet, the use of tonics and diuretics, at the same time keeping the skin warm, may bring about a gradual absorption of the fluid contained in the abdomen. One of the following powders may be mixed with the animal's food three times a day; or, if there is any uncertainty as to its being taken in that way, it should be mixed with sirup, so as to form a paste, and smeared well back on the animal's tongue with a flat wooden spoon: Carbonate of iron, 3 ounces; pow- dered gentian, 3 ounces; powered nitrate of potash, 3 ounces; mix and divide into twelve powders. The administration of purgatives which promote a watery discharge from the mucous surface of the bowels, also tends, by diminishing the serum of the blood, to bring about absorption and a gradual removal of the fluid contained in the abdomen. Large doses should not be given, but moderate doses should be administered morning and night, so as to produce a laxa- tive effect on the bowels for some daj-s. To attain this end the fol- lowing maybe used: Sulphate of soda, 8 ounces; powdered ginger, half an ounce; mix in 2 quarts of tepid water, and then give at one dose. 82C7— 04 4 DISEASES OF THE DIGESTIVE ORGANS. DESCRIPTION OF PLATES. Plate I: Position of the first stomach (paunch, rumen) on the left side: a, the situation of the rumen; 6, the spleen or milt resting on it; c, the skin and muscles removed from the ribs to show position of the lungs and their relation to the paunch. Plate II: Fig. 1. Stomach of a full-grown sheep, i natural size. After Thanhoffer, from R. Meade Smith's Phj^siology of Domestic Animals: o, rumen, or first stomach; h, reticulum, or second stomach; c, omasum, or third stomach: (I, abomasum, or fourth stomach; c, esophagus, or gullet, opening into first and second stomachs; /, opening of fourth stomach into small intestine; g, opening of second stomach into third; h, opening of third stomach into fourth. The lines indicate the coui'se of the food in the stomachs. The incompletely masticated food passes down the esophagus, or gullet, into the first and second stomachs, in which a churning motion is kept up, carrying the food from side to side and from stomach to stoma:-h. From the first stomach regurgitalion talies place; that is, the food is returned through the gullet to the mouth to be naore thoroughly masticated, or chewed, and this constitutes what is known as " chewing the cud." From the second stomach the food passes into the third, and from the third into the fourth, or true, stomach, and from there into the intestines. Fig. 2. Stomach of ox. After Colin, from R. Meade Smith's Physiology of Domestic Animals: a, rumen; 5, reticulum; c, omasum; cZ, abomasum; e, esophagus; /, opening of fourth stomach into small intestine. Fiirstenberg calculated that in an ox of 1,400 pounds weight the capacity of the stomachs is as follows: Per cent. Rumen, 149.25 quarts, liquid measure 62.4 Reticulum, 23.77 quai'ts 10 Omasum. 36.98 quarts 15 Abomasum, 29.05 quarts 12. 6 According to Colon — Quarts. The capacity of a beef's stomach is 266. 81 Small intestine 69. 74 Cecum 9.51 Colon and rectum 25. 58 50 DISEASES OF THE DIGESTIVE ORGANS. 51 Plate III: Fig. 1. Clinical thermometer, ^ natural size. This is iTsed to determine the temperature of the animal body. The thermometer is passed into the rectum after having been moistened with a little saliva from the month, or after having had a little oil or lard rubbed upon it to facilitate its pas- sage. There it is allowed to remain two or three minutes, then with- drawn, and the temperature read as in any ordinary thermometer. The clinical thermometer is made self -registering; that is, the mercury in the stem remains at the height to which it was forced by the heat of the body until it is shaken back into the bulb by taking hold of the tipper portion of the instrument and giving it a short, sharp swing. The normal tem- peratiire of cattle varies from 100' to 103^ F. In young animals it is somewhat higher tlian in old. The thermometer is a very useful instru- ment and frequently is the means by which disease is detected before the appearance of any external sign. Fig. 2. Simple probang, used to dislodge foreign bodies, like apples, potatoes, eggs, etc., which have become fastened or stuck in the esophagus, or gullet. Fig. 3. Grasping or forceps probang. This instrtiment, also intended to remove obstructions from the gullet, has a spring forceps at one end in the place of the cup-like arrangement at the end of the simple probang. The forceps are closed while the probang is being introduced; their blades are regulated by a screw in the handle of the instrument. This probang is used to grasp and withdraw an article which may have lodged in the gullet and can not be forced into the stomach by use of the simple probang. Fig. 4. Wo3den gag, used when the probang is to be passed. The gag is a piece of wood which fits in the animal" s mouth; a cord passes over the head to hold it in place. The central opening in the wood is intended for the passage of the probang. Figs. 5a and ~ib. Trocar and canula; 5a shows the trocar covered by the canula; 5t», the canula from which the trocar has been withdrawn. This instrument is used when the rumen or first stomach becomes distended with gas. The trocar covered by the cauvila is forced into the rumen, the trocar withdrawn, and the canula allowed to remain until the gas has escaped. Fig. 6. Section at right angles through the abdominal wall, showing a hernia or rupture. Taken from D'Aborval, Diet, de Med., de Chir. ct de Hyg.: a fl, The abdominal muscles cut across; v, opening in the abdominal wall l^ermitting the intestines i i to pass through and outward between the abdominal wall and the skin; p p, peritoneum, or membrane lining the abdominal cavity, carried through the opening o by the loop of intestine and f... ........ ...My the rapidity with w4iich the poison is excreted. As au illustration, oi^ium may be given with safety' in much larger doses to an animal suffering from acute pain than to one free from pain, and to an adult animal with greater safety than to a young one. The rapid it}^ with which the poison is absorbed, owing to the part of the body with which it is brought in contact, is also an important factor. So marked is this quality that some agents which have the power of destroying life with almost absolute certainty when intro- duced beneath the skin, maybe taken into the stomach without caus- ing inconvenience, as curara, the arrow poison, or the venomous secre- tion of the snake. Other agents in chemical combination may tend to intensify, lessen, or wholly neutralize the poisonous effect. For example, arsenic in itself has well-marked poisonous properties, but when brought in contact with dialyzed iron it forms an insoluble com- pound and becomes innocuous. Idiosyncrasies are not so noticeable in cattle practice as in practice among human beings, but the uncer- tainty with which some drugs exert llieir influence would lead us to POISONS AND POISONING. 55 believe that well-marked differences in susceptibility exist. Even in some cases a tolerance for poison is engendered, so that in a herd of animals equally exposed injurious or fatal effects do not appear with uniformity. For example, among cattle that are compelled to drink water holding in solution a salt of lead the effects of the poisoning- will be found varying all the way from fatality to imperceptibility. GENERAL SYMPTOMS OF POISONING. It is not always easy to differentiate between poisoning and some disease. Indeed, examination during the life of the animal is some- times wholly inadequate to the formation of an opinion as to whetlier the case is one of poisoning or, if it is, as to what the poison may be. A chemical and phj^sical examination after the death of the animal maj'' be necessary to clear up the doubt. On the other hand, the symptoms may bo of such a nature as to point unmistakably to poi- soning with a certain agent. In general, the following classes of symptoms may be regarded as indicative of i^oisoning: Sudden onset of the disease without visible cause, a number of animals similarly affected at once, severe gastro-intestinal disorder or derangement of the nervous system, or both. Sudden alteration of heart action in relation to frequency, force, or rhj'thm. Local irritation, dyspnea, or change in the urine or urination. After death lesions of the greatest variety may be found, and it is •^?cessary for one to be skilled in anatomy and pathology to determine their significance. Oftentimes the stomach and intestines are red, have thick walls, and contain blood. This signifies a severe irritant, such as arsenic or corrosive sublimate. Other alterations sometimes found are inflammation of the kidneys or bladder, points of hemor- rhage in various organs, changes in the blood, congestion of the lungs, and certain microscopic changes. GENERAL TREATMENT. The treatment of animals suffering from poison must var}' accord- ing to the nature of the toxic agent. There are a few general plans of action, however, which should be followed so far as possible. In man and in some of the smaller animals it is possible to eliminate unabsorbed poison by the use of the stomach pump or bj^ causing vomiting. These proceedings are impracticable in cattle. It is well, therefore, in many cases to endeavor to expel the unabsorbed poison by emptying the digestive tract, so far as may be, with a non- irritating purge. Castor oil in doses of 1 pint to 2 quarts is best adapted to this purpose. If the poison is known to be nonirritant — as a narcotic plant — from 10 to 20 drops of croton oil maj' be given with a quart of castor oil. To protect the mucous membrane from the action of strong irritants one may give flaxseed tea, barley water, the whites of. eggs, milk, butter, olive oil, or fresh lard. Chemical 56 DISEASES OF CATTLE. antidotes inay sometimes be used for special poisons, as advised below. In general, if an acid ha,s been taken it may be neutralized with an alkali, sucli as chalk, magnesia, bicarbonate of soda (baking soda), ammonia (diluted), or soap. If the poison is an alkali, such as caustic soda or potash (Ije), or ammonia, an acid, such as diluted (1 per cent) sulphuric acid or vinegar, may be administered. Special treatments and antidotes are considered below. A poisonous agent may be so gradually introduced into the system as to slowly develop the power of resistance against its own action. In other cases, where the poison is introduced slowly, the poisonous action becomes cumulative, and although there is no increase in the quantity taken, violent sj'mptoms are suddenly develo^Ded, as if the wdiole amount, the consumption of which maj^ have extended over a considerable period, had been given in one dose. Other agents, poisonous in their nature, tend to deteriorate some of the important organs and, interfering with their natural functions, are iDroductive of conditions of ill health which, although not necessarily fatal, are important. Such a class might properly be called chronic poisons. Poisons of themselves dangerous when administered in large doses are used medicinally for curative purposes, and a very large percent- age of the pharmaceutical prej^arations used in the practice of medi- cine if given in excessive quantities might produce serious results. In the administration of medicines, therefore, care should be exer- cised not only that the animal is not poisoned by the administration of an excessive dose, but that injury is not done by continued treat- ment with medicines the administration of which is not called for. . MINERAL POISONS. ARSENIC POISONING. Of the common irritant and corrosive poisons, arsenic, especially one of its comi)ounds (Paris green, Scheel's green, or cobalt), is likely to be the most dangerous to our class of j)atients. The common i)rac- tice of using Paris green as an insecticide for the destruction of potato beetle and other insect enemies of the farmer and fruit grower has had the effect of introducing it into almost all farming establish- ments. White arsenic is also a principal ingredient in many of the popular sheep-dipping preparations, and poisoning from this source occasionally takes place when, after dixjping, the flock are allowed to run in a yard in which there is loose fodder. The drippings from the wool of the sheep falling on the fodder render it poisonous, and dangerous to animal life if eaten. Familiarity with its use has in many instances tended to breed contempt for its potencj^ as a poison. Rat poisons often contain arsenic. The excessive use of arsenic as a tonic, or of "condition powders" containing arsenic, has been the means of poisoning many animals. This is the common poison used POISONS AND POISONING. 57 by malicious persons witli criminal intent. The poison may also be absorbed tlirouj^li wounds or through the skin if used as a dip or bath. If a large dose is given, at once acute poisoning is produced ; if repeated small doses are given, chronic poisoning may result. The poisonous dose for an ox is from 3 drams to 1 ounce. Symptoms. — The symptoms of acute poisoning first appear as those of colic ; the animal is restless, stamping with the feet, lying down and getting uj). There is tenderness on pressure over the abdomen. The acute symptoms increase; in a few hours violent diarrhea is developed; in many cases blood and shreds of detached mucous membrane are mixed with the evacuations. There is irregular and feeble pulse and respiration, and death is likely to supervene between the eighteenth hour and the third day. If the latter period is passed, there is a reasonable hope of recovery. In chronic i^oisoning the symptoms are similar to those of chronic gastro-intestinal catarrh, with indigestion, diarrhea, and general weakness and loss of condition. Trecdment. — The antidote for arsenic is a solution of hydrated oxide of iron in water. It should be prepared fresh by mixing a solu- tion of suli)hate of iron, made by dissolving 4 ounces of sulphate of iron in one-half pint water with a suspension of 1 ounce of magnesia in one-half pint water. This quantity is sufficent for one dose for a cow and may be rej)eated in an hour, if much arsenic was taken. A solution of calcined magnesia or powdered iron or iron filings or iron scale from a blacksmith's forge may be given in the absence of other remedies. Powdered sulphur is of some value as an antidote. One must also administer protectives, such as linseed tea, barley water, whites of eggs, etc. LEAD POISONING. Lead poisoning of cattle usually comes from their having licked freshly painted surfaces, and thus swallowing compounds containing white lead. In several instances cattle have been poisoned by silage from a silo painted inside with lead paint shortly before filling. Sugar of lead has been administered by mistake for Glauber's salts. Lead poisoning may be acute or chronic. The fatal dose of sugar of lead is from 1 to 4 ounces. Water drawn from lead pipes or held in a lead-lined tank may cause poisoning. Sijniptoyns. — Symptoms are generally dullness, lying down witli the head turned toward the flank, colic, rumbling in the abdomen, loss of control of the limbs when walking, twitching, champing of the jaws, moving in a circle, convulsions, delirium, violent bellowing, fol- lowed by stupor and death. The symptoms generally extend over considerable time, but may end in death after twenty-four hours. Treatment. — The treatment should first be directed toward removing the cause. A large dose of purgative medicine should be given, and 58 DISEASES OF CATTLE. the brain sj^mptoms be relieved by giving bromide of potassium in half-ounce doses every four or five hours and the application of cold water to the head. Dilute sulphuric acid in half-ounce doses should be given with the purgative medicine. In this case sulphate of mag- nesia (Epsom salts) is the best purgative, and it may be given in doses of from 1 to 2 pounds dissolved in warm water. After the acute symp- toms have abated, iodide of potassium may be given, in doses of 2 drams each, three times a day for a week. Chronic lead poisoning occasionally occurs in districts where lead mining is the principal industry. The waste products of the mine thrown into streams contaminate the water supply, so that the min- eral is taken into the sj'stem gradually, and a very small i)er cent of any of the salts taken into the system in this way is pernicious. Water which contains any salt of lead to the extent of more than one- tenth of a grain to the gallon is unfit to drink. Such water when used continually is likelj^ to produce colic from the resulting intesti- nal irritation, and in aggravated cases paralysis more or less severe is likely to be developed. A blue line on the margin of the gums, the last symiDtom, is regarded as diagnostic and its presence as con- clusive evidence of the nature of the disorder. The free use of pur- gatives is indicated with iodide of potassium. Treatment. — No treatment is likelj^ to be of avail until the cause is removed. COPPER POISONING. The soluble salts of cojiper, though used as a tonic in the medicinal treatment of cattle, are poisonous when taken in large quantities. Like lead and arsenic, they have an irritant effect upon the mucous membrane with which they come in contact in a concentrated form. Cattle are not very likely to be poisoned from this cause unless through carelessness. The salts of copper — the most common of which is the sulphate of coi^iDer, commonly called blue vitriol — is occasionally used for disinfecting and cleansing stables, where it might inadvertently be mixed with the food. It is also used largely for making the Bordeaux mixture used in spraying fruit trees. The general sj-mptoms produced are those of intestinal irritation, short breatliing, stamping, and tender abdomen. Treatment. — Give powdered iron, or iron reduced by hydrogen, or calcined magnesia. Sulphur may be used. This should be followed by a liberal supply of demulcents, linseed infusion, boiled starch, whites of eggs, etc. ZIXC POISONING. Several of the soluble salts of zinc are irritant poisons. The chloride and sulphate are those in most common use. In animals which have power to vomit they are emetic in their action. In others, when retained in the stomach, they set up moi'e or less irritation of thp POISONS AND POIBONINO. 59 mucous membrauo und abdominal pain, producing s3'mptoms already described in the action of other poisons which produce the same result. Treatment. — The treatment should be the same as for copper poi- soning. PHOSPHORUS POISONING. Only one of the forms of phosphorus in common use — the ordinary yellow — is poisonous. Phosphorus in this form is used for the destruc- tion of rats and mice and other vermin, and is largel}' used in the manufacture of matches. Symjjtoms. — The symptoms are loss of appetite, colic, diarrhea, irritation of the mouth and throat, and paralj" sis of the throat. There is also weakness, difficult breathing, and rapid pulse. The course of the poisoning is usually rapid, termiuating in either recoverj^ or death within three days. The toxic dose for cattle is from 5 to 30 grains. If taken in large quantities, the excreta are occasionally noticed to be luminous when examined in the dark. Treatment. — Turpentine given in an emulsion with flaxseed tea in a single dose of from 2 to 8 ounces. Permanganate of potash may be given in a one-fourth of 1 j)er per cent solution. Stimulants, such as alcohol and ether, should be administered. Oils and milk must not be given. MERCURY POISONING. Mercuiy poisoning is not rare in cattle from the fact that these ani- mals have a special susceptibility to the action of this substance. Antiseptic washes or injections containing the bichloride of mercury (corrosive sublimate) must be used on cattle with great care. Mer- curial disinfecting solutions or salves must be used cautiousl}^ Cal- omel can not be given freely to cattle. Symptoms. — The sjnnptoms are salivation, sore mouth, indigestion, diarrhea, skin eruption, paralysis of local groups of muscles, and nephritis. Treatment. — The treatment consists in administering sulphur in large doses (2 to 4 ounces) or iron i)owder. Both make insoluble com- pounds with mercury. Follow with the whites of eggs mixed with water and with linseed tea. If the case does not terminate promptly, give iodide of potash in 1 dram doses twice dail}". POISONING BY ACIDS. Mineral acids. — The mineral acids — nitric, sulphuric, hydrochlo- ric, etc. — when used in a concentrated form, destroy the animal tissues with which thej^ come in contact, and in this respect differ from most of the poisons previously described. When taken into the stomach the mucous membrane of the mouth, pharynx, esophagus, and stom- ach is apt to be more or less completely destroyed. If taken in large 60 DISEASES OF CATTLE. quantities death is likely to result so si^ecdily that nothing can be done to relieve the patient, and even if time is aHowed and the action of the acid can b3 arrested it can not be done until considerable and, perhai^s, irreparable damage has been done. The mucous membrane with which the acid has come in contract in the esophagus ma^^ be destroyed by its corrosive action and carried away, leaving the mus- cular tissues exposed. The raw surface heals irregularly, the cica- trice contracting causes stricture, and an animal so injured is likely to die of starvation. In the stomach even greater damage is likely to be done. The peristaltic action of the esophagus carries the irritant along quickly, but here it remains quiet in contact with one surface, destroying it. It is likely to perforate the organ, and coming in contact with the abdominal lining or other organ of digestion soon sets up a condition that is beyond repair. In a less concentrated form, when the acid is not sufficiently strong to be corrosive, it exerts an irritant effect. In this form it may not do much harm unless taken in considerable quantity. AVhen it is, the mucous membrane of the stomach and intestines becomes inflamed; pain and diarrhea are likely to result. Treatment. — Any of the alkalies may be used as an antidote. Most convenient of these are chalk, baking soda, marble dust, magnesia, lime, soap, or pilaster from a wall. Mucilaginous drinks should be given in large quantities. Vegetable acids. — Oxalic acid in particular is corrosive in its action when taken in concentrated solution, losing its corrosive effect and becoming irritant when more dilute. It also exerts a specific effect on the heart, frequently causing death from syncope. Taken in the form either of the crystals or solution, it is likely to cause death in a ver}^ short time. Failure of heart action and attendant small pulse, weakness, staggering, and convulsions are the more noticeable symptoms. Treatment. — Lime water or lime or plaster should be given promptly. Acetic acid is irritant to the gastro-iutestinal tract, and may cause sudden paralysis of the heart. It should be counteracted by the use of alkalies, as advised above, by protectives to the digestive tract, and by stimulants. POISONING BY ALKALIES. The carbonates of potash and soda and the alkalies themselves in concentrated form cause symj)toms of intestinal irritation similar to those produced by mineral acids. Ammonia, caustic soda, and caus- tic potash (lye) are those to which animals are most exposed. The degree of their caustic irritant effects depends on their degree of con- centration. "When they reach the stomach the symptoms are nearly as well marked as in the case of the acids. The irritation is even more noticeable, and purgation is likely to be a more prominent symptom. POISONS AND POISONING. 61 If death is not caused soon, the irritation of the gastro-intestinal tract and malnutrition will last for a long" time. Treatment consists ia neutralizing the alkali by an acid, such as dilute sulphuric acid (1 per cent) or strong vinegar. The administration of such an antidote and its action must be carefully watched during administration. In the chemical change which takes place when the acid and alkali are combined, carbonic-acid gas is liberated, which may be to an extent sutiieient to cause considerable distention of the abdomen, even to asphyxia from pressure forward on the diaphragm. Should this dan- ger present itself, it may be averted by oi)ening the left flank, permit- ting the gas to escape. (See "Acute tympanites, or Bloating," p. 30.) Treatment. — Flaxseed or slippery-elm decoction must be given to soothe the inflamed mucous surface. Opium may be used to allay pain. COAL-OIL POISONING. Coal oil is sometimes administered empirically as a treatment for intestinal parasites. If given in large doses it produces poisonous effects, which are likely to be manifest some time after the adminis- tration. It acts as an irritant to the digestive tract, causing dribbling of ropy saliva from the mouth, diarrhea, tenesmus, and loss of appe- tite, with increased temperature and cold extremities. Visible mucous membranes are injected, pupils of the eyes contracted, Avatery dis- charge from the eyes and nostrils. Remotely it exerts a depressing influence on the functions of the brain and slight coma, and occasion- ally convulsions, from which the animal is easily aroused. The kidneys also suffer. The urine is dark colored and has the charac- teristic odor of coal oil. Death may result from gastro-enteritis or convulsions. Treatment. — The patient's strength should be fostered by the fre- quent administration of mild stimulants, of which aromatic siDirits of ammonia is perhaps the best. The animal should be encouraged to eat soft food and given mucilaginous drinks. Crude coal oil is sometimes applied to the skin to kill parasites. If too much is used, especially in hot weather, great weakness and depres- sion may be caused and in some cases death may result. CARBOLIC-ACID POISONING. Although one of the most valuable antiseptic remedies, carbolic acid in a concentrated form, when taken internally or used over a large surface externallj^, is likely to produce poisonous effects. It causes whitening, shrinking, and numbness of the structures with which it comes in contact, and, besides its irritant effect, exerts a i^owerful influence on the nervous system. Being readily absorbed, it produces its effect whether swallowed, injected into the rectum, inhaled, or applied to wounds, or even to a large tract of unbroken skin. Used 62 DISEASES OF CATTLE. extensiv^elj^ as a dressing, it may produce nausea, dizziness, and smoky or blackish colored urine. The last symptom is nearly always notice- able where the poisonous effect is produced. In more concentrated form, or used in larger quantities, convulsions, followed by fatal coma, are likely to take i)lace. Even in smaller quantities, dullness, trem- bling, and disinclination for food often continues for several days. In a tolerabl}' concentrated solution it coagulates albumen and acts as an astringent. Treatment. — As an antidote internallj^, a solution of sulphate of soda or sulphate of magnesia (Glauber's or Epsom salts) may be given. The white of egg is also useful. Stimulants may be given if needed. When the poisoning occurs through too extensive applications to wounds or the skin, as in treatment of mange, cold water should be freely applied so as to wash off any of the acid that may still remain unabsorbed. As a surgical dressing a 3 per cent solution is strong enough for ordinarj^ purposes. Water will not hold more than 5 per cent in permanent solution. No preparation stronger than the satu- rated solution should be used medicinally under any circumstances. SALTPETER POISONING. Both nitrate of soda and nitrate of potash are poisonous to cattle. These substances are used for manure and for preserving meats. They may be administered in a drench by error in place of Glauber's salts, or they may be exposed within reach of cattle and thus be eaten. The toxic dose depends upon the condition of fullness of the stomach. If in solution and given on an empty stomach, as little as 3 ounces of saltj)eter (nitrate of potash) may be fatal to a cow. More of the Chile saltpeter (nitrate of soda) is required to cause serious trouble. Symptoms. — Severe gastro-enteritis, colic, tympanites, diarrhea, excessive urination, weakness, trembling, convulsions, collai^se. Treatment. — Same as for poisoning by common salt. POISONING BY COMMON SALT. A few poun-ds (3 to 5) of common salt will produce well-marked signs of poisoning in cattle. So much salt as this will not be taken by cattle except under unusual conditions. If the food is poor in salt, and if none has been given for a long time, an intense " salt hun- ger" may occur that may lead an animal to cat a poisonous quantity if it is not restricted; or an overdose of salt may be given by error as a drench. Herring and mackerel brine and pork pickle are also poisonous, and are especially dangerous for hogs. In these substances there are, in addition to salt, certain products extracted from the fish or meat which undergo change and add to the toxicity of the solution. Some- times saltpeter is present in such brines. POISONS AND POISONING. 63 Symptoms. — The symptoms are great, thirst, abdominal pain, diar- rhea, poor appetite, redness and dryness of the mouth, inci'eased uri- nation, paralysis of the hind legs, weak puLse, general paralysis, coma, and death in from six to eight hours. Treatment. — Allow as much warm water as the animal will drink. Give protectives, such as linseed tea, etc. Linseed or olive oil may be given. To keep up the heart action give ether, alcohol, camphor, digitalis, or coffee. To allay I3ain, give opium. VEGETABLE POISONS. These may be divided into two classes — those that are likely to be administered to the animal as medicine or such as may be taken in the food, either in the shaj)e of poisonous plants, or as plants or foods of vegetable origin that have been damaged by fungi or by bacterial action, producing fermentation or putrefaction. VEGETABLE POISONS USED AS MEDICINE. OPIUM POISONING. Opium and its alkaloid, morphia, are so commonly used in the practice of medicine that the poisonous result of an overdose is not uncommon. The common preparations are gum opium, the inspis- sated juice of the poj^py; i^owdered opium, made from the gum; tincture of opium, commonly called laudanum, and the alkaloid or active principle, morphia. Laudanum has about one-eighth the strength of the gum or powder. Morphia is present in good opium to the extent of about 10 per cent. In medicine it is a most useful agent in allaj'ing pain. It has an effect of first i^roducing a stimulat- ing action, which is foUov/ed bj" drowsiness, a disposition to sleep or complete anesthesia, depending on the quantity of the drug used. In poisonous doses a state of exhilaration is well marked at first. This is particularly noticeable in cattle and in horses. The animal becomes much excited, and this stage does not pass into insensibility unless an enormous dose lias been given. If the dose is large enough, a second stage sometimes supervenes, in wliich the symptoms are those of congestion of the brain. Tlie visible membranes have a blu- ish tint (cyanotic) from interference with the air supply. The breath- ing is slow, labored, and later stertorous; the pui3ils of the eyes are very much contracted; the skin dry and warm. Gas accumulates in the stomach, so that tympanites is a j)rominent symptom. The patient may be aroused by great noise or the infliction of sharp pain, when the breathing becomes more natural. A relapse into the coma- tose condition takes place when the excitement ceases. Later, there is perfect coma and the patient can no longer be aroused from the insensible condition. The contraction of the pupil becomes more marked,, the breathing intermittent and slower, there is perspiration, 64 DISEASES OF CATTLE. the pulse more feeble and rapid; till death takes place. Poisoning of cattle with opium or its products rarely goes beyond the stage of excitement, because the quantity of the drug required for the later effects is so great. Seventj'-five grains of morphia administered sub- cutaneously has sufficed merelj^ to excite for twelve hours. Treatment. — Give strong coffee, 1 to 4 quarts, aromatic spirits of ammonia or carbonate of ammonia. Atropia is the x>hysiological antidote. STRYCHNINE POISONING. Strychnine is a very concentrated poison and i^roduces its effect very quickly, usuallj^ only a few minutes being necessary if given in sufficient dose and in such a way that it will be at once absorbed. The first noticeable symptom is evidence of unrest or mental excite- ment, at the same time the muscles over the shoulder and croup may be seen to quiver or twitch and later there occurs a more or less well- marked convulsion; the head is jerked back, the back arched and leg extended, the eyes drawn. The spasm continues for only a few minutes, when it relaxes and another occurs in a short time. The return is hastened ^^y excitement and in a short time again disap- pears, continuing to disappear and reappear until death results. As the poisonous effect advances the intervals between the spasms become shorter and less marked and the spasms more severe until the animal dies in violent struggles. Treatment. — The best method is to put the patient under the influ- ence of chloral, chloroform, or ether, and keep it there continuously until the effect of the poison has passed off. Alcohol may be given in large doses. ACONITE POISONING. In recent years tincture of aconite has for some unknown reason become a popular stable remedy. In the hands of some breeders it seems to 1 e . ..ed as a panacea for all the ills flesh is heir to. If an animal is ailing, aconite is given whether indicated or not. Fortu- nately^ the dose used is generally small, and for this reason the dam- age done is much less than it would otherwise be. Aconite is one of the most deadly poisons known. It produces paralysis of motion and sensation, depresses the heart's action, and causes death by paralj'sis of respiration. In large doses it causes profuse salivation, champing of the jaws, and attempts at swallowing. If not sufficient to cause death, there is impaired appetite with more or less nausea for some time after. In i)oisonous doses it causes the animal to tremble vio- lently, to lose power to support itself, and it brings on slight con- vulsions, with perspiration. The pulse is depressed, irregular, and afterward s i nte rin i ttcnt. Treatment. — The chemical antidote is tannic acid, which forms an insoluble compound with the aconitine. The depressing effect on the POISONS AND POISONING. 65 heart should be counteracted by the use of ammonia, digitalis, alcohol, camphor, or other diffusible stimulants, which have a physiological effect opposite to aconite. TURPENTINE POISONING. Many conifers, but especially some species of pines, contain tur- pentine. In the winter and early spring the ends of the branches of such trees may be eaten by cattle. If a sufficient quantity is con- sumed, poisoning may result. Symptoms. — The symptoms signify more or less severe irritation of the digestive and urinary tracts. There is poor ai^petite, abdominal pain, emaciation, dark urine, which may contain blood, difficulty in passing urine, constrained attitude, and sensitiveness to pressure over the loins. Later there may be excitation followed by depression of the nervous system. Treatment. — Change food. Give linseed tea, barley gruel, or slip- pery-elm bark infusion. For the excitement give chloral hydrate or bromide of potash. DIETETIC POISONS. A small but important group of poisons may be classed under this head. In some cases it is poison naturally belonging to the plant; in other cases the poisonous principle is developed in what would other- wise be harmless plants as a plant disease, or as a fermentation or putrefaction due to bacterial growth and observed in forage, graHn, or meal that has heated, become damaged, or "spoilt." Loco WEED POISONING. — The " loco weed " is a term applied to legu- minous plants of several genera, all of which are supposed to have certain similar effects on horses and cattle. It is found on the Plains and in the natural pastures of some of our Western States and Terri- tories. The plant grows on high, gravelly, or sandy soil. It has a rather attractive appearance, and retains its soft, pale green color all winter. Of one of the most common species {Astragalus mollissimus) it may be said that a mass of leaves 4 to 10 inches hi^ . g^iow from the very short stem. The leaves are pinnate, similar in form tO' ohose of a locust tree, with ten pairs of leaflets and an odd terminal one. The flower scape grows from the center of the plant. The flowers, shaped like pea blossoms, appear in June or July, and are yellow tinted with violet. The seeds are contained in a pod about half an inch long. It is said that a stalk-boring larva has attacked the plant and seems to be doing much toward eradicating it. Horses and cattle seem to acquire a taste for loco weeds, although it is not a plant that would be considered as a food or that would be eaten with a relish the first time. In the early spring, when herbage is scarce, its green appearance may attract the animal, and the habit of eating it be thus acquired. Its effect is not noticeable till a con- 8367—04 5 66 DISEASES OF CATTLE. siderable quantity has been eaten. It seems to exert its influence on the nervous system. The gait is slow and measured, the step high, the eyes glassy and staring, the vision defective. Sudden excitement will frequently produce convulsions, which, if the disease is well advanced, have a temporarily prostrating effect upon the animal. Although loco poisoning is a nervous affection, emaciation is one of the most noticeable symptoms. The taste for the weed becomes stronger, the victim preferring it to other food. When it is taken in large quantities delii'ium is produced and the animal becomes vicious. If the cause be removed before too much injurj^ is done, recover}^ is likely to take place. Treatment. — Medicinal treatment seems to be of little avail. Com- fortable stabling, quiet, and a liberal supply of wholesome food tend to counteract the poisonous effect of the plant and build up the depleted forces. Laurel poisoning. — The mountain laurel, the rhododendron, and the bay tree are poisonous for cattle. The foliage of these plants is most likely to be eaten in the late winter or spring, when there is little forage available. The effect is to cause great mental excite- ment, salivation, retching, colic, diarrhea, nerve exhaustion, and paralysis. Treatment. — The treatment consists in administering protectives to soothe the gastro-intestinal mucous membrane, and stimulants to keep up the action of the heart and general strength. For this purpose one may use coffee, whisky, or ammonia. Other poisonous plants. — Other poisonous plants are the box, water hemlock, equisetum, lupine (under special conditions), tobacco, green acorns (when eaten in excessive quantities by horses or cattle), green sorghum and Kafir corn forage (when stunted or frosted), lily of the valley, aconite, oleander, jimson weed, green potatoes and potato sprouts, and poison rye grass {Loliuni temulentum). Ergotism. — The poisonous effects of ergot (Pis. V, VI) appear chiefly in the winter and spring of the year and among cattle. It is developed among grasses grown on rich soil in hot, damp seasons. Rye seems more liable to ergot than any of our other crops. Of the grasses which enter into the composition of hay, blue grass is the most likely to become affected. Ergot may also affect redtop, oats, grasses, and grains. On the plant the fungus manifests itself on the seeds, where it is easily recognized when the hay is examined in the mow. The ergotized seeds are several times larger than the natural seeds — hard, black, and generally curved in shaiie. The effect of the protracted use of ergot in the food is pretty well understood to be that of producing a degeneration and obstruction of the smaller arterial branches. The result is to shut off the blood sup- X)ly to the distal parts of the body, where the circulation is weakest, and thus to produce a mummification or drj' gangrene of the extrem- POISONS AND POISONING. 67 ities, as tlie ears, tail, feet, etc. Cattle seem to be more susceptible than other animals to the influence of ergot, possibly on account of the slowness of the heart's action. When the effect of the poison has become sufficient to entirely arrest the circulation in any j)art, the structures soon die. The disorder manifests itself as lameness in one or more limbs; swelling about the ankle which may result in only a small slough or the loss of a toe, but it may circumscribe the limb at any point below the knee or hock by an indented ring, below which the tissues become dead. The indentation soon changes to a crack, which, like it, extends completely round the limb, forming the line of separation between the dead and living structures. The crack deepens till the parts below drop off without loss of blood, and fre- quently with very little pus. Ergot may cause serious irritation of the digestive tract, or by acting upon the nervous system it may cause lethargy or paral3^sis. It also operates to cause contraction of the uterus, and may thus cause abortion. Treatment. — Regarding the treatment, change of food and local antiseptics are, of course, indicated. The former may be useful as a preventive, but when the symptoms have appeared the animal is nec- essarily so completely saturated that recovery is likely to be tedious. Tannin may be given internally in doses of one-half dram twice daily for a few daj'S to neutralize the unabsorbed alkaloids of the ergot. At the same time give castor oil. To dilate the blood vessels give chloral hydrate. Bathe the affected parts with hot water. If slough- ing has gone far, amputation must be resorted to. OTHER POISONOUS FUNGI. Many other fungi poison herbivora. In some instances, however, where fungi are blamed for causing disease their presence on the food- stuff or herbage is but coincidental with some other and more potent disease-producing factor. For example, if the conditions are favor- able to the growth of fungi they are also favorable to the growth of bacteria, and bacteria may produce poisons in foods. In general it may be said that any food that is moldy, musty, or putrid is possibly dangerous. Silage, properly cured, does not belong to this class, because the curing of silage is not a bacterial process. But spoiled silage and silage matted with mold is dangerous and should not be fed. POISONING BY ANIMAL PRODUCTS. SNAKE BITES. The poison contained in the tooth glands of certain venomous rep- tiles, particularly some of the snakes, which is injected into or under the skin of an animal bitten by the reptile, is a very powerful agent. It is likely to produce a serious local irritation, and in the case of the more poisonous snakes serious constitutional disturbances, even to 68 DISEASES OF CATTLE. causing death, which it may do in either of two waj^s. First, when very strong, by exerting a narcotic influence similar to that of some of the powerful poisons, checking heart action. Second, by diffused inflammation of the areolar tissue, gangrene, and extensive sloughing. Symptoms. — The symptoms of snake bite are a local swelling caused by an intense local inflammation, pricks showing where the fangs pene- trated, depression, weakness, feeble pulse, difficult breathing, bluish discoloration of the visible mucous membranes, stupor, or convulsions. If the poison is not powerful or plentiful enough to produce death, it is, at any rate, likely to cause severe local abscesses or sloughs. Treatment. — The treatment may be divided into local and general. Locallj^ every effort should be made to prevent absorption of the poison. If discovered at once the bitten part had better be excised. If that is impracticable and a ligature can be applied, as in the case of a bite to one of the limbs, no time should be lost in applying it above the injury. It should be made suf&eiently tight to so far as possible arrest circulation in the bitten part. The wound should be freely incised, so that it will bleed freely, and the poison should be extracted by cupping or pressed out by squeezing with the flngers. Perman- ganate of potash in 5 per cent solution should be applied to and injected into the wound. The depressing effect of the poison on the general sj^stem should be counteracted by liberal drenching with stimulants, such as alcohol, coffee, digitalis, or the aromatic spirits or carbonate of ammonia. In animal practice the alcoholic stimu- lants and local treatment above described are likely to meet with best success. A special antitoxin for use in treating snake bite is now prepared and may be had from the leading druggists. It is quite effective if used promptly. WASP AND BEE STINGS. "Wasps and bees secrete a poisonous substance which they are able to insert through the skin of an animal by the aid of their sharp stings. This poison is a severe local irritant, and may even cause local gangrene. It also has a depressing effect upon the central nerv- ous system, and destroys the red-blood corpuscles. To produce these general effects it must be introduced in very large quantities, as when an animal is stung by a swarm of bees or wasps. Treatment. — The treatment is to wash the parts with diluted ammo- nia or permanganate of potash solution and to give stimulants inter- nally. If there is so much sw^elling about the head and nostrils as to interfere with breathing, tracheotomy may be necessary. POISONING BY INSECTS ON THE FORAGE. Cattle grazing on forage heavily infested with caterpillars have been known to develop acute indigestion, colic, and, in a few cases, POISONS AND POISONING. 69 to die as a result of this poisoning. Plant lice cause irritation of the mouth and throat if eaten in large numbers. Some insects secrete a chemical poison which, taken in this way, causes serious digestive disturbance. POISONING WITH SPANISH FLY. Spanish fly, in the form of jjowdered cantliarides, may be given in an overdose, or when applied as a blister to too large a surface of skin enough may be absorbed to poison. If given by the mouth it causes severe irritation of the gastro-intestinal tract, shown by sali- vation, sore throat, colic, bloody diarrhea, etc. It also produces, whether given by the mouth or absorbed through the skin, irritation of the urinary tract, as shown by frequent and painful urination. If death results, it is due to respiratory paralysis. Treatment. — Give protectives and the white of egg, with opium. Do not give oils or alcohol. DISEASES OF THE HEART, BLOOD VESSELS, AND LYMPHATICS. By W. H. Harbaugh, V. S. [Revised in 1904 by Leonard Peai-son, B. S., V. M. D.] The heart, blood vessels, and lymphatics may be described as the circulatory apparatus. The heart is located in the thoracic cavity (chest). It is conical in form, with the base or large part uppermost, while the apex, or point, rests just above the sternum (breastbone). It is situated between the right and left lungs, the apex inclining to the left, and owing to this circumstance the heart beats are best felt on the left side of the chest behind the elbow. The heart may be considered as a, hollow muscle, containing four compartments, two on each side. The upper com- partments are called auricles and the lower ones are called ventricles. The right auricle and ventricle are completely separated from the left auricle and ventricle by a thick septum or wall, so that there is no communicatipn between the right and left sides of the heart. At the bottom of each auricle is the auriculo-ventricular opening, each provided with a valve to close it when the heart contracts to force the blood into the arteries. In the interval between the con- tractions these valves hang down into the ventricles. The muscular tissue of the heart belongs to that class known as involuntary, because its action is not controlled by the will. The cavities of the heart are lined bj^ serous membrane, called the endocardium. The endocardium may be considered as continued into the veins and the arteries, forming their internal lining. The walls of the ventricles are thicker than those of the auricles, and the walls of the left ventricle are much thicker than those of the right. The heart is enveloped by a fibrous sac (or bag), called the pericar- dium, which assumes much of the general shape of the outer surface of the heart. The action of the heart is similar to that of a pump and its function Is to keej) the blood in circulation. The auricles ma}^ be considered as the reservoirs or receivers of the blood and the ventricles as the pump chambers. During the interval between contractions, the heart being in momentary repose, the blood pours into the auricles from the veins; the auriculo-ventricular orifices being widelj^ open, the ventricles also receive blood; the auricles contract and the venti'icles are filled; con- 70 DISEASES OF HEART, BLOOD VESSELS, AND LYMPHATICS. 71 traction of the ventricles follows; the jiuriculo- ventricular valves are forced up by the pressure of tlie blood and close the auriculo-ventric- ular openings and prevent the return of blood into the auricles; the contraction of the ventricles forces the blood from the right ventricle into the lungs through the pulmonary artery and its branches, and from the left ventricle into the aorta and all parts of the body through the arteries. After the contraction of the ventricles the heart is again in momentary repose and being filled with blood, while the valves in the aorta and pulmonary artery close to prevent the return of blood into the ventricles. (See PL VII. ) The average weight of the heart of an ox is said to be from 3t]- to 5 I)ounds, but, of course, the weight must be very variable in different animals, owing to the many breeds and sizes of cattle. The vessels that convey the blood from the heart to all parts of the body are called arteries; the vessels which return the blood ^to the heart are called veins. Between the ultimate ramifications of the arteries and the beginning of the veins there is an intermediate system of very minute vessels called capillaries, which connect the arterial Avith the venous system of the circulation. The walls of the arteries are possessed of a certain amount of rigidity, sufficient to keej) the tubes open when they are empty. The blood leaves the left ventricle thi-ough a single vessel, the com- mon aorta, which divides into the anterior and posterior aortas, which in turn give off the large arteries. The arteries divide and subdivide (like the branches of a tree), become smaller and smaller, and ultimately ramify into every part of the body, terminating in a network of very small tubes called capil- laries, which can only be recognized by the aid of a microscope. The capillaries terminate in veins. The veins take the blood from the capillaries in all parts of the body. They begin in very small tubes, which unite to become larger in size and less in number as they approach the heart. In its course an artery is usually accompanied by a vein and in many situations by a nerve. The more important arteries are placed deep within the body; but in those cases where they are superficial they are generally found where least exposed to injury, as, for example, on the inner side of the legs. Arteries are less numerous than veins, and the total cajpacity of the arteries is much less than that of the veins. A great number of veins are in the tissue immediately beneath the skin, and these are not generally accompanied by arteries. The blood throughout its course, in the heart, arteries, capillaries, and veins, is inclosed within these vessels. There is no opening into the course of the blood, except where the large Ij^mphatics emptj' into the venous blood. All the arteries, except the pulmonary arter}^ and its branches, carry bright-red blood, and all the veins, except the pulmonary veins, 72 DISEASES OF CATTLE. carry dark-red blood. The impure dark-red blood is collected from the capillary vessels and carried to the right auricle bj' the veins ; it passes down into the right ventricle and thence into the pulmonary artery, and through its branches to the capillaries of the lungs, where the carbonic-acid gas andother impurities are given up to the air in the air cells of the lungs (through the thin walls between the capillaries and the air cells), and where it also absorbs from the air the oxygen gas necessary to sustain life, which changes it to the bright-red, pure blood. It passes from the capillaries to the branches of the pulmonary veins, which convey it to the left auricle of the heart; it then passes through the auriculo-ventricular opening into the left ventricle, the contraction of which forces it through the common aorta into the pos- terior and anterior aortas, and through all the arteries of the body into the capillaries, where it i)arts with its oxj^gen and nutritive ele- ments and M'here it absorbs carbonic-acid gas and becomes dark col- ored. (See theoretical diagram of the circulation, PI. VII.) The branches of certain arteries in different parts unite again after subdividing. This reuniting is called anastomosing, and assures a quota of blood to a part if one of the anastomosing arteries should be tied in case of hemorrhage, or should be destroyed by accident or operation. BLOOD. The various kinds of food, after being digested in the alimentary canal, are absorbed and carried into the blood by the lymphatics, and ' by the blood to the places where nutrition is required. The blood takes from all parts of the body all that is useless and no longer required, and carries it to the different organs where it is eliminated from the body. It contains within itself all the elements which nour- ish the body. The blood may be considered a fluid holding in solution certain inorganic elements and having certain bodies suspended in it. To facilitate description, the blood may be considered as being made up of the corpuscles and the liquor sanguinis. The corpuscles are of two kinds, the red and the white, the red being the most numerous. The color of the blood is due to the coloring matter in the red cor- puscles. The red corpuscles are the oxygen carriers. Both kinds are very minute bodies, which require the aid of the microscoj^e to recognize them. The liquor sanguinis is composed of water contain- ing in solution salts, albumen, and the elements of fibrin. The lymphatics, or absorbents, are the vessels which carry the lymph and chj'le in the blood. They begin as capillaries in all parts of the body, gradually uniting to form larger trunks. Placed along the course of the Ij-raphatic vessels are glands, and in some situations these glands are collected into groups; for example, in the groin, etc. These glands are often involved in inflammation arising from the absorption of deleterious matter. DISEASES OF HEART, BLOOD VESSELS, AND LYMPHATICS. 73 Absorption is the function of the lymphatics. The liquor sanguinis passes from the blood capillaries to supply nutrition to the tissues. All excess of the liquor sanguinis that is not required is absorbed by the lymphatic vessels and convej'ed back to the blood by the lym- phatic ducts. The lymphatics which proceed from the intestines con- vey the chyle into the blood during digestion. As a rule, the lym- phatic vessels follow the course of the veins. All of the absorbent vessels convey their contents to the thoracic duct and right great lymphatic vein, which empty into the anterior vena cava, where the lymph and chyle mix with the venous blood, and thus maintain the supply of nutritive elements in the blood. PULSE. As fully explained, the heart pumps the blood throughout the arte- rial system. The arteries are always full and each contraction of the ventricle pumps more blood into them, which distends their elastic walls and sends a wave along them which gradually becomes less per- ceptible as it nears the very small arteries, and is lost before the capillaries are reached. This wave constitutes the pulse. The sen- sation or impression given to the finger when placed upon the artery shows the force exerted bj^ the heart and some important facts con- cerning the condition of the circulation. In cattle the average num- ber of pulsations in a minute (in adults) is from 50 to 60. The pulse is faster than normal after exercise, excitement, on hot days, from pain, and as a result of fullness of the stomach. In old animals it is slower than in the young and in males slightly slower than in females. Ib fevers and inflammations and in local diseases of the heart the pulse rate is increased. If the rate is greater than 100 or 110 to the minute the outlook for recovery is not good. Other variations of the pulse are known as infrequent pulse, which means that the number of pulsations in a given time is less than nor- mal. The irregular or the intermittent pulse is when the pulsations do not follow in regular order. The large pulse and the small pulse refer to the volume of the pulse, which may be larger or smaller than usual. The strong pulse and the feeble pulse refer to the strength or weakness of the pulsation. The pulse is said to be hard when the vessel feels hard and incompressible. The soft pulse is the reverse of the hard one. By dicrotic pulse is meant that kind of pulsation which makes each beat seem double, and therefore it is generally called the double pulse. The venous or "jugular pulse" is the pulsation so frequently observed in the jugular vein of cattle. It is particularly noticeable while they are ruminating — "chewing the cud." It is not always associated with disease, but may be a sj^mptom of some disease of the heart; in such cases the jugular pulse is continuous. The location selected for feeling the pulse in cattle is where the sub- maxillary artery winds around the lower jaw bones, just at the lower 74 DISEASES OF CATTLE. edge of the flat muscle on the side of the cheek; or, if the cow is lying down, the metacarpal artery on the back part of the fore fetlock is very convenient for the purpose. THE EXAMINATION OF THE HEART. Corresponding with the beats of the heart two sounds are emitted, which are of a definite type in health}^ animals. The first is pro- duced by the contraction of the heart and the flow of blood out of it; the second is caused by the rebound of blood in the aorta and the closure of the valves that prevent it from flowing backward into the heart, whence it came. The first sound is the longer and louder of the two, though of low pitch. The second sound is sharper and shorter, and is not always easy to hear in cattle. There is a brief interval between them. To appreciate these sounds, the ear is placed against the left side of the chest, a little above the point where the elbow rests when the animal is standing in a natural position and about oj)posite the sixth rib. The heart sounds are both reduced in intensitj^ when the animal is weak or when the heart is forced away from the chest wall by col- lections of fluid or by tubercular or other growths. Nonrhj^thmical heart sound is often caused by pericarditis or by disease of the valves. It may also be due to overfilling of the heart upon the right side, as occurs in severe congestion of the lungs and in some febrile diseases. In pericarditis scraping, rubbing, or splashing sounds may be heard, entirely apart from the two normal sounds above described. The impulse of the heart, as felt by placing the hand against the chest, is of some consequence in arriving at a conclusion in respect to disease of the heart; but it must be remembered that the impulse may be very much increased by diseases other than those of the heart, as, for example, infiammation of various organs, severe pains, etc. The impulse may also be increased (when disease does not exist) by work, exercise, fright, or anj^ cause of excitement, or, in general, by anj^thing that causes acceleration of the pulse. The impulse of the heart may be felt and the sounds may be heard fairly well in lean cattle, but in fat ones it is difficult and often impossible to detect either impulse or sound with anj^ degree of satis- faction, PALPITATION. When the impulse of the heart is excessive — that is, when it beats more or less tumultuously — the familiar expression ' ' palpitation of the heart" is applied; and by many it is called "thumps." The hand or ear placed against the chest easily detects the unnatural beating. In some cases it is so violent that the motion may be seen at a distance. Palpitation is but a symptom, and in many instances not connected DISEASES OF HEART, BLOOD VESSELS, AND LYMPHATICS. 75 with disease of the structure of the heart or its membranes. An animal badly frightened may have palpitation. "When it comes on suddenly and soon passes away, it depends on some cause other than disease of the heart; but when it is gradually manifested, and becomes constant, although more pronounced at one time than another, heart disease may be suspected, especially if other symptoms of heart dis- ease are present. INJURY TO THE HEART BY FOREIGN BODIES. Cattle are addicted to the habit of chewing and swallowing many objects not intended as articles of food. Every veterinarian of exije- rience has met with instances to remind him of this, and it is well known to butchers. Among the great variety of things that have thus found their way into the stomachs of cattle the following have been noticed : Finger rings, knitting needles, old shoes, table knives, wood, pieces of leather, pieces of wire, buttons, hairpins, brushes, nails, coins, etc. The more sharply pointed objects sometimes pene- trate the wall of the stomach, during which they may or may not cause enough irritation of the stomach to produce indigestion, gradu- ally work their way through the diaphragm toward the heart, pierce the pericardium (bag inclosing the heart), wound the heart, and prove fatal to the animal. Cases are recorded in which the foreign body has actually worked its way into one of the cavities of the heart. However, instances are known in which the object took a different course, and finally worked its way toward the surface and was extracted from the wall of the chest. While it is possible that the object may pierce the wall at different parts of the alimentary canal, as it frequently does that of the rumen (paunch), it is thought that in the great majority of cases it passes through the wall of the reticu- lum (smaller honeycombed compartment, or second stomach) and is drawn toward the heart by the suction-like action of the chest. Post- mortem examinations have demonstrated the course it pursued, as adhesions and other results of the inflammation it caused were plainly to be seen. All manner of symptoms may precede those showing involvement of the heart, depending upon the location of the foreign body and the extent of inflammation caused by it. Severe indigestion may occur; stiffness and difficulty in moving about, due to the prods of the sharp body following muscular contraction; pain on j)ressure over the front, lower, and right sides of the abdomen; coughing and difficult, quick breathing. In most cases the foreign body does not penetrate to the heart, nor even to the pericardium. Symptoms. — The symptoms are as follows: The animal is disin- clined to move actively, the step is restricted and cautious, sudden motion causes grunting, the attitude is constrained, the feet are drawn somewhat together, the back is arched, the face has an anxious expression. If the disease is of some days' standing, there is likely to 76 DISEASES OF CATTLE. be soft swelling (edema) beneath the neck, in the dewlap, and under the chest, between the fore legs. Breathing is short and difficult; it may clearly be painful. The pulse is rapid, 80 to 120 per minute. The mus- cles quiver as though the animal were cold. Rumination and appetite are depressed or checked. The dung is hard, and to void it appears to cause pain. These symptoms usually develop gradually', and, of course, they vary considerably in different animals, depending upon the size and location of the foreign body and the irritation caused hy it. As a matter of course, treatment in such cases is useless, but when it is possible to diagnose the case correctly the animal could be turned over to the butcher before the flesh becomes unfit for use; that is, before there is more than a little suppuration and before there is fever. Knowing that cattle are prone to swallow such objects, ordi- narj'^ care may be exercised in keeping their surroundings as free of them as possible. PERICARDITIS. Inflammation of the pericardium (heart bag) is often associated Avith pneumonia and pleurisy, rheumatism, and other constitutional diseases, or with an injury. It also occurs as an independent affec- tion, due to causes similar to those of other chest affections, as expos- ure to cold or dampness and changes of the weather. Sijmptoms. — It may be ushered in with a chill, followed by fever, of more or less severity; the animal stands still and dull, with head hanging low, and anxiety expressed in its countenance. The pulse may be large, perhaps hard ; there is also a venous pulse. The hand against the chest will feel the beating of the heart, which is often irregular, sometimes violent, and in other instances weak, depending in part upon the amount of fluid that has transuded into the peri- cardial sac. Legs are cold, the breathing quickened, and usually abdominal; if the left side of the chest be pressed on or struck, the animal evinces pain. There may be spasms of the muscles in the region of the breast, neck, or hind legs. After a time, which varies in length, the legs may become swollen, and swelling may also appear under the chest and brisket. In those animals in which the heart sounds may be heard somewhat distinctly, the ear applied against the chest will detect a to-and-fro friction sound, corresponding to the beats ef the heart. This sound is produced by the rubbing of the internal surface of the heart bag against the external surface of the heart. During the first stages of the inflammation these surfaces are dry, and the rubbing of one against the other during the contraction and relaxation of the heart produces this sound. The dry stage is followed by the exudation of fluid into the heart sac, and the friction is not heard until the fluid is absorbed sufficiently to allow the surfaces to come in contact again. But during the time tlie friction sound is lost a sound which has been called a "churning noise" may take its place. I DISEASES OF HEART, BLOOD VESSELS, AND LYMPHATICS. 77 The friction sound of pericarditis can not be mistaken for the fric- tion sound of pleurisy if the examination is a careful one, because in the heart affection the sound is made in connection with the heart beats, while in the pleuritic affection the sound is synchronous with each respiration or breath of air taken in and expelled from the lungs. Treatment. — When pericarditis is complicated with rheumatism or other diseases the latter must be treated as directed in the description of them. The animal must be kept in a quiet, comfortable place, where it will be free from excitement. Warm clothing should be applied to the body and the legs should be hand- rubbed until the circulation in them is reestablished, and then snugly bandaged. The food should be nutritive and in moderate quantity. Bleeding should not be per- formed unless the case is in the hands of an expert. At the beginning, give as a purgative Epsom salts — 1 i^ound to an average-sized cow — dissolved in about a quart of warm water and administered as a drench. When there is much pain, 2 ounces of lau- danum may be given, diluted with a pint of water, every three hours, until relief is given. Do not give the laudanum unless demanded by the severity of the pain, as it tends to constipation. Give one-half ounce of nitrate of potassium (saltpeter), dissolved in drinking water, four or five times a day. After the attack has abated, mustard mixed with water may be rubbed well over the left side of the chest to stim- ulate the absorption of the fluid contained within the pericardium. The other medicines may be discontinued and the following adminis- tered: Sulphate of iron, 2 ounces; powdered gentian, 6 ounces; mix and make eight powders. Give one powder everyday at noon, mixed with food, if the animal will eat it, or shaken up with water in a bot- tle as a drench. Also the following: Iodide of potassium, 2 ounces; nitrate of potassium, 8 ounces ; mix and make sixteen powders. Give one in drinking water or in drench every morning and evening. The last two prescriptions may be continued for several weeks if necessary. If at any time during the attack much weakness is manifested, give the following drench every three hours: Spirits of nitrous ether, 3 ounces; rectified spirits, 4 ounces; water, 1 pint; mix and give as a drench. In extreme cases tapping the pericardium with a trocar and canula to draw off the fiuid is resorted to, but the operation requires exact anatomical knowledge. After death from pericarditis there is always more or less fluid found in the jjericardium ; the surfaces are rough and covered with a yellow- colored exudate. There are also, in many cases, adhesions, to a greater or less extent, between the heart and pericardium. MYOCARDITIS. Inflammation of the muscular structure of the heart occurs in lim- ited, circumscribed areas, as evidenced by postmortem examination, 78 DISEASES OF CATTLE. and it is probably always somewhat involved in connection with peri- carditis and endocarditis. It may readily be inferred that if the whole organ were inflamed death would ensue immediately. Usually myocarditis results from the preexistence of blood i^oisoning or some infectious febrile disease. Symptoms. — The chief symptoms are those of heart weakness. The heart beat is fast, weak, and often irregular. Respiration is difficult and rapid. There is great general weakness and depression. Death comes on suddenly. Treatment. — Treatment consists in supporting the animal bj' the use of stimulants, such as alcohol, ammonia, cofi'ee, digitalis, camphor, etc. Complete quiet must be provided, and the general care should be as in pericarditis. ENDOCARDITIS. When the membrane which lines the cavities of the heart — the endo- cardium — suffers inflammation, the disease is called endocarditis. The cause is another disease, during which there is produced and admit- ted into the circulation substances that irritate the lining of the heart. These substances are usually living organisms, or it is possible that in some cases they are chemical irritants. Endocarditis occurs as a complication or sequel to pneumonia, blood poisoning, inflammation of the womb, rheumatism, or severe wounds or abscesses. The symp- toms are much the same as those of pericarditis, and it is difficult to discriminate between the two affections. There is a jugular pulse, the legs may become dropsical, and there is a tendency to faint if the head is elevated suddenly. The bellows-like sound is more distinct than it is in pericarditis. It is the most fatal of heart diseases, because of the liability of the formation of clots, which may adhere to the valves, change in the structure of the valves, and often a com- plication with an abnormal condition of the blood. Clots may be formed in the heart, and, being carried to other parts, prove fatal by interrupting the circulation in some vital organ. Similar treatment to that advised for myocarditis may be followed in this disease. VALVES OF THE HEART. The valves are subject to abnormal growths and structural changes in chronic endocarditis or as a result of acute endocarditis. Some- times valves are torn by sudden extreme muscular effort, or an abnor- mality may be congenital. Cases are also reported in which thej" have been found ruptured. Symptoms. — The general symptoms are those of heart weakness, accompanied by congestion of the lungs and edema. Treatm,ent. — Relief is sometimes afforded, but usually temporarily, by the use of stimulants, especially digitalis. DISEASES OF HEAET, BLOOD VESSELS, AND LYMPHATICS. 79 RUPTURE OF THE HEART. Sudden effort, blows, or disease may lead to rupture of the heart of the ox. The first cause does not operate so often in cattle as in horses. Tuberculosis or ulceration from other causes, such as a foreign body, is the most common source of this accident. Rupture is shown by sudden fainting, followed very shortlj'^ by death. HYPERTROPHY AND DILATATION OF THE HEART. This is an enlargement of the heart, and may consist of the thicken- ing of tlie walls alone, or at the same time the cavities may be either enlarged or diminished in size. Dilatation of the cavities has been noticed as existing independently of thickened walls. In hj'^pertrophy the sounds of the heart are loud and pronounced, and may be heard on both sides of the chest distinctly, and palpitation occurs to a greater or less extent. Luckily both conditions are very rare in cattle. ATROPHY. Atrophy is the technical term for wasting of the muscular tissue. Atrophy of the heart is very rare among cattle, and is usually a result of other diseases. FATTY DEGENERATION OF THE HEART. This condition of the heart is met with in some cattle that are very fat, but it must be understood that the accumulation of fat around the heart is not referred to by this designation. In fatty degenera- tion the elements of the muscular tissue are replaced by fatty or oily granules. The muscle becomes weak, the heart contractions are insufficient, and heart weakness is shown by general weakness, short- ness of breath, and weak, rapid pulse. CYANOSIS. Owing to the most prominent symptom, this condition is also called "blue disease." It is seen occasionally in new-born calves. It is recognized by the blue color of the mucous membrane (easily seen by looking within the mouth and nostrils), the coldness of the surface of the body, and rapid, labored breathing. It is due to nonclosure of the foramen ovale, connecting the right with the left side of the heart, and the consequent mixing of the venous with the arterial blood. Calves so affected live but a short time. MISPLACEMENT OF THE HEART. Cases are recorded in which the heart has been found out of its natural position, sometimes located outside of the chest. This is a congenital condition, for which there is no remedy. A heifer calf 80 DISEASES OP CATTLE. with the heart entirely outside of the thoracic cavity and contained beneath the skin in the lower part of the neck was kept at the veteri- nary hospital of the University of Pennsylvania for two years, during which time it matured into a well-developed cow. WOUNDS OF ARTERIES AND VEINS. When a blood vessel is opened it may be told at a glance whether it is an artery or a vein by simply bearing in mind that bright- red blood comes from arteries and dark-red from veins. When a vein or a very small artery is severed the blood flows from the vessel in a con- tinuous and even stream, but when one of the larger arteries is severed the blood comes from it in intermitting jets, or spurts, corresponding to the beats of the heart. It is well to call attention to the fact that the dark-red blood which flows or oozes from a wound soon becomes bright-red, because it gives up its carbonic-acid gas to the air, and absorbs oxygen gas from the air, which is exactl}^ the change it under- goes in the capillaries of the lungs. The general treatment of wounds will be found in another section; here it is only necessary to refer briefly to some of the most practical methods used to arrest hemorrhages, as instances occur where an animal may lose much strength from the loss of blood, or even bleed to death unless action is prompt. BLEEDING (HEMORRHAGE). The severity of a hemorrhage depends upon the size of the vessel from which the blood escapes, though it may be stated that it is more serious when arteries are severed. If the wound in an artery is in the direction of its length, the blood escapes more freely than if the vessel is completel}^ severed, because in the latter instance the severed ends retract, curl in, and may aid very much in arresting the flow. When the blood merely oozes from the wound, and even in cases where it flows in a small stream, the forming of the clot arrests the hemorrhage in a comparatively short time. Slight hemorrhages may be checked by the continuous application to the wound of cold water, ice, or snow, as cold causes contraction of the small vessels. The water may be thrown on a wound from a hose, or dashed on it from the hand or a cup, or folds of cotton cloths may be held on the wound and kept wet. Ice or snow may be held against the wound, or they may be put in a bag and conveniently secured in position. Hot water of an average temperature of 115° to 120° F. injected into the vagina or womb is often efficient in arresting hemorrhages from those organs. Tow, raw cotton, lint, or sponges may be forced into a wound and held or bound there with bandages. This is an excellent method for checking the flow of blood until the arrival of an expert. If the flow persists, these articles may be saturated with tincture of iron, DISEASES OF HEART, BLOOD VESSELS, AND LYMPHATICS. 81 but it is i40t advisable to use the tincture of iron if it can be avoided, as it is a caustic, and retards healing by causing a slough. The arti- cles may be saturated with vinegar in cases of necessity, or tannic acid or alum dissolved in water maybe used instead. The article (which- ever is used) should be left in the wound sufficiently long to make sure that its removal will not be followed by a renewal of the hemorrhage. It must remain there one or two days in some instances. An iron heated until it is white and then pressed on the bleeding ves- sel for three or four seconds is occasionally used. It should be at white heat and applied for a moment only, or else the charred tissue will come away with the iron and thus defeat the purpose of its application. Compression may be applied in different ways, but only the most convenient will be mentioned. To many wounds bandages may easily be applied. The bandages may be made of linen, muslin, etc., suffi- ciently wide and long, according to the nature of the wound and the region to be bandaged. Bed sheets torn in strips the full length make excellent bandages for this purpose. Cotton batting, tow, or a piece of sponge may be placed on the wound and firmly bound there with the bandages. In many instances ligating the vessel is necessary. A ligature is a piece of thread or string tied around the vessel. Ligating is almost entirely confined to arteries. Veins are not ligated unless very large (and even then only when other means are not available) on account of the danger of phlebitis, or i*iflammation of a vein. The ligature is tied around the end of the artery, but in some instances this is diffi- cult, and it is necessary to include some of the adjacent tissue, although care should be taken that a nerve is not included. To apply a liga- ture, it is necessary to have artery forceps (tweezers or small pincers may suffice) by which to draw out the artery in order to tie the string around it. To grasp the vessel it may be necessary to sponge the blood from the wound so that the end will be exposed. In case the end of the bleeding artery has retracted, a sharp-pointed hook, called a tenaculum, is used to draw it out far enough to tie. The ligature should be drawn tightly, so that the middle and internal coats will be cut through. Another method of checking hemorrhage is called torsion. It con- sists in catching the end of the bleeding vessel, drawing it out a little, and then twisting it around a few times with the forceps, which lacer- ates the internal coats so that a check is effected. This is very effec- tual in small vessels, and is to be preferred to ligatures, because it leaves no foreign body in the wound. A needle or pin may be stuck through the edges of a wound, and a string passed around between the free ends and the skin (PL XXVIII, fig. 10), or it may be passed around hi the form of a figure 8, as is often done in the operation of bleeding from the jugular vein. 8267—04 6 82 DISEASES OF CATTLE. ANEURISM. . A circumscribed dilatation of an artery, constituting a tumor which pulsates synchronously with the beats of the heart, is called aneurism. It is due to disease and rupture of one or two of the arterial coats. The true aneurism communicates with the interior of the artery and contains coagulated blood. They are so deeply seated in cattle that treatment is out of the question. These abnormalities are due to severe exertion, to old age, to fatty or calcareous degeneration, or to parasites in the blood vessels. Death is sudden when due to the rup- ture of an aneurism of a large artery, owing to internal hemorrhage. Sometimes spontaneous recovery occurs. As a rule no symptoms are caused in cattle by the presence of deep-seated aneurisms, and their presence is not suspected until after death. A false aneurism results from blood escaping from a wounded arterj'- into the adjacent tissue, where it clots, and the wound, remaining open in the artery, causes pulsation in the tumor. THROMBOSIS (OBSTRUCTION) OF THE ARTERIES. Arteries become obstructed as a result of wounds and other injuries to them, as those resulting from the formation of an abscess or the extension of inflammation from surrounding structures to the coats of an artery. Arteries are also obstructed by the breaking off of pai*- ticles of a plug or clot, partly obstructing the aorta or other large artery. These small pieces (emboli) are floated to an artery that is too small to permit them to pass and are there securely held, produc- ing obstruction. Such obstructions are shown by loss of power in the muscles supplied by the obstructed artery and by excitation of the heart and respiration after exercise. The loss of power may not come into evidence until after exercise. Symptoms. — While standing still or when walking slowly the ani- mal may appear to be normal, but after more active exercise a group of muscles, a leg, or both hind legs, may be handled with difiicultj^, causing lameness, and later there is practically a local paralysis. These symptoms disappear with rest. In some cases the collateral cir- culation develops in time, so that the parts receive sufficient blood and the symptoms disappear. INFLAMMATION OP VEINS (PHLEBITIS). When bleeding is performed without proper care or with unclean fleam or lancet, inflammation of the vein may result, or it may be caused by the animal rubbing the wound against some object. When inflammation follows the operation, the coats of the vein become enlarged; so much so that the vessel may be felt hard and knotted beneath tlie skin, and when pressed on pain is evinced. A thin, watery discharge, tinged with blood, issues from the wound. When the pin DISEASES OF HEART, BLOOD VESSELS, AND LYMPHATICS. 83 is taken out it is found that the wound has not healed. The blood becomes coagulated in the vessel. In inflammation of the jugular the coagulation extends from the wound upward to the first large branch. Abscesses may form along the course of the vein. The inflammation is followed by obliteration of that part in which coagulation exists. This.is of small import, as cattle have an accessory jugular vein which gradually enlarges and accommodates itself to the increased quantity of blood it must carry. Treatment. — The treatment for inflammation of the vein is to clip the hair from along the course of the affected vessel and apply a blister, the cerate of cantharides. Abscesses should be opened as soon as they form, because there is a possibility of the pus getting into the circulation. In the operation of bleeding the instruments should be clean and free from rust. If the skin is not sufficiently opened, or when closing the wound the skin is drawn out too much, blood may accumulate in the tissue, and if it does it should be removed by pressing absorbent cotton or a sponge on the part. Care should also be used in opening the vein, so that the instrument does not pass entirely through both sides of the vein and open the artery beneath it. (See ' ' Bleeding, or Blood-letting," p. 290.) DISEASES OF THE HEART, BLOOD VESSELS, AND LYMPHATICS. DESCRIPTION OF PLATE. Plate VII: Diagram illustrating the circulation of the blood. The arrows indicate the direction in which the blood flows. The valves of the heart, situated between the right auricle and ventricle, and left auricle and ventricle, and between the ventricles and large arteries, are represented by curved lines. These valves are intended to prevent the flow of blood in a direc- tion contrary to that indicated by the arrows. 84 Diseases of Cattle. Plate VII. NOJ^CONTAGIOUS DISEASES OF THE ORGANS OF RESPIRATION. By Dr. William Herbert Lowe, State Veterinarian of New Jersey; President of the State Board of Veterinary Medical Examiners of Neiv Jer'sey; Former Superintendent of the Animal Quar- antine Station for the port of Neiv YorJc. [Revised in 1904 by the author.l In the determination of disease in the human being the physician is aided by both subjective and objective symptoms in making his diag- nosis ; but the veterinary physician, in a very large majority of cases, is obliged to rely almost solely upon objective symptoms, and perhaps in no class of diseases is this more true than in the exploration of those under consideration. This condition of affairs has a strong tendency to develop observation and discernment in the veterinarian, and not infre- quently do we find that the successful veterinary practitioner is a very accurate diagnostician. But in order to make a differential diagnosis it is not only necessary to have a knowledge of the structure and func- tions of the organs in health, but to adopt a rigid system of details of examination, without which successful results can not be reached. History. — The history of a case should always be ascertained so far as possible. The information obtained is sometimes unsatisfactory and not to be depended upon, but even when such is the case it is advisable to weigh the evidence from every point of view. In connection with the history of every case it is always of primary importance to ascertain the cause of illness. A knowledge of the origin and development of a disease is important, both in making a diagnosis and in formulating the treatment. Exposure to cold and dampness is frequently the exciting cause of affections of the organs of respiration. The experienced practitioner is always sure to ascertain whether the particular animal he is called on to attend is the only one in the stable or on the premises that is similarly affected. If several animals are similarly affected the disease may have a common cause, which may or may not be of an infectious nature. Another thing that the experienced practitioner ascertains is what previous treatment, if any, the animal has had. Medicine given in excessive doses sometimes produces symptoms resembling those of disease. 85 86 DISEASES OF CATTLE. The hygienic and sanitary conditions have always to be considered in connection with the cause as well as the treatment of disease. Much of the disease which occurs in large dairies, as well as else- where, could be prevented if owners and those in charge of animals had proper regard for the fundamental laws of animal hygiene and modern sanitation. Disregard for these laws is the cause of most of the diseases under consideration in this chapter. Attitude and general condition. — The feeling of pain in animals suffering from serious affections of the organs of respiration is expressed to the close observer in no uncertain language — by their flinching when the painful part is touched ; by the care with which they move or lie down; by walking or standing to "favor" the part; by the general attitude and expression of the eye ; by the distress and suffering apparent in the face of the sick animal; and by other evidences. The general physical condition and attitude of the sick animal tell much to the careful observer that aids him in making a diagnosis and prognosis. Cows suffering from affections of the organs of respira- tion usually assume a position or attitude that is characteristic, well known to experienced stockmen as well as to veterinarians. When an animal has a fever or is suffering from an inflammation, the skin is one of the first parts of the body to undergo a change that is apparent to the average observer. The skin soon loses its elasticity and tone and the hair becomes dry and staring. From the general condition or state of nutrition one is able to judge the effect that the disease has already had upon the animal and to estimate the amount of strength remaining available for its restora- tion to health ; from the amount of emaciation one can approximate as to the length of time the animal has been ill. The age and breed of the animal, as well as its constitution and temperament, are among the things that have to be taken into account in making a diagnosis and in overcoming the disease. The mucous rnemhrane. — The mucous membrane should in all cases be examined. It can be readilj^ seen by everting the eyelids or by an inspection of the lining membrane of the nostrils. Paleness of the mucous membrane indicates weak circulation or poor blood. It may result from inappropriate food, from disease, or from hemorrhage. In healthy animals increased redness of the mucous membrane occurs from pain, excitement, severe exertion, and in such instances is always transitory. In certain pathological conditions, such as fevers and inflammation, this condition of the mucous membrane will also be found. The increased redness of the mucous membrane lasts during the duration of the fever or inflammation. A bluish or blue mucous membrane indicates that the blood is imperfectl}' oxidized, and contains an excess of carbon dioxide, and NONCONTAGIOUS DISEASES OF RESPIRATION ORGANS. 87 is seen in serious diseases of tlie respiratory tract, such as i^neiimonia and in heart failure. The secretions. — The secretions maybe either diminished, increased, or perverted. In the early stage of an inflammation of a secretory organ its secretion is diminished. In the early stage of pleurisy the serous membrane is dry, and as the disease advances the membrane becomes unnaturally moist. The products of secretion are some- times greatly changed in character from the secretion in health, becoming excessively irritant and yielding evidence of chemical and other alterations in the character of the secretion. Cough. — Cough depends upon a reflex nervous action, and vasiy be primary when the irritation exists in the lungs or air passages, or sec- ondary when due to irritation of the stomach, intestines, or other parts having nervous communications with the respiratory apparatus. A cough is said to be dry, moist, harsh, hollow, difficult, paroxysmal, suppressed, sympathetic, etc., according to its character. Cough is a YQvy important symptom, often being diagnostic in diseases of the respiratory organs; but this is a subject which can be more satisfac- torily treated in connection with the Sfjecial diseases of the organs in question. Respiration. — In making an examination of an animal observe the depth, frequency, quickness, facility, and the nature of the respira- tory movements. They may be quick or slow, frequent or infrequent, deep or imperfect, labored, unequal, irregular, etc., each of which has its significance to the educated and experienced veterinarian. Sleep, rumination, pregnancy in cows, etc., modify the respiratory movements even in health. Respiration consists of two acts — inspira- tion and expiration. The function of respiration is to take in oxygen from the atmospheric air, which is essential for the maintenance of life, and to exhale the deleterious gas known as "carbon dioxide." The frequency of the respiratory movements is determined by observing the motions of the nostrils or of the flanks. The normal rate of respiration for a healthy animal of the bovine species is from fifteen to eighteen times per minute. The extent of the respiratory system renders it liable to become affected by contiguity to many parts, and its nervous connections are very important. Rapid, irregular, or difficult breathing is known as dyspnea, and the animal in all such cases has difficulty in obtaining the amount of oxygen that it requires. Among the conditions that give rise to dysp- nea may be mentioned restricted area of active lung tissue, due to filling of portions of the lungs with inflammatory exudate, as in pneu- monia; painful movements of the chest, as in rheumatism or pleurisy; fluid in the chest cavitj^, as in hydrothorax; adhesions between the lungs and chest walls; compression of the lungs or loss of elasticity; excess of carbon dioxide in the blood; weakness of the respiratory passages ; tumors of the nose and paralysis of the throat ; swellings of 88 DISEASES OF CATTLE. the throat; foreign bodies and constriction of the air passages leading to the lungs; fevers, etc. As already alluded to, it is only the careful and constant examina- tion of animals in health that will enable one properly to appreciate abnormal conditions. One must become familiar with the frequency and character of the pulse and of the respirations, must know the tem- perature of the animal in health, before changes in abnormal condi- tions can be properly appreciated. Temperature. — The temperature should be taken in all cases of sick- ness. Experienced practitioners can approximate the patient's tem- perature with remarkable accuracy, but I would strongly recommend the use of the self -registering clinical thermometer, which is a most valuable instrument in diagnosing diseases. (See PI. Ill, fig. 1.) It is advisable that a tested instrument be procured, as some ther- mometers in the market are inaccurate and misleading. The proper place to insert the thermometer is in the rectum. The instrument should be rested against the walls of the cavity for about three min- utes. The normal temperature of the bovine is 101° F. to 102° F., which is higher than that of the horse. A cow breathes faster, her heart beats faster, and her internal temperature is higher than that of the horse. Ordinary physiological influences — such as exercise, digestion, etc. — give rise to slight variations of internal temperature; but if the temperature rises two or three degrees above the standard, some diseased condition is indicated. Pulse. — The pulse in a grown animal of the bovine species in a state of good health beats from forty-five to fifty-five times per minute. Exercise, fright, fear, excitement, overfeeding, pregnancy, and other physiological conditions, as well as disease, may affect the frequency and character of the pulse. It assumes various characters according to its rapidity of beat, frequency of occurrence, resistance to pres- sure, regularity, and perceptibility. Thus we have the quick and slow, frequent and infrequent, hard and soft, full and imperceptible, large and small pulses, the characters of which may be determined from their names; also that form known as the intermittent, either regular or irregular. We may have a dicrotic, or double, pulse; a thread}^ pulse, which is extremely small and scarcely perceptible; the venous, or jugular, pulse; the "running down" pulse, and so on. (See p. 73.) In cattle the pulse is conveniently felt over the submaxillary arte'ry where it winds around the lower jawbone, just at the lower edge of the flat muscle on the side of the cheek. If the cow is lying down the pulse may be taken from the metacarpal artery on the back part of the fore fetlock. The pulsations can be felt from any superficial artery, but in order to ascertain the j)eculiarities it is necessary to select an artery that may be pressed against a bone. There is a marked dif- ference in the normal or physiological pulse of the horse and that of NONCONTAGIOUS DISEASES OF KESPIRATION ORGANS. 89 the COW, that of the horse being full and rather tense, while in the cow it is soft and rolling. The pulse is faster in young and in old cattle than it is in those of middle age. Auscultation. — Auscultation and percussion are the chief methods employed to determine the various pathological changes that occur in the resj^iratory organs. Auscultation is the act of listening, and may be either mediate or immediate. Mediate auscultation is accom- plished by aid of an instrument known as the stethoscope, one extremity of which is applied to the ear and the other to the chest of the animal. In immediate auscultation the ear is applied directly to the part. Immediate auscultation will answer in a large majority of cases. Auscultation is resorted to in cardiac and certain abdominal diseases, but it is mainly employed for determining the condition of the lungs and air passages. Animals can not give the various phases of respiration on demand, as can the patients of the human practi- tioner. The organs themselves are less accessible than in man, owing to the greater bulk of tissue surrounding them and the pectoral position of the fore extremities, all of which render it more diffi'cult in determining pathological conditions. (See PL VIII.) The air going in and out of the lungs makes a certain soft, rustling sound, known as the vesicular murmur, which can be heard distinctly in a healthy state of the animal, especially upon inspiration. Exer- cise accelerates the rate of respiration and intensifies this sound. The vesicular murmur is only heard where the lung contains air and its function is active. The vesicular murmur is weakened as inflam- matory infiltration takes place and when the lungs are compressed by fluids in the thoracic cavity, and disappears when the lung becomes solidified in pneumonia or the chest cavity filled with fluid as in hydro- thorax. The bronchial murmur is a harsh, blowing sound, heard in normal conditions by applying the ear over the lower part of the trachea, and may be heard to a limited extent in the anterior portions of the lungs after severe exercise. The bronchial murmur when heard over other portions of the lungs generally signifies that the lung tissue has become more or less solidified or that fluid has col- lected in the chest cavity. Other sounds, known as mucous rales, are heard in the lungs in pneumonia after the solidified parts begin to break down at the end of the disease and in bronchitis where there is an excess of secretion, as well as in other conditions. Mucous rales are of a gurgling or bubbling nature. They are caused by air rushing through tubes con- taining secretions or pus. They are said to be large or small as they are distinct or indistinct, depending upon the quantity of fluid that is present and the size of the tubes in which the sound is produced. According to their character they are divided into dry and moist. The friction sound is produced by the rubbing together of roughened surfaces and is characteristic of pleurisy. 90 DISEASES OF CATTLE. Percussion. — Percussion is that mode of examination by which we elicit sounds by striking or tapping over the part. It may be direct or indirect. If the middle finger of the left hand is placed firml}^ on the chest and smartly tapped or struck with the ends of the first three fingers of the right hand, the soundwill be noticed to be more reso- nant and clear than when the same procedure is practiced on a solid part of the body. This is because the lungs are not solid, but are always, in health, well expanded with air. But in certain pulmonar}^ diseases, as in pneumonia, they fill up and become solid, when the sound given out by percussing them is dull, like that on any other solid part of the animal. When fluid has collected in the lower part of the chest cavity the sound will also be dull on percussion. Where there is an excess of air in the chest cavity, as in emphysema or in pneumothorax, the percussion sound becomes abnormally loud and clear. By practice on healthy animals the character and boundaries of the sounds can be so well determined that any variations from them will be readily detected, and will sometimes disclose the presence of a diseased condition when nothing else will. Percus.sion is sometimes practiced with the aid of a special percus- sion hammer and an object to strike upon known as a pleximeter. A percussion hammer is made of rubber or has a rubber tip, so that when the pleximeter, which is placed against the side of the animal, is struck the impact will not be accompanied by a noise. A jjercus- sion hammer and pleximeter can be purchased from any veterinary instrument maker. CATARRH (cold IN THE HEAD). Nasal catarrh is an inflammation of the mucous membranes of the nostrils and upper air passages. Simple catarrh is not a serious disease in itself, but if neglected is liable to be complicated with lar3'-ngitis, bronchitis, pneumonia, pleurisy, and other diseases of the respiratory organs, which are of a serious nature and sometimes fatal. Catarrh is a common disease among cattle. It is often due to sudden expo- sure to wet and cold after they have been accustomed to shelter. It may arise from inhalation of irritating gases. It is sometimes due to certain specific atmospheric conditions, and may assume an enzootic form. It is very debilitating, and requires prompt and judicious treatment. Symptovis. — Redness of the mucous membranes of the nose, redness and watering of the eyes. The mucous membrane first becomes dry; afterwards a watery discharge appears, and later on in severe cases tlie discharge becomes mucopurulent. In mild cases there is little or no fever, but in severe cases the fever maj^ run high. The animal becomes dull, languid, and is not inclined to move about, and the appetite may become impaired; there is variable temperature of the liorns and ears. If in a cow giving milk, the secretion diminishes; NONCONTAGIOUS DISEASES OF RESPIRATION ORGANS. 91 the mucus from the eyes and nose becomes thicker and yellower. Afterwards, as the symptoms increase in severity, the discharge becomes mucopurulent. Treatment. — The animal should be housed in a well-ventilated place, with good hj'^gienic surroundings. In cold and damp weather it should be kept warm with blanketing. Give hot, medicated inha- lations in severe cases. If the fever is high this may be reduced by giving nitrate of potassium, from 1 to 2 ounces, in the drinking water, three times daily. Diffusible stimulants are beneficial in most cases. Too much importance can not be attached to good nursing. There is no necessity to resort to the old system of bleeding, purging, or the use of powerful sedatives. EPISTAXIS (bleeding FROM THE NOSE). Bleeding from the nostrils is rather rare in cattle. It may arise from anj^ one of a variety of causes, but usually results from disease or injury to the mucous membranes, or to violent exertions in cough- ing and sneezing. It is seldom serious. The bleeding generally occurs in drops from one nostril only, accompanied b}^ sneezing, and without frothing. Bleeding from the lungs comes from both nostrils, is bright red, frothy, and accompanied by a cough. Treatment. — In many cases the bleeding will cease spontaneously, and all that is necessary is to keep the animal quiet and bathe the head and nostrils with cold water. Ascertain the cause of the bleed- ing and be governed accordingly in the treatment. In severe and exceptional cases, where the hemorrhage is persistent and long con- tinued, tie the animal's head to a high rack or beam and apply cold water, ice, or have recourse to styptic injections. If the hemorrhage is profuse and persistent, give either a drench composed of 1^ drams of acetate of lead dissolved in a pint of water or 1^ drams of gallic acid dissolved in a pint of water. LARYNGITIS (SORE THROAT). Laryngitis consists of an inflammation of the mucous membrane lining the larynx. It may be either a primary or a secondarj^ disease, complicated or uncomplicated. In the majority of cases it is due to some form of exposure, a sudden change from warm to cold surround- ings, or exposure to cold storms. It may also arise from inhaling irritating gases. It may be the result of external violence. In an acute attack of laryngitis there is an elevation of temjperature, pain on pressure over the region of larynx, violent paroxysms of coughing, difficult and noisy respiration. The nostrils are dilated, the nose extended, and the animal has a frightened expression. Tliere is marked difficulty in swallowing. Treatment. — This consists of fomentations and hot aj;)plications 92 DISEASES OF CATTLE. over the throat. Stimulating liniments, mustard mixed with cold water and well rubbed in with a stiff brush, or other forms of counter- irritation may be applied in severe cases. Hot inhalations should be frequently resorted to, and often afford much relief to the suffering animal. In this disease medicines should be given so far as possible in the form of electuaries {soft solid), on account of the difficulty of deglutition. Large drafts of medicines have a tendency to produce violent spells of coughing, and in this way retard recovery. The subjoined formula for an electuary will be found to answer the pur- pose in ordinary cases: Chlorate of potassium, pulverized, 8 ounces; fluid extract of belladonna, 2 ounces; powdered opium, 1 ounce; pow- dered licorice root, 8 ounces; sirup, sufficient quantity; mix. At frequent intervals place a small tablespoonful of the mixture on the tongue or back teeth. Or the following may be used instead: Aloes, powdered opium, and gum camphor in equal parts; mix. Rub an ounce on the molar teeth every four or five hours. The bowels should be kept open and the diet should be such as the patient can easily swallow. Warm, sloppy mashes, boiled oatmeal gruel, linseed tea, and the like are the most suitable substances. If suffocation be threatened during the course of the disease tracheotomy should be performed without delay. The details of the operation are fully described under the head of "Surgical operations." (See p. 292.) When the disease assumes a chronic form strong counterirritation is indicated, A cantharides blister may be applied, or the following ointment maybe used: Biniodide of mercury 1 part, lard 6 parts; mix. In some cases it will be found necessary to repeat the above application. BRONCHITIS, Bronchitis is an inflammation of the mucous membrane of the bronchial tubes. When a primary disease it is generally the result of what is commonly known as "catching cold." It may be secondary to or complicated with many of the diseases of the respiratory system. It may also be caused by breathing irritating gases; or by the intro- duction of foreign bodies into the bronchial tubes, which sometimes results from injudicious and careless drenching when the larynx is in a temporarily relaxed state. It may be acute or chronic, and is divided, according to the seat of the inflammation, into bronchitis proper where the large tubes are affected, or capillary bronchitis where the smaller tubes are affected. Symptoms. — Loss of appetite, elevation of temperature, generally 104° or 105° F. The inspiration is incomjjlete, short, and painful, and the expiration is prolonged. The pulse is increased in frequency and is hard, A characteristic and painful cough is present, but it is paroxysmal and incomplete. Auscultation and percussion greatly aid us in a diagnosis. A normal sound is observed on percussion. f NONCONTAGIOUS DISEASES OF RESPIRATION ORGANS. 93 On auscultation, in the early stages, rhonchus rales are detected if the larger tubes are affected, and sibilant rales if the smaller tubes are affected. Later on mucous rales are noted, and sometimes all sounds in certain parts are absent, which is due to the plugging up of the tubes. This plugging of the tubes, if extensive enough, is sometimes the cause of death, or death may result from extension of the disease to the lungs or pleura. Treatment. — The animal should be placed in a light, well- ventilated box, and the bowels kept in a soft condition by enemas, etc. Avoid violent purgatives. The body should be kept warm by blanketing. In the early stages give three times daily a draft composed as follows: Extract of belladonna, 2 drams; solution of acetate of ammonium, 4 fluid ounces; water, one-half pint. In the later stage of the disease substitute the following formula, which may be given twice daily : Car- bonate of ammonium, 3 drams; liquor hydrochlorate of strychnine, 2 fluid drams; spirits of nitrous ether, 1 fluid ounce; water, one-half pint. In some cases the following is preferable to either of the above, and may be given in a pint of linseed tea every four hours : Spirits sether. nit., 1^ ounces; spirits ammon. arom., 2 ounces; camphor, powdered, 2 drams. The food should be be light and nutritious. Bronchitis is liable to assume a chronic form if not properly treated in the earliest stage. Remedial treatment is of little value when the disease becomes chronic. PLEURISY. Pleurisy is an inflammation of the serous membrane lining the chest cavity and enveloping the lungs. It is somewhat rare as an independent disease, but it often complicates pneumonia; indeed, it is often due to the same germ that causes pneumonia — pneumococcus. It may arise from exposure to cold or wet or from external violence and is usually present in some degree in cases where the ribs have been fractured with or without a penetrated wound. Symptoms. — In the first stage there is great pain aggravated by movement, and the animal is usually stiff as though foundered, the pulse is quick and hard, the breathing abdominal, the chest being fixed so far as possible, the inspiration short and jerky, the expiration longer. The pain is due to the friction of the dry, infiamed pleural surfaces of the lung and chest on each other. At this stage the ear detects a dry friction murmur resembling somewhat the sound made by rubbing two pieces of sole leather together. Pressure between the ribs gives pain and usually causes the animal to flinch and grunt. The muzzle is hot and dry, the mouth slimy, and the secretions scanty. After a day or two the severity of the symptoms is much lessened, the temperature, which during the first days may have been as high as 106° F., falls to 103° or 104°, the pain decreases, the stiffness dis- 94 DISEASES OF CATTLE. appears, and the patient eats a little. The pulse softens, but remains quicker than normal. Now, day by day the patient loses a little strength, the friction sound disappears as the exudation moistens the pleural surfaces; percussion now shows a horizontal line of dull- ness, which day by daj' rises higher in the chest, the respiration grows more frequent and labored, the countenance is anxious and haggard, the eyes sink somewhat in their sockets, and in unfavorable cases death occurs during the second or third week, either from asphyxia or heart failure. In pleurisy, as in pneumonia, the elbows are usually turned outward. Care must be taken to differentiate pleurisy from traumatic pericar- ditis (which see). In the latter condition the area of dullness of the heart is much increased, and usually a splashing sound is heard at each beat of the heart. Another diagnostic symptom of value is that in traumatic pericarditis respiration is painful, not difficult, and the respiratory rate is very much increased on movement. In both con- ditions a considerable swelling of the dewlap may be noticed in the later stages. Treatment. — Give the same general care as recommended in bron- chitis or pneumonia. In the early stages give a febrifuge to reduce the fever, as directed for pneumonia. For relief of the cough give electuary formula, which will be found in the treatment of laryngitis. The bowels must be kept relaxed and the kidneys secreting freel)''. In the stage of effusion give the following three times daily : Digitalis tinct., 1 ounce; iodide of potassium, 30 to 60 grains; mix. Apply strong counterirritant to chest and put seton in dewlap. (See " Seton- ing," p. 291.) If collapse of the lung is threatened, a surgical opera- tion is sometimes performed, termed paracentesis thoracis, which consists in puncturing the chest cavity and drawing off a part of the fluid. The instruments used are a small trocar and canula, which are introduced between the eighth and ninth ribs. Draw the skin forward so that the external wound may not correspond with the puncture of the chest, to prevent the entrance of air. Only a portion of the fluid should be removed. The animal gets immediate relief, but it is generally only temporary, as there is a tendency for the fluid to accumulate again. PNEUMONIA. This is an inflammation of the lung substance. It is divided into three different forms, viz: First, croupous pneumonia; second, catarrhal pneumonia; and third, interstitial pneumonia. But these various forms can only be differentiated by the expert, and I there- fore deem it necessary for the purposes of the present work to treat the subject under the general head of pneumonia. The causes of pneumonia in general are the same as those of the NONCONTAGIOUS DISEASES OF RESPIRATION ORGANS. 95 various other inflammatory diseases of the respiratory tract. The germ is called the pneumococciis. It mostly follows congestion of the lungs, but may in rare cases have a parasitic origin. Symptoms. — In the first stage, that of congestion, the disease is usually ushered in by a chill, although this may not always be observed by the attendant. This is followed by an elevation of tem- perature, usually 105° to 106° F., or it may be even higher. The respirations are quick and shallow; the nostrils are dilated; the pulse is full and hard. Cough may or may not appear in this stage. The nose is hot and dry; the tongue sometimes protrudes and is slimy; the coat is staring, and the skin dry and harsh. The urine is usuallj^ diminished in quantity, high colored, and the bowels constipated. The animal stands with the fore legs wide apart to facilitate respira- tion. On auscultation crepitation will be observed over the portion of the lung affected. The sounds elicited on percussion are practi- cally normal in this stage. In the second stage the temperature generally drops one or two degrees, and respiration is performed with much difficulty. The cough is frequent and painful. The animal still stands with the fore legs wide apart and the elbows turned outward. If it assumes the recumbent position it rests on the sternum. All secretions are more or less suspended, particularly the milk in cows. The animal has a haggard appearance, and the pulse becomes small and wiry at this period. The extremities are hot and cold alternately; the crepitation which was present in the first stage is now absent, and no sound on auscultation will be heard, except it be a slight wheezing or whistling noise. On percussion dullness over the diseased lung is manifested, indicating consolidation. The lung has now assumed a characteristic liver-like appearance. In the third stage, if the disease is going to terminate favorably, the cough becomes loose, the animal improves, the appetite returns, and the symptoms above detailed rapidly subside; but if, on the other hand, resolution is not progressing, the lung substance is broken down, is heavy, and will sink in water. In fatal cases the breath has a peculiar fetid, cadaverous odor, and is taken in short gasps ; the horns, ears, and extremities become cold and clammy, and the pulse is imperceptible. On auscultation, when suppuration is taking place and the lung structure is breaking down, a bubbling or gurgling crepi- tation, caused by the passage of air through pus, will be heard. Treatment. — Good hygienic surroundings and good nursing are essential in connection with the medical treatment. The probability of recovery depends largelj^ on the extent of the lung tissue involved, as well as on the intensity of the inflammatory process. In the early stage, when the fever is high, give febrifuges. If the pulse be strong and full, aconite {Fleming's tincture, 1 to 2 drams, every four or five 96 DISEASES OF CATTLE. hours) may be given for a short time, hut should be discontinued as soon as the fever begins to abate. Aconite is a valuable drug in the hands of the intelligent practitioner, but my experience leads me to believe that not infrequently animals are lost by its injudicious use, for in many febrile conditions it is positively contraindicated, owing to its action upon the heart. In a plethoric animal, with a strong, bounding pulse, bleeding may be resorted to instead of administering aconite. If the bowels are constipated, give calomel, 1 to 3 drams, which acts as a cathartic and a febrifuge. In the second stage dif- fusible stimulants are required, viz: Spirits of ether nit. 2 ounces, spirits ammonia aromatic 1 ounce; mix, and give in gruel three times daily. If the above is not at hand, give an alcoholic stimulant. Half a pint of brandy or whisky may be given in a quart of gruel three times daily. In some cases carbonate of ammonia, 2 to 5 drams, has been found beneficial. Most practitioners apply counterirritants externally, such as mustard plasters, turpentine, and ammonia lini- ment, or cantharides. EMPHYSEMA (HEAVES). Emphysema consists of a rupture of the minute air vesicles of the lung substance, and may be either interlobular or vesicular. There is an extreme interference with respiration, inspiration being short and expiration prolonged. It is a nonfebrile condition, in which the appetite is not decreased and the milk secretion is kejDt up. It may be caused by an attack of asthma^ or may result from chronic bron- chitis. The disease can be diagnosed by the marked interference with respiration. The animal, as a rule, is emaciated, has a staring coat, and is hidebound. If percussion is resorted to, the animal's chest will give a tj^mpanic, drum-like sound. The normal resonant sound is exaggerated. Treatment. — The disease is incurable, and only a i3alliative form of treatment can be carried out. The destruction of the animal is often advisable, from a humane as well as from a financial point of view. PULMONARY CONGESTION. Cattle that are overdriven or overworked are liable to pulmonary congestion in an acute form, and sometimes pulmonary apoplexy. In such cases the animal should be allowed to rest, and if the weather be hot put in a shady place. Give stimulants internally, unload the venous side of the heart by bleeding, and apply stimulating applica- tions to the legs, and bandage. HEMOPTYSIS. This is a term used to signify bleeding from the lungs. The trouble vasiy result from a previous congestion of the lungs, or from a break- ing down of the lung substance, or from specific disorders. Diseases or Cattle. Plate VIM , NONCONTAGIOUS DISEASES OF KESPIRATION ORGANS. 97 Bleeding from the lungs comes from both nostrils and from the mouth. The blood is bright red, frothy, and accompanied by a cough, the flow being somewhat profuse and Intermingled with mucus. It may cease of its own accord. Internally hemostatics are indicated, and locally over the sides cold applications have a tendency to check the hemorrhage. Give the animal a drench composed of 1^ drams of gallic acid dissolved in a pint of water. ABSCESS OF THE LUNG. Abscesses of the lung sometimes form during the course of or sub- sequent to tuberculosis or other diseases. An animal affected with abscess of the lung usually has a protracted, feeble cough and a gen- eral appearance of emaciation and anemia. The pulse is feeble and the breath foul. An offensive discharge from the lungs frequently occurs. Percussion and auscultation will aid in making a diagnosis in this condition. The appetite is poor. Such animals go from bad to worse, and their prompt destruction would, as a rule, be to the interest of the owner. HYDROTHORAX. Hydrothorax, or dropsy of the chest, is not a disease in itself, but is simply a condition where an effusion takes place in the chest cavity, *and is the result or effect of some disease, mostly pleurisy. This con- dition can be easily diagnosed by physical signs. A loss of the res- piratory murmur will be noticed on auscultation, and on percussion dullness or flatness on a line as high as the effusion has taken place. When there is a large amount of effusion present, tapping with the trocar and canula is generally resorted to. The proper method of per- forming this operation will be found under the head of ' ' Pleurisy. " PNEUMOTHORAX. An accunaulation of gas in the pleural sac is known as pneumo- thorax. The presence of air may either result from an injury of the lung or a wound communicating from the exterior. The indications for treatment are to remove any foreign body that may have pene- trated, to exclude the further entrance of the air into the cavity by the closure of the external opening, and to employ antiseptics and adhesive dressings. The air already in the cavity will in most cases be absorbed. VERMINOUS BRONCHITIS. This is a disease that sometimes attacks young cattle when pas- tured in low-lying meadows near rivers subject to flood. It is caused by a small worm, Strongylus micrurus, which lodges in large num- bers in the trachea and bronchial tubes, giving rise to considerable 8267—04 7 98 DISEASES OF CATTLE. irritation of tlie air passages and inflammation. Sometimes the strongyles lodge in large numbers in the windpipe, forming them- selves into a ball, and thus choke the animal to death. Symptoms. — It is liable to attack a number of animals at once, and the weakest are the first to give way. The animal has a remarkably forcible cough, distressing, and of a special hacking and paroxysmal character. A stringy mucus is sometimes expelled during the spells of coughing. This mucus contains the Sirongylns micrurus, which can be detected, or their ova observed, under a low j)ower of the micro- scope. The attack has a subacute character and proves very exhaust- ing. The parasites, by becoming entwined in balls, seriously impede respiration, which is always remarkably labored in this disease. Treatment. — The affected calves should be placed in a dry stable, protected from dampness, and subjected to fumigations of sulphurous anhydride or chlorine gas. The liberation of chlorine gas is brought about by the action of sulphuric acid, either on a mixture of chloride of sodium and black oxide of manganese or on bleaching powder. Sulphurous anhydride may be procured by burning sulphur. Some practitioners prescribe small doses of spirits of turpentine in linseed oil. The system requires good support, and the diet should therefore be liberal and nutritious. Equal parts of sulphate of iron, gentian, and ginger make an excellent tonic. Prevention. — Avoid pastures notorious for generating verminous bronchitis. PLEURODYNIA. This is a term applied to rheumatism of the intercostal muscles. The apparent symptoms are quite similar to those of pleurisy. The animal is stiff and not inclined to turn around, and the ribs are kept in a fixed state as much as possible. Pleurodynia may be distinguished from pleurisy by the coexistence of rheumatism in other parts and by the comparative absence of fever, cough, the friction sound, and the effusion into the chest. The treatment for this affection is the same as that for rheumatism affecting other parts. DISEASES OF THE NERVOUS SYSTEM. By W. H. Habbaugh, V. S. [Revised in 1904 by Leonard Pearson, B. S., V. M. D.] The nervous system is the distinguishing feature of animal life; «vithout it there can be no intelligence, no instinct, no sensibility, no perception; in fact, existence would be nothing more than vegetai)le life. The senses — touch, taste, sight, hearing, smell — all depend on the nervous system. Motion depends on it. A muscle can not contract without receiving the stimulus from the nervous system. For exam- ple, if a nerve passing from a nerve center to a muscle is severed, the particular muscle that is supplied by the cut nerve is paralyzed. The nervous sj'stem is often studied in two divisions — the cerebro- spinal division and the sympathetic division. The cerebrospinal division consists of the brain and spinal cord, nerves, and ganglia. The nerves of this division convey the impulses of motion and sensation, and supply all parts which are under the control of the will. For example, the voluntary muscular tissue includes all the muscles which act as the will directs. Another example, if anything comes in contact with any part of the skin, the impreission is immediately perceived. All the special senses belong to this division. The sympathetic division consists of nerves and ganglia. The mus- cular tissue, which acts independently of the will — as, for exam^Dle, the stomach, intestines, womb, blood vessels, ducts, etc. — is called invol- untary muscular tissue, and receives nervous stimulus from the sym- pathetic division. The brain, spinal cord, and the ganglia are the central organs of tlie nervous system. The nerves conduct the nervous influence. The nerves terminate differently according to their function. The termi- nations are called end organs. The terminal end organs in the skin and other parts endowed with sensation receive the impressions, which are conveyed to the brain, where they are appreciated. They are so sensitive that the most gentle zephyr is i^erceived. They are so abun- dant that the point of the finest needle can not pierce the skin with- out coming in contact with them, and the sensation of pain is instantly conveyed to the brain. The terminal end organs of the nerves that supply the muscles are different, as they give the impulse which is 99 100 DISEASES OF CATTLE. conveyed by the motor nerves to tlie elements which constitute the muscle, and this impulse is the excitation which causes the muscle to contract. The terminal end organs of the special senses of taste, smell, etc., receive their special impressions, and their respective nerves cany the impressions to the brain. There are two divisions of nerves, the afferent and efferent. The afferent neriies are those which convey the impression to tlie nerve centers. All the sensory nerves belong to this division. The efferent nerves are those which convey the nervous impulse out- ward from the nerve centers, and they are further classified according to the function of their respective centers. For example : Motor fibers carry the impulse from the nerve center to a muscle to cause contrac- tion. Vaso-motor fibers carry the impulse to the muscular tissue in the blood vessels, which regulates their caliber. The secretory fibers convey the impulse to the cells of the glands and excite the activity of the gland, and its particular product is secreted or evolved, as, for instance, milk in the mammary gland. Inhibitor}^ fibers control or inhibit the action of the organ to which they are distributed, as, for instauce, the heart. Nerve centers may be considered as a collection or group of nerve cells. Both the cerebro-spinal and the sympathetic divisions have nerve centers. The centers derive their special names from their functions. The brain is the great center of the nervous system, as it is the center of intelligence and perception. The centers of all the special senses, as well as the centers of various functions, are located in different j)arts of the brain. Nerve centers also exist in the spinal cord and in connection with the sympathetic sj^stem. A 7ierve is a cord consisting of a certain number of fibers of nerve tissue, inclosed in a sheath of connective tissue. Nerves divide and subdivide, sending off branches, which ramify in all parts of the body, and, as they near their terminations, they contain but one or two fibers. The b7-ai7i and spinal cord are contained within a bony canal, which forms a protective covering for them. The spinal cord, or spinal marrow, lodged within the spinal canal, or hollow of the backbone, is continuous with the brain anteriorly, and terminates in a point in the sacrum (that part of the spinal column which immediately precedes the tail). The spinal cord gives off branches at each of the spaces between the segments of the back- bone. These branches form nerve trunks which carry both sensory and motor impressions and impulses. The spinal cord is a grand nerve trunk to carry messages to or from the brain and to and from the reflex centers contained within itself. The brain is contained within the cavity of the skull and is con- tinuous with the spinal coi-d; there is nothing to mark the place where one leaves off and the other begins. The brain is the seat of DISEASES OF THE NERVOUS SYSTEM. 101 reason and intelligence. Voluntary effort originates from tlie brain. Coordination, or harmony of movement, is controlled by the rear portion of the brain, known as the cerebellum. The meninges are the membranes, three in number, Avhich envelop the brain and spinal cord, and separate them from the bones which form the walls of the cranial cavity and spinal canal. The sympathetic, also called the ganglionic, division of the nervous system consists of two chains of ganglia, reaching from the head to the tail, situated beneath the spinal column, one on either side. The presence of the ganglia or enlargements on the cords give them their chain-like appearance. The sympathetic nei'ves are closely connected with the cerebro- spinal nerves, but are not under the control of the will. INFLAMMATION OF THE BRAIN AND ITS MEMBRANES (STAGGERS). Inflammation of the brain is technically termed encephalitis and of its membranes cerebral-meningitis, but as both conditions usually occur together, and since it is practically impossible to distinguish one from the other by the symptoms shown by the diseased animal, they may as well be considered together here as varieties of the same disease. Staggers, coma, frenzy, etc., are terms that are sometimes applied to this disease in its different forms or stages. Causes. — Severe blows on the head with a hard, object, or the head coming violently in contact with the ground or other hard substance in a fall, may be followed by encephalitis. Irritation caused by tumors in the brain may produce inflammation. Food containing deleterious matters — for example, ergot (see PI. V) and other fungi which contain a narcotic principle — is the most frequent cause of this affection, and hence it is often called "grass staggers" and "stomach staggers." Highly nitrogenous foods are blamed for causing this dis- ease. Parasites, mineral and narcotic poisons, hot weather, and severe exertion or excessive excitement may cause this condition. Inflammation of the brain may occur as a complication of some infec- tious disease or may follow some forms of indigestion. In many localities certain plants have the reputation of causing staggers. Sym,ptoms. — The symjDtoms vary much, but a careful observer will detect a trouble connected with the nervous system without much uncertainty. The first signs may be those of frenzy, but generally at the start the animal is dull and sleepy, with little or no inclination to move about; the head may be pressed against the wall or fence and the legs kept moving, as if the animal were endeavoring to walk through the obstruction ; the body, especially the hind part, may be leaned against the side of the stall or stable, as if for suppoi't. The bowels are constipated; the urine, when passed, is small in quantity and darker in color than natural. There may be trembling and even spasms of muscles in different parts. In the dull stage the animal 102 DISEASES OF CATTLE. may breathe less frequently than is natural, and each breath may be accompanied with a snoring- like sound. The pulse may be large and less frequent than normal. If suddenly aroused from the drowsy state, the animal appears startled and stares wildly. When moving about it may stagger, the hind quarters swaying from side to side. If delirium ensues, the cow is commonly said to be mad. She may bellow, stamp her feet, run about wildly, grate the teeth, froth at the mouth. If she is confined in the stable, she rears and plunges; the convulsions are so violent in many instances that it is really danger- ous for one to attempt to render aid. The body may bo covered with perspiration. She may fall; the muscles twitch and jerk; often the head is raised and then dashed against the ground until blood issues from the nose and mouth; the eyes may be bloodshot and sightless; the limbs stiff and outstretched, or they may be kicked about reck- lessly; the head may be drawn back and the tail drawn up; the urine may be squirted out in spurts; often the "washer" (membrane nicti- tans) is forced over the eye. When the convulsions cease they may be followed by a period of quiet unconsciousness (coma) which is more or less prolonged, when the animal may graduallj^ regain conscious- ness, get up on its feet, and perhaps quietlj^ partake of food, if there be any within reach, while at other times it arises with much difficulty and staggers blindly about the stall or field. It must be remembered that all the foregoing symptoms are not always seen in the same case. In those cases usually designated "sleepy staggers" the general symptoms of drowsiness are presented, while in other cases the symptoms of frenzy cause the affection to be called "mad staggers." In other cases there are symptoms of paralj^- sis, swaying of the hind quarters, inability to rise, etc. , and sometimes these symptoms of paralysis are the most striking manifestations and continue until death. Acute cases are accompanied by fever. It is well to remark that when the disease follows injuries to the head the symptoms may not be manifested until two or three days (or longer) after the accident. Trecdrtient. — Recoveries are rare in spite of careful attention. To be of any service whatever the treatment must be prompt and begin with the disease. In the early stage when the pulse is large most cases will admit of bleeding. Eight or 9 quarts of blood should be taken from the jugular vein. This should be followed immediately by a purgative, the following for a cow of average size: Epsom salts, 24 ounces; pulverized gamboge, one-half ounce; croton oil, 20 drops; warm water, 3 quarts ; mix all together and give at once as a drench. About 2 quarts of warm water or warm soapsuds should be injected with a syringe into the rectum every three or four hours. It is best to keep the animal in a quiet, sheltered place, where it will be free from noise or other cause of excitement. All the cold water the animal will drink should be allowed, but food must be withheld, except bran DISEASES OF THE NERVOUS SYSTEM. 103 slops occasionally in small quantities, or grass, if in season, which may be cut and carried fresh to the patient. The skull must be examined and if sign of injury is found appro- priate surgical treatment should be given. During the convulsions all possible efforts should be made to pre- vent the animal injuring itself. The head should be held down on the ground and straw kejDt under it. Cold water may be continuously j)oured on the head, or bags filled with ice broken in small pieces may be applied to the head. Different authors recommend different remedies to allay the convulsions, but for two reasons it will be found extremely difficult to administer medicines during the convulsions: (1) While the animal is unconscious the power to swallow is lost, and therefore the medicine is more liable to go down the windpipe to the lungs than it is to go to the paunch; (2) The convulsions are often so violent that it would be utterly useless to attempt to drench the animal; and furthermore it must be borne in mind that during this stage the functions of digestion and absorption are suspended, and as a consequence the medicine (provided it finds its way to the paunch) is likely to remain there unabsorbed and therefore useless. A blistering compound, composed of mustard, 1 ounce; pulverized cantharides, one-half ounce; hot water, 4 ounces, well mixed together, may be rubbed in over the loins, along the spine, and back of the head on each side of the neck. This is occasionally attended with beneficial effect, and especially so in those cases when paralysis is present. If the purgative acts and the animal shows signs of improvement in the course of two or three days, 2 drams of iodide of potassium may be given every night and morning, dissolved in a half bucketful of drinking water, if the animal will drink it, or it may be dissolved in a half pint of water and given as a drench. Great care must be observed in regard to the food, which should be nutritive, but not coarse, and at first in small quantities, graduall}^ increased as the patient improves. After some progress is made toward recovery 14 drams of pulverized nux vomica may be given twice a day, added to the iodide of potas- sium drench. This should be administered so long as a staggering gait continues. In those rare cases when recovery takes place it is only partial as a rule, as there is generally a sequel which remains, such as partial paralysis. However, this is but a slight drawback in cattle, because when it is seen to persist the medicine should be stopped and the ani- mal fattened for butchering. Postmortem examinations discover congestion of the brain and its membranes. In those cases which have exhibited much paralysis of the hind legs before death the cord may be congested in the lumbar region (loins). When the disease has been caused by injury to the head, the congestion and extravasated blood may be found inside of 104 DISEASES OF CATTLE. the cavity in the location corresponding to the place where the injury- was inflicted externally. In some cases pus is also discovered. It remains to be said that in all animals that have died from this affec- tion the lungs are found very much congested. This may lead the superficial observer to suppose that the disease was a lung affection, but in fact it is only a natural consequence when death ensues from brain disease. APOPLEXY. That form of congestion of the brain known as parturient apoplexy, or parturient paresis, which is so frequently associated with the period of calving, is described in another part of this work. (See "Milk fever," p. 222.) Cerebral apoplexy, not connected with parturition, is a rare disease among cattle. However, it may be due to degeneration and consequent rupture of a blood vessel in the brain. The attack is sudden, the animal in most cases falling as if it had received a blow on the head. It may stagger and reel some time before going down. After falling, there are convulsive movements of the legs or the animal sinks into insensibility. There may be remissions in the severity of the symptoms, but the pressure from the continued escape of blood soon causes death. Rest, quiet, friction to the legs and surface, frequent turning of the animal and cold to the head are to be practiced, if treatment is attempted. CONGESTION OF THE BRAIN. There is a form of congestive apoplexj^ affecting cattle which are in a plethoric condition. The congestion, or overfilling with blood, causes pressure on the brain substance and disorganizes its function. It occurs mostly in hot weather. In this disease the symptoms are somewhat similar to those exhibited when the animal has encephalitis, but the onset is more sudden, the duration is shorter, and there is less fever. There may be frenzy or coma or alternations, one with the other. The intelligence is diminished, staring eyes, bracing with the legs, pressing against the stall partition or manger, red mucous mem- branes. This condition usually terminates in recovery. In such cases bleeding should be resorted to immediately, and when the power of swallowing is not lost purgatives should be administered. Cold applications to the head, and the general treatment recommended for encephalitis are indicated. CONCUSSION OF THE BRAIN. Severe blows on the head, striking the head against some hard object while running, or falling on the head, may cause concussion of the lirain. The injury may fracture bones of the cranium and produce compression of the brain. DISEASES OF THE NERVOUS SYSTEM. 105 Symptoms and treatment. — The symj)toms and the treatment that is indicated differ very little from what has been said under conges- tion of the brain and under eAicephalitis. In some cases it may be necessary to operate to remove a piece of bone that is pressing on the brain or to remove a clot of blood under the area which received the blow. EPILEPSY. This affection is characterized by the occurrence of sudden convul- sions. The animal may appear to be in a fair state of health usually, but at any time, in the stable or in the field, it may have a convulsion in which it will fall and lose consciousness. Epilepsy must not be confounded with vertigo — the fainting which is an effect of heart troubles. The exact cause of epilepsy in the majority of cases is unknown. Postmortem examinations in many instances have failed to discover any lesion, in connection with the brain or nervous system; while in other instances disease of the brain has been found in the form of thickening of the membranes, abscesses, and tumors, and in some cases the affection has been manifested in connection with a diseased condition of the blood. The cause has also been traced to reflex irri- tation, due to teething, worms, and chronic indigestion. Treatment. — When the affection is due to the last-named causes treatment may be successful if the cause is removed. If there are symptoms of worms or of indigestion, follow the general treatment advised for those troubles under their proper heads. If due to irrita- tion caused by teething, the inflamed gums must be lanced. Exami- nation of the mouth often develops the fact that one of the temporary teeth causes much irritation by remaining unshed, and thereby inter- fering with the growth of a permanent tooth. The offending tooth should be extracted. When the cause of epilepsy can not be dis- covered, it must be confessed that there is no prospect of a cure. However, some benefit may be expected from the occasional admin- istration of a purgative dose of medicine. A pound of Epsom salts dissolved in a quart of warm water, for a cow of average size, may be given as a drench once or twice a month. In addition to the purga- tive,' 4 drams of bromide of potassium, dissolved in the drinking water, three times a day, has proved very beneficial in some cases. SUNSTROKE (PROSTRATION FROM HEAT). Owing to the fact that cattle are seldom put to work at which they would have to undergo severe exertion, especially in collars, they are not frequently prostrated by the extreme heat of the summer months. When at pasture they select the coolest places in the shade of trees, in water, etc. , when the heat becomes oppressive, and thereby avoid, as much as possible, the effects of it. 106 DISEASES OF CATTLE. It does happen, however, that cattle that have been kept up for the purpose of fattening, when driven some distance in ver}^ hot weather, are sometimes prostrated, but it must be remembered that it is not really necessary for the animal to be exposed to the rays of the sun, as those confined in hot, close places may suffer. This often happens in shipping, when thej' are crowded together in cars. Symptoms. — The premonitory signs are those of exhaustion — dull- ness, panting, frotliiug at the mouth, tongue hanging out, irregular gait, uneasiness, palpitation — when, if the circumstances which tend to the prostration are not mitigated, the animal staggers or sways from side to side, falls, struggles for a while, and then gradually becomes quiet, or the struggles may continue, with repeated but inef- fectual efforts to regain a standing position. In serious eases the attack maj^ be very sudden, unconsciousness occurring without con- tinued or distressing premonitory symptoms. Treat nient. — At first, when not very serious, removal to a quiet, sheltered place, with a few days on a reduced diet, is all that need be done. When the animal has fallen, apply cold water or ice to the head ; rub the body and limbs with cloths or wisps of straw, and continue the rubbing for a considerable time. If the power of swallowing is not lost (which may be ascertained by pouring a little cold water into the mouth), give 3 drams of liquor ammonia fort., diluted with a quart of cold water. Be very careful in drenching the animal when lying down. Repeat the drench in a half hour, and an hour after the first one has been given. Instead of the ammonia, a drench composed of 3 ounces of spirits of nitrous ether in a pint of water may be given, if more convenient, but the ammonia drench is preferable. If uncon- sciousness continues, so that a drench can not be administered, the same quantity of ammonia and water may be injected with a syringe into the rectum. The popular aqua ammonia, commonly called "hartshorn," will do as well as the liquor ammonia fort., but as it is weaker than the latter the dose for a cow is about 1^ ounces, which should be diluted with a quart of water before it is given to the animal, either as a drench or an enema. When ammonia can not be obtained a iiint of whisky in a quart of water or an ounce of tincture of digi- talis may be given. As soon as the animal is able to rise it should be assisted and moved to the nearest shelter. All the cold water it will drink should be allowed. The ammonia or spirits of nitrous ether drench should be administered every three hours so long as there is much failure of strength. The diet should be limited for several days — bran slops and a little grass. When signs of returning strength are presented, 12 ounces of Epsom salts dissolved in a quart of warm water may be given in those cases which have been down and unconscious, but do not give it while much weakness remains, which may be for several days after the attack. The flesh of an animal that is suffering from DISEASES OF THE NERVOUS SYSTEM. 107 heat stroke should not be ijrepared for use as food. On account of the fever with which the animal suffers, the flesh contains toxins that may render it poisonous to the consumer. INJURIES TO THE SPINAL CORD. The spinal cord is liable to concussion from blows and falls, and paralysis, to a greater or less extent, may be the result. Fracture, with displacement of the bones (vertebrse) which form the spiucil col- umn, by compressing the spinal cord, produces paralysis, which varies in its effect according to the part of the cord that is compressed. If the fracture is above the middle of the neck, death soon follows, as communication between the brain and diaphragm (the essential muscle of insi^iration) is stopped. When the fracture is farther down in the neck, posterior to the origin of the phrenic nerve, the breathing continues, but there is paral3%sis in all parts posterior to the fracture, including the fore and hind legs. When the fracture is in the region of the loins the hind legs are paralj^zed, but the fore legs are not. If the fracture is in the sacrum (the division of the spinal column between the loins and the tail), the tail alone is paralyzed. As a matter of course, when the back is broken there is no remedy; the animal should be killed at once. PARALYSIS. Paralysis, or loss of motion in a part, may be due to a lesion of the brain, of the spinal cord, or of a nerve. It may also be caused by reflex irritation. When the paralysis affects both sides of the body, posterior to a point, it is further designated by the name paraplegia. When one side of the body (a lateral half) is paralyzed, the term lieiniplegia is applied to the affection. When paralysis is caused by a lesion of a nerve, the paralysis is confined to the particular part supplied by the affected nerve. As already pointed out, paralysis may be due to concussion of the spine, fracture of a bone of the spinal column with consequent com- pression of the spinal cord, concussion of the brain, or compression of the brain. An injury to one side of the brain may produce paralysis of the same side of the head, and of the opposite side of the body liemi- plegia. Paralysis may occur in connection with parturient apoplexy, lead poisoning, ergotism, etc. CONGESTION OF THE SPINAL CORD. Paraplegia, or paralysis of the rear part of the body, is the domi- nant symptom in congestion or inflammation of the spinal cord. The cause is not known, but the disease is probablj" due to chilling. It is thought bj' some that some toxic influence (poison) may be responsi- ble for its development. 108 DISEASES OF CATTLE. Symptoms. — The symptoms usually appear suddenly, and consist in inability to stand. Sometimes this is preceded by a period of excitement. The animal usually lies quietly, but sometimes it groans and tosses its head about in a way that indicates pain. Cows heavy with calf are sometimes affected with a form of paraplegia, which usually attacks them from about a month to a few days before calv- ing. Apparentl}^ they are in good health in every respect excei^t the inability to stand up, on account of the paralysis of the hind quar- ters. This form is generally attributed to feeding on foods containing insufficient protein and ash. It is most likely to occur in cows that are weak and thin. With good care and food recovery usually occurs. Treatment. — The animal must be given a soft, dry bed under shelter and in a quiet, airy place. It is well to apply mustard along the spine. The action of the mustard may be intensified by rubbing the skin with ammonia or turpentine. Internally give a purge of Glauber's salts. Nux vomica or strychnia (1 to 2 grain doses) may be given. Turn the cow two to four times daily and rub the legs well each time. There are instances when cows will persist in lying down (in spite of all efforts that are made to compel them to stand up), when it can not really be said that they are paralyzed. They have sensation in all parts ; they can move all their feet ; they can change their position ; and in fact everj^ function seems to be normally performed, but they obstinately refuse to rise, or even make an effort to do so. Cases of this kind have been killed, as it was an utter impossibility to get the animal on its feet. However, there are instances when a cow, after refusing to rise when all other means had been tried, quickly jumped to her feet and showed fright upon the appearance of a dog or other terrifying object. RABIES (hydrophobia). [See disciission of this disease in chapter on "Infectious diseases, p. 394."] LIGHTNING STROKE (ASPHYXIA ELECTRICA). When an animal is struck by lightning the shock is instantaneously expended on the nervous system, and as a rule death occurs immedi- ately, but when the shock is not fatal animation is suspended to a greater or less extent, as evidenced by prostration, unconsciousness, and paralysis. Symptoms. — When not fatal, the symptoms vary much, according to the severity of the shock. The animal usually falls, as from an apo- plectic attack, and, as a matter of course, the symptoms are such as are generally manifested in connection with concussion of the brain. The muscular system may be completely relaxed; the legs limber; the muscles flabby and soft to the touch, or there may be convulsions, spasms, and twitching of the muscles. The breathing is generally labored, irregular, or interrupted, and slower than normal. DISEASES OF THE NERVOUS SYSTEM. 109 In most instances the electrical fluid leaves its mark by singeing tlie hair, or by inflicting wounds, burns, or blisters. " Sir B. Brodie tells a curious story of two bullocks, j)ied white and red, which were struck in different storms. In both cases the white hairs were consumed, while the red ones escaped." Treatment. — So long as the beating of the heart is jierceptible, the endeavor to resuscitate the animal should be continued. Dash cold water over the head and body; rub the bodj' and legs; smartly whip the body with wet towels or switches. Mustard, mixed with water, should be well rubbed over the legs and back of the head on each side of the neck. Inject into the rectum 4 drams of liquor ammonia fortis, or 1^ ounces of hartshorn diluted with a quart of warm water. Cau- tiously hold an uncorked bottle of hartshorn to the nostrils, so that some of it is inhaled, but care should be taken that too much is not suddenly inhaled. In desperate cases artiflcial respiration should be tried, as follows: With both hands spread out to cover a large surface, press on the abdomen (behind the ribs) and then on the chest (behind the shoul- ders), and continue in this manner, flrst on the abdomen and then on the chest in regular order, so that the chest and the abdomen are each pressed on alternately about twenty times a minute. The pressure should be slow and steady, so that the movement given by it to the walls of the chest and abdomen will resemble their motion in breath- ing. A hand bellows may be used as an aid to the foregoing method, as follows : Each time after the chest is pressed on the nozzle is inserted in the nostril and air slowly and gently forced in by the bellows. When the animal revives sufficiently to be able to swallow, 4 drams of the liquor ammonia fortis, diluted with a quart of cold water, should be given as a drench, and the dose should be repeated in an hour. One and one-half ounces of ordinary hartshorn may be used instead of the stronger liquor ammonia, but, like the latter, it should be diluted with a quart or more of water, and even then care should be exercised in drenching. In cases when the shock has not caused complete insensibility, recovery may be hastened by the ammonia and water drench, or 4 ounces of brandy diluted with a quart of water, or 8 ounces of whisky diluted with a quart of water. These doses may be given every three or four hours, if necessary. After recovery from the more serious symptoms, 2 drams of sulphate of quinine should be given twice a day until health is restored. If any paralysis remains, 1^ drams of pulverized nux vomica should be given twice a day with the quinine. The foregoing treatment is also apj)licable when the electrical shock is given by telephone, electric car, or electric-light wires, etc. The wounds, burns, or blisters should be treated according to the anti- septic method of treating wounds. 110 DISEASES OF CATTLE. TUMORS IN THE BRAIN, ETC. Tumors of different kinds have been found within the cranial cav- ity, and in many cases there liave been no well-marked symptoms exhibited during the life of the animal to lead one to suspect their existence. Cases are recorded where bony tumors have been found in the brain of cattle that died suddenly, but during life no signs of disease were manifested. Postmortem examinations iiave discovered tubercles in the membranes of the brain. (See " Tuberculosis," p. 398.) Abscesses, usually the result of inflammation of the brain, have been found postmortem. For the description of hydrocephalus, or dropsy of the brain, of calves, the reader is referred to the section on iDarturition. (See "Water in the head," p. 176.) Chorea, constant twitching and irregular spasmodic movements of the muscles, has been noticed in connection with, or as a sequel to, other affections, as, for example, parturient apoplexy. Various diseases, the description of which will be found in other sections of this work, affect the nervous system to a greater or less extent— for example, ergotism, lead poisoning, uremia, parturient apoplexy, colic, and other affections associated with cramps, or spasms, etc. Disease of the ovaries or of the spinal cord, by reflex irritation, may cause estromania (see "Excess of venereal desire," p. 145), con- stant desire for the bull. DISEASES OF THE TTRINAEY ORGANS. By James Law, F. R. C. V. S.. Professor of Veterinary Science, etc., in Cornell University. Of the materials that have served their purpose in building up the animal hody or in sustaining the bodily temperature, and that are now to be thrown out as waste, the greater part are expelled from the system through the lungs and the kidneys, but the agents that pass out by either of these two channels differ in the main from those passing by the other. Thus from the lungs in the form of dioxide of carbon— the same gas that comes from burning of coal or oil — there escapes most of the waste material resulting from the destruction in the system of fats, sugars, starch, and such other foods as are want- ing in the element nitrogen, and do not form fibrous tissues, but go mainly to support animal heat or maintain functional activity. From the kidneys, on the other hand, are thrown out the waste products resulting from the destruction of the foods and tissues containing nitrogen — of, for instance, albumen, fibrine, gluten, casein, gelatine, woody tissue, etc. While much of the waste material containing nitrogen leaves the body by the bowels, this is virtuallj^ such only of the albuminoid food as has failed to be fully digested and absorbed, and this has never formed a true constituent part of the body itself or of the blood, but is so much waste food, like that which has come to the table and been carried away again unused. Where the albu- minoid food element has entered the blood, whether or not it has been built up into a constituent part of the structure of the body, its waste products, which contain nitrogen, are in the main expelled through the kidneys, so that these organs become the principal channels for the expulsion of all nitrogen-containing waste. It would be an error, however, to infer that all nitrogenous food, when once digested and absorbed into the blood, must necessarily leave the system in the urine. On the contrary, in the young and growing animal all increase of the fibrous structures of the body is gained through the building up of those flesh-forming constituents into their substance; in the pregnant animal the growth of the off- spring and its envelopes has a similar origin, and in the daiiy cow the casein or curd of the milk is a means of constant elimination of these nitrogen-containing agents. Thus, in the breeding cow and, above all, in the milking cow, the womb or udder carries on a work in one sense equivalent to that otherwise performed by the kidneys. Not only are these organs alike channels for the excretion of albuminous products, but they are also related to each other structurally and by 111 112 DISEASES OF CATTLE. nervous sympathy, so that suffering in the one is liable to induce some measure of disorder in the other. This nitrogenous waste matter is mainly present in the urine of cattle, as of other mammals, in the form of urea, but also, to some extent, as hippuric acid, a derivative of vegetable food which, in the herbivora, replaces the uric acid found in the urine of man and car- nivora. Uric acid is, however, found in the urine of sucking calves which have practically an animal diet, and it may also appear in the adult in case of absolute and prolonged starvation, and in diseases attended by complete loss of appetite and rapid wasting of the body. In such cases th^ animal lives on its own substance, and the product is that of the wasting flesh. The other products containing nitrogen are only present in small amount, and need not be specially referred to. The urine of cattle contains much less of carbonates than does that of the horse, and effervesces less on the addition of an acid. As the carbonates form a large proportion of the solid deposits (gravel, stone) from the horse's urine, the ox may thus be held less liable; yet even in the ox the car- bonates become abundant or scanty, according to the nature of the food, and therefore gravel, formed by carbonate of lime, is not infre- quent in cattle. When fed on beets, clover hay, or bean straw, car- bonates are present in large amount, these aliments being rich in oi'ganic acids and alkaline carbonates ; whereas upon oat straw, barley straw, and, above all, wheat straw, they are in small amount. In calves fed on milk alone no carbonates are found in the urine. Phosphates, usually in combination with lime, are, as a rule, pres- ent only in traces in the urine of cattle; yet, on a dietary of wheat, bran, or other aliment rich in phosphates, these may be present in large amount, so that they render the liquid cloudy or are deposited in solid crystals. The liquid is rendered transparent by nitric acid. The cow's urine, on a diet of hay and potatoes, contained : Parts. Urea 18.5 Potassic hippurate _ 16. 5 Alkaline lactates 17.2 Potassium bicarbonate 16.1 Magnesium carbonate - 4.7 Lime carbonate 0.6 Potassium sulphate 3.6 Common salt 1.5 Silica Trace. Phosphates 0.0 Water and undetermined substances 921. 3 Total 1,000 The following table after Tereg^ gives the different conditions of the urine, and especiallj^ the amount of urea and hiiipuric acid under «Encyklop. der Thierheilk., Vol. IV, p. 208. DISEASES OF THE URINAEY ORGANS. 113 different rations. The subjects were two oxen, weighing, respectively, 1,260 pounds and 1,000 pounds: Food per day (pounds). 16.90 wheat straw, and 1.30 bean meal 14. 70 oat straw, and 2.30 bean meal. 10.4 wheat straw, 10.1 clover hay, 0.6 bean meal, and 2.6 starch . _ 10.4 wheat straw, 10.4 clover hay, 2.7 bean meal, 1.4 starch, and 0.8 sugar _ 10.4 wheat straw, 10.4 clover hay, 5 bean meal, and 0.8 sugar 10 wheat straw, 10 clover hay, 6.4 bean meal, 1.7 starch, 4 sugar, and 0.4 rape oil _ _ 10 wheat straw, 10 clover hay, 9.4 bean meal, 3.1 sugar, and 0.4 rape oil 10 wheat straw, 10 clover hay, 11.7 bean meal, 2.8 starch, and 0.6 rape oil 17.86 bean straw, and 1.6 bean meal 14.88 bean straw 16.90 meadow hay Lbs. 46.46 61.10 71.76 80. 54 78.96 101. 80 119.00 54.84 55.76 36.26 Lbs. 7.40 15.26 12.36 12.46 17.62 25.86 27.04 23.20 12.60 16.34 15.14 1,0.36 1,039 1,043 1,044 1.043 1,038 1,0.37 1,038 1,043 1,036 1,042 Pi\ct. 8.41 6.93 8. 05 8.29 8.41 7.74 7.06 5.46 7.91 Pl-.ct. 2.66 2.09 8.07 0.74 0.31 0.20 0.21 0.40 0.11 1.30 Pr.ct. 1.33 0.84 1.85 2.41 3.12 3.49 4.06 2. .53 1.41 1.73 /3 oi 9 h itate forms, then add a few more drops of nitric acid, and if the liquid does not clear it up it is albumen. A precipitate thrown down by boiling and redissolved by nitric acid is probably phosphate of lime. Treatment. — Treatment will usually be directed to the disease on which it is dependent. In the absence of any other recognizable dis- ease, mucilaginous drinks of boiled flaxseed, slippery elm, or gum may be given, tannic acid one-half dram twice daily, and fomenta- tions or even mustard poultices over the loins. When the disease is chronic and there is no attendant fever (elevation of temperature), tonics (hj'drochloric acid, 6 drops in a pint of water; phosphate of iron, 2 drams, or sulphate of quinia, 2 drams, repeated twice daily) may be used. In all cases the patient should be kept carefuUj^ from cold and wet; a warm, dry shed, or in warm weather a dry, sunny yard or pasture, being especiallj^ desirable. SUGAR IN URINE (DIABETES MELLITUS). This is a frequent condition of the urine in parturition fever, but is practically unknown in cattle as a specific disease, associated with DISEASES OF THE URINARY ORGANS. ' 121 deranged liver or brain. As a mere attendant on another disease it will demand no special notice here. INFLAMMATION OF THE KIDNEYS (NEPHRITIS). This has been divided according as it affects the different parts of the kidneys, as: (1) Its fibrons covering (perinephritis); (2) the secreting tissue of its outer portion (parenchymatous) ; (3) the con- nective tissue (interstitial); (4) the lining membrane of its ducts (catarrhal); and (5) its pelvis or sac receiving the urine (pyelitis). It has also been distinguished according to the changes that take place in the kidney, especially as seen after death, according to the amount of albumen present in the urine, and according as the affec- tion is acute or chronic. For the purposes of this work it will be con- venient to consider these as one inflammatory disease, making a distinction merely between those that are acute and those that are chronic or of long standing. The causes are in the main like those causing bloody urine, such as irritant and diuretic plants, Spanisli flies ai^plied as a blister or other- wise, exposure to cold and wet, the presence of stone or gravel in the kidnej^s, injuries to the back or loins, as by riding each other, the drinking of alkaline or selenitious water, the use of putrid, stagnant water, or of that containing bacteria and their products, the consump- tion of musty fodder, etc. (See "Hematuria," p. 117.) The length of the loins in cattle predisposes these to mechanical injury, and in the lean and especially in the thin working ox the kid- ney is very liable to suffer. In the absence of an abundance of loose connective tissue and of fat, the kidneys lie in close contact with the muscles of the loins, and any injury to these may tend to put the kid- ney and its vessels on the stretch, or to cause its inflammation by direct extension of the disease from the injured muscle to the adjacent kidney. Thus, under unusually heavy draft, under slips and falls on slippery ground, under sudden unexpected drooping or twisting of the loins from missteps or from the feet sinking into holes, under the loading and jarring of the loins when animals ride each other in cases of "heat," the kidneys are subject to injury and inflammation. A hard run, as when chased b}^ a dog, may be the occasion of such an attack. A fodder rich in nitrogenous or flesh-forming elements (beans, peas, vetches ( Vicia sativa), and other leguminous plants) has been charged with irritating the kidneys through the excess of urea, hippuric acid, and allied products eliminated through these organs and the tendency to the formation of gravel. It seems, however, that these foods are most dangerous when partially ripened and yet not fully matured, a stage of growth at which they are apt to contain ingredients irritating to the stomach and poisonous to the brain, as seen in their inducing so-called "stomach staggers." Even in the poisoning by the seeds of ripened but only partially cured rye grass {Lolium perenne), and 122 DISEASES OF CATTLE. darnel {Lolium temulentum), the kidnej^s are found violently con- gested with black blood. Also in the indigestions that result from the eating of partially ripened corn and millet some congestion of the kidneys is an attendant phenomenon. Cruzel claims that the disease as occurring locally is usually not alone from the acrid and resinous plants charged with inducing hema- turia, but also from stinking chamomile {Anthemis cotula) and field poppy Avhen used in the fresh, succulent condition ; also from the great prevalence of dead caterpillars on the pasture, or from dead Spanish flies in the stagnant x)ools of water. The fresh plants are believed to be injurious only by reason of a volatile oil which is dissipated in dry- ing. In the case of the stagnant water it may be questioned whether the chemical products of the contained ferments (bacteria) are not more frequently the cause of the evil than the alleged Spanish flies, though these are hurtful enough when present. Inflammation of the kidneys may further be a form or an extension of a specific contagious disease, such as erj^sipelas, rinderpest, septi- cemia, or even of poisoning by the spores of fungi. Rivolta reports the case of a cow with spots of local congestion and blood staining in the kidne}^ the affected parts being loaded with bacteria. Unfortu- nately he neither cultivated the bacteria nor inoculated them, and thus the case stands without positive demonstration that these were the cause of disease. The symptoms of nephritis are in certain cases very manifest, and in others so hidden that the existence of the affection can only be cer- tainly recognized by a microscopic examination of the urine. In vio- lent cases there is high fever, increase of the body temperature to 103° F. and upward; hurried breathing, with catching inspiration; accelerated pulse; dry, hot muzzle; burning of the roots of the horns and ears, loss of appetite, suspended rumination, and indications of extreme sensitiveness in the loins. The patient stands with back arched and hind legs extended backward and outward, and passes water frequently, in driblets, of a high color and specific gravity, con- taining albumen and microscopic casts. (PI. XI, fig. 5.) AVhen made to move, the patient does so with hesitation and groaning, especially if turned in a narrow circle; and when pinched on the flank, just beneath the lateral bony processes of the loins, espeeiall}^ on that side on which the disease predominates, it flinches and groans. If the examination is made with the oiled hand introduced through the last gut (rectum), the pressure upward on the kidneys gives rise to great pain and efforts to escape by moving away and by active contractions of the rectum for the expulsion of the hand. Sometimes there is a distinct swelling over the loins or quarter on one or both sides. In uncas- trated males the testicle on the affected side is drawn uj), or is alter- nately raised and dropped. In all there is a liability to tremors of the thigh on the side affected. DISEASES OF THE UEINARY ORGANS. 123 In some severe cases colicky pains are as violent as in the worst forms of indigestion and spasms of the bowels. The animal fre- quently shifts from one hind foot to the other, stamps, kicks at the belly, looks anxiously at its flank at frequent intervals, moans plain- tively, lies down and quickly gets up again, grinds its teeth, twists its tail, and keeps the back habitually arched and rigid and the hind feet advanced under the belly. The bowels may be costive and the feces glistening with a coat of mucus, or they may be loose and irri- table, and the paunch or even the bowels may become distended with gas (bloating) as the result of indigestion and fermentation. In some animals, male and female alike, the rigid arched condition of the back will give way to such undulating movements as are sometimes seen in the act of coition. The disease does not always appear in its full severity; but for a day, or even two, there ma}^ be merely loss of appetite, impaired rumi- nation, a disposition to remain lying down; yet when the patient is raised, it manifests suffering by anxiously looking at the flanks, shift- ing or stamping of the hind feet, shaking of the tail, and attempts to urinate, which are either fruitless or lead to the discharge of a small quantity of high-colored or perhaps bloody urine. In some recent slight cases, and in many chronic ones, these sj^mp- toms may be absent or unobserved, and an examination of the urine will be necessary to reach a safe conclusion. The urine may contain blood, or it may be cloudy from contained albumen, which coagulates on heating with nitric acid (see Albuminuria); it maybe slightly glairy from pus, or gritty particles may be detected in it. In seeking for casts of the uriniferous tubes, a drop may be taken with a fine tube from the bottom of the liquid after standing and examined under a power magnifying 50 diameters. If the fine eylindroid filaments are seen they may then be examined with a power of 200 or 250 diam- eters. (PI. XI, fig. 5. ) The appearance of the casts gives some clue to the condition of the kidneys. If made up of large rounded or slightly columnar cells, with a single nucleus in each cell (epithelial), the}'' imply comparatively slight and recent disease of the kidne}' tubes, the detachment of the epithelium being like what is seen in any inflamed mucous surface. If made up largely of the small disk- shaped and nonnucleated red-blood globules, they imply escape of blood, and usually a recent injur}^ or congestion of the kidnej^ — it maj'' be from sprains, blows, or the ingestion of acrid or diuretic poisons. If the casts are made of a clear, waxy, homogeneous substance (hya- line), without any admixture of opaque particles, they imply an inflammation of longer standing, in which the inflamed kidney tubules have been already stripped of their cellular (epithelial) lining. If the casts are rendered opaque by the presence of minute spherical granu- lar cells, like white-blood globules, it betokens active suppuration of he kidney tubes. In other cases the casts are rendered opaque by 124 DISEASES OF CATTLE. entangled earthy granules (carbonate of lime), or crystals of some other nrinar^^ salts. In still other cases the casts entangle clear, refran- gent globules of oil or fat, which may imply fatty degeneration of the kidneys or injury to the spinal cord. The presence of free pus giv- ing a glairy, flocculent appearance to the urine is suggestive of inflam- mation of the urinary pouch at the commencement of the excretory duct (pelvis of kidney) (PI. IX, fig. 1), especiallj^ if complicated with gi'itty particles of earth}^ salts. This condition is known as pyelitis. In the chronic cases swelling of the legs or along the lower surface of chest or abdomen, or within these respective cavities, is a common sjmiptom. So, also, stupor or coma, or even convulsions, may super- vene from the poisonous action of urea and other waste or morbid products retained in the blood. Treatment. — In the treatment of acute nephritis the first considera- tion is the removal of the cause. Acrid or diuretic plants in the food must be removed, and what of this kind is present in the stom- ach or bowels may be cleared away by a moderate dose of castor or olive oil; extensive surfaces of inflammation that have been blistered by Spanish flies must be washed clean with soapsuds ; sprains of the back or loins must be treated by soothing fomentations or poultices, or by a fresh sheepskin with its fleshy side applied on the loins, and the patient must be kept in a narrow stall in which it can not turn even its head. The patient must be kept in a warm, dry building, so that the skin shall be kept active rather than the kidneys. Warm blan- keting is equally important, or even mustard poultices over the loins will be useful. Blisters of Spanish flies, turpentine, or other agent which may be absorbed and irritate the kidneys must be avoided. The active fever may be checked by 15 drops tincture of aconite every four hours, or by one-third ounce acetanilid. If pain is very acute 1 ounce laudanum or 2 drams solid extract of belladonna will serve to relieve. When the severity of the disease has passed, a course of tonics (quinia, 2 drams, or gentian powder, 4 drams, daily) may be given. Diuretics, too, may be cautiously given at this advanced stage to relieve dropsy and give tone to the kidneys and general system (oil of turpentine, 2 teaspoonf uls ; bicarbonate of soda, 1 teaspoonful, repeated twice a day). Pure water is essential, and it should not be given chilled; warm drinks are preferable. In the chronic forms of kidney inflammation the same protection against cold and similar general treatment are demanded. Tonics, however, are important to improve the general health (phosphate of iron, 2 drams; powdered nux vomica, 20 grains; powdered gentian root, 4 drams, daily). In some instances the mineral acids (nitric acid, GO drops, or nitro-muriatic acid, 60 drops, daily) maybe employed with the bitters. Mustard applied to the loins in the form of a thin pulp made with water and covered for an hour with paper or other impervious envelope, or water hotter than the hand can bear, or cupping may be DISEASES OF THE URINARY ORGANS. 125 resorted to as a counterirritant. In cupping sliave the loins, smear thein with lard, then take a narrow-mouthed glass, expand the air within it by smearing its interior with a few drops of alcohol, setting it on fire and instantly pressing the moutli of the vessel to the oiled portion of the skin. As the air within the vessel cools it contracts, tending to form a partial vacuum, and the skin, charged with blood, is strongly drawn up within it. Several of these being applied at once a strong derivation from the affected kidneys is secured. In no case of inflamed or irritable kidney should Spanish flies or oil of turpentine be used upon the skin. PARASITES OF THE KIDNEY. As the kidney is the usual channel by which the bacteria leave the system, this organ is liable to be implicated when microphytes exist in the blood, and congestions and blood extravasations are produced. In anthrax. Southern cattle fever (Texas fever), and other such affec- tions bloody urine is the consequence. Of the larger parasites attack- ing the kidney may be specially named the cystic form of the echino- coccus tapeworm of the dog, the cystic form of the unarmed or beef tapeworm of man, the diving bladderworm — the cystic form of the marginate tapeworm of the dog, and the giant strongyle — the largest of the roundworms. These give rise to general symptoms of kidney disease, but the true source of the trouble is only likely to be detected, if the heads or booklets of the tapeworm or the eggs of the round- worm are found on microscopic examination of the urine. TUMORS OF THE KIDNEY (HYPERTROPHY OR ATROPHY). The kidney may be the seat of cancerous or simple tumors, and it may be unnaturally enlarged or reduced in size, but though there may be signs of urinary disorder the true nature of the disease is seldom manifest until after death. The passing of blood and of large multi- nucleated cells in the urine (to be detected under the microscope) may betray the existence of an ulcerated cancer of the kidne3^ The pres- ence of cancerous enlargement of (superficial) lymphatic glands may further assist and confirm the decision. RETENTION OF URINE. Inability to pass urine may come from any one of three conditions — first, spasm of the neck of the bladder; second, paralysis of the body of the bladder; third, obstruction of the channel of outlet by a stone (calculus) (see PI. XI) or other obstacle. In spasm of the neck of the bladder the male animal may stand with the tail slightly raised and making rhythmical contractions of the muscle beneath the anus {accelerator urines) (see PI. IX, fig. 2), but without passing a drop of liquid. In the female the hind legs are 126 DISEASES OF CATTLE. extended and widely parted, and the back is arched as if to urinate, but the effort is vain. If the oiled hand is introduced into the rectum or vagina in the early stages of the affection, the bladder may be felt beneatli partially filled, but not overdistended with liquid, and its neck or mouth firm and rigid. In the more advanced stages of the affection the organ is felt as a great, tense, elastic bag, extending forward into the abdomen. In this condition the overdistended muscular coat of the bladder has lost its power of contraction, so that true paralysis has set in, the muscle closing the mouth of the sack alone retaining its contractile power. In paralysis of the body of the bladder attention is rarely drawn to the urinary disorder until the bladder has been distended to full reple- tion and is almost ready to give way "by rupture and to allow the escape of the contained liquid into the abdomen. Overdistention is the most common cause of the paralysis, yet it may occur from inflam- mation of the muscular wall of the bladder, or even from injury to the terminal part of the spinal marrow. In this last condition, how- ever, the tail is likely to be powerless, and the neck of the bladder may also be paralyzed, so that the urine dribbles away continuously. Causes. — Among the causes of spasm of the neck of the bladder may be named the lodgment of small stones or gravel, the feeding on irri- tant diuretics (see "Bloody urine, or nephritis"), the enforced reten- tion of urine while at work or during a painful or difficult parturition. The irritation attendant on inflammation of the mucous membrane of the bladder may be a further cause of spasm of the neck, as may also be inflammation of the channel (urethra) back of the neck. Exten- sive applications of Spanish flies to the skin, the abuse of diuretics, and the occurrence of indigestion and spasms of the bowels are further causes. So long as spasmodic colic is unrelieved, retention of water from spasm of the neck of the bladder usually persists! Treatment. — Treatment will depend largely on the cause. In indiges- tion the irritant contents of the bowels must be got rid of hy laxatives and injections of warm water ; Spanish-flj^ blisters must be washed from the surface; a prolonged and too active exertion must be intermitted. The spasm may be relaxed by injecting one-half ounce solid extract of belladonna in water into the rectum or by a solution of tobacco. Chloroform or ether may be given by inhalation, or chloral hydrate (1 ounce) maj'^ be given in water by the mouth. Fomentations of warm water may be made over the loins and between the thighs, and the oiled hand inserted into the rectum maj^ press moderately on the anterior part of the bladder, which can be felt as an elastic fluctuat- ing bag of an oval shape just beneath. All other measures failing, the liquid must be drawn off through a tube (catheter). This is, however, exceedingly difficult, alike in male and female, and we can not expect an amateur to succeed in accom- plishing it. In the cow the opening into the bladder is found in the DISEASES OF THE URINAEY ORGANS. 127 median line of the floor of the generative entrance, about 4 inches in front of the external opening, but it is flanked on either side by a blind pouch, into which the catheter will pass, in ninety-nine cases out of a hundred, in the hands of any but the most skilled operator. In the bull or steer the penis, when retracted into its sheath, is bent upon itself like the letter S, just above the scrotum and testicles (see PL IX, fig. 2), and unless this bend is effaced by extending the organ forward out of its sheath it is quite impossible to pass a catheter beyond this point. When, however, the animal can be tempted by the presenta- tion of a female to protrude the penis so that it can be seized and extended, or when it can be manipulated forward out of the sheath, it becomes possible to pass a catheter of small caliber (one-third inch or under) onward into the bladder. Youatt advised to lay open the sheath so as to reach and extend the penis, and others have advocated opening the urethra in the interval between the thighs or just beneath the anus, but such formidable operations are beyond the stock owner. The incision of the narrow urethra through the great thickness of mus- cular and erectile bleeding tissue just beneath the anus is esijecially an operation of extreme delicacy and difiiculty. Drawing off the liquid through the tube of an aspirator is another possible resort for the pro- fessional man. The delicate needle of the aspirator is inserted in such cases through the floor of the vagina and upper wall of the bladder in the female, or through the floor of the rectum (last gut) and roof of the bladder in the male, or finally through the lower and back part of the abdominal wall, just in front of the bones of the pelvis (pubic bones), and thence through the lower and anterior part of the bladder near its blind anterior end. After relief has been obtained the administration of belladonna in 2-dram doses daily for several days will tend to prevent a recurrence of the retention. When the body of the bladder has become benumbed or paralyzed by overdistention, we may seek to restore its tone by doses of one-half a dram of powdered nux vomica repeated daily, and by mustard plas- ters applied over the loins, on the back part of the belly inferiorly, or between the thighs. Small doses (2 drams) of balsam of copaiba are sometimes useful in imparting tone to the partly paralyzed organ. INCONTINENCE OF URINE (PALSY OF THE NECK OF THE BLADDER). This may occur from disease or injury to the posterior part of the spinal cord or from broken back, and in these cases the tail is likely to be paralyzed, and it may be also the hind limbs. In this case the urine dribbles away constantly, and the oiled hand in the vagina or rectum will feel the half-filled and flaccid bladder beneath and may easily empty it by pressure. Treatment. — Treatment is only successful when the cause of the trouble can be remedied. After these (sprains of the back, etc.) have recovered, blisters (mustard) on the loins, the lower part of the abdo- 128 DISEASES OF CATTLE. men, or between the thighs may be resorted to with success. Two drams daily of copaiba or of solid extract of belladonna or 2 grains Spanish flies may serve to restore the lost tone. These failing, the use of electric currents may still prove successful. URINARY CALCULI (STONE, OR GRAVEL). [PL XI, figs. 1, 2, 3.] Stone, or gravel, consists in hard bodies mainly made up of the solid earthy constituents of the urine which have crystallized out of that liquid at some part of the urinary passage, and have remained as small particles (gravel), or have concreted into large masses (stone, calculus). In cattle it is no uncommon thing to find them distending the practically microscopic tubes in the red substance of the kidnej^ having been deposited from the urine in the solid form almost as soon as that liquid has been separated from the blood. These stones appear as white objects on the red ground formed by cutting sections of the kidney, and are essentially products of the drj^ feed of winter, and most common in working oxen, which are called upon to exhale more water from the lungs and skins than are the slop-fed and inactive cows. Little water being introduced into the body with the food, and a considerable amount being expelled with the breath and perspira- tion in connection with the active life, the urine becomes small in amount, but having to carry out all waste material from the tissues and the tissue-forming food, it becomes so charged with solids that it is ready to deposit them on the slightest disturbance. If, therefore, a little of the water of such concentrated urine is reabsorbed at any point of the urinary passages, the remainder is no longer able to hold the solids in solution, and they are at once precipitated in the solid form as gravel or commencing stone. In cattle, on the other hand, which are kept at pasture in summer, or which are fed liberally on roots, potatoes, pumi)kins, apples, or ensilage in winter, this concen- trated condition of the urine is not induced, and under such circum- stances, therefore, the formation of stone is practically unknown. Nothing more need be said to show the controlling influence of dry feeding in producing gravel and of a watery ration in preventing it. Calculus in cattle is essentially a disease of winter, and of such cattle as are denied succulent food and are confined to dry fodder as their exclusive ration. While there are exceptions, they are so rare that they do not invalidate this general rule. It is true that stone in the kid- ney or bladder is often found in the summer or in animals feeding at the time on a more or less succulent ration, yet such masses usually date back to a former period when the animal was restricted to a drj^ ration. In this connection it should be noted that a great drain of water from the system by any other channel than the kidneys predisposes to the production of gravel or stone. In case of profuse diarrhea, for example, or of excessive secretion of milk, there is a corresponding DISEASES OF THE UlimARY ORGANS. 129 diminution of the water of the blood, and as the whole amount of tlie blood is thus decreased, and as tlie quantity of urine secreted is largely influenced b}^ the fullness of the blood vessels and the pressure exerted upon their walls from within, it follows that with this decrease of the mass of the blood and the lessening of its pressure outward there will be a corresponding decrease of urine. The waste of the tissues, however, goes on as before, and if the waste matter is jiassed out through the kidneys it must be in a more concentrated solution, and the more concentrated the urine the greater the danger that the solids will be deposited as small crystals or calculi. Again, the concentrated condition of the urine which predisposes to such deposits is favored bj^ the quantity of lime salts that may be Ijresent in the water drunk by the animal. Water that contains 20 or 30 grains of carbonate or sulj^hate of lime to the gallon must con- tribute a large addition of solids to the blood and urine as compared with soft waters from which lime is absent. In this connection it is a remarkable fact that stone and gravel in the domesticated herbivora are notoriously prevalent on many limestone soils, as on the limestone formations of central and western New York, Pennsylvania, Ohio, and Michigan; on the calcareous formations of Norfolk, Suffolk, Der- byshire, Shropshire, and Gloucestershire, in England; in Landes in France, and around Munich in Bavaria. It does not follow that the abundance of lime in the water and fodder is the main cause of the calculi, since other poisons which are operative in the same districts in causing goiter in both man and animal probably contribute to the trouble, yet the excess of earthy salts in the drinking water can hardly fail to add to the saturation of both blood and urine, and thereby to favor the ijrecipitation of the urinary solids from their state of solution. The known results of feeding cattle a generous or forcing ration in which phosphate of lime is x^resent to excess adds additional force to the view just advanced. In the writei''s experience, the Second Duke of Oneida, a magnificent product of his world-famed family, died as the result of a too liberal allowance of wheat bran, fed with the view of still further improving the bone and general form of the Duchess strain of Shorthorns. Lithotomy was performed and a number of stones removed from the bladder and urethra, but the patient suc- cumbed to an inflammation of the bowels, induced by the violent purgatives given before the writer arrived, under the mistaken idea that the straining- had been caused by intestinal impaction. In this case not onl}^ the Second Duke of Oneida, but the other males of the herd as well, had the tufts of hairs at the outlet of the sheath encased in hard, cylindroid sheaths of urinary salts, precipitated from the liquid as it ran over them. The tufts were in reality resolved into a series of hard, roller-like bodies, more or less constricted at intervals, as if beaded. 8267—04 9 130 DISEASES OF CATTLE. When it is stated tliat the asli oC the wliole grain of wheat is but 3 per cent, while the asli of wheat hi'an is 7.3 per cent, and that in the case of the former 4G.38 per cent of the ash is phosi)horie acid, and in that of the latter 50 per cent, it can easily be understood how a too liberal use of wheat bran should prove dangerous if fed dry. The following tjible shows the relative proi^ortion of ash and x)hosphoric acid in wheat bran and in some common farm seeds: Ash and phosphoric acid in bran and some common farm seeds. Kind of graiu. Wheat bran Wheat, grain Oats, grain Barley, grain Bean, grain Peas, grain _ Tare, grain Indian corn, grain Rye, grain Ash. Per cf. 7.H 3 2.50 3.10 3.10 2.75 3 1.5 1.6 Phosphoric acid in ash. Pir cent 50 46. 26. 33. 31. 34. 36. 39. Pho.sphoric acid in the entire food. ■ cent. 3.65 1. 3914 .6625 1.2276 .9864 .9.57 1.086 . 6:^4 Wheat bran, it will be observed, contains three times as much phos- phoric acid as is found in any of the other grains, and four times as much as oats, beans, pease, or lye; so that if fed in excess it will readily overcharge the urine with phosphates. There is another point to be considered, however, in estimating this danger. Wheat bran contains a far greater amount of albuminoids and other nitrogen-containing constituents than the common grains (these being made up mainly of starch, which contains no nitrogen); and, all nitrogen-bearing products contained in the blood and tissues being expelled from the body mainly through the kidnej's in the form of urea and (in cattle) hippuric acid, it follows that the excess of urea formed when such food is consumed must load the urine with solids and bring it constantly nearer to the point of saturation, when such solids (or the least soluble of them) must be dei)osited. The following table will show the relative amounts of the nitrogen- beai-ing products in wheat bran and some of our common grains: Nifrogenous matter in icheat hran and some common farm seeds. Kind of grain. Wheat bran.. Wheat, grain Barley, grain . Oats, grain... Rye, grain ... Indian corn . . Albuminoids Woody fiber Cnitroge- (nitroge- nous), nous). Percent. 16.1 12. 5 12.4 11.8 10.6 II). 1 Per cent. 8 1.8 2. 7 9.5 1.7 1.7 Total nitrog enous-bear- ing constit- uents. Per cent. 24.1 14.3 15.1 21.3 12.3 11.8 DISEASES OF THE URINARY ORGANS. 131 It will be observed that, with the exception of oats, none of the grains eontaiji more than two-thirds of the nitrogenous material present in the wheat bran, while in the case of rye and maize there is practically but one-half. Even in the case of oats the albuminoids, which are the more digestible principles, and therefore those that are the most easily and speedil}" converted into urea, are present only to the amount of two-thirds of that which exists in the wheat bran. With such an excess of ash, of phosphates, and of nitrogenous (urea- forming) constituents in wheat bran, its tendency to favor the forma- tion of calculi is fully explained. It must not, however, be inferred that wheat bran is not a valuable foodstuff. The inference is only that it should be fed with an abundance of water, as a sloppy mash, or in combination witli an abundance of roots, potatoes, pumpkins, or other succulent aliment. In this connection the presence of magnesia in the food or water must be named as favoring calculous formations in the urinary pas- sages. The exijlanation is that while the phosx)hate of magnesia thrown out in the urine is soluble in water, the compound phosphate of ammonia and magnesia is insoluble, and, accordingly, if at anj^ time ammonia is introduced iiito urine containing the i^hosphate of magnesia, there is instantly formed the ammonio-magnesium phos- phate, which is as promptly deposited in the solid form. The com- mon source of ammonia in such cases is from decomposition of the urea in fermenting urine. But in order to produce this a ferment is necessar}", and therefore, as an additional prerequisite, the i^resence of bacteria, or fungi, in the urine is essential. These ferments may make their way from without along the urinary passage (urethra), and their propagation in the bladder is greatly favored bj' the pro- longed retention of urine, as in case of. spasm of the neck of the bladder or obstruction bj' an already existing stone. Another mode of entrance of the ferment is an uncleanly catheter used to draw off the urine. Still another is the elimination through the kidneys of the bacteria of infectious diseases, or of such as, without jiroducing a general infection, yet determine fermentation in the urine. The precipitation is favored not only by the production of ammonia, but also by the formation of viscid (colloid) products of fermentation. In this sense bacteria are most important factors in causing gritty deposits in the urine. Another insoluble salt Avhich enters largely into the composition of many urinary calculi of the ox is carbonate of lime. This is derived mainly from the lime in the food and water and from the carbon diox- ide formed b}^ the oxidation of the organic acids in the fodder. These organic acids, being composed of carbon, hj'drogen, and oxygen (with- out nitrogen), are resolved b}^ the addition of oxygen into carbon dioxide (COj) and water (HoO). The carbon dioxide unites with the lime in the blood to form carbonate of lime, and in this state passes 132 DISEASES OF CATTLE. into the urine. Now, carbonate of lime is soluble in water containing free or uncombined carbon dioxide, but is precipitated whenever the latter is withdrawn. It is only necessary, therefore, to have in the urine sufficient lime or other available base to unite with all the free carbon dioxide in order to bring about the precipitation of the dis- solved carbonate of lime in the solid crystallized form. Hence it is that', of all sediments in the urine of herbivora, this is the most fre- quent and usually the most abundant. A less common constituent of urinary calculi is the insoluble oxalate of lime. In this case the lime is derived as before from the food or water, or both, while the oxalic acid is a product of the oxidation of organic acids of the food, less oxygen having been used than in the formation of carbon dioxide. The final product of the complete oxida- tion of these acids is carbon dioxide, but when less oxygen is furnished owing to some disease of the lungs or a disease of the nerve centers, which lessens the activity of the breathing, then oxalic acid may be produced. Then if this oxalic acid comes in contact with lime, it is instantly precipitated as crystals of oxalate of lime. Another inorganic substance at times found in urinary calculi is silica (SiOg). This contributes largel}^ to giving stiffness to the stems of growing plants, and in most of our cereals and grasses makes up a large proi)ortion of the ashes of the burnt plant. It is found in the soluble form in combination as silicate of potash, but at times is dis- placed by oxalic or other acid and then appears as gritty, sandy par- ticles in the stem. This gritty, insoluble silica is especially noticeable among the horsetails {Eqitisefacecc), bamboos, and sedges. The per- centage of silica in the ash of several common fodder plants is given below : Silica in ash of various fodder plants. Ash of— Wheat sti'aw-- Oats and husk Oat straw Barley straw . . Rye straw Silica. Per cent. 67.6 38.6 35.4 73.1 64.4 Ash of- Rye-grass hay. Wheat chaff ... Oat chaff Barley awn Silica. Per cen t. 64.57 81.2 59.9 70.7 It is only soluble silica that is taken up into the system, and it is in this form (usually as silicate of potash or soda) that it enters the urine, but all that is wanted to precipitate it in crystalline form as a gritty sand is the presence of oxalic or other acid having a stronger affinity for its base (potash or soda). Other conditions, however, enter largely into the causation of stone, or gravel. A high density of urine resulting from a highly saturated condition is often present for a length of time without any precipita- tion of solid materials. Urea and carbonates may be present in DISEASES OF THE UEINAKY ORGANS. 133 excess, the food may be given dry, and drinking water may be deficient in amonnt without any deposition of stone, or gravel. The presence of noncrystalline organic matter in the nrine becomes in such cases an exciting cause. Kainej^and Ord have shown experimentally that col- loid (noncrystallizable) bodies like mucus, epithelial cells, albumen, pus, blood, hyaline casts of the kidney tubes, etc., not only determine the precipitation of crj^stallizable salts from a strong solution, but they determine the precipitation in the form of globular masses, or minute spheres, which, by further similar accessions, become stones, or calculi, of various sizes. The salts that are deposited by mere chemical reac- tion without the intervention of colloids aj)pear in the form of sharply defined angular crystals, and hence the rough, jagged crystals of oxa- late of lime or ammonio-magnesium phosphate. Heat intensifies the action of the colloids in causing precipitation of the dissolved salts, so that the temperature of the kidneys and bladder constitute favorable conditions. Colloids that are undergoing decomposition are also spe- ciall}^ powerful, so that the j)resence of bacteria, or fungi, causing fer- mentation is an important factor. In looking, therefore, for the immediate causes of urinary calculi we must accord a high i)lace to all those conditions which determine the presence of excess of mucus, albumen, pus, blood, kidney casts, blood- coloring matter, etc., in the urine. A catarrhal inflammation of the pelvis of the kidney, of the ureter, or of the bladder, generating excess of mucus or pus; inflammation of the kidneys, causing the discharge into the urinary passages of blood, albumen, or hyaline casts; inflam- mation of the liver, lungs, or other distant organ, resulting in the escape of albumen in the urine; disorders of the liver or of the blood- forming functions, resulting in hematuria or hemoglobinuria; sprains or other injuries to the back, or disease of the spinal marrow, which cause the escape of blood with the urine ; the presence in the bladder of a bacterian ferment, which determines the decomposition of the mucus and urea, the evolution of ammonia and the consequent destruction of the protecting cellular (epithelial) lining of the blad- der, or the irritation caused by the presence of an already formed calculus, may produce the colloid or uncrystallizable body that proves so effective in the precipitation of stone or gravel. It has long been known that calculi Avill almost infallibly form around any foreign body introduced into the kidne}^ or bladder, and I have seen a large calculous mass surrounding a splinter of an arrow that had penetrated and broken off in the body of a deer. The explanation is now satis- factory — the foreign body carries in with it bacteria, wdiich act as fer- ments upon the urine and mucus in addition to the mechanical injury caused by its presence. If such a body has been introduced through the solid tissues, there is, in addition, the presence of the blood and lymph derived from the wounded structures. 184 DISEASES OF CATTLE. CLASSIFIC'ATIOX OF URINARY CALCULI. Urinary calculi arc most conveniently divided according to the local- it}- in Avliicli they are found. Thus we find first renal calculi, formed in the kidney (PI. XI, fig. 1), and which for cattle must be again divided into calculi of the uriniferous iuhes and calculi of the pelvis. The second class are named ureteral calculi, because they are found in the duct leading from the kidney to the bladder (ureter). The third class are the vesical calculi, from the bladder or vesicle in which they are found. The fourth class are the urethral calculi, and are found in the duct leading outward from the bladder through the penis (urethra). Tlie fifth and last class are the preputial calculi, since thej^ are found Avithin the sheath of the penis (prepuce). Calculi maj" also be classed according to their chemical composition, and this has the advantage of suggesting the special cause of each as found in the food, water, soil, or general condition of health. This classification affords no guide to their location or sj^mptoms, as calculi of the same chemical composition may be found at any j)art of the uri- nary passages, as those formed in the kidney maj" pass on through all the various passages outward, unless it is found at anj^ point of their progress that they have grown so large that the passage will not admit them. The following are among the concretions found in the various parts: (1) Coralline calculi. — These are of a dull- white color and irregular surface, like coral. They are made up of hard and resistant layers evenly deposited around a central nucleus. (PL XI, fig. 3. ) Their specific gravity is 1,760, water being 1,000, and they contain 74 jjer cent of carbonate of lime with some carbonate of magnesia, organic matter, and a trace of carbonate of iron. Yellowish white, smooth, round cal- culi of the same chemical composition are met with. (2) Pearly calculi. — These are more frequent than the first-named variety. They are very hard and smooth on the surface, reflecting a play of various colors after the fashion of a pearl. This peculiarity appears to be caused \>y the thinness and semitransparency of the superposed layers. Thej^ have a specific gravity of 2,109 to 2,351, and nearly the same chemical composition as the coralline variety. Gold- ing lUrd found a specimen of this kind formed of carbonate of lime anain comes on. If the pains are violent and continuous, the^^ may be checked by pinching the back or by putting a tight surcingle round the body in front of the udder. These failing, 1 ounce or 1^ ounces of chloral hydrate in a quart of water may be given to check the i)ains. If the passages have dried up or lost their natural lubri- cating liquid, smear the interior of the passages and womb, and the surface of tlie calf so far as it can be reached, with pure fresh lard; or pure sweet oil may be run into the womb through a rubber tube (fountain syringe). In dragging upon the fetus appl3' strong traction only wliile the mother is sti-aining, and drag downward toward tlie DISEASES OF THE GENERATIVE ORGANS. TTS hocks as well as backward. The natural curvature of both fetus and passages is thus followed, and the extraction rendered easier. LABOR PAINS BEFORE RELAXATION OF THE PASSAGES. An}^ of the various causes of abortion may bring on lal)or pains before the time. Straining comes on days or weeks before the time, and there is not the usual enlargement, swelling, and mucous dis- charge from the vulva. There is little or no falling in by the sides of the root of the tail; the abdomen has not dropped to the usual extent, and the udder is less developed and yields little or no milk. In spite of the pains no water bags appear, and the oiled hand cau- tiously introduced into the vagina finds the neck of the womb firmly closed, rigid, and undilatable. If it is known that the cow has not reached her proper time of calving, the examination through the vagina should be omitted and the animal should be lolaced in a dark, quiet place by herself, and be given 1 to 2 ounces laudanum. Vibur- num 2^^101 if oli am, 1 ounce, may be added, if necessary, and repeated in three hours. The pains will usually subside. In some instances the external parts are relaxed and duly prepared, but the neck of the womb remains rigidly closed. In such a ease the solid extract of belladonna should be smeared around the constricted opening and the animal left quiet until it relaxes. DISEASED INDURATION OF THE MOUTH OF THE W^OMB. From previous lacerations or other injuries the neck of the womb may have become the seat of fibrous hardening and constriction, so as to prevent its dilatation when all other parts are fully prepared for calving. The enlarged, flabbj^ vulva, the sinking at each side of the rump, the full udder and drooping abdomen indicate the proper time for calving, but the labor pains secure no progress in the dilatation of the mouth of the womb, and the oiled hand introduced detects the rigid, hard, and, in some cases, nodular feeling of the margins of the closed orifice, which no aj)plication of belladonna or other antispas- modic suffices to relax. Sponge tents maybe inserted or the mechan- ical dilator (PI. XX, fig. G) may be used if there is opening enough to admit it, and if not, a narrow-bladed probe-ijointed knife (PI. XXIV, fig. 2) may be passed through the orifice and turned upward, down- ward, and to each side, cutting to a depth not exceeding a quarter of an inch in each case. This done, a finger may be inserted, then two, three, and four, and finally all four fingers and thumb brought together in the form of a cone and made to push in with rotary motion until the whole hand can be introduced. After this the labor pains will induce further dilatation, and finally the presenting members of the calf will complete the process. 171 DISEASES OF CATTLE. TWISTING OF THE NECK OF THE WOMB. This is not very uncommon in the cow, the lengtli of the body of the womb and the looseness of the broad ligaments that attach it to the Avails of the pelvis favoring the twisting. It is as if one were to take a long sack rather loosely filled at the neck and turn over its closed end, so that its twisting should occur in the neck. The twist may be one-quarter round, so that the upper surface would come to look to one side, or it may be half round, so that what was the upper surface becomes the lower. The relation of the womb of the cow to the upper and right side of the paunch favors the twisting. The paunch occupies the whole left side of the abdomen and extends across its floor to the right side. Its upi)er surface thus forms an inclined plane, sloping from the left downward and to the right, and on this sloping surface lies the pregnant womb. It is easy to see how, in the constant movements of the paunch upon its contents and the frequent changes of position of the growing fetus within the womb, to say nothing of the contractions of the adjacent bowels and the more or less active movements of the cow, the womb should roll downward to the right. And yet in many cases the twist is toward the left, showing that it is not the result of a simple rolling downward over the paunch, but rather of other disturbances. The condition may be suspected when labor pains have continued for some time without any sign of the water bags, and it is confirmed when the oiled hand, introduced through the vagina, finds the mouth of the womb soft and yielding, but furnished with internal folds running for- ward in a spiral manner. If the folds on the upper wall of the orifice run toward the right, the womb is twisted to the right; if, on the con- trary, they turn toward the left it indicates that the womb is turned over in that direction. The direction of the twist must be known before treatment can be undertaken. Then, if the twist is toward the right, the cow is laid upon her right side with her head downhill, the hand of the operator is inti'oduced through the spirally constricted neck of the womb, and a limb or other portion of the bodj' of the calf is seized and pressed firmly against the wall of the womb. Meanwhile two or three assistants roll the cow from her right side over her back to her left side. The object is to hold the womb and calf still while the body of the cow rolls over. If successful, the twist is undone, its grasp on the wrist is slackened, and the water bags and calf press into the now open j)assage. If the first attempt does not succeed, it is to be repeated until success has been attained. If the spiral folds on the upper wall of the opening turn toward the left, the cow is laid on her left side and rolled over on her back and onto the right side, the hand being, as before, within the womb, and holding the fetus, so that all may not rotate with the cow. In introducing the hand it will usually be found needful to perforate the membranes, so that a limb of the calf DISEA.SE& OF THE GENERATIVE ORGANS. 175 may be seized direct and firmly lield. Among my occasional causes of failure with these cases have been, first, the previous death and decomposition of the fetus, leading to such overdistention of the M'omb that it could not be made to rotate within the abdomen, and, second, the occurrence of inflammation and an exudate on the twisted neck of tlie womb, which hindered it from untwisting. In obstinate cases, in which the hand can be made to pass through the neck of the womb easily, additional help may be had from the use of the instrument shown in PI. XX, fig. 5. Two cords, with running nooses, are successively introduced and made fast on two limbs of the calf; the cords are then passed through the two rings on the end of the instrument, which is j)assed into the womb and the cords drawn tight and fixed round the handle. Then, using the handle as a lever, it is turned in the direction opposite to the twist. The hand should mean- while be introduced into the womb and the snared limbs seized and pressed against its walls so as to secure the rotation of the uterus along with the body of the fetus. The relaxation of the constriction and the effacement of the spiral folds will show when success has been gained, and the different members at one end of the body should then be brought up so as to secure a natural presentation. NARROW PELVIS FROM FRACTURE OR DISEASE. In a small cow the pelvis may be too narrow to pass a calf sired by a bull of a large breed, but this is exceptional, as the fetus usually accommodates itself to the size of the dam and makes its extra growth after birth. AVhen the pelvic bones have been fractured repair takes place with the formation of a large permanent callus, which, projecting internallj^ may be a serious obstacle to calving. Worse still, if the edge of the broken bone projects internally as a sharp spike or ridge, the vaginal walls are cut ui3on this during the passage of the calf, with serious or fatal result. In other cases, where the cow has suffered from fragility of bone (fragilitas osshmi) the thickening of the bone causes narrowing of the long ftassage of the pelvis and the crumb- ling fractures jDoorly repaired, with an excess of brittle new material, may form an insuperable obstacle to parturition. Cows affected in any of these ways should never again be bred, but if they do get pregnant and reach full time a careful examination will be necessarj- to deter- mine whether natural i^arturition can take place, or if the calf must be extracted in pieces. (See "Smbrj^otomy," p. 108.) OBSTRUCTION BY MASSES OF FAT. This is not unknown in old cows of the beef breeds, the enormous masses of fat upon and within the pelvis being associated with weak- ness or iatty degeneration of the muscles. If the presentation is nat- ural, little more isAvanted than a judicious traction upon the fetus to compress and overcome the soft resisting masses. 176 DISEASES OF CATTLE. OBSTRUCTION BY A FULL BLADDER OR RECTUM OR BY STONE. Ill nil cases of delayed or tardy parturition the evacuation of rectum and bladder is important, and it is no less so in all difficult parturi- tions. Stone in tlie bladder is fortunately rare in the cow, but when present it should be removed to obviate crushing and perhaps perfora- tion of the organ during calving. CALVING RETARDED BY NERVOUSNESS. In a public fair ground I have seen labor pains begin early in the day and keef) up in a weak and insufficient manner for many liours, until the stall was thoroughly closed in and the cow secluded from the constant stream of visitors and the incessant noise, when at once the pains became strong and effective and the calf was soon born. COAGULATED BLOOD UNDER THE VACCINAL WALLS, This is common after calving, but will sometimes occiir before, as the result of accidental injury. The mass may be recognized by its dark hue and the doughy sensation to the touch. It may be cut into and the mass turned out with the fingers, after which it should be washed frequently with an antiseptic lotion (carbolic acid 1 dram in 1 quart of water). CONSTRICTION OF A MEMBER BY THE NAVEL STRING. In early fetal life the winding of the navel string round a limb may cause the latter to be slowly cut off by absorption under the constrict- ing cord. So at calving the cord wound round a presenting member may retard progress somewhat, and though the calf may still be born tardil}^ by the unaided efforts of the mother, it is liable to come still- born, because the circulation in the cord is interrupted by compres- sion before the offspring can reach the open air and commence to breathe. If, therefore, it is possible to anticipate and prevent this displacement and compression of the navel string it should be done, but if this is no longer possible, then the extraction of the calf should be effected as rapidly as x)ossible, and if breathing is not at once attempted it should be started by artificial means. WATER IN THE HEAD (HYDROCEPHALUS) OF THE CALF. This is an enormous distention of the cavity holding the brain, by reason of the accumulation of liquid in the internal cavities (ventri- cles) of the brain substance. The head back of the eyes rises into a great rounded ball (PI. XIX, figs. 4 and 5), which proves an insuper- able obstacle to parturition. The fore feet and nose being the parts presented, no progress can be made, and even if the feet are pulled upon, the nose can not by an}- means be made to appear. The oiled DISEASES OF THE GENERATIVE ORGANS. 177 hand introduced into the passages will feel the nose presenting between the fore limbs, and on passing the hand back over the face the hard rounded mass of the cranium is met with. A sharp-pointed knife or a canula and trocar should be introduced in the palm of the hand and pushed into the center of the rounded mass so as to evacuate the water. The hand is now used to press together the hitherto distended but thin and fragile walls, and the calf may be delivered in the natural way. If the enlarged head is turned backward it must still be reached and punctured, after which it must be brought u^) into position and the calf delivered. If the hind feet jpresent first, all may go well until the bod}- and shoulders have passed out, when further i)rogress is suddenly arrested by the great bulk of the head. If possible, the hand, armed with a knife or trocar, must be passed along the side of the shoulder or neck so as to reach and puncture the distended head. Failing in this, the body maj^ be skinned up from the belly and cut in two at the shoulder or neck, after which the head can easily be reached and i)unctured. If in such a case the fore limbs have been left in the womb, these may now be brought up into the passage, and when dragged upon the col- lapsed head will follow. If the distention is not sufficient to have rendered the bony walls of the cranium thin and fragile, so that they can be compressed with the hand after puncture, a special method may be necessary. A long Incision should be made from behind forward in the median line of the cranium with an embryotomy knife (PL XXI, fig. 1) or with a long embryotome (PI. XX, fig. 3). By this means the bones on the one side are completely separated from those on the other and may be made to overlap and perhaps to flatten down. If this fails they may be cut from the head all around the base of the rounded cranial swelling, by means of a guarded chisel (PL XX, fig. 8) and mallet, after which there will be no difficulty in causing them to collapse. DROPSY OP THE ABDOMEN OF THE CALF (ASCITES). This is less frequent than hydrocei^halus, but no less difficult to deal with. With an anterior presentation the fore limbs and head may come away easily enough, but no effort will advance the calf beyond the shoulders. The first thought should be dropsy of the belly, and the oiled hand introduced by the side of the chest will detect the soft and fluctuating yet tense sac of the abdomen. If there is space to allow of the introduction of an embrj^otomy knife, the abdomen may be freely cut with this, when the fluid will escape into the womb and parturition may proceed naturally. If this can not be efi:ected, a long trocar and canula may be passed between the first two ribs and straight on beneath the spine until it punctures the abdomen. (PL XVIII, fig. 2.) Then the trocar is to be withdrawn and the liquid 8287-04 13 178 DISEASES OF CATTLE. will flow through the canula and will be hastened by traction on the fore limbs. In the absence of the trocar and canula, two or three of the first ribs may be cut from the breastbone, so that the hand may be introduced through the chest to puncture the diaphragm with an embryotomy knife and allow an escape of the water. In some slighter cases a tardy deliver}^ vafty take place without puncture, the liquid bulging forward into the chest as the abdomen is compressed in the pelvic i^assages. With a posterior presentation the abdomen may be X)uuctured more easily either in the flank or with a trocar and canula through the anus. GENERAL DROPSY OF THE CALF. This occurs from watery blood or disease of some internal organ, like the liver or kidney, and is recognized b}' the general puffed up and rounded condition of the body, Avliich pits everywhere on pressure but without crackling. If not too extreme a case, the calf may bo extracted after it has been very generally i^unctured over the body, but usually the only resort is to extract it in pieces. (See "Embry- otomy," p. 198.) SWELLING OF THE CALF WITH GAS. This is usually tlie result of the death and decomposition of the fetus when extraction has been delaj'ed for a day or more after the escape of the waters. It is impossible to extract it whole, owing to its large size and the dry state of the skin of the calf, the membranes, and the wall of the womb. Tliese drj^ surfaces stick with such tenac- ity that no attempt at traction leads to any advance of the calf out of the womb or into the passages. When the fetus is advanced the adherent womb advances with it, and v/heu the strain is relaxed both recede to where they were at first. The condition may be helped somewhat by the free injection of oil into the womb, but it remains impossible to extract the enormously bloated bod}", and the only resort is to cut it in pieces and extract it by degrees. (See " Embrj'otomy," p. 198.) RIGID CONTRACTIONS OF Mt'SCLES. In the development of the calf, as in after life, the muscles are sub- ject to cramps, and in certain cases given groui^s of muscles remain unnaturally short, so that even the bones grow in a twisted and dis- torted way. In one case tlie head and neck are drawn round to one side and can not be straightened out, even the bones of the face and tlie nose being curved around to that side. In other cases the flexor muscles of the fore legs are so shortened that the knees are kept con- stantly^ bent and can not be extended hj force. Tlie bent neck may sometimes be sufficiently straightened for extraction bj" cutting across the muscles on the side to which it is turned, and the bent knees by cutting the cords on the back of the shank bones just below the knees. DISEASES OF THE GENERATIVE ORGANS. 179 If this fails, there remains tlie resort of cutting off the distorted limbs or head. (See "Embryotomy," p. 198.) TUMORS OF THE CALF (INCLOSED OVUM). Tumors or new growtlis grow on the unborn calf as on the mature animal, and by increasing the diameter of the body render its prog- ress through the passage of the pelvis impossible. In my experience with large fleshy tumors of the abdomen, I have cut open the chest, removed the lungs and heart, cut through the diaphragm with the knife, and removed the tumor piecemeal by alternate tearing and cutting until the volume of the body was sufSciently reduced to pass through. Where this failed it would remain to cut off the anterior part of the body, removing as much of the chest as possible, and cut- ting freely through the diaphragm ; then, pushing back the remainder of the bodj'-, the hind limbs may be seized and brought into the pas- sages and the residue extracted thus. The tumor, unless very large, will get displaced backward so as not to prove an insui^erable obstacle. In many cases the apparent tumor is a blighted ovum which has failed to develop, but has grafted itself on its more fortunate twin and from it has drawn its nourishment. These are usually' sacs con- taining hair, skin, muscle, bone, or other natural tissues, and only exceptionally do they show the distinct outline of the animal. MONSTROSITY IN THE CALF. As a monstrous development in the calf may hinder calving, it is well to consider shortly the different directions in which these devi- ations from the natural form appear. Their origin and significance will be rendered clearer if we divide them according to the fault of development in individual cases. Monsters are such — (1) From absence of parts — absence of head, limb, or other organ — arrested development. (2) From some organ being unnaturally small, as a dwarfed head, limb, trunk, etc. — arrested development. (3) From unnatural division of parts — cleft lips, palate, head, trunk, limbs, etc. — abnormal growth. (4) From the absence of natural divisions — absence of mouth, nose, eye, anus, the cloven foot of ox or j)ig becomes solid like that of the horse, etc. — confluence of parts which are rightfully separate. (5) From the fusion of parts — both ej^es replaced hy central one, both nostrils merged into one central oi^ening, etc. — confluence of i^arts. (G) From unnatural position or form of parts — curved nose, neck, back, limbs, etc. — lack of balance in the growth of muscles during development. (7) From excessive growth of one or more organs — enormous size of head, double penis, superfluous digits, etc. — redundancy of growth at given j)oints. 180 DISEASES OF CATTLE. (8) From imperfect differentiation of the sexual organs — hermaphro- dites (organs intermediate between male and female), male organs with certain feminine characters, female organs with certain well- marked male characters. (9) From the doubling of parts or of the entire body — double mon- sters, double heads, double bodies, extra limbs, etc. — redundant development. (PL XIX, figs. 1, 2, 3.) Causes. — The causes of monstrosities are varied. Some, like extra digits, lack of horns, etc., run in families, which produce them with absolute certainty when bred in the direct line, although they were originally acquired peculiarities, which have merely been fixed by long habit in successive generations. The earliest horse had five toes, and even the most recent fossil horse had three toes, of which the two lateral ones are still represented in the modern horse by the two sjilint bones. Yet if our horse develoj^s an extra toe it is pronounced a monstrosity. A more genuine monstrosity is the solid-hoofed pig, in which two toes have been merged into one. Another of the same kind is the solid shank bone of the ox, which consists of two bones united into one, but which are still found apart in the early fetus. Though originally acquired peculiarities, these now breed as invariably as color or form. Other monstrosities seem to have started in too close breeding, by which the powers of symmetrical development are impaired, just as the procreative power weakens under continuous breeding from the closest blood relations. A monstrosity consisting in the absence of an organ often depends on a simple lack of development, the result of disease or injury, as a young bone is permanently shortened by being broken across the soft part between the shaft and the end, the only iDart where increase in length can take i)lace. As the result of the injury the soft growing layer becomes prematurely hard and all increase in length at that end of the bone ceases. This will account for some cases of absence of eye, limb, or other organ. Sometimes a monstrosity is due to the inclosure of one ovum in another while the latter is still but a soft mass of cells and can easily close around the first. Here each ovum has an independent life, and they develop simultaneously, onlj^ the outer one having direct con- nection with the womb and being furnished with abundant nourish- ment advances most rapidly and perfectly, while the inclosed and starved ovum is dwarfed and imperfect often to the last degree. In many cases of excess of parts the extra part or member is mani- festly derived from the same ovum, and even the same part of the ovum, being merely the effect of a redundancy and vagary of growth. Such cases include most instances of extra digits or other organs, and even of double monsters, as manifested by the fact that such extra organs grow from the normal identical organs. Hence the extra digit is attached to the normal digit, the extra head to the one DISEASES OF THE GENERATIVE ORGANS. 181 neck, and extra tail to the croup, extra teetli to the existing teeth, and even two similarly formed bodies are attached by some point common to both, as the navels, breastbones, back, etc. (PL XIX, figs. 1, 2, 3.) This shows that both have been derived from the same primitive laj'er of the embryo, which possessed the plastic power of bnilding up a given structure or set of organs. An inclosed ovum, on the other hand, has no such identity or similarity of structure to the part with which it is connected, showing an evident primary independence of both life and the power of building tissues and organs. The power of determining extra growth along a given natural line is very highly developed in the early embrj'o, and is equally manifest in the mature exam^jle of some of the lower forms of animal life. Thus a newt will grow a new tail when that member has been cut oif , and a starfish will develox) as many new starfishes as the pieces made by cutting up the original one. This power of growth in the embryo and in the lower forms of animals is compa- rable to the branching out again of a tree at the places from which branches have been lopped. The presence of this vegetable-like power of growth in the embryo accounts for most double monsters. The influence of disease in modifying growth in the early embryo, increasing, decreasing, distorting, etc., is well illustrated in the experiments of St. Hilaire and Valentine in varnishing, shaking, or otherwise disturbing the connections of eggs, and thereby producing monstrosities. One can easily understand how inflammations and other causes of disturbed circulation in the womb, fetal membranes, or fetus would cause similar distortions and variations in the growing offspring. It is doubtless largely in the same way that certain men- tal disturbances of a very susceptible dam affect the appearance of the progeny. The monstrosities which seriously interfere with calving are mainly such as consist in extra members or head, which can not be admitted into the passages at the same time; where some organ of the body has attained to extra size; where a blighted ovum has been inclosed in the body of a more perfect one, or where the body or limbs are so contracted or twisted that the calf must enter the passages doubled up. Treatment. — Extraction is sometimes possible by straightening the distorted members by the force of traction ; in other cases the muscles or tendons must be cut across on the side to which the body or limbs are bent to allow of such straightening. Thus, the muscles on the con- cave side of a wry neck or the cords behind the shank bones of a con- tracted limb may be cut to allow of these parts being brought into the passages, and there will still be wanting the methods demanded for bringing up missing limbs or head, for which see paragraphs below. In most cases of monstrosity by excess of overgrowth it becomes nec- essary to cut off the supernumerary or overdeveloped parts, and in 182 DISEASES OF CATTLE. ft Fore limbs Head this the same general principles must be followed as laid down iu "Embryotomy" (p. 198). TABLE OF WRONG PRESEXTATIOXS OF THE CALF. Simultaneous presentation of twins. Limbs curved at the !knee. Flexor tendons shortened. Limb crossed over the back of the neck. Limb bent back at the knee. Limb bent back from the shoulder. Head bent downward on the neck. Head and neck turned downward beneath the breast. Head turned to one side upon the side of the neck. Head and neck turned back on the side of the chest and abdomen. .Head turned upward and backward on the back. Hind limbs rotated outward. Toes and stifles turned out- ward. Hind limbs bent forward, their feet resting in the pelvis. Back of the calf turned to the right or left side. Back of the calf turned to the floor of the pelvis and udder_ fHind limb bent on itself at the hock. Hock and buttocks I present. Inind limb bent at the hips. Buttocks present. Back of calf turned to the right or left side. Back of calf turned to the floor of the pelvis and udder. Head up toward the spine, Hind limbs . Transerse _ . Inverted ... C oo Ph p. Hind limbs. Transverse . Inverted . . . Back and loins presented. Breast and abdo- men presented. ^Position of calf vertical- Position of calf transverse JPosition of calf transverse croup toward udder. Head down toward udder, croui) toward spine. Head toward the right side, croup toward the left. Head toward the left side, croup toward the right. Head toward right side, croup toward left. Head toward left side, croiip toward right. These include all general presentations, yet other subsidiary ones will at once occur to the attentive reader. Thus, in each anterior or posterior presentation, with the back of the calf turned downward or to one side, the case may be complicated by the bending back of one or more members as a whole or at the joint just above the shank boues (knee or hock). So also in such anterior presentation the head may be turned back. HEAD AND FORE FEET PRESENTED — BACK TURNED TO ONE SIDE. The calf has a greater diameter from above down (spine to breast- bone) than it has from side to side, and the same is true of the passage of the i)elvis of the cow, which measures, on an average, Sj\ inches from above downward and T^V inches from side to side. Hence the DISEASES OF THE GENERATIVE ORGANS. 183 calf passes most easily with its back upward, and when turned witli its back to one side calvini>: is alwaj-s tardy and may be dilficult or impossible. The obvious remedy is to rotate the calf on its own axis until its spine turns toward the spine of the cow. The operation is not difficult if the bodj' of the calf is not yet fixed in the passages. The presenting feet are twisted over each other in the direction desired, and this is continued until the head and spine have assumed their proper i)lace. If the body is firmly engaged in the passages the skin of the whole engaged i^ortion should be freely lubricated with lard, and the limbs and head twisted over each other as above. The limbs may be twisted by an assistant where the head is manipulated by the operator, Avho drags on the rope turned halfway round the limbs and assists in the rotation with his other hand in the i^assages. HEAD AND FORE FEET PRESENTED — BACK TURNED DOWN TOWARD THE UDDER. This position (PI. XYI, fig. 6) is unnatural, and the parturition is difficult for two reasons: First, the natural curvature of the fetus is opiiosed to the natural curvature of the passages; and, second, the thickest part of the body of the calf (the upper) is engaged in the narrowest part of the passage of the pelvis (the lower). Yet unless the calf is especially large and the pelvis of the cow narrow, parturi- tion may usually be accomplished in this way spoutaneousl}^ or with very little assistance in the way of traction on the limbs. If this can not be accomplished, two courses are open : First, to rotate the calf as when the back is turned to one side; and, second, to push back the presenting fore limbs and head and search for and bring up the hind limbs, when the presentation will be a natural posterior one. PRESENTATION OF THE HIND FEET WITH THE BACK TURNED TO ONE SIDE OR DOWNWARD. These are the exact counterparts of the two conditions last described, are beset with similar drawbacks, and are to be dealt with on the same general principles. (PI. XYII, fig. 4.) With the back turned to one side the body should be rotated until the back turns toward the spine of the dam, and with the back turned down it must be extracted in that position (care being taken that the feet do not per- forate the roof of the vagina) or it must be rotated on its own axis until the back turns upward, or the hind limbs must be pushed back and the fore limbs and head advanced, when the presentation will be a natural anterior one. IMPACTION OF TWINS IN THE PASSAGE. It is very i-are to have twins enter the jDassages together so as to become firmly impacted. As a rule each of the twins has its own sep- arate membranes, and as the water bags of the one will naturally first enter and be the first to burst, so the calf which occupied those mem- 184 DISEASES OF CATTLE. branes will be the first to enter the passage and the other will be , thereby excluded. When the membranes of both twins have burst without either calf having become engaged in the pelvis, it becomes possible for the fore legs of the one and the hind legs of the other to enter at one time, and if the straining is very violent they may become firmly impacted. (PL XVIII, fig. 1.) The condition may be recog- nized by the fact that two of the presenting feet have their fronts turned forward, while the two others have their fronts turned back- ward. If the four feet belonged to one natural calf, they would all have the same direction. By means of this difference in direction we can easily select the two feet of one calf, place running nooses upon them just above the hoofs or fetlocks, and have an assistant drag upon the ropes while the feet of the other calf are pushed back. In select- ing one of the twins to come first several considerations should have weight. The one that is most advanced in the x:)assage is, of course, the first choice. Though the fore feet of one are i^resented, yet if the head is not in place the calf presenting by its hind feet is to be chosen as being less likely to obstruct. Again, if for either calf on^limb onlj^ is presented and the other missing, the one presenting two feet should be selected to come first. As soon as the one calf has been advanced so as to occupy the pelvis the other will be crowded back so that it will not seriously obstruct. FORE LIMBS CURVED AT THE KNEE — LIMBS SPRAWLING OL&TWARD. In this case not only are the knees somewhat bent in a curve, but the calf has a position as if it rested on its breactbone, while the legs were draAvn apart and directed to the right and left. The shoulder blades being drawn outward from the chest and the elbows turned out, the muscles extending from the trunk to the limb are unduly stretched and keep the knees bent and the feet directed outward so as to press on the sides of the passages. Thej^ become retarded in their jjrogress as compared with the more rapidly advancing head, and may bruise or even lacerate the walls of the vagina. It would seem easy to rectify this by extending the legs, but the already tense and overstretched muscles operate against extension in the present position, and it is not easy to rotate the limbs so as to apply the shoul- der flat against the side of the chest. Under these circumstances a repellcr (PI. XX, fig. 7) may be planted in the breast, and the body of the calf pushed backward into the womb, when the limbs will extend easily under traction and the presentation becomes at once natural. PORE LIMBS CURVED AT KNEE — FLEXOR TENDONS SHORTENED. In this case the feet will press against the floor of the pelvis though the limb has no outward direction, and the shoulder meanwhile presses against the roof of the same passage. Unless the knees can DISEASES OF THE GENEKATIVE OEGANS. 185 be sufficiently straightened by force a knife must be emploj^ed to cut across the cords behind the knee, when the limbs may be straightened sufficiently. FORE LIMBS FLEXED AT KNEE — FLEXOR TENDONS UNSHORTENED. This is mostly seen in cases in which the bod}' of the calf is in the proper position, its back being turned i\d toward the back of the dam, and in cows with a drooping abdomen. The feet have been supposed to catch beneath the brim of the pelvis, and being retarded while the head advances into the passages, they get bent at the knee and the nose and knees present. (PL XYI, fig. 2.) The calf, however, is not an inanimate body advanced by the mere contraction of the womb, but it moves its limbs freely under the stimulus of the unwonted com- pression, and in moving the feet as they are advanced they slij) down over the pelvic brim and finding no other firm support they bend back until, under the impulsion, they can no longer straighten out again. The knees, therefore, advance with the neck and head, but the feet remain bent back. The result is that the upper x)art of the limb is also flexed, and the shoulder blade and arm bone with their masses of investing muscles are carried backward and applied on the side of the chest, greatly increasing the bulk of this already bulky part. As the elbow is carried back on the side of the chest, the forearm from elbow to knee further increases the superadded masses of the shoulder and renders it difficult or impossible to drag the mass through the pas- sages. When the fore limbs are fully extended, on the contrary, the shoulder blade is extended forward on the smallest and narrowest part of the chest, the arm bone with its muscles is in great part applied against the side of the back pai't of the neck, and the forearm is con- tinued forward by the side of the head so that the nose lies between the knees. In this natural presentation the presenting body of the calf forms a long wedge or cone, the increase of which is slow and gradual until it reaches the middle of the chest. The difficulty of extending the fore limbs Avlll be in proportion to the advance of the head through the pelvic cavity. In the early stage all that is necessary may be to introduce the oiled hand, the left one for the right leg or the right one for the left, and passing the hand from the knee on to the foot to seize the foot in the palm, bend it forcibly on the fetlock, and lift it up over the brim of the pelvis, the knee being, of course, pressed upward against the spine. As soon as the foot has been raised above the brim of the T)elvis (into the passage) the limb can be straightened out with the greatest ease. When, how^ever, the shoulders are already engaging in the pelvis the feet can not thus be lifted up, and to gain room a repeller (PI. XX, fig. 7) must be used to push back the body of the calf. This is an instrument with a long straight stem, divided at the end into two short branches (3 to 3 inches long) united to the stem b}" hinges so that they 186 DISEASES OF CATTLE. can be brought into a line with the stem for introduction into tlie womb and then spread to be implanted in the breast. In the absence of a repeller a smooth, round fork handle may be used, the prongs having been removed from the other end. A third device is to have an assist- ant strip his arm to tlie shoulder and, standing back to back with the operator, to introduce liis right arm into tlie passages along with the operator's left (or rice versa) and push back the body of the calf while the operator seeks to bring up a limb. The repeller or staff having been planted safely in the breast of the calf, an assistant ijuslies upon it in a direction either forward or slightly upward, so as not only to fol- low the natural curve of the body and favor its turning in the line of that curve within the womb, but also to carry the shoulders u^Dward toward the spine and secure more room for bringing up the missing feet. It is good policy to first put a halter (PI. XXI, figs. 4a and 4Z>) on the head or a noose (PI. XXI, fig. 3) on the lower jaw and a rojie round each limb at the knee, so as to provide against the loss of any of these IDarts when the bodj^ is pushed back into the womb. This offers the further advantage that by dragging upon these ropes the body can be advanced in the passage until the foot is reached, when the rope must be slackened and the repeller used to secure room for bringing up the foot. If the cow is lying, the operator should first secure the foot on the upper side and then, if necessary, turn the cow on its opposite side so as to bring up the other. In using the instruments some precautions are demanded. Thej^ must be invariably warmed before they are introduced, and they should be smeared v*ith lard or oil to make them pass easily and without fric- tion. The assistant who is jpushing on the instrument must be warned to stop if at any time resistance gives way. This maj^ mean the turn- ing of the fetus, in which case the object of repulsion has been accom- plished; but much more probably it implies the displacement of the instrument from the body of the fetus, and unguarded pressure may drive it through the walls of the vromb. "When the calf enters the passage with its back turned down toward the belly and udder, the bending back of the fore limbs is rare, prob- ably because the feet can find a straighter and more uniform surface of resistance in the upper wall of the womb and the backbone, and do not slide over a crest into an open cavitj'- as they do over the brim of the pelvis. The weight of the calf, too, gravitating downward, leaves more room for the straightening of the bent limbs, so that the desired relief is much more easily secured. The manipulation is the same in principle, only one must add the precaution of a steady trac- tion on the feet in extraction, lest, owing to the adverse curvature of the fetus, the hoofs be suddenly forced through the roof of the vagina, and, perhaps, the rectum as well, during a specially i3owerf ul labor pain. When the back of the calf is turned to the right side or tlic left the DISEASES OF THE GENERATIVE OEGANS. 187 main difference is tliat in addition to straightening tlie limbs the fetus must be rotated to turn its back upward before extraction is attempted. In tliis case, too, it msiy be difficult to bring up and straighten the lower of the two limbs until the body has been rotated into its proper position. Cord the upper straightened limb and head, then rotate the body and search for the second missing limb. FORE LIMBS BENT BACK FROM THE SHOULDERS. This is an exaggeration of the condition just named, and is much more difficult to remedj'-, owing to the distance and inaccessibility of the missing limb. It usually happens with the proper i)Osition of the bodj^, the back of the calf being turned toward the back of the mother. The head presents in the passage and may even protrude from the vulva during an active labor pain, but it starts back like a spring when the straining ceases. Examination with the oiled hand in the intervals between the pains fails to detect the missing limbs. (PI. X^n[, fig. 1.) If, however, the hand can be introduced during a pain it may be possible to reach the elbow or upper part of the forearm. In the absence of a pain a halter or noose on the head may be used to advance the whole body until tlie forearm can be seized just below the elbow. This being firmly held and the head or bodj^ pushed back into the womb, room may be secured for bringing up the knee. Tlje forearm is used as a lever, its upper jiart being strongly forced back while its lower part is pressed forward. If a pain supervenes the hold must be retained, and whatever gain has been made must be held if possible. Then during the next jDain, by pushing back the body and continuing to operate the forearm as a lever, a still farther advance may be made. As the knee is brought uj) in this waj^, the hand is slid down from the elbow toward the knee, which is finally brought up over the brim of the pelvis and into the passage. It is now corded at the knee, and the subsequent procedure is as described in the last article. In a large, roomy cow with a small calf the latter may pass with one or both fore legs bent back, but this is a very exceptional case, and, as early assistance is the most successful, there should never be delay in hope of such a result. ONE FORE LIMB CROSSED OVER THE BACK OF THE NECK. This is a rare obstacle to calving, but one that is not altogether unknown. The hand introduced into the passage feels the head and one forefoot, and farther back on the same side the other foot, from which the limb can be traced obliquely across the back of the neck. (PL XVI, fig. 3. ) This foot, projecting transversely, is liable to bruise or tear the vagina. If still deeply engaged in the vagina, it may be seized and pushed across to the opposite side of the neck, when the presentation will be natural. 188 DISEASES OF CATTLE. HEAD BENT DOWN BENEATH THE NECK. In this case, with drooping belly and womb allowing the brim of the pelvis to form a ridge, the advancing calf, having unduly depressed its nose, strikes it on the brim of the i)elvis, and the neck advancing, the head is bent back and the i^oU and ears either enter the pelvis or strike against its brim. The two forefeet present, but they make no progress, and the oiled hand introduced can detect no head until the poll is felt at the entrance of the jjelvis, between the forearms. The two forefeet must be fixed with running nooses and dragged on mod- erately while the oiled hand seeks to bring up the head. The hand is slid down over the forehead and brim of the pelvis until the nose is reached, when it is passed into the mouth, the muzzle resting in the palm of the hand. The legs are now pushed ux^on, and in the space thus gained the muzzle is drawn up so as to enter it into the pelvis. In doing this the operator must carefully see that the mouth does not drop open so that the sharp front teeth cut through the floor of the womb. Should this danger threaten, the hand should be made to cover the lower jaw as well. The lessened security of the hold is more than compensated by the safety of the procedure. With the nose in the pelvis, it has only to be drawn forward and the parturition is natural. HEAD BENT DOWN BENEATH THE BEEAST. This is an exaggerated condition of that last named. The head, arrested by the brim of the pelvis and already bent back on the neck, is pressed farther with each successive throe until it has passed between the fore legs and lodges beneath the breast bone. (PL XVI, fig. 4.) On examination, the narrow upper border of the neck is felt between the forearms, but as a rule the head is out of reach below. Keeping the hand on the neck and dragging on the feet by the aid of ropes, the hand may come to touch and seize the ear, or, still better, one or two fingers ma}^ be inserted into the orbit of the eye. Then, in i^ushing back upon the limbs, with or without the aid of a repeller applied against the shoulder, sj)ace maj^ be secured to draw the head into a vertical position, and even to slip down the hand so as to seize the nose. Should it prove impossible to draw \\p the head with the unassisted fingers, a blunt hook (PI. XXI, fig. 6) may be inserted into the orbit, on wiiich an assistant may drag while another j)ushes upon the limbs or repeller. Meanwhile the operator may secure an opportunity of reaching and seizing the nose or of passing a blunt hook into the angle of the mouth. Success will be better assured if two hooks (PL XXI, fig. 7) are inserted in the two orbits, so as to draw up the head more evenly. In other cases a noose may be i)laccd on the upper jaw, or even around both jaws, and traction made upon this and on the hooks in the orbits wliile the legs are pushed back, and while the operator pushes back on the poll or fore- DISEASES OF THE GENERATIVE ORGANS. 189 head. In still more difficult cases, in which even the orbits can not be reached, a sharp hook on the end of a straight iron rod (PI. XX, fig. 2) may be inserted over the loAver jaw as far forward as it can be reached, and by dragging upon this while the body is pushed back the head will be brought up sufficiently to allow the operator to reach the orbit or nose. If even the jaw can not be reached, the hook may be inserted in the neck as near to the head as possible and traction employed so as to bring the head within reach. In all such cases the cow's head should be turned dosvnhill, and in case of special difficulty she should be turned on her back and held there until the head is secured. In old standing cases, with the womb closely clasping the body of the calf, relaxation may be sought bj^ the use of chloroform or a full dose of chloral hydrate — 2 ounces; and the free injection of warm water into the womb will also be useful. HEAD TURNED BACK ON THE SHOULDER. With a natural anterior presentation this may happen because of the imperfect dilation of the mouth of the womb. Under the throes of the mother the fore feet pass through the narrow opening into the vagina, while the nose, striking against it and unable to enter, is pressed backward into the womb and turns aside on the right or left shoulder. The broad muzzle of the calf forms an especial obstacle to entrance and favors this deviation of the head. The worst form of this deviation is the old standing one with shortening of the muscles of the neck on that side, and oftentimes distortion of the face and neck bones, as noticed under "Monstrosities" (p. 179). When the head is bent on the shoulder the feet appear in the natural way, but no j)rogress is made, and examination reveals the absence of the nose from between the knees, and farther back, from above and between the elbows, a smooth rounded mass is felt extending to the right or left, which further examination will identify with the neck. Following the upijer border of this the hand reaches the crown of the head with the ears, and still farther the eyes, or even in a small calf the nose. As the bulky head of the calf can not be extracted along with the shoulders, it becomes necessary to push back the hody of the fetus and straighten out the head and neck. The cow should be laid with its head downhill and with that side up toward which the head is turned. If the throes are very violent, or the womb strongly contracted on the calf, it may be best to seek relaxation by giving chloroform, or 2 ounces of laudanum, or 2 ounces chloral hydrate. If the calf or the passages are dry, sweet oil may be injected, or the whole may be liberally smeared with fresh lard. In the absence of these, warm water ren- dered slightly slippery by Castile soap may be injected into the womb in quantity. Ropes with running nooses are placed on the presenting feet and the oiled hand introduced to find the head. If, now, the fin- 190 DISEASES OF CATTLE. gers can be passed inside the lower jawbone, and drag the liead npward and toward the passage, it unwinds the spiral turn given to the neck in bending back, and greatly improves the chances of bringing forward the nose. If, at first, or if now, the lower jaw can be reached, a noose should be placed around it behind the incisor teeth and traction made upon this, so that the head may continue to be turned, forehead up, toward the spine and jaws down, thereby continuing to undo the screw-like curve of the neck. If, on the contrary, the nose is dragged upon by a cord passing over the upper border of the neck, the screw- like twist is increased and the resistance of the bones and joints of the neck prevents any straightening of the head. As soon as the lower jaw has been seized by the hand or noose, a repeller (PI. XX, fig. 7), planted on the inside of the elbow or shoulder most distant from the head, should be used to push back the body and turn it in the womb, so that the head may be brought nearer to the outlet. In this way the head can usually be brought into position and the further course of delivery will be natural. But sometimes the lower jaw can not be reached with the hand, and then the orbit or, less desirably, the car, may be availed of. The ear may be pulled by the hand, and by the aid of the repeller on the other shoulder the calf may be so turned that the lower jaw may be reached and availed of. Better still, a clamp (PI. XVIII, figs. 3 and 4) is firmly fixed on the ear and pulled by a rope, while the repeller is used on the opposite shoulder, and the hand of the operator pulls on the lower border of the neck and lifts it toward the other side. To pull on the upper border of the neck is to increase the spiral twist, while to raise the lower border is to undo it. If the outer orbit can be reached, the fingers may be inserted into it so as to employ traction, or a blunt fin- ger hook (PL XXI, fig, 8) may be used, or a hook with a rope attached, or, finally, a hook on the end of a long staff. Then , with the assistance of the rei)eller, the body may be so turned and the head advanced that the lower jaw may be reached and availed of. In case not even the ears nor orbit can be reached, a cord should be passed around the neck of the calf as near to the head as possible, and traction made upon that w^hile the opposite shoulder is pushed toward the opposite side by the repeller, assisted by the hand drag- ging on the lower border of the neck. To aid the hand in passing a rope round the neck a cord carrier (PI. XXI, fig. 5) is in use. It fails, howevei-, to help us in the most difScult part of the operation — the passing of the cord down on the deep or farthest side of the neck — and to remedy this I have devised a cord carrier, furnished with a ring at the end, a joint G or 8 inches from the end, and another ring on the handle, close to this joint. (PI. XX, fig. 4. ) A cord is passed through both rings and a knot tied on its end, just back of the terminal ring. The instrument, straightened out, is inserted until it reaches just beyond the upper border of the neck, when, by dragging on the cord DISEASES OF THE GENERATIVE ORGANS. 191 tlie movable segment is bent down on tlie farther side of the nock, and is pushed on until it can be felt at its lower border. The hand now seizes the knotted end of the cord beneath the lower border of the neck and pulls it through while the carrier is withdrawn, the cord sliding through its rings. The cord, pushed np as near to the head as possible, is furnished with a running noose by tying the knotted end round the other, or, bettei', the two ends are twisted around each other so as to give a firm hold on the neck without dangerouslj" comj)ress- ing the blood vessels. By i^ushing on the opposite shoulder with the repeller, and assisting with the hand on shoulder, breastbone, or lower border of the neck, such a change of position will be secured as will speedily bring the head within reach. Afterwards proceed as described above. These cases are alwaj's trying, but it is very rarely necessary to resort to embryotomy. When absolutely required, first remove one fore limb, and then, if still unsuccessful, the other, after which the head can easily be secured. (See "Embryotomy," p. 198.) HEAD TURNED UPWARD AND BACKWARD In this case the face rests upon the sj)ine ; the fore feet appear alone in the passage, but fail to advance, and on examination the rounded inferior border of the neck can be felt, extending upward and back- ward beneath the spine of the dam, and if the calf is not too large the hand may reach the lower jaw or even the muzzle. (PL XVI, fig. 5.) A repeller is planted in the breast and the body of the calf pushed backward and downward so as to make room and bring the head nearer to the passage; or in some cases the body may be pushed back sufficiently by the use of the fore limbs alone. Meanwhile the head is seized by the ear or the eye socket, or, if it can be reached, by the lower jaw, and pulled downward into position as space is secured for it. If the hand alone is insufficient, the blunt hooks may be inserted in the orbits or in the angle of the mouth, or a noose may be placed on the lower jav^-, and by traction the head will be easily advanced. In case of a large fetus, the head of which is beyond reach, even when traction is made on the limbs, a rope may be passed around the neck and piilled, while the breastbone is pressed down- ward and backward by the repeller, and soon the change of position will bring the orbit or lower jaw within reach. With the above posi- tion the standing position is most favorable for success. But if the calf is placed with its back down toward the udder, and if the head is bent down under the brim of the pelvis, the best position for the cow is on her back, with her head dov>'nhill. In neglected cases, with death and putrefaction of the fetus and dryness of the passages, it may be necessary to extract in pieces. (See "Embryotomy," p. 198.) 192 DISEASES OF CATTLE. OUTWARD DIRECTION OF THE STIFLES — ABDUCTION OF HIND LIMBS. As an obstacle to parturition, this is rare in cows. It is most likely to take place in cows witli narrow hip bones, and when the service has been made by a bull having great breadth across the quarter. The calf, taking after the sire, j)resents an obstacle to calving in the breadth of its quarters, and if at the same time the toes and stifles are turned excessively outward and the hocks inward the combined breadth of the hip bones above and the stifles below may be so great that the pelvis will not easily admit them. After the fore feet, head, and shoulders have all passed out through the vulva, further progress suddenly and unaccountably^ ceases, and some dragging on the parts already delivered does not serve to bring away the hind parts. The oiled hand introduced along the side of the calf will discover the obstacle in the stifle joints turned directly outward and projecting on each side beyond the bones which circumscribe laterally the front entrance of the pelvis. The evident need is to turn the stifles inward, and this may be attempted by the hand introduced by the side of the calf, which is meanwhile rotated gently on its own axis to favor the change of position. To correct the deviation of the hind limb is, how- ever, very diflicult, as the limbs themselves are out of reach and can not be used as levers to assist. If nothing can be done by pushing back the body of the calf and rotating it and by pressure by the hand in the passages, the only resort appears to be to skin the calf from the shoulder back, cut it in two as far back as can be reached, then push the buttocks well forward into the womb, bring up the hind feet, and so deliver. THE HIND LIMBS EXCESSIVELY BENT ON THE BODY AND ENGAGED IN THE PELVIS. In this case the presentation is aj^parently a normal anterior one; fore limbs and head advance naturally and the parturition proceeds until half the chest has passed through the external passages, when suddenly ijrogress ceases and no force will secure farther advance. An examination with oiled hand detects the presence in the passages of the hind feet and usuallj'^ the hind legs up to above the hocks. (PL XYII, fig. 1.) The indications for treatment are to return the hind limbs into the body of the womb. If they have not advanced too far into the i^elvis, this may be done as follows: A rope with running noose is passed over each hind foot and drawn tight around the lower part of the hock; the ropes are then passed through the two rings in the small end of the rotating instrument (PL XX, fig. 5) which is slid into the passages until it reaches the hocks, when the ropes, drawn tight, are tied round the handle of the instrument. Then in the intervals between the pains the hocks are pushed forcibly back into the womb. If by this DISEASES OF THE GENERATIVE ORGANS. 193^ means flexion can be eirectcd in hocks and stifles, success will follow; tlie hind feet will pass into the womb and clear of the brim of the pelvis, and the body may now be advanced without hindrance, the hind limbs falling into place when the hip joints are extended. At the same time tlie pressure ui^on hind limbs must not be relaxed until the buttocks are engaged in the pelvis, as otherwise the feet may again get over the brim and arrest the progress of delivery. When the hind limbs are already so jammed into the pelvis that it is impossible to return them, the calf must be sacrificed to save the mother. Cords with running nooses are first put on the two hind feet. The body must be skinned from the shoulders back as far as can be^ reached, and is to be then cut in two, if possible, back of the last rib. The remainder of the trunk is now pushed back into the body of the womb, and by traction upon the cords the hind feet are brought up into tlie passages, and the extraction will be comxjaratively easy. HIND PRESENTATION WITH ONE OR BOTH LEGS BENT AT THE HOCK. After the bursting of the w^ater bags, though labor pains continue^ no part of the fetus appears at the vulva unless it be the end of the tail. On examination the buttocks are felt wedged against the spine at the entrance of the pelvis, and beneath them the bent hock joints resting on the brim of the pelvis below. (PL XVII, fig. 3.) The calf had been caught by the labor pains while the limb was bent beneath it, and has been jammed into or against the rim of the pelvis so that extension of the limb became impossible. With the thigh bent on the flank, the leg on the thigh, and the shank on the leg, and all at once wedged into the passage, delivery is practically' impossible. The obvious remedj' is to push the croup upward and forward and extend the hind legs, and in the early stages this can usually be accom- plished in the cow. A repeller (PI. XX, fig. 7) is planted across the thighs and j)ointed upward toward the spine of the cow, and pushed forcibly in this direction during the intervals between labor pains. Meanwhile the oiled hand seizes the shank just below the hock and uses it as a lever, pushing back the body and drawing forward the foot, thus effectually seconding the action of the repeller. Soon a distinct gain is manifest, and as soon as the foot can be reached it is bent back strongly at the fetlock, held in the palm of the hand and pulled up, while the repeller, pressing on the buttocks, assists to make room for it. In this way the foot may be brought safely and easily over the brim of the pelvis without any risk of laceration of the womb by the foot. After the foot has been lifted over the brim, the whole limb can be promptly and easily extended. In cases presenting special difficulty in raising the foot over the brim, heli3 may be had by traction on a roj)e passed around in front of the hock, and later still by a rope with a noose fastened to the pastern. In the worst 8267—04 13 19-4 DISEASES OF CATTLE. cases, with the buttocks and hocks ^yedged deeply into the passages, it may prove difficult or impossible to push the buttocks back into the abdomen, and in such a case the extension of the hind limb is practi- cally' impossible ^^^thout mutilation. In some roomy cows a calf may be dragged through the passages by ropes attached to the beiit hocks, but even when this is possible there is great risk of laceration of the floor of the vagina by the feet. The next resort is to cut the ham- string just above the iDoint of the hock and the tendon on the front of the limb {flexor metatarsi) just above the hock, and even the sinews behind the shank bone just below the hock. This allows the stifle and hock to move independently of each other, the one undergoing extension without entailing the extension of the other; it also allows both joints to flex completely, so that the impacted mass can pass through a narrower channel. If now, by dragging on the hocks and operating with the repeller on the buttocks, the latter can be tilted foiward sufficientlj^ to allow of the extension of the stifle, the jam will be at once overcome, and the calf may be extracted with the hock bent, but the stifle extended. If even this can not be accomiDlished, it may now be possible to extract the whole mass with both hocks and stifles fully bent. To attempt this, traction may be made on the rope around the hocks and on a sharp hook (PI. XX, fig. 2) passed forward between the thighs and hooked on to the brim of the pelvis. Every- thing else failing, the offending limb or limbs maj'' be cut off at the hip joint and extracted, after which extraction may proceed bj^ drag- ging on the remaining limb, or by hooks on the hip bones. Very little is to be gained by cutting off the limb at the hock, and the stifle is less accessible than the hij), and amputation at the stifle gives much poorer results. HIXD LIMBS BEXT FORWARD FROM THE HIP — BREECH PRESENTATION. This is an exaggeration of the condition last described, only the hocks and stifles are fulb' extended and the whole limb carried for- ward beneath the belly. (PI. XYII, fig. 2.) The water bags aijpear and burst, but nothing presents unless it may be the tail. Examina- tion in this case detects the outline of tlie buttocks, with the tail and anus at its upper part. The remedy, as in the case last described, consists in pushing the buttock upward and forward with a rejieller, the cow being kept stand- ing and headed down hill until the thigh bone can be reached and used as a lever. Its upper end is pushed forward and its lower end raised until, the joints becoming fully flexed, the point of the hock can be raised above the brim of the pelvis. If necessarj^ a noose may be passed around the leg as far down toward the hock as possible and pulled on forcibly, -vAhile the hand presses forwai-d strongly on the back of the leg above. When both hocks liaA'e been lodged above the DISEASES OF THE GENERATIVE ORGANS. 195 brim of the pelvis the further procedure is as described under the last heading. If, however, the case is advanced and tlie buttocks wedged firmly into tlie passages, it may be impossible to safely push the fetus back into the womb, and the calf must either be dragged through the pas- sage as it is or the limbs or the pelvis must be cut off. To success- fully extract with a breech presentation the cow must be large and rooraj^ and the calf not too large. The first step in this case is to sejiarate the pelvic bones on the two sides by cutting from before backward, exactly in the median line below and where the thighs come together above. This may be done with a strong embrj^otomy knife, but is most easily accomplished with the long embryotome. (PL XX, fig. 3.) The form which I have designed (PI. XX, fig. 1), with a short cutting branch Jointed to the main stem, is to be pre- ferred, as the sliort cutting piece maj^ be folded on the main stem so that its cutting edge will be covered, and it can be introduced and extracted without danger. This is pushed forward beneath the calf's belly, and the cutting arm opened and inserted in front of the brim of the x)elvis and pulled forciby back through the whole length of the pelvic bones. The divided edges are now made to overlap each other and the breadth of the haunch is materially reduced. One end of the cord may then be passed forward by means of a cord carrier (PI. XXI, fig. 5) on the inner side of one thigh until it can be seized at the stifle hy the hand passed forward on the outer side of that thigh. This end is now pulled back through the vagina, and the other end passed through the cord carrier and passed forward on the inner side of the other thigh until it can be seized at the stifle by the hand passed for- ward outside that thigh. This end is drawn back throngh the vagina like the first, and is tied around the other so as to form a running noose. The rope is now drawn through the ring until it forms a tight loop, encircling the belly just in front of the hind limbs. On this strong traction can be made Avithout interfering with the full flexion of the limbs on the bod}^ and if the case is a suitable one, and the body of the fetus and the passages are both well lubricated with oil or lard, a successful parturition may be accomiilished. A less desirable method is to put a rope around one thigh or a rope around each and drag upon these, but manifestly the strain is not so directly on the spine, and the limbs may be somewhat hampered in flexion. This method being inapplicable, the next resort is to cut off one or both hind limbs at the hip joint. Free incisions are made on the side of the haunch so as to expose the hip joint, and the muscles are cut away from the head of the thigh bone down to its narrow neck, around which a rope is passed and firmly fixed with a running noose. The joint is now cut into all around, and while traction is made on the cord the knife is inserted into the inner side of the joint and the round ligament severed. The cord may now be dragged upon forcibly, and the muscles 196 DISEASES OF CATTLE. and otlier parts cut through as they are drawn tense, until finally the whole member has been extracted. Traction on the rope round the other thigh will now suffice to extract, in the majority of cases, but if it should fail the other limb may be cut off in the same manner, and then hooks inserted in front of the brim of the pelvis or in the openings in the bones of its floor {obtwator foramina) will give sufficient iiurchase for extraction. Another method is to insert a knife between the bone of the rump {sacrum) and the hip bone and sever their connections; then cut through the joint {sym2^Jiysis) between the two hip bones in the median line of the floor of the pelvis, and then with a hook in the open- ing on the pelvic bones {obturator for aTnen) to drag upon the limb and cut the tense soft parts until the limb is freed and extracted. PRESENTATION OF THE BACK. In this presentation straining may be active, but after the rupture of the water bags no progress is made, and the hand introduced vrill recognize the back with its row of spinous processes and the springing ribs at each side pressed against the entrance to the pelvis. (PI. XVII, fig. 6.) The presence or absence of tlie ribs will show whether it is the region of the chest or the loins. By feeling along the line of spines until the ribs are met with we shall learn that the head lies in that direction. If, on the contrary, we follow the ribs until they disapjiear, and a blank space is succeeded by hip bones, it shows that we are approaching the tail. The head may be turned upward, downward, to the right side, or to the left. The object must be to turn the fetus so that one extremity or the other can enter the passage, and the choice of which end to bring for- ward will depend on various considerations. If one end is much nearer the outlet than the other, that would naturally be selected for extrac- tion, but if both ends are equidistant the choice would fall on the hind end, as having only the two limbs to deal with, without any risk of complication from the head. When the head is turned upward and forward it will usually be preferable to bring up the hind limb, since, owing to the drooping of the womb into the abdomen, rotation of the fetus will usually be easier in that direction, and if successful the resulting position will be a natural jjosterior presentation, with the back of the calf turned toward the rump of the cow. Similarly with the croup turned upward and forward, that should be pushed on for- ward, and if the fore feet and head can be secured it will be a natural anterior presentation, with the back of the calf turned upward toward the rump of the cow. The womb should be injected with warm water or oil, and the turn- ing of the calf will demand the combined action of the repeller and the hand, but in all such cases the operator has an advantage that the body of the fetus is wholly within the body of the womb, and there- fore movable with comparative ease. No part is wedged into the DISEASES OF THE GENERATIVE ORGANS. 197 pelvic passages as a complication. The general principles are the same as in faulty presentation fore and hind, and no time should be lost in making the manii:)ulations necessary to bring the feet into tlie pelvis, lest they get in bent or otherwise displaced and add unneces- sary complications. • With a transverse direction of the calf, the head l)eing turned to one side, the pressure must be directed laterall}', so that the body will glide around on one side of the womb, and the extremities when reached must be x^romptly seized and brought into the passages. Sometimes a fortunate struggle of a live fetus will greatly aid in rec- tifying the position. BREAST AND ABDOMEN PRESENTED— ALL FOUR FEET IN THE PASSAGES. In this form the calf lies across the womb with its roached-back turned forward and its belly toward the pelvis. All four feet maybe extended and engaged in the passages, or one or more may be bent on themselves so as to lie in front of the pelvis. The head, too, may usually be felt on the right side or the left, and if detected it serves to identify the exact position of the fetus. The position may further be decided upon by examination of the feet and limbs. With the limbs extended the front of the hoofs and the convex aspect of the bent pasterns and fetlocks will look toward that flank in which lie the head and shoulders. On examination still higher the smooth, even outline of the knee and its bend, looking toward the hind parts, char- acterize the fore limb, while the sharp prominence of the point of the hock and the bend on the opposite side of the joint, looking toward the head, indicate the hind limb. (PI. XVII, fig. 5.) The remedy for this condition is to be sought in repelling into the womb those limbs that are least eligible for extraction, and bringing into the passages the most eligible extremities. The most eligible will usually be those which project farthest into the passages, indicating the nearer i^roximity of that end of the calf. An exception may, however, be made in favor of that extremity which will give the most natural presentation. Thus if, owing to obliquity in the position of the fetus, the hind extremities promised a presentation with the back of the fetiis turned down toward the udder, and the anterior extremi- ties one with the back turned up toward the spine, the latter should be selected. Again, if the choice for the two extremities is evenly balanced, the hind may be chosen as offering less risk of complication, there being no head to get displaced. Treatment. — The first step in the treatment is to place a running noose on each of the four feet, marking those of the fore limbs to dis- tinguish them from those of the hind. In case it is proposed to bring the anterior extremities into the passage, a noose should also be placed on the lower jaw. Then run the ropes attached to the two feet that are to be pushed back through the ring of a cord carrier (PI. XXI, fig. 5), passing the rings down to the feet, and by the aid of the carrier push 198 DISEASES OF CATTLE. them well back into the vronib and hold them there. Meanwhile drag upon the ropes attached to the two other feet so as to bring theDi into the passage (or in case of the anterior extremity on the two foot ropes and the head one). The other feet must be i)ushed back into the woDib until ,the body of the calf is inUy engaged in the i^assages. After this they can no longer find an entrance, but must follow as the bod}^ escapes. NEGLECTED AND AGGRAVATED CASES. In laying down the above rules for giving assistance in critical cases of calving it is not intimated that all cases and stages can be success- fully dealt with. Too often assistance is not sought for many hours or even days after labor pains and the escape of the waters intimate the danger of delay, and not seldom the long delay has been filled up with unintelligent and injurious attempts at rendering assistance, vio- lent pulling when resistance is insurmountable without change of posi- tion, injuries to the vagina and womb by ill-considered but too forcibly executed attempts to change the position, the repeated and long-con- tinued contact with rough hands and rougher ropes and hooks, the gashes with knives and lacerations with instruments in ignorant hands, the infecting material introduced on filthy hands and instruments, and the septic inflammations started in the now drj^ and tender passages and womb, and not infrequently the death, putrefaction, and bloating of the calf in the womb, rendering the case extremely uni3romising, and making it im^Dossible to applj^ successfully many of the measures above recommended. The labor pains of the cow mny have practically ceased from exhaustion; the passages of the vagina may be so dry, tender, friable, red, and swollen that it requires considerable effort even to pass the oiled hand through them, and the extraction of the calf or any portion of it through such a channel seems a hopeless task ; the womb may be equally' dry and inflamed and swollen, so that its lining membrane or even its entire thickness is easily torn; the fetal mem- branes have lost their natural unctuous and slippery character, and cling firmly to the dry walls of the womb, to the drj^ skin of the calf, or to the hands of the operator ; the dead and putref jdng calf ma}' be so bloated with gases that the womb has been overdistended by its presence, and the two adhere so closelj' that the motion of the one on the other is practically impossible. In other cases reckless attempts to cut the calf in pieces have left raw surfaces with jjrojecting bones which dangerousl}^ scratch and tear the womb and passages. In many cases the extreme resort must be had of cutting the fetus to pieces (embryotomy), or the still more redoubtable one of Ctesarean section (extraction through the flank). DISSECTION OF THE LTNBORN CALF (EMBRYOTOMY). In some cases the dissection of the calf is the only feasible means of delivering it through the natural passages; and while it is espe- DISEASES OF THE GENERATIVE ORGANS. 199 ciall}' applicable to the dead calf, it is also on occasions called for in the case of the living. As a rule, the living calf should be preserved, if possible, but if this threatens to entail the death of the cow it is only in the case of offspring- of rare value that its presentation is to be preferred. To those acquainted with the toil, fatigue, and discom- fort of embryotomy, no dissuasion is necessary so long as there is a prospect of success from the simple and generally easier method of rectifying the faulty position of the calf. But when the correction of the position is manifestly impossible, when distortions and monstrosi- ties of the fetus successfully obstruct delivery, when the pelvic pas- sages are seriously contracted by fractures and bony growths, when the passages are virtually almost closed by swelling, or when the calf is dead and excessively swollen, no other resort may be available. In many cases of distortion and displacement the dismemberment of the entire calf is unnecessary, the removal of the offending member being all that is required. It will be convenient, therefore, to describe the various suboperations one by one and in the order in which they are usually demanded. AMPUTATION OF THE FORE LIMB. In cutting off a fore limb it is the one presenting that should be selected, since it is much more easily operated on, and its complete removal from the side of the chest affords so much more space for manipulation that it often makes it easy to bring the other missing limb or the head into position. The first consideration is to skin the limb from the fetlock up and leave the skin attached to the body. The rea- sons for this are: (a) That the skin is the most resistant structure of the limb, and when it has been removed the entire limb can be easily detached; (b) the tough skin left from the amputated limb may be used as a cord in subsequent traction on the body of the calf; (c) the dissection and separation of the limb are far more safely accomplished under the protection of the enveloping skin than if the operator's hands and instruments were in direct contact with the walls of the passages or womb; {d) the dissection can be much more easily effected while the skin is stretched by the left hand, so as to form a compara- tively firmer resistant point for the knife, than when it is attempted to cut the soft, yielding, and elastic tissues which naturally offer little solid resistance, but constantly recede before the cutting edge of the instrument. The preservation of the skin is therefore a cardinal principle in the amputation of all parts in which it is at all feasible. The presenting foot is inclosed in a noose and drawn well out of the passages. Then a circular incision through the skin is made around the limb just abo\-e the fetlock. From this the skin is slit up on the inner side of the limb to the breast. Then the projecting part of the limb is skinned up to the vulva, traction being made on the foot by an assistant so as to expose as much as possible. The embryotomy 200 DISEASES OF CATTLE. knife may now bo taken (PI. XXT, fig. 2), and a small hole having been cut in the free end of the detached portion of skin, that is seized by the left hand and extended while its firm connections with the deeper structures are cut through. The looser connections can be more quickly torn through with the closed fist, or the tips of the four fingers held firmly together in a line, or with the spud, of which there are several kinds. Much of the upper part of the limb can be skinned more speedily without the knife, but that must be resorted to to cut across tough bands whenever these interrupt the progress. The skin- ning should be carried upward on the outer side of the shoulder blade to the spine, or nearly so. Then with the knife the muscles attach- ing the elbow and shoulder to the breastbone are cut across, together with those on the inner side of the shoulder joint, and in front and behind it so far as these can be reached. Steady traction is now made upon the foot, the remaining muscles attaching the shoulder blade to the trunk are torn througli with a crackling noise, and the whole limb, including the shoulder blade and its investing muscles, comes away. If the shoulder blade is left the bulk of the chest is not dimin- ished, and nothing has been gained. Before going further it is well to see Avhether the great additional space thus secured in the passages will allow of the missing limb or head to be brought into position. If not, the other presenting part, limb or head, is to be amputated and extracted. For the limb the i)rocedure is a repetition of that just described. AMPUTATION OF THE HEAD. The head is first seized and drawn well forward, or even outside the vulva, bj^ a rope with a running noose placed around the lower jaw just behind the incisor teeth, by a sharp hook inserted in the arch of the lower jaw behind the union of its two branches and back of the incisor teeth, or by hooks inserted in the orbits, or, finally, in case the whole head protrudes, by a halter. (PL XXI, fig. 4a and 4/).) In case the whole head protrudes, a circular incision through the skin is made just back of the ear, and the cut edge being held firmly by the left hand, the neck is skinned as far as it can be reached. Then the great ligamentous cord above the spine is cut across at the fartliest available point, together with the muscles above and below the spine. Strong traction on the head will then detach it at this point and bring it away, but should there still be too much resistance the knife is inserted between the bodies of two vertebrae just behind one of the prominent points felt in the median line below, and their connecting fibrous cartilage is cut through, after which comparatively moderate pulling will bring it away. The detached neck and body at once slip back into the womb, and if the fore limbs are now brought up and pulled they are advanced so far upon the chest that the trans- verse diameter of that is greatly diminished and delivery correspond- ingly facilitated. DISEASES OF THE GENERATIVE ORGANS. 201 If the head is still Inclosed in the vagina two methods arc avail- able: (1) The removal of the lower jaw and subsequent separation of the head from the neck; (2) the skinning of the whole head and its separation from the neck. To remove the lower jaw the skin is dissected away from it until the throat is reached. Then the muscles of the cheeks and side of the jaw (masseters) are cut through and those connecting the jaw with the neck. When traction is made on the rope round the lower jaw it will usually come away with little trouble. Should it resist, its posterior extremity on each side (behind the grinding teeth) may be cut through with bone forceps or with a guarded bone chisel. (PL XX, fig. 8.) After the removal of the lower jaw the way will be open to separate the head from the neck, the knife being used to cut into the first or second joint from below, or the bone forceps or chisel being employed to cut through the bones of the neck. Then traction is made on the head by means of hooks in the orbits, and the hand, armed with an embryotomy knife, is introduced to cut through the tense resisting ligament and muscles above the bones. The skin and the strong ligamentous cord attached to the poll are the essential things to cut, as the muscles can easily be torn across. Unless there are great difficulties in the way it is well to skin the head from the eyes back, and on reaching the poll to cut through the ligament and then bring the head away by pulling. If it is decided to remove the entire head at once, it may be skinned from the front of the eyes back to behind the lower jaw below and the poll above, then cut through the muscles and ligaments around the first joint and pull the head away, assisting, if need be, in the separation of the head by using the knife on the ligament of the joint. If the calf is a double-headed monster, the skinning of the head must be carried backward until the point has been reached where both heads branch from the single neck, and the separation must be made at that point. The muscles and ligaments are first to be cut through; and if the jmrt can not then be detached by pulling, the bodies of the vertebrae may be separated by passing the knife through the joint. The second head mny now be secured by a noose round the lower jaw or hooks in the orbits and brought up into place, the body being pushed back toward the other side by a repeller, so as to make room. It should be added that, excepting in the case of a double-headed monster, or in case of the head protruding or nearlj^ so, and one or both fore limbs presenting, it is rarely desirable to undertake ampu- tation of the head. The space desirable in the passages can usually be secured bj' the much simpler and easier procedure of removing one or both fore limbs. 202 DISEASES OF CATTLE. AlIPUTATION OF THE HIND LIMBS. This is sometimes demanded on the one extended limb ^yhen the other can not be brought up and delivery can not be effected; also iu case of monsters having extra hind limbs ; in cases where the calf is dead, putrid, and bloated with gas, and in some cases of breech presentation, as described under that head. When the limb is extended the guiding principles are as in the case of the fore limbs. The skin is cut through circularly above the fet- lock and slit uj) to beneath the pelvic bones on the inner side of the thigh. It is then dissected from the other parts as high as it has been slit on the inner side and to above the prominence {trochanter major) on the upper end of the thigh bone on the outer side of the joint. In this procedure the hands and spud can do much, but owing to the firmer connections the knife will be more frequently required than in the case of the fore limb. The muscles are now cut through all around the hii? joint, and strong traction is made by two or three men on tiie limb. If there is still too much resistance, a knife is inserted into the joint on the inner side and its round ligament cut through, after which extraction will be comparatively easy. This accom- plished, it will often be j)ossible to extract the fetus with the other leg turned forward into the womb. If the calf is bloated with gas, it may be necessary to remove the other leg in the same way, and even to cut open the chest and abdomen and remove their contents before extraction can be effected. In the case of extra limbs it may be pos- sible to bring them up into the passages after the presenting hind limbs have been removed. If this is not practicable, thej^ may be detached by cutting them through at the hip joint, as described under "Breech i)resentation," page 194. Another method of removing the hind limb is, after having skinned it over the quarter, to cut through the pelvic bones from before back- ward, in the median line below, by knife, saw, or long embryotome (PI. XX, fig. 1), and then disjoint the bones of the spine {sacrum) and the hip bono {ilium) on that side with embryotome, knife, or saw, and then drag away the entire limb, along with all the hij) bones on that side. This has the advantage of securing more room and tliereby facilitating subsequent operations. Both limbs may be re- moved iu this way, but on the removal of the second the operator is without any solid point to drag upon in bringing awa^' the remainder of the fetus. DIVISION ACROSS THE MIDDLE OF THE BODY. In cases of extra size, monstrosity, or distortion of one end of tlie body it may be requisite to cut the body in two and return the half from the passages into the womb, even after one-half has been born. The presenting members are dragged u^Don forcibly by assistants to bring as much of the body as possible outside. Then cut through the DISEASES OF THE GENERATIVE OEGANS. 203 skin around the body at some distance from the vulva, and with hand, knife, and spud detach it from the trunk as far back into the i)assages as can be reached. Next cut across the body at the point readied, beginning at the lower part (breast, belly) and proceeding up toward the spine. This greatly favors the separation of the backbone when reached, and further allows of its being extended so that it can bo divided higher up. When the backbone is reached, the knife is l)assed between the two bones, the prominent ridges across their ends acting as guides, and by dragging and twisting the one is easily detached from the other. With an anterior presentation the separa- tion should, if possibl-e, be made behind the last rib, while with a posterior presentation as many of the ribs should be brought awaj^ as can be accomijlished. Having removed one half of the bod}-, the remaining half is to be pushed back into the womb, the feet sought and secured with nooses, and the second half rem.oved in one piece if possible ; and if not, then after the removal of the extra limb or other cause of obstruction. REMOVAL OF THE CONTENTS OF CHEST OR ABDOMEN. If the body of the calf sticks fast in the passages by reason of the mere dryness of its skin and of the passages, the obstacle may be removed by injecting sweet oil past the fetus into the womb through a rubber or other tube, and smearing the passages freely with lard. When the obstruction depends on excess of size of the chest or abdo- men, or thickening of the body from distorted spine, much advantage may be derived from the removal of the contents of these great cavi- ties of the trunk. We have already seen how the haunches may be narrowed by cutting the bones apart in the median line below and causing their free edges to overlap each other. The abdomen can be cut open by the embryotomy knife or the long embryotome in the median line, or at any point, and the contents pulled out with the hand, the knife being used in any case when especial resistance is encountered. If the abdomen is so firmly impacted that it can not be dealt with in this way, one hind limb and the hip bone on the same side may be removed as described under "Amputation of the hind limbs," page 202. This will allow the introduction of the hand into the abdomen from behind, so as to pull out the contents. By intro- ducing an embryotomy knife in the palm of the hand and cutting through the muscle of the diaphragm the interior of the chest can be reached in the same way and the heart and lungs removed. When, in dealing with an anterior presentation, it becomes neces- sary to remove the contents of the chest, the usual course is to cut through the connections of the ribs with the breastbone (the costal cartilages) close to the breastbone on each side, and from the abdo- men forward to the neck. Then cut through the muscles connecting the front of the breastbone with the neck and its hinder end with the 204 DISEASES OF CATTLE. belly, and pull out the entire breastbone. Having torn out the heart and lungs with the hand, make the rib cartilages on the one side over- lap those on the other, so as to lessen the thickness of the chest, and proceed to extract the body. If it seems needful to empty the abdo- men as well, it is easy to reach it by cutting through the diaphragm, which separates it from the chest. delivery through the flank (c^esarean section, or laparotomy). This is sometimes demanded, when the distortion and narrowing of the hip bones are such as to forbid the passage of the calf, or when inflammation has practically closed the natural passages and the progeny is more valuable and wortliy of being saved than the dam ; also in cases in which the cow has been fatally injured, or is ill beyond possibility of recovery and yet carries a living calf. It is too often a last resort after long and fruitless efforts to deliver by the natural channels, and in such cases the saving of the calf is all that can be expected, the exhausted cow, already the subject of active inflamma- tion, and too often also of putrid poisoning, is virtually beyond hope. The hope of saving the dam is greatest if she is in good health and not fatigued, in cases, for example, in which the operation is resorted to on account of broken hip bones or abnormally narrow passages. The stock owner will not attempt such a serious operation as this. Yet, where the mother has just died or is to be immediately sacrificed, no one should hesitate at resorting to it in order to save the calf. If alive it is important to have the cow perfectly still. Her left fore leg being bent at the knee by one person, another may seize the left horn and nose and turn the head to the right until the nose rests on the spine just above the shoulder. The cow will sink down gentlj^on her left side without shock or struggle. One may now hold the head firmly to the ground, while a second, carrying the end of the tail from behind forward on the inside of the right thigh, pulls upon it so as to keep the right hind limb well raised from the ground. If time presses she may be operated on in this iDOsition, or if the cow is to be sacri- ficed a blow on the head with an ax will secure quietude. Then the prompt cutting into the abdomen and womb and the extraction of the calf requires no skill. If, however, the cow is to preserved, her two fore feet and the lower hind one should be safely fastened together and the upper hind one drawn back. Two ounces chloral hydrate, given by injection, should induce sleep in twenty minutes and the operation may proceed. In case the cow is to be preserved, wash the right flank and apply a solution of 4 grains of corrosive sublimate in a pint of water. Then, with an ordinary scalpel or knife dipped in the above solu- tion, make an incision from 2 inches below and in front of the outer angle of the hip bone in a direction downward and slightly forward to a distance of 12 inches. Cut through the muscles, and more carefully DISEASES OF THE GENEKATIVE ORGANS. 205 tbrougli the transparent lining membrane of the abdomen (perito- neum), letting the point of the knife lie in the groove between the first two fingers of the left hand as they are slid down inside the membrane and with their back to the intestines. An assistant, whose hands, like those of tlie operator, have been dii)ped in the sublimate solution, may press his hands on t\u) wound behind the knife to prevent the protrusion of the intestines. The operator now feels for and brings up to the wound the gravid womb, allowing it to bulge well through the abdominal wound, so as to keep back the bowels and prevent any escape of water into the abdomen. This is seconded bj' two assistants, who i^ress the lips of the wound against the womb. Then an incision 12 inches long is made into the womb at its most prominent point, deep enough to penetrate its walls, but not so as to cut into the water bags. In cutting, carefully avoid the cotyledons, which may be felt as hard masses inside. By pressure the water bags may be made to bulge out as in natural parturition, and this projecting portion may be torn or cut so as to let the liquid flow down outside of the belly. The operator now plunges his hand into the womb, seizes the fore or hind limbs, and quickly extracts the calf and gives it to an attendant to convey to a safe place. The w^omb may be drawn out, but not until all the liquid has flowed out, and the fetal membranes must be sei)a- rated from the natural cotyledons, one by one, and the membranes removed. The womb is now emptied with a sponge, which has been boiled or squeezed out of a sublimate solution, and if anj' liquid has fallen into the abdomen it may be removed in the same way. A few stitches are now placed in the wound in the womb, using carbolized catgut. They need not be very close together, as the wound will diminish greatly when the womb contracts. Should the womb not contract at once it may have applied against it a sponge squeezed out of a cold sublimate solution, or it may be drawn out of the abdominal Avound and exposed to the cold air until it contracts. Its contraction is necessary to prevent bleeding from its enormous network of veins. When contracted the womb is returned into the abdomen and the abdominal wound sewed up. One set of stitches, to be placed at intervals of 2 inches, is passed through the entire thickness of skin and muscles and tied around two quills or little rollers resting on the skin. (PI. XXVIII, fig. 7.) These should be of silver, and may be cut at one end and pulled out after the wound has healed. The super- ficial stitches are put in every half inch and passed through the skin only. The}', too, may be of silver; or j)ins may be inserted through the lips and a fine cord twisted round their ends like a figure 8. (PL XXVIII, fig. 9.) Tlie points of the pins may be snipped off Avith pliers. The edges maj^ be still further held together by the applica- tion of Venice turpentine, melted so as to become firmly adherent, and covered with a layer of sterilized cotton wool. Then the whole should be supported by a bandage fixed around the loins and abdomen. DISEASES OF THE GENERATIVE ORGANS. DESCRIPTION OF PLATES. Plate XII: Fetus with its membranes at mid term. The uterus is opened on the left side. In the uterus the fetus is surrounded by several membranes, which are known as the amnion, or inner layer, the allantois. or central layer, and the chorion, or outer layer. The amnion, or inner membrane, is nearest the fetus, and forms a closed sac around it, filled with a fluid known as liquor amnii, in which the fetus floats. The allantois is the central membrane, and is composed of two layers which f oi-m a closed sac in connection with the urachus, or the tube which extends from the fetal bladder through the umbilical cord. The one layer of the allantois is spread over the outer surface of the amnion and the other over the inner surface of chorion. The allantois also contains a fluid which is known as the allantoid liquid. The chorion is the outer envelope or membrane of the fetus, completely inclos- ing the fetus with its other membranes. On the outer surface of this membrane are found the fetal placentulse, or cotyledons, which, through their attachment to the maternal cotyledons, furnish the fetus with the means of sustaining life. The relation of the fetal and maternal cotyle- dons to each other is illustrated on the following plate. Plate XIII: Fig. 1. Uterus of the cow during pregnancy, laid open to show the cotyledons (d) on the internal surface of uterus (c). The ovary (a) is shown cut across, and the two halves laid open to show the position of the discharged ovum at a'. Fig. 2. Illustrates the relation of the fetal and maternal parts of a cotyledon. A portion of the uterus (A) is shown with the maternal cotyledon (BB) attached to it. The fetal portion (D) consists of a mass of very minute hairlike processes on the chorion (E) , which fit into corresponding depres- sions or pits of the maternal portion. Each portion is abundantly supplied with blood vessels, so that a ready interchange of nutritive fluid may take place between mother and fetu?. Plate XIV: Fig. 1. Taken from Furstenherg-Leisering , Anatomie und Physiologic des Rindes. Fetal calf with a portion of the wall of the abdominal cavity of the right side and the stomach and intestines removed to illustrate the nature of the umbilical or navel cord. It consists of a tube (1-1) into which pass the two umbilical arteries (3) carrying blood to the placenta in the uterus or womb and the umbilical vein (4) bringing the blood back and carrying it into the liver. The cord also contains the urachus (2'), which carries urine from the bladder (2) through the cord. These vessels are all obliterated at birth. 5, liver; 5', lobe of same, known as the lobus Spiegelii; 5", gall bladder; 6, right kidney; 6, left kidney; 6", ureters, or the tubes conducting the urine from the kidnej^s to the bladder; 7, rectum, where it has been severed in removing the intestines; 8, uterus of the fetus, cut oif at the anterior extremity; 9, aorta; 10, posterior vena cava. 206 DISEASES OF THE GENEEATIVE OEGANS. 207 Pla-Te XIV — Continued. Fig. 3. Taken from Qnain's Anatomy, Vol. ii, showing the blood vessels passing through the umbilical cord in a human fetus: L, liver; K, kidney; /, intestines; t^C, umbilical cord; [70, umbilical arteries. The posteiior aorta coming from the heart passes backward and gives rise to the internal iliac arteries, and of these the umbilical arteries are branches. Uv, umbil- ical vein; this joins the portal vein, passes onward to the liver, breaks up into smaller vessels, which reunite in the hepatic vein; this empties into the posterior vena cava, which carries the blood back to the heart. Pi. ATE XV: Showing the most favorable position of the calf or fetus in the womb at birth, and the position in which it is most frequently found. This is known as the normal anterior position. The back of the fetus is directly towards that of the mother, the fore legs are extended back towards the vulva of the mother, and the head rests between them. The birth of the calf in this position usually takes place without artificial assistance. Plate XVI: Fig. 1. Anterior presentation; one fore limb completely retained. From Fleming's Veterinary Obstetrics. The retained limb must be reached if possible, and brought forward joint by joint and the fetus then extracted. Fig. 3. Anterior presentation; fore limbs bent at knee. From Fleming's Veterinary Obstetrics. The limbs must be extended before delivery can be accomplished. Fig. 3. Anterior presentation; fore limb crossed over neck. From Fleming's Veterinary Obstetrics. The leg should be grasped a little above the fet- lock, raised, drawn to its proper side, and extended in the genital canal. Fig. 4. Anterior presentation; downward deviation of head. After St. Cyr, from Hill's Bovine Medicine and Surgery. The head must be brought into position seen in Plate XV before delivery can take place. Fig. 5. Anterior presentation; deviation of the head upwards and backwards. From Fleming's Veterinary Obstetrics. Retropulsion is the first indica- tion, and will often bring the head into its normal position. Fig. 6. Anterior presentation; head presenting with back down. From D'Ar- boval, Diet, cle Med. et de Chir. The fetus should be turned by pushing back the fore parts and bringing up the hind so as to make a posterior presentation. Plate XVII: Fig. 1. Anterior presentation, with hind feet engaged in pelvis. A very serious malpresentation, in which it is generally impossible to save the fetus if delivery is far advanced. The indications are to force back the hind feet. Fig. 3. Thigh and croup presentation, showing the fetus corded. From Fleming's Veterinary Obstetrics. The cord has a ring or noose at one end. The two ends of the cord are passed between the thighs, brought out at the flanks, and the plain end passed through the noose at the top of the back and brought outside the vulva. The fetus must be pushed back and an attempt made to bring the limbs properly into the genital passage. Fig. 3. Croup and hock presentation. From Fleming's Veterinary Obstetrics. The indications in this abnormal presentation are the same as described for Fig. 3. Fig. 4. Posterior presentation; the fetus on its back. From D'Arboval, i)/ef. de Med. et de Chir. Turn the fetus so as to make a normal anterior presentation. 208 DISEASES OF CATTLE. Plate XVII— ContiniTed. Fig. 5. Sterno-abdominal presentation. From D'Arboval. Diet, de Afed. et de CJiir. The fetus is on its side with limbs cros.sing and presenting. The limbs least eligible for extraction should be forced back into the uterus. Fig. 6. Dorso-lumbar presentation; the back presenting. From D"Arboval, Diet, de Med. et de Chir. The fetus must be turned so that one or the other extremity can enter the passage. Plate XVIII: Fig. 1. Twin pregnancy, showing the normal anterior and posterior presenta- tions. From Fleming's Veterinary Obstetrics. Fig. 3. Abdominal dropsy of the fetus; normal presentation; fore limbs corded. After Armatage. The drawing illustrates the method of puncturing the abdomen through the chest with a long trocar and canula. The fluid is represented escaping from the canula after the withdrawal of the trocar. Fig. ;i Tallich's short, bent, crotchet forceps. The forceps have bent and toothed jaws, which are intended to take hold of the fetus where neither cords nor hooks can be applied, as the ear, nose, or skin of cheek. Fig. 4. Clamp for ear, skin, etc: 1-1, blades with hooks and corresponding holes; 2, ring to close the blades; 3, stem with female screw for handle; 4, handle, which may be either straight or jointed and flexible. Plate XIX: This plate illustrates various malformations and diseases of the fetus which act as the cause of difficult parturition. Figs. 1, 2, 3. Represent the fetuses with portions of their bodies double. Fig. 1 (from Fleming's Veterinary Obstetrics) , double head, neck, and fore limbs. Fig. 2 (from Encyclop. dcr Gesam. ThierheUkiinde, 1886), double head, neck, fore limbs, and body. Fig. 3 (from Fleming's Veterinary Obstetrics) , double faced. Fig. 4. Fetus with head very much enlarged. From Fleming's Veterinary Obstetrics. This affection is known as hydrocephalus, or dropsy of the brain, and is due to a more or less considerable quantity of fluid in the cranial cavity of the fetus. Fig. 0. Skull of the calf represented in Fig. 4. The roof of the skull is absent. From Fleming's Veterinary Obstetrics. Plate XX: Fig. 1. Long embryotome with joint. Fig. 2. Long sharp hook. This instrument is about 3 feet in length, including the handle. Hooks of this kind, both blunt and sharp, are applied directly to the fetus to assist in delivery. Fig. 3. Giinther's long-handled embryotome. This instrument and that rep- resented in Fig. 1 are of special vahie in cutting through muscular tissue and in separating the limbs from the trunk when the fetus can not be removed entire. These embryotomes are usually 30 inches long, but may be made either longer or shorter. Fig. 4. Jointed cord-carrier, used in diflBcult parturition to carry a cord into regions which can not be reached by the arm. Fig. 5. Instrument used to rotate or turn the fetus, known as a rotator. Fig. 6. Dilator of the neck of the womb, used when conception can not take place ovdng to a contracted condition of the neck of the womb. Fig. 7. Repeller. An instrument from 2 to 3 feet long, used to force the fetus forward into the womb. This operation is generally necessary when the presentation is abnormal and the fetus has advanced too far into the nar- row inlet to the uterus to be moved. Diseases of Cattle. Plate XII. ■An/f/f'k. ^/n' t ^f^/r Foetal Calf within its Membranes. Diseases of Cattle. Plate XIII ^,//'y. /^W<. Pregnant Uterus with Cotyledons. Diseases of Cattle. Plate XIV. '^^f.'yi^'^ tr/^^. Vessels of Umbilical Cord. ^1 Diseases of Cattle. Plate XV. 1 Diseases of Cattle. Plate XVI. n DiSFASES OF Cat-' Plate XVII. Diseases of Cattle. Plate XVIII Abnormal Position of Calf in Utero. Surgical Instruments and Sutures. Diseases of Cattle. Plate XIX. DisfASES OF Cattle. Plate XX. t^ti'fieti . cM Instruments used in Difficult Labor. Diseases or Cattle. Plate XXI. j^VCTr.ro.-vggssvsTSTiVy«V1iri 4,« ^^^^^^^^^^^^^^^^^^ssssssssssaa. Instruments used in Difficult Labor. DISEASES OF THE GENEKATIVE ORGANS. 20^ Plate XX — Continued. Fig. 8. Cartwrighfs bone chisel. Including the handle this instrument is about 32 inches in length, the chisel portion is a little more than 2 inches long and 1 to 1^ broad. Only the middle portion is sharp, the projecting corners are blunt and the sides rounded. This instrument is used for slitting up the skin of a limb and as a bone chisel when it is necessary ta- mutilate the fetus in order to effect delivery. Plate XXI: Fig. 1. Embryotome, an instrument used when it is necessary to reduce the- size of the fetus by cutting away certain parts before birth can be effected.. This instrument may be long or short, straight or curved. Fig, 2. Also an embryotome. The blade can be made to slide out of or into- the handle. The instrument can thus be introduced into or withdrawn from the genital passage without risk of injury to the mother. Fig. 3. Schaack"s traction cord. This is merely a cord with a running noose- at one end and a piece of wood at the other, to offer a better hold for the hand. Figs. 4ci and ib. Reuff's head collar for securing the head of the fetus. Fig. 5. Curved cord-carrier, used in difficult parturition to carry a cord into regions which can not be reached by the arm. Fig. 6. Blunt hook, used in difficult parturition. Fig. 7. Short hook forceps, used in difficult parturition. Fig. 8. Blunt finger hook. 8267-04 14 DISEASES FOLLO^^^:XCT paetueitiox. By James Law, F. R. C. V. S., Professor of Veterinary Science, etc., in Cornell University. FLOODING (bleeding FROM THE WOMB). Thougli not so common in the co^Y as in the human female, flooding is sufficiently frequent to demand attention. It may depend on a too rapid calving, and a consequent failure of the womb to contract when the calf has been removed. The pregnant womb is extraordinarily rich in blood vessels, and especially in large and tortuous veins, which become compressed and all but obliterated under contraction, but remain overfilled and often bleed into the cavity of the womb should no contraction take place. Cox records cases in which the labor pains had detached and expelled the fetal membranes, vdiile the calf, owing to large size or wrong presentation, wtis detained in the womb, and the continued dilatation of the womb in the absence of the fetal membranes led to a flow of blood which accumulated in clots around the calf. Other causes are laceration of the cotyledons of the womb, or from an antecedent inflammation of the placenta, and the unnatural adhesion of the membranes to the womb, which bleeds when the two are torn apart. Weakness of the womb from overdis- tention, as in dropsj^, twins, etc. , is not without its influence. Finally, eversion of the womb (casting the withers) is an occasional cause of flooding. The trouble is only too evident when the blood flows from the external passages in drops or in a fine stream. But when it is retained in the cavity of the womb it may remain unsusi3ected until it has rendered the animal almost bloodless. The symptoms in such a case are paleness of the ej'es, nose, mouth, and of the lips of the vulva, a weak, rapid i:)ulse, violent and perhaps loud beating of the heart (palpitations), sunken, staring eyes, coldness of the skin, ears, horns, and limbs, perspiration, weakness in standing, staggering gait, and finally inability to rise, and death in convulsions. If these symptoms are seen, the oiled hand should be introduced into the womb, Avhich will be found open and flaccid and containing large blood clots. Treatment. — Treatment consists in the removal of the fetal mem- branes and blood clots from the womb (which will not contract while they are present), the dashing of cold water on the loins, right flank, and vulva, and if these measures fail the injection of cold water into 210 \ DISEASES FOLLOWING PARTUKITIO]^". 211 tlie womb tlirongh a rubber tube furnished with a funnel. In obsti- nate cases a good-sized, sponge soaked in tincture of muriate of iron should be introduced into the womb and firmly squeezed, so as to bring the iron in contact with the bleeding surface. This is at once an astringent and a coagulant for the blood, besides stimulating the womb to contraction. In the absence of this agent astringents (solu- tion of copperas, alum, tannic acid, or acetate of lead) may be thrown into the womb, and one-half -dram doses of acetate of lead maj' be given b}^ the mouth, or 1 ounce x^owdered ergot of rj-e may be given in gruel. When nothing else is at hand, an injection of oil of tur- pentine will sometimes i:)romptly check the bleeding. E VERSION OF THE WOMB (CASTING THE WITHERS). Like flooding, this is the result of failure of the womb to contract after calving. If that organ contracts naturally, the . afterbirth is expelled, the internal cavity of the womb is nearly closed, and the mouth of the organ becomes so narrow that the hand can not be forced through, much less the whole mass of the matrix. When, however, it fails to contract, the closed end of one of the horns may fall into its open internal cavity, and under the compression of the adjacent intestines, and the straining and contraction of the abdomi- nal walls, it is forced farther and farther, until the whole organ is turned outside in, slides back through the vagina, and hangs from the vulva. The womb can be instantlj^ distinguished from the pro- truding vagina or bladder by the presence over its whole surface of fifty to one hundred mushroom-like bodies (cotyledons), each 2 to 3 inches in diameter, and attached by a narrow neck. (Pis. XII, XIII.) When fully everted, it is further recognizable by a large, undivided body hanging from the vulva, and two horns or divisions which hang down toward the hocks. In the imperfect eversions the body of the womb may be iDresent with two dejpressions leading into the two horns. In the cases of some standing the organ has become inflamed and gorged with blood until it is as large as a bushel basket, and its surface has a dark-red, blood-like hue, and tears and bleeds on the slightest touch. Still later lacerations, raw sores, and eve'n gangrene are shown in the mass. At the moment of protrusion the general health is not altered, but soon the inflammation and fever with the violent and continued straining induce exhaustion, and the cow lies down, making no attemiJt to rise. Treatment. — Treatment will var}' somewhat, according to the degree of the eversion. In i^artial eversion, with the womb protruding only slightly from the vulva and the cow standing, let an assistant liinch the back to prevent straining while the operator pushes his closed fist into the center of the mass and carries it back through the vagina, assisting in returning the surrounding parts bj' the other hand. In more comjilete eversion, but with the womb as yet of its natural bulk 212 DISEASES OF CATTLE. and consistency, and the cow standing, straining "being checked by pinching the back, a sheet is held bj^ two men so as to sustain the everted womb and raise it to the level of the vulva. It is now sponged clean with cold water, the cold being useful in driving out the blood and reducing the bulk, and finally it may be sponged over with laudanum or with a weak solution of carbolic acid (1 dram to 1 quart water). The closed fist may now be planted in the rounded end of the largest horn and pushed on so as to turn it back within itself and carry it on through the vagina, the other hand being used meanwhile to assist in the inversion and in pushing the different masses in succession within the lips of the vulva. In case of failure, resort should be had at once to a plan which I have successfully followed for many years, but which has never been described save by a short notice in my Farmers' Veterinarj^ Adviser, eighth edition. Take a long linen or cotton bandage, 5 or 6 inches wide, and wind it around the protrud- ing womb as tightly as it can be drawn, beginning at the free end and gradually covering the entire mass up to the vulva. By this means the greater part of the blood will be forced out of the organ and its bulk greatly reduced, so that its reduction is much facilitated. An additional advantage is found in the protection given to the womb by its investing bandage while it is being pushed forward into the vagina and abdomen. In manipulating the exposed womb there is always danger of laceration, but when the organ is covered with a sheet it is next to impossible to tear it. The subsequent manipula- tion is as in the other case, bj^ pushing the blind end forward within itself with the closed fist and carrying this on through the vagina into the abdomen with the constant assistance of the other hand. It will often be found convenient to use the edge of the left hand to push the outer part of the protruding mass inside the lips of the vulva, while the right hand and arm are carrying the central portions for- ward through the vagina. An intelligent assistant, pushing with the palms of both hands on the outer portion of the mass, will also afford material assistance. As the womb is turned within itself the wrap- ping bandage will gradual^' loosen, but once the great mass has entered the passages it is easy to compel the rest to follow, and the compression by the bandage is no longer so important. AV'hen the womb is fully replaced the bandage is left in its interior in a series of loose folds, and can be easily withdrawn. It is well to move the hand from side to side to insure that the two horns of the womb are fully extended and on about the same level before withdrawing the arm and applying a truss. When the womb has been long everted and is gorged with blood, inflamed, and friable there is often the additional disadvantage that the animal is unable or unwilling to rise. When lying down the straining can not be controlled so effectually, and the compression of DISEASES FOLLOWING PAETURITION. 213 the belly is so great as to prove a serious obstacle to reduction, eveu in the absence of straining. The straining may be checked by 2 or 3 ounces of laudanum or 2 ounces of chloral hydrate, or by inhalation of chloroform to insensibility, and then by raising the hind parts on straw bundles the gravitation of the abdominal oi-gans forward may be made to lessen the resistance. If success can not be had in this waj', the cow may be further turned on her back, and if return is still impossible, the hind limbs may be tied together and drawn up to a beam overhead by the aid of a puUe}'. In this position, in place of the pressure backward of the bowels proving a hindrance, their gravi- tation forward proves a most material help to reduction. In seeking to return the womb the sponging with ice-cold water, the raising on a sheet, and the wrapping in a tight bandage should be resorted to. Another method which is especially commendable in these inflamed conditions of the womb is to bring a paece of linen sheet, 30 by 36 inches, under the womb, Avitli its anterior border close up to the vulva, then turn the posterior border upward and forward over the organ, and cross the two ends over this and over each other above. The ends of the sheet are steadily drawn, so as to tighten its hold on the womb, which is thus held on the level of the vulva or above, and cold water is constantly poured upon the mass. The reduction is further sought by compression of the mass with the palms applied outside the sheet.* Fifteen or twenty minutes are usually' sufficient to cause the return of the womb, provided straining is i^revented by pinching of the back or otherwise. In old and aggravated cases, with the womb torn, bruised, or even gangrenous, the only resort is to amputate the entire mass. This is done by tying a strong waxed cord around the protruding mass close up to the vulva, winding the cord around pieces of wood, so as to draw it as tightly as possible, cutting off the organ below this ligature, tying a thread on any artery that may still bleed, and returning the stump well into the vagina. JRetention of the returned womb is the next i)oint, and this is most easily accomplished by a rope truss. Take two ropes, each about 18 feet long and an inch in thickness. Double each rope at its middle, and lay the one above the other at the bend so as to form an ovoid of about 8 inches in its long diameter. Twist each end of the one rope twice around the other, so that this ovoid will remain when they ai*e drawn tight. (Pis. XXII and XXIII.) Tie a strap or rope around the back part of the neck and a surcingle around the body. Place the rope truss on the animal so that the ovoid ring shall surround the vulva, the two ascending ropes on the right and left of the tail and the two descending ones down inside the thighs on the right and left of the udder. These descending ropes are carried forward on the sides of the body and tied to the surcingle and to the neck collar. The ascending ropes proceed forward on the middle of the back, twisting 214 DISEASES OF CATTLE. over each other, and are tied to the snrcingie and collar, the upper and lower ropes are drawn so tightly that the rope ring is made to press firmly all around the vulva without risk of displacement. This should be worn for several days, until the womb shall have closed and all risk of further eversion is at an end. Variations of this device are found in the use of a narrow triangle of iron applied around the vulva aud fixed b}' a similar arrangement of ropes, sur- cingle, and collar (PI. XXIII, fig. 3), a common crupper similarly held around the vulva (PL XXIT, fig. 1), stitches through the vulva, and wires inserted through the skin on the two hips (PI. XXIII, fig. 2), so that they will cross behind the vulva; also pessaries of various kinds inserted in the vagina. None of these, however, presents any advantage over the simple and comparatively painless rope truss described above. Such additional precautions as keeping the cow in a stall higher behind than in front, and seeing that the diet is slightly laxative and nonstimulating* may be named. If straining is persistent, ounce doses of laudanum may be employed twice a day, and the same may be injected into the vagina. If the womb has been cut off, injections of a solution of a teaspoon- ful of carbolic acid in a quart of water should be emploj^ed daily, or more frequently, until the discharge ceases. EVERSION OF THE BLADDER. . A genuine eversion of the bladder is almost unknown in the cow, owing to the extreme narrowness of its mouth. The protrusion of the bladder, however, through a laceration in the floor of the vagina sus- tained in calving, and its subsequent protrusion through the vulva, is sometimes met with. In this case the x^i'otruding bladder contains urine, which can never be the case in a real eversion, in which the inner surface of the bladder and the openings of the ureters are both exj)osed outside the vulva. The presence of a bag containing water, which is connected with the floor of the vagina, will serve to identify this condition. If the position of the bladder in the vulva renders it impracticable to pass a catheter to draw off the urine, pierce the organ with the nozzle of a hypodermic syringe, or even a very small trocar and canula, and draw off the water, when it will be found an easy matter to return the bladder to its place. The rent in the vagina can be stitched up, but as there would be risk in any subsequent calving it is best to prepai-e the cow for the butcher, RUPTURE OF THE BLADDER. This has been known to occur in protracted parturition when the fetus finally passed while the bladder was full. The symptoms are those of complete suppression of urine and tenderness of the abdo- men, withasteady accumulation of liquid and fluctuation on handling DISEASES FOLLOWING PARTURITION. 215 its lower part. If the liaud is introduced into the vagina it is felt to be hot and tender, and perhaps slightly swollen along its floor. As a final test, if the lower fluctuating part of the abdomen is punctured with a hj'podermic needle, a straw-colored liquid of an urinous odor flows out. The condition has been considered as past hope. The only chance for recoverj^ would be in opening the abdomen, evacuat- ing the liquid, and stitching up the rent in the bladder, but at such a season and with inflammation alreadj^ started there would be little to hope for. RUPTURE OF THE WOMB. AVhen the womb has been rendered friable bj' disease this may occur in the course of the labor, but much more frequently it occurs from violence sustained in attempting assistance in difficult parturition. It is also liable to occur during eversion of the organ through efforts to replace it. If it happens while the calf is still in the womb, it will usually bleed freel}' and continuously until the fetus has been extracted, so that the womb can contract on itself and expel its excess of blood. Another danger is that in case of a large rent the calf may escape into the cav- ity of the abdomen and i^arturition become impossible. Still another danger is that of the introduction of septic germs and the setting up of a fatal inflammation of the lining membrane of the belly (peritoneum). Still another is the escape of the small intestine through the rent and on through the vagina and vulva, so as to protrude externally and receive iDerhaps fatal injuries. In case of rupture before calving, that act should be completed as rapidly and carefully as possible, the fetal membranes removed and the contraction of the womb sought by dash- ing cold water on the loins, the right flank, or the vulva. If the calf has escaped into the abdomen and can not be brought through the natural channels it may be permissible to fix the animal and extract it through the side, as in the C?esarian section. If the laceration has happened during eversion of the womb it is usually less redoubtable, because the womb contracts more readily under the stimulus of the cold air so recently applied. In case the abdomen has been laid open it is well to stitch up the rent, but if not it should be left to nature, and ^ill often heal satisfactorily, the cow even breeding successfully in after years. LACERATIONS AND RUPTURES OF THE VAGINA. Rupture of the floor of the vagina has been already referred to as allowing the protrusion of the bladder. Laceration of the roof of this passage is also met with as the result of deviations of the hind limbs and feet upward when the calf lies on its back. In some such cases the opening passes clear into the rectum, or the foot may even pass out thi'ough the anus, so that that opening and the vulva are laid open into one. 216 DISEASES OF CATTLE. Simple superficial lacerations of the vaginal Avails are not usually serious, and heal readily unless septic inflammation sets in, in which ease the cow is likely to perish. They may be treated with soothing and antiseptic injections, such as carbolic acid, 1 dram; water, 1 quart. The more serious injuries depend on the complications. Rupture of the anterior part of the canal, close to the mouth of the womb, may lead to the introduction of infecting germs into the cavity of the abdo- men, or protrusion of the bowel through the rent and externallj'^, either of which is likely to prove fatal. If both these conditions are escaped the wound maj^ heal spontaneous!}'. Rupture into the bladder may lead to nothing Avorse than a constant dribbling of urine from the vulva. The cow should be fattened if she survives. Rupture into the rectum will entail a constant escape of feces through the vulva, and, of course, the same condition exists when the anus as well has been torn open. I have successfully sewed up an opening of this kind in the mare, but in the cow it is probably better to prepare for the butcher. CLOTS OF BLOOD IN THE WALLS OF THE VAGINA. During calvang the vagina may be bruised so as to cause escape of blood beneath the mucous membrane and its coagulation into large bulging clots. The vulva may appear swollen, and on separating its lips the mucous membrane of the vagina is seen to be raised into irregular rounded swellings of a dark-blue or black color, and which pit on i)ressure of the finger. If the accumlation of blood is not extensive it may bareabsorbed, but if abundant it may lead to irri- tation and dangerous inflammation, and should be incised with a lancet and the clots cleared out. The wounds may then be sponged twice a day with a lotion made with 1 dram sulphate of zinc, 1 dram carbolic acid, and 1 quart Avater. KETAINED AFTERBIRTH. The coAv, of all our domestic animals, is esi)ecially subject to this accident. This may be partly accounted for b}^ the firm connections established through the fifty to one hundred cotyledons (PI. XIII, fig. 2) in which the fetal membranes doA^etail with the follicles of the womb. It is also most liable to occur after abortion, in Avhich prepa- ration has not been made by fatty degeneration for the scA^erance of these close connections. In the occurrence of inflammation, causing the formation of ncAv tissue betAveen the membranes and the Avomb, we find tlie occasion of unnaturallj" firm adhesions AAiiich jjreA'ent the spontaneous detachment of the membranes. Again, in Ioav conditions of health and an imperfect poAver of contraction AA^e find a potent cause of retention, the general debility shoAving particularly in the indisposition of tlie AA-omb to contract, after calving, v>*ith sufficient DISEASES FOLLOWING PARTURITIOlSr. 217 energy to expel the afterbirth. Hence we find the condition common Avith insniiicient or inniitrions food, and in years or localities in which the fodder has suffered from weather. Ergoted (PI. V), smutty, or musty fodder, by causing abortion, is a frequent cause of retention. Old cows are more subject than young ones, probably because of diminishing vigor. A temporary retention is sometimes due to a too rapid closure of the neck of the womb after calving, causing strangu- lation and imprisonment of the membranes. Conditions favoring this are the drinking of cold (iced) water, the eating of cold food (frosted roots), and (through sympathy between udder and womb) a too prompt sucking by tlie calf or milking bj^ the attendant. Symptoms. — The symptoms of retention of the afterbirth are usu- ally only too evident, as the membranes hang from the vulva and rot away gradually, causing the most offensive odor throughout the build- ing. When retained within the womb by closure of its mouth and similarly in cases in which the protruded part has rotted off, the decomposition continues and the fetid products escaping by the vulva appear in offensively smelling pools on the floor, and mat together the hairs near the root of the tail. The septic materials retained in the womb cause inflammation of its lining membrane, and this, together with the absorption into the blood of the products of putrefaction, leads to ill health, emaciation, and drying up of the milk. Treatment. — Treatment will vary according to the conditions. When the cow is in low condition or when retention is connected with drinking iced water or eating frozen food, hot drinks and hot mashes of wheat bran or other aliment mny be all sufftcient. If, along with the above conditions, the bowels are somewhat confined, an ounce of ground ginger, or half an ounce of black pepper, given with a quart of sweet oil, or 1| pounds of Glauber's salts, the latter in at least 4 quarts of warm water, will often prove effect- ual. A bottle or two of flaxseed tea, made by prolonged boiling, should also be given at frequent intervals. Other stimulants, like rue, savin, laurel, and carminitives like anise, cumin, and coriander are preferred by some, but with very questionable reason, the more so that the first three are not without danger. Ergot of rye, 1 ounce, or extract of the same, 1 dram, may be resorted to to induce contrac- tion of the womb. The mechanical extraction of the membranes is, however, often called for; of this there are .several methods. The simplest is to hang a weight of 1 or 2 pounds to the hanging portion, and allow this, by its constant dragging and by its jerking effect when the cow moves, to pull the membranes from their attachments and to stimulate the womb to expulsive contractions. But in the neglected cases, when the dependant mass is already badly decom- X30sed, it is liable to tear across under the added weight, leaving a portion of the offensive material imprisoned in the womb. Again, this uncontrolled dragging upon a relaxed womb will (in exceptional 218 DISEASES OE CATTLE. cases only, it is true) cause it to become everted and to protrude in this condition from the vulva. A second resort is to seize the dependant pai't of the afterbirth between two sticks, and roll it up on these until they lie against the vulva; then, by careful traction, accompanied by slight jerking move- ments from side to side, the Avomb is stimulated to expulsive contrac- tions and the afterbirth is wound up more and more on the sticks until finallj' its last connections with the womb a.re severed and tlie remainder is expelled suddenly en masse. It is quite evident that neglected cases with putrid membranes are poor subjects for this method, as the afterbirth is liable to tear across, leaving a mass in the womb. During the progress of th^ work any indication of tear- ing is the signal to stop and proceed with greater caution or alto- gether abandon the attempt in this way. The third method (that with the skilled hand) is the most promptly and certainlj^ successful. For this the olDerator had best strip and dress as for a parturition case. Again, the operation should beunder- taken within twenty-four hours after calving, since later the mouth of the womb may be so closed that it becomes difficult to introduce the hand. The operator should smear his arms with carbolized lard or vaseline to protect them against infection, and particularlj" in delayed cases with jiutrid membranes. An assistant holds the tail to one side while the operator seizes the hanging afterbirth with the left hand, while he introduces the right along the right side of the vagina and womb, letting the membranes slide through his palm until he reaches the first cotyledon to which they remain adherent. In case no such connection is within reach, gentle traction is made on the membranes with the left hand until the deeper parts of the womb are brought within reach and the attachments to the cotyledons can be reached. Then the soft projection of the membrane, which is attached to the firm fungus-shaped cotjdedon on the inner surface of the womb, is seized by the little finger, and the other fingers and thumb are closed on it so as to tear it out from its connections. To explain this it is only necessary to say that the projection from the membrane is cov- ered by soft conical x>rocesses, which are received into cavities of a corresponding size on the summit of the firm mushroom-shaped cotyle- don growing from the inner surface of the womb. To dz'aw upon the former, therefore, is to extract its soft villous processes from within the follicles or cavities of the other. (PL XIII, fig. 2.) If it is at times difiicult to start this extraction it may be necessary to get the finger nail inserted between the two, and once started the finger may be pushed on, lifting all the villi in turn out of their cavities. This process of separating the cotyledons must be carefully conducted, one after another, until the last has been detached and the afterbirth comes freelj^ out of the passages. I have never found any evil result from the removal of the whole mass at one operation, but Shaack DISEASES FOLLOWING PARTURITION. 219 mentions the eversion of the womb as the possible result of the nec- essaiy traction, and in cases in "which those in the most distant part of the horn of the womb can not be easily reached, he advises to attach a cord to the membranes inside the vulva, letting it hang* out behind, and to cut oif the membranes below the cord. Then, after two or three daj's' delay, he extracts the remainder, now softened and easily detached. If carefully conducted, so as not to tear the cotyledons of the womb, the operation is eminentlj' successful; the cow suffers little, and the straining roused by the manipulations soon subsides. Keej)- ing in a quiet, dark place, or driving a short distance at a walking pace, will serve to quiet these. When the membranes have been with- drawn, the hand, half closed, may be used to draw out of the womb the oifensive liquid that has collected. If the case is a neglected one, and the discharge is very offensive, the womb must be injected as for leucorrhea. INFLAMMATION OF THE VAGINA (VAGINITIS). This may occur independently of inflammation of the womb, and usually as the result of bruises, lacerations, or other injuries sustained during calving. It will be shown by swelling of the lips of the vulva, which, together with their lining membrane, become of a dark-red or leaden hue, and the mucovis discharge increases and becomes whitish or purulent, and it may be fetid. Slight cases recover sjjontaneously, or under warm fomentations or mild astringent injections (a teaspoon- ful of carbolic acid in a quart of water), but severe cases may go on to the formation of large sores (ulcers), or considerable portions of the mucous membrane may die and slough off. Baumeister records two cases of diphtheritic vaginitis, the second case in a cow four weeks calved, contracted from the first in a newly calved cow. Both proved fatal, with formation of false membranes as far as the interior of the womb. In all severe cases the antiseptic injections must be applied most assiduousl3^ The carbolic acid may be increased to one-half ounce to a quart, or chlorine water, or peroxide of hydrogen solution may be injected at least three times a da}'. Hyposulphite of soda, 1 ounce to a quart of water, is an excellent application, and the same amount may be given by the mouth. LEUCORRHEA (MUCOPURULENT DISCHARGE FROM THE PASSAGES). This is due to a continued or chronic inflammation of the womb, or the vagina, or both. It usually results from injuries sustained in calv- ing, or from irritation by jjutrid matters in connection with retained afterbirth, or from the use of some object in the vagina (pessary) to prevent eversion of the womb. Exposure to cold or other cause of disturbance of the health may affect an organ so susceptible as this at the time of parturition so as to cause inflammation. Symptoms. — The main symptom is the glairy white discharge flow- 220 DISEASES OF CATTLE. ing constantly or intermittonth' (when the cow lies down), soiling the tail and matting its hairs and those of the vulva. When the lips of the vulva are drawn apart the mucous membrane is seen to Ije red, with minute elevations, or pale and smooth. The health may not suffer at first, but if the discharge continues and is putrid the health fails, the milk shrinks, and flesh is lost. If the womb is involved the hand introduced into the vagina may detect the mouth of the womb slightly open and the liquid collected within its cavity. Examination with the oiled hand in the rectum maj'' detect the outline of the womb beneath, somewhat enlarged, and fluctuating under the touch from contained fluid. In some cases heat is more frequenb or intense than natural, but the animal rarely conceives when served, and, if she does, is likely to abort. Treabneni. — Treatment with the injections advised for vaginitis is successful in mild or recent cases. In obstinate ones stronger solu- tions maj' be used after the womb has been washed out by a stream of tepid water until it comes clear. A rubber tube is inserted into the womb, a funnel placed in its raised end, and the water, and after- wards the solution, poured slowly through this. If the neck ef the womb is so close that the liquid can not escape, a second tube may be inserted to drain it off. As injections may be used chloride of zinc, one-half dram to the quart of water, or sulphate of iron, 1 dram to the quart. Three drams of sulphate of iron and one-half ounce ground ginger may also be given in the food daily. INFLAMMATION OF THE WOMB (METRITIS, INFLAMMATION OF Vv'OMB AND ABDOMEN, OR METROPERITONITIS). Inflammation of the womb may be slight or violent, simple or asso- ciated with putrefaction of its liquid contents and general poisoning, or it may extend so that the inflammation affects the lining membrane of the whole abdominal cavit5^ In the last two cases the malady is a very grave one. Causes. — The causes are largely the same as those causing inflam- mation of the vagina. Greater importance must, however, be attached to exijosure to cold and wet and septic infection. Symptoms. — The symptoms appear tAvo or three days after calving, when the cow may be seen to shiver, or the hair stands erect, espe- cially along the spine, and the horns, ears, and limbs are cold. The temperature in the rectum is elevated b}^ one or two degrees, the pulse is small, hard, and rapid (70 to 100), appetite is lost, rumination ceases, and the milk shrinks in quantity or is entirel}^ arrested, and the breathing is hurried. The hind limbs may shift uneasily, the tail be twisted, the head and eyes turn to the right flank, and the teeth are ground. "With the flush of heat to tlie horns and other extremi- ties, there is redness of the ej'cs, nose, and mouth, and usually a dark redness about the vulva. Pressure on the right flank gives manifest DISEASES FOLLOWING PARTURITION. 221 pain, causing moaning or grunting, and the hind limbs are moved stiffly, extremely so if the general lining of the abdomen is involved. In severe cases the cow lies down and can not be made to rise. There is usually marked thirst, the bowels are costive, and dung is passed with i^ain and effort. The hand inserted into the vagina perceives the increased heat, and when the neck of the womb is touched the cow winces with pain. Examination through the rectum detects enlargement and tenderness of the womb. The discharge from the vulva is at first watery, but becomes thick, yellow, and finally red or brown, with a heavy or fetid odor. Some cases recover speedily and may be almost well in a couple of days; a large proportion perish within two days of the attack, and some merge into the chronic form, terminating in leucorrhea. In the worst cases there is local septic infection and ulceration, or even gangrene of the parts, or there is general septicemia, or the inflammation involving the veins of the womb causes coagulation of the blood contained in them, and the washing out of the clots to the right heart and lungs leads to blocking of the vessels in the latter and complicating pneumonia. Inflamma- tions of the womb and passages after calving are always liable to these complications, and consequently to a fatal issue. Franck records three instances of rapidly fatal metritis in cows, all of which had been poisoned from an adjacent cow with retained and putrid afterbirth. Others have had similar cases. Treatment. — Treatment in the slight cases of simple inflammation does not differ much from that adopted for vaginitis, only care must be taken that the astringent and antiseptic injections are made to Ijenetrate into the womb. After having washed out the womb a solu- tion of chloride of lime or permanganate of potash (one-half ounce to 1 quart of water), with an ounce each of glj'cerin and laudanum to ren- der it more soothing, will often answer ever}' purpose. It is usually desirable to open the bowels with 1+ pounds Glauber's salts and 1 ounce ginger in 4 quarts of warm water and to apply fomentations of warm water or even mustard poultices or turpentine to the right flank. In the violent attacks with high temperature and much prostration, besides the salts agents must be given to lower the temperature and counteract septic poisoning. Salicj^late of soda one-half ounce, or quinia 2 drams, repeated every four hours, will help in both ways, or ounce doses of hyposulphite of soda or dram doses of carbolic acid may be given at equal intervals until six doses have been taken. Tincture of aconite has often been used in 20-drop doses every six hours. If the temj)erature rises to 10G° or 107° F,, it must be met by the direct application of cold or iced water to the surface. The animal maybe covered with wet sheets and cold water poured on these at intervals until the temperature in the rectum is lowered to 102° F. In summer the cow may be allowed to dry spontaneously, while in winter it should be rubbed dry and blanketed. Even in the absence 222 DISEASES OF CATTLE. of hiii-li temperature much good may l)e obtained from tlie soothing influence of a wet sheet covering the loins and flanks and well cov- ered at all points by a dry one. This may be followed next day by a free application of mustard and oil of turpentine. When the animal shows extreme i)rostration alcohol (1 pint) or carbonate of ammonia (1 ounce) may be given to tide over the danger, but such cases usually I)erish. In this disease, even more than in difficult and protracted parturi- tion or retained jjlacenta, the attendants must carefully guard against the infection of their hands and arms from the diseased j^arts. The hand and arm before entering the passages should always be well smeared with lard impregnated with carbolic acid. MILK FEVER (PARTURITION FEVER, PARTURIENT APOPLEXY, OR PAR- TURIENT collapse). This disease is not only peculiar to the cow, but it may be said to be virtually confined to the improved and plethoric cow. It further occurs only at or near the time of calving. Indeed, these two factors, calving and plethora, may be set apart as preeminently the causes of this disease. It is the disease of cows that have been improved in the direction of early maturity, power of rapid fattening, or a heavj'' yield of milk, and hence it is characteristic of those having great appetites and extraordinary power of digestion. The heavy milking breeds are especially its victims, as in these the demand for the daily yield of 50 to 100 pounds of milk means even more than a daily increase of 2 to 3 pounds of body weight, mainly fat. The victims are not always fat when attacked, but they are cows having enormous powers of digestion, and which have been fed heavily at the time. Hence the stall-fed, city dairy cow, and the farm cow on a rich clover pas- ture in June or July, are especially subject. The condition of the blood globules in the suffering cow attests the extreme richness and density of the blood, j^et this peculiarity appears to have entirely escaped the notice of veterinary writers. I have never examined the blood of a victim of this disease without finding the red-blood globules reduced to little more than one-half their usual size. Now, these globules expand or contract according to the densit}^ of the liquid in which they float. If we dilute the blood with water they Avill expand until they burst, whereas if solids, such as salt or albumen, are added they shrink to a large extent. Their small size, therefore, in j)arturi- tion fever indicates the extreme richness of the blood, or, in other words, plethora. Coufineinent in the stall is an accessor}^ cause, partly because stabled cattle are highly fed, partly' because the air is hotter and fouler, and l^artly because there is no expenditure by exercise of the rich i:»rod- ucts of digestion. High temperature is conducive to the malad}', though the extreme DISEASES FOLLOWING PAETURITION. 223 colds of winter are no protection against it. Heat, however, concUices to fever, and fever means lessened secretion, which means a ijlethoric state of the circulation. The heats of summer are, however, often only a coincidence of the real cause, the mature rich pastures, and especiall}^ the clover ones, being the greater. Electrical disturhances have an influence of a similar kind, disturb- ing the functions of the body and favoring sudden variations in the circulation. A succession of cases of the ma,ladj' often accompany or precede a change of weather from dry to wet, from a low to a high barometric pressure. Costiveness, which is the usual concomitant of fever, may in a case of this kind become an accessor}' cause, the retention in the blood of what should have passed off by the bowels tending to increase the fullness of the blood vessels and the density of the blood. Mature age is a very strong accessor}^ cause. The disease never occurs with the first parturition, and rarely with the second. It appears with the third, fourth, fifth, or sixth — after the growth of the cow has ceased and when all her powers are devoted to the produc- tion of milk. Calving is an essential condition, as the disturbance of the circula- tion consequent on the contraction of the womb and the expulsion into the general circulation of the enormous mass of blood hitherto circulating in the walls of the womb fills to repletion the vessels of the rest of the body and verj^ greatly intensifies the already existing plethora. If this is not speedily counterbiilanced hj a free secretion from the udder, kidneys, bowels, and other excretorj^ organs, the most dire results may ensue. Calving may thus be held to be an exciting cause, and yet the labor and fatigue of the act are not active factors. It is after the easy calving, when there has been little expenditure of muscular or nervous energy, and no loss of blood, that this malad}' is seen. Difficult parturitions may be followed by metritis, but they are rarely connected with parturition fever. All these factors coincide in intensifj'ing the one condition of pleth- ora, and point to that as a most essential cause of this affection. It is needless to enter here into the much-debated question as to the mode in which the plethora brings about the characteristic symptoms and results. As the results show disorder or suspension of the nerv- ous functions mainly, it may suffice to saj" that this condition of the blood and blood vessels is incompatible with the normal functional activity of the nerve centers. How much is due to congestion of the brain and how much to bloodlessness may well be debated, yeX in a closed box like the cranium, in which the absolute contents can not be appreeiabl}' increased or diminished, it is evident that, apart from drojisical effusion or inflammatory exudation, there can only be a given amount of blood; therefore, if one portion of the brain is con- gested another must be proportionately bloodless, and as congestion 224 DISEASES OF CATTLE. of the ej'es and head generally, and great heat of the head are most prominent features of the disease, congestion of the brain must be accepted. This, of course, implies a lack of blood in certain other parts or blood vessels. The latest developments of treatment indicate very clearly that the main cause is the production of poisonous metabolic products (leuco- mains and toxins) by secreting cells of the follicles of the udder, act- ing on the susceptible nerve centers of the plethoric, calving cow. Less fatal examples of udder poisons are found in the first milk (colos- trum), which is distinctly irritant and purgative, and in the toxic qualities of the first milk drawn from an animal which has been sub- jected to violent overexertion or excitement. Still more conclusive as to the production of such poisons is the fact that the full distention of the milk ducts and follicles, and the consequent driving of the blood out of the udder and arrest of the formation of depraved prod- ucts, determines a speedy and complete recovery from the disease. This does not exclude the other causes above named, nor the influ- ence of a reflex nervous derangement proceeding from the udder to the brain. Symptoms. — There may be said to be two extreme types of this dis- ease, with intervening grades. In both forms there is the characteris- tic plethora and more or less sudden loss of voluntary movement and sensation, indicating a sudden collapse of nervous power; but in one there is such prominent evidence of congestion of head and brain that it may be called the congestive form, par excellence, without thereb}^ intimating that the torpid form is independent of congestion. In the congestive form there is sudden dullness, languor, hanging back in the stall, or drooping the head, uneasy movements of the hind limbs or tail; if the cow is moved, she steps unsteadilj^, or even stag- gers; she no longer notices her calf or her food; the ej^es appear red and their puj)ils dilated; the weakness increases and the cow lies down or falls and is thenceforward unable to rise. At this time the pulse is usually full and bounding and the temperature raised, though not invariabl}^ so; the head, horns, and ears being especiallj' hot and the veins of the head full, while the visible mucous membranes of nose and eyes are deeply congested. The cow may lie on her breastbone with her feet beneath the body and her head turned sleepily round, with the nose resting on the right flank; or, if worse, she may be stretched full on her side, with even the head extended, though at times it is suddenly raised and again dashed back on the ground. At such times the legs, fore and hind, struggle convulsivel}^, evidently through unconscious nervous spasm. By this time the unconsciousness is usually complete; the ej^es are glazed, their pupils widely dilated, and their lids are not moved when the ball of the eya is touched with the finger. Pricking the skin with a pin also fails to bring any Avincing or other response. The pulse, DISEASES FOLLOWING PARTURITIOTT. 225 at first from 50 to 70 per minute, becomes more accelerated and weaker as tlie disease advances. The breathing is quickened, becom- ing more and more so with the violence of the symptoms, and at first associated with moaning (in exceptional cases, bellowing), it may, before death, become slow, deep, sighing, or rattling (stertorous). The temperature, at first usually raised, tends -to become lower as stuj3or and utter insensibility and coma sui^ervene. The bowels, which may have moved at the onset of the attack, become torpid or completely paralyzed, and, unless in case of improvement, they are not likel}' to operate again. Yet this is the result of paralysis and not Of induration of the feces, as often shown by the semiliquid pultaceous condition of the contents after death. The bladder, too, is paralyzed and fails to expel its contents. A free action of either bladder or bowels, or of both, is always a favorable symptom. The urine con- tains sugar, in amount proportionate to the severity of the attack. In nearly all cases the torpor of the digestive organs results in gas- tric disorder; the paunch becomes the seat of fermentation, produc- ing gas, which causes it to bloat up like a drum. There are frequent eructations of gas and liquid and solid food, which, reaching the par- alyzed throat, pass in part into the windpipe and cause inflammations of the air x^assages and lungs. In the torpid form of the disease there is much less indication of fever or violence. There vaay be no special heat about the horns, ears, or forehead, nor any marked redness or congestion of the eyes or nose, nor engorgement of the veins of the head. The attack comes on more slowly, with apparent weakness of the hind limbs, dullness, drowsiness, suspension of rumination and appetite, and a general indifference to sui-rounding objects. Soon the cow lies down, or falls and is unable to rise, but for one or two days she ]nay rest on the breastbone and hold the liead in the flank without showing any disor- derly movements. Meanwhile there is is not only loss of muscular power and inability to stand, but also considerable dullness of vsensa- tion, pricking the skin producing no quick response, and even touch- ing the edge of the eyelids causing no very prompt winking. Unless she gets relief, however, the case develops all the advanced symptoms of the more violent form, and the animal perishes. In advanced and fatal cases of either form the insensibility becomes complete; no irritation of skin or eye meets any response; the qjq becomes more dull and glassy; the head rests on the ground or other object; unless prevented, the cow lies stretched fully on her side; the pulse is small, rapid, and finally imperceptible ; the breathing is slow, deep, stertorous, and the expirations accompanied by puffing out of the cheeks, and death comes quietly or with accompanying struggles. For such fatal disease prevention is of far more consequence than treatment. Among the most efficient preventives may be named a. 8267—04 15 226 DISEASES OF CATTLE. spare diet (amounting to actual starvation in very plethoric, heav^^- milking cows) for a week before calving and at least four days after. A free access to salt and water is most important, as the salt favors drinking and the water serves to dilute the rich and dense blood. Iced water, however, is undesirable, as a chill may favor the onset of fever. A dose of Epsom salts (1 to 2 pounds) should be given twelve to twenty-four hours before calving is due, so that it may operate at or just before that Ret. In case calving has occurred unexpectedly in the heavj' milker, lose no time in giving the purgative thereafter. A most important precaution in the fleshy, plethoric cow, or in one that has been attacked at a jjrevious calving, is to avoid drawing any milk from the bag for twelve or twenty-four hours after calving. Breeders on the island of Jersey have found that this alone has almost abolished the mortalitj^ fi*om milk fever. If Epsom salts is not at hand use saltpeter (1 ounce) for several days. Daily exercise is also of importance, and, excepting in midsummer, when the heat of the sun maj' be injurious, the value of open air is unquestionable. Even in summer an open shed or shady grove is incomparably better than a close, stuffj^ stall. A rich pasture (clover especially), in late May, June, or July, when at its best, is to be carefully avoided. Better keep the cow indoors on dry straw with plenty of salt and water than to have access to such pastures. Old treatment. — If the cow is seen before she goes down, the abstraction of blood is demanded, and may usually be carried to the extent of 4 or even G quarts. The fullness and force of the pulse must determine the amount; if it is weak and rapid or scarcely per- ceptible the vein must be instantly closed, and it jnaj even be neces- sary' to give ammoniacal stimulants. If the cow is lying down, unable to rise, and, above all, if no winking is caused by touching the ej'eball, bleeding must be done, if at all, with great i^recaution. A pint or a quart maj be all that can be safely taken, and in case the pulse has been small and weak no more should be draM^u unless the pulse beat strengthens. The fatal collapse already threatening is often precipitated bj^ unguarded bleeding. The jugular vein may be opened as coming directly from the brain, and as the object is to lessen the density of the blood and the tension in the blood vessels without shock, it is not so essential to draw it in a full stream as in other cases of bloodletting. As the blood is withdrawn the place is speedily taken hy liquids (mainly water), absorbed from all available parts of the body, and thus the blood is helpfully diluted. It is a good practice to give a dose of purgative medicine (Epsom salts 2 pounds, carbonate of ammonia one-half ounce, nux vomica one- half dram). If it is absorbed it will find its way to the bowels and start active secretion, thereby relieving the plethora; if it is not absorbed it will do no harm. Enemas of warm water and soap or oil may be beneficiallj^ emijloyed. DISEASES FOLLOWING PARTURITIOlSr. 227 Iced water or bags of ice to the lieatl (tied around the horns and covering the forehead and upper part of the neck) are of the ^'ery greatest value in cases in which the heat of the horns, ears, and head, tlie redness of the ej'es, and fixed dilatation of the pu^jils are marked features. Like bleeding, it may be uncalled for in those cases in which the heat and general congestion of the head are absent. In these congestive cases, too, benefit is often derived from large and frequent doses (20 drops every four hours) of tincture of aconite. It acts not alone as a sedative to the heart and circulation, but also by favoring a free circulation in the skin. In what ma}" be called the noncongestive cases it is of little avail. Harms claims excellent results from large doses of tartar emetic — 1 ounce for the first dose, 3 drams more after four hours, and 2 drams after four hours. If absorbed it will act after the manner of aconite as a sedative by causing a free circulation in tlie skin. This increased circulation in the skin serves to draw awaj' blood from the internal organs, and thus to relieve the brain, and to secure the same result a variety of resorts are had with varying success in different cases. The api^lication of hot (almost scalding) Avater to the back and loins, or to the limbs, acts in this way. So do mustard plas- ters, frictions with oil of turx^entine, the prolonged movement over the pai-t of a hot smoothing iron with a thin cloth between it and the skin, or finally the application of strong liquor ammonia, covered up for fifteen minutes with a close rug. In cases with a high body temperature an excellent jAau is to v>-rap the whole body in a blanket slightlj' wrung out of cold water, and cover this closely at all points with dry blankets to exclude the air and pre- vent evaporation and cooling. In fifteen or twenty minutes a reaction will have taken place, the whole body will have been cooled somewhat hy the blood returning from the skin since the blanket was applied, and the free perspiration will now serve to relieve both by cooling and by carrying off waste matters from the blood. This may be rej^eated sev- eral times a day if the temperature rises again. In cold weather the skin should be rubbed dry on each occasion. A similar method of drawing off the blood from the brain is bj' fre- quent rubbing of the udder and drawing off the milk. In case of extreme prostration and weak j)ulse one-half ounce car- bonate of ammonia may be given, and repeated at the end of an hour or two if needed. It may be given as a roller-formed bolus made up with a very little flour to give it consistency, or if the cow can not swallow, it may be dissolved in water and poured through a probang (PL III, fig. 2), or tube, introduced into the stomach. Bloating of the left side (paunch) is a common and dangerous com- plication of the disease, as it at once aggravates the ijressure on the brain, partly bj^ expression of blood from the abdominal organs and partly by nervous action through the vagus and sympathetic nerves. 228 • DISEASES OF CATTLE. It maj^ often be checked by the use of carbonate of ammonia; or hyposulpliite of soda (one-half ounce) may be suljstituted, or oil of turpentine (1 ounce). In obstinate cases the paunch should be punc- tured in the upper part of the left flank by a trocar and canula (PI. Ill, figs, 5a and 56) and the latter left in xolaee until it is no longer needed. Another most important precaution is to draw off the urine from the bladder several times a daj^, as a full bladder greatlj^ aggravates the case. A weak induction current of electricity may be sent through the brain for ten minutes at a time in eases of extreme insensibility, and through the affected limb in case of remaining paralysis. In the torpid or noncongestive form of the disease tlie treatment is the same as regards x>urgatives, stimulants, nux vomica, antiseptics for bloating, attention to the bladder and udder, counterirritants to spine or limbs, and even bleeding. The cold, wet sheets and even the ice to the head may often be dispensed with. One other precaution may bo named applicable to all cases, but especially so to the more distinctly congestive ones. This is to keep the head above the level of the body and prevent injury from the striking of it on the ground or other hard body. The cow is to be packed up with bundles or bags of straw against the shoulders and hips, so as to let her rest on her breast and belly with her limbs under her. Then the head and neck are to be similarly supported, so as to keep them elevated and give them a soft, yielding cushion if dashed from side to side. It may be even desirable to support the head by a rope round the horns, or a halter, the end of which is passed over a beam above. New treatment. — Treatment of milk fever has been completely revo- lutionized, with the result that a former mortality of 50 to 70 per cent has been practically abolished. Formerly the most vigorous treat- ment was practiced by bleeding, purging, the increase of peristalsis by eserine or pilocarpin, enemas, cold to the head, counterirritants, aconite, tartar emetic, sj)onging, wet-sheet packing, etc. The gross mortalit}^, however, was not materially reduced, and nearly all that were attacked within the first two days after calving i^erished. The first step in the modern treatment was made in 1807, when J. Schmidt published his successful treatment by the injection of the teats and milk ducts with a solution of iodide of potassium (1^ drams to 1 quart of water). This reduced the mortality to 17 per cent. Others followed this lead by the injection of other aiitiseptics (l^'sol, creolin, creosol, chinosol, common salt, etherized air, oxygen). These succeeded as well as the iodide solution. AVith the injection of gases, however, a fuller distention of the udder was usually secured, and virtually every case recovered. This suggested the full distention of the udder with common atmospheric air filtered and DISEASES FOLLOWING PARTURITIOlSr. 229 sterilized, and this with the most perfect success. With sterile air Schmidt-Kolding claimed 90. 7 per cent recoveries in Ol-i cases. In America the full distention of the udder, whether with oxygen or fil- tered air, has proved invariabl}^ successful in all kinds of cases, includ- ing the violent ones that set in within a few hours after calving. In one or two hours after the injection the cow has got up, had free pas- sages from the bowels and bladder, bright exi^ression of countenance, and some return of a^jpetite. In my cases which had made no response for eight hours to the iodide injection, the injection of the udder to full repletion with the gas (oxygen or air) has had immediately bene- ficial results. A similar full distention of the bag with a common-salt solution (0.5 to 100), or even with well-boiled water, is equally effective, but in these eases the weight of the liquid causes dragging upon the udder and a measure of discomfort which is escaped under the treatment with gas. The value of each method depends on the fullness of dis- tention of the udder and the arrest in larger part of the circulation, and chemical changes in its tissues. This distention acts like magic, and seems to hardly admit of failure in securing a successful outcome. It can not, however, be recommended as absolutely devoid of dan- gers and serious complications. To get the best results it should be applied only by one who has been trained in the careful antiseptic methods of the bacteriological laboratory. Some readers will recall the case of the injection of the udders of show cows at Toronto to impose upon the judges. The cows treated in this way had the udders infected and ruined, and several lost their lives. There is no better culture medium for septic and other germs than the first milk (colos- trum) charged with albumen and retained in the warm udder. Already in the hands of veterinarians even the Schmidt treatment has jjroduced a small proportion of cases of infective mammitis. How many more such cases will develop if this treatment shall become a j)opular domestic resort, aj^ijlied b}^ the dairyman himself in all sorts of sur- roundings and with little or no antiseptic precaution. But even then the losses will Ijy no means approach the past mortality of 50 to 70 per cent, so that the economy will be immeasurable under even the worst conditions. A fair test and judgment of this treatment, however, can only be obtained when the administrator is a trustworthy and pains- taking man, well acquainted with bacteriological antisepsis and with the general and special pathology of the bovine animal. The necessary precautions may be summarized as follows : (1) Provide an elastic rubber ball and tubes, furnished with valves to direct the current of air, as in a common Davidson syringe. (2) Fill the delivery tube for a short distance with cotton, sterilized by prolonged heating in a wate;^" bath. (3) In the free end of the delivery tube fit a milking tube to be inserted into the teat. 230 DISEASES OF CATTLE. (4) Sterilize tliis entire apparatus bj'^ boiling for tliirtj" minutes, and, witliout touching the milking tube, wrap it in a towel that has been sterilized in a water bath or in live steam and dried. (5) Avoid drawing any milk from the teats; wash them and the udder thoroughly with warm soapsuds; rinse oif with well-boiled and cooled water, and apply to the teats, and especially to their tips, a 5 per cent solution of creolin or lysol, taking care that the teats are not alloAved to touch any other body from the time they are cleansed until the teat tube is inserted. It is well to rest the cleansed and disin- fected udder on a sterilized pad of cotton or a boiled towel. (G) The injecting apparatus is unwrapped, the teat tube, seized by its attached end and kept from contact with any other body, is inserted into the teat, while an assistant working the rubber pumj^ fills the quarter as full as it will hold. The tube is now withdrawn and a broad tape is tied around the free end of the teat to prevent escape of the air. (7) The teat tube, which has been carefully preserved from possible contact with other bodies, is dipped in the creolin solution and inserted in a second teat, and the second quarter is inflated, and so with the third and fourth. (8) The recumbent cow is kept resting on her breast bone, with the head elevated, even if it should be necessarj^ to i^ack her around with straw bundles or to suspend the head by a halter. Lying on her side, she is liable to develoj) fatal bloating and to have belching of gas and liquids, which, passing down the windpipe, cause fatal broncho- pneumonia. (0) If in two hours the cow has not got on her feet, if there is no brighter or more intelligent expression, if she has j)assed no manure or urine, and if the air has become absorbed, leaving the udder less tense, the injection of the bag may be repeated, under the same scru- l^ulous and rigid precautions as at first. In all cases, but especially in severe ones, it is well to keep watch of the patie?it, and repeat the distention on the first indication of relapse. Should there not be a free discharge of feces and urine after rising, indicating a natural resumption of the nervous functions, the case should be all the more carefully watched, so that the treatment maj^ be repeated if necessary". Accessory treatment may still be emploj' ed, but is rarely necessary. A dose of purgative medicine (1^ pounds Epsom salts) in warm water maj' be given in the early stages, while as j'et there is no danger of its passing into the lungs through paralysis of the throat. Eserine or pilocarpine (1^} grains) may be given under the skin to stimulate the movements of the bowels. Sponging of the skin, and especially of the udder, with cool water may be resorted to in hot weather. Bloating maj^ demand jjuncture of tlie paunch, in tlie left flank, with a canula and trocar, the evacuation of the gas, and the intro- duction through the tube of a tablespoonful of strong liquid ammonia in a quart of cold water or other antiferment. DISEASES FOLLOWING PAETURITION. 231 The economic value of the new treatment of milk fever is enormous. The United States has over 10,000,000 milch cows. If Ave could raise the quality of these by preserving and ^propagating the highest, heaviest, and richest milkers, in j)lace of losing the best bj' milk fever, as in the past, and if we could thus secure an average increase of 10 quarts a daj', the proceeds at 14^ cents a quart would reach $250,000,000 a year. PALSY AFTER CALVING (DROPPING AFTER CALVING). This consists in a more or less complete loss of control of the hind limbs occurring after calving, and due either to low condition, weak- ness, and exposure to cold or to injurious comi)ression of the nerves of the hind limbs by a largo calf passing through the pelvis. Its symptoms do not differ from those of palsy of the hind limbs, occur- ring at other times, and it may be treated in the same way, excepting so far as bruises of the vagina may demand special soothing treatment. CONGESTION OF THE UDDER ( GARGET). In heavy milkers, before and just after calving, it is the rule that the mammary gland is enlarged, hot, tense and tender, and that a slight exudation or past}^ swelling extends forward from the gland on the lower surface of the abdomen. This physiological congestion is looked upon as a matter of course, and disappears in two or three days when the secretion of milk has been fully established. This breaking up of the bag may be greatly hastened by the sucking of a hungry calf and the kneading it gives the udder with its nose, by stripping the glands clean thrice daily, and by active rubbing at each milking with the palm of the hand, with or without lard or, l:>etter, with cam- phorated ointment. The congestion may be at times aggravated by standing in a draft of cold air or by neglect to milk for an entire day or more (overstock- ing, hefting) with tlie view of making a great show of udder for i)ur- poses of sale. In such cases the surface of the bag pits on pressure, and the milk has a reddish tinge or even streaks of blood, or it is par- tially or fully clotted and is drawn with difficult}^ mixed, it may be, with a yellowish serum (whej^) which has separated from the casein. This should be treated like the above, though it may sometimes demand fomentations with warm water to ward off inflammation, and it may be a week before the natural condition of the gland is restored. INFLAMMATION OF THE UDDER (SIMPLE MAMMITIS). Congestion may merge into active inflammation, or it mny arise direct, in connection with exposure to cold or wet, with standing in a cold draft, with blows on the udder with clubs, stones, horns, or feet, with injury from a sharp or cold stone, or the projecting edge of a 232 DISEASES OF CATTI,E. board or end of a nail in the floor, with sudden and extreme changes of weatiier, with overfeeding oh rich albuminous food like cotton seed, beans, or pease, witli indigestions, with sores on the teats, or with insuf- ficient stripping of the udder in milking. In the period of full milk the organ is so susceptible that any serious disturbance of the general health is liable to fall upon the udder. Symptoms. — The symptoms and mode of onset vary in different cases. When following exposure there is usually a violent shivering fit, with cold horns, ears, tail, and limbs, and general erection of the hair. This is succeeded by a flush of heat (reaction) in which the horns, ears, and limbs become unnaturally warm and the gland swells up and becomes firm and solid in one, two, three, or all four quarters. There is hot, dry muzzle, elevated temi^erature, full, accelerated pulse, and excited breathing, impaired or suspended appetite, and rumina- tion with more or less costiveness, suppression of urine, and a lessened yield of milk, which may be entirely suppressed in the affected quarter. In other cases the shivering escapes notice, the general disorder of the system is little marked or comes on late, and the first observed sign of illness is the firm swelling, heat, and tenderness of the bag. As the inflammation increases and extends, the hot, tender udder causes the animal to straddle with its hind limbs, and when walking to halt on the limb on that side. If the cow lies down it is on the unaffected side. With the increase in intensity and the extension of the inflammation the general fever manifests itself more prominentl3^ In some Instances the connective tissue beneath the skin and be- tween the lobules of the gland is affected, and then the swelling is uniformly rounded and of nearly the same consistenc}', pitting every- where on pressure. In other cases it primarily attacks the secreting tissue of the gland, and then the swelling is more localized and aj^pears as hard, nodular masses in the interior of the gland. This last is the usual form of inflammation occurring from infection enter- ing b}^ the teats. In all cases, but especially in the last-named form, the milk is sup- pressed and replaced by a watery fluid colored with blood (sometimes deeply) and mingled with masses of clotted casein. Later it becomes white and purulent, and in many cases of an offensive odor. The course of the disease is sometimes so rapid and at others so slow that no definite rule can be laid down. In two or three days, or from that to the end of the week, the bag may soften, lose its heat and tenderness, and subside into the health}- condition, even resuming the secretion of milk. The longer the inflammatory hardness continues the greater tlie probability that its complete restoration will not be effected. When a j)ortion of the gland fails to be restored in this way, and has its secretion arrested, it usually shrinks to a smaller size. More commonlj^ a greater amount of the inflammatory product DISEASES FOLLOWING PARTURITION. 233 remains in the gland and develops into a solid fibrous mass, causing permanent hardening (induration). In other eases, in place of the j)roduct of inflammation develoinng into a fibrous mass, it softens and breaks down into the white creamy liquid pus (abscess). This abscess nia}^ make its way to the surface and escape externally, or it may burst into a milk duct and discharge through the teat. It may break into both and establish a ('hannel for the escape of milk (fistula). In the worst types of the disease gangrene may ensue, a quarter or half or even the whole udder, losing its vitality, and sloughing off if the cow can bear up against the depressing influence. These gangrenous cases are probably alwaj^s the result of infection and sometimes run a very rai)idly fatal course. I recall one to which I was called as soon as the owner noticed it, 3'et I found one quarter dark blue, cold, and showing a tendency to the formation of blebs containing a bloody secretion. The cow, which had waded through a depth of semiliquid manure to reach her stall, died within twenty-four hours. Treatment. — Treatment will vary with the type and the stage of the disease. If the case is seen in the shivering fit, every effort should be made to cut that short, as the inflammation may be thereb}^ greatly moderated, if not checked. Copious drinks of warm water thrown in from horn or bottle; equally copious warm injections; the application of heat in some form to the surface of the body (by a rug wrung out of hot water; by hanging over the back and loins bags loosely filled with bran, sand, salt, chaff', or other agent previously heated in a stove; by the use of a flatiron or the warming of the surface by a hot- air bath), or by active friction with straw wisps by two or more j)ersons; the administration of a pint of strong alcoholic liquor, or of 1 ounce of ground ginger, may serve to cut short the attack. After half an hour's sweat rub dry and cover with a dry blanket. If, on the other hand, thei-e is little or no fever, and onlj^ a slight inflammation, rub well with camphorated ointment or a weak iodine ointment, and milk three, four, or six times a day, rubbing the bag thoroughl}^ each time. Milking must be done with great gentleness, squeezing the teat in place of pulling and stripping it, and if this causes too much pain, the teat tube (PI. XXIV, fig. 4) or the spring teat dilator (PI. XXIV, fig. 3) may be employed. Antiseptic injections of tlie teats and udder are often useful, and iodoform in water has been especiallj^ recommended. It may be replaced by one of the injections advised for parturition fever, used with the same careful precautions. In cases in which the fever has set in and the inflammation is more advanced, a dose of laxative medicine is desirable (Epsom salts, 1 to 2 pounds; ginger, 1 ounce), which maybe followed, after the purging has ceased, by daily doses of saltpeter, 1 ounce. Many rely on cooling and astringent applications to the inflamed quarter (vinegar, sugar-of- lead lotion, cold water, ice, etc.), but a safer and better resort is con- 234 DISEASES OF CATTLE. tinued fomentation with warm water. A bucket of warm water, replenished as it cools, may be set beneath the ndder, and two persons can raise a rug out of this and hold it against the vidder, dipping it anew whenever the heat is somewhat lost. Or a sheet may be passed around the bod}', with four holes cut for the teats and soft rags i)acked betAveen it and the udder, and kept warm by pouring on water as warm as the hands can bear every ten or fifteen minutes. When this has been kept up for an hour or two the bag may be dried, well rubbed with soap, and left thus with a soapj^ coating. If the pain is great, extract of belladonna may be applied along with the soap, and a drj^ suspensory bandage with holes for the teats may be applied. Strong mercurial ointment is very useful in relieving pain and softening the bag. This is especiallj^ valuable when the disease is protracted and induration threatens. It may be mixed with an equal amount of soap and half the amount of extract of belladonna. In cases of threat- ened induration excellent results are sometimes obtained from a weak induction current of electricit}' sent through the gland daily for ten minutes. If aJjscess threatens it ma}' be favored by fomentation and opened as soon as fluctuation from finger to finger shows the formation of matter at a point formerly hard. The wound maj^ bleed freely, and there is a risk of opening a milk duct, yet relief Avill be secured, and a dressing twice dail}^ with a l-otion of carbolic acid, 1 i^art, water, 20 parts, and glycerine, 1 part, will suffice to keep the wound clean and healthy. Gangrene of the. affected part is often fatal. It demands antisep- tics (chloride of zinc, 1 dram to 1 quart water) applied frequently to the part, or, if the case can not be attended, smear the affected quar- ter with melted Venice turpentine, or even wood tar. Antiseptic tonics (tincture of muriate of iron, 4 drams) may also be given four times dail}' in a quart of water. CONTAGIOUS MAMMITIS (CONTAGIOUS INFLAMMATION OF THE UDDER). As stated in the last article, that form of inflammation of the udder which attacks the gland ducts and follicles, causing deep-seated, hard, nodular swellings, is often contagious. Franck has demonstrated this by injecting into the milk ducts in different cows (milking and dry) the pus from the bags of cows affected with mammitis, or the liquids of putrid flesh, or putrid blood, and in every case he produced acute i]iflanimation of the gland tissue within twentj^-four hours. He thinks that in ordinary conditions the septic germ gains access by propagating itself through the milk, filling the milk cana^l and oozing from the external orifice. He points to this as a reason why drj- cows escape the malady, though mingling freely with the sufferers, and why such dry cows do not suffer from inflammation of the gland tissue when attacked with foot-and-moutli disease. In this last case it is DISEASES FOLLOWING PARTURITION. 235 evident that it is not sinipl}' the iuocubition "vvith the milkers hand that is lacking, for the skin of the bag is attacked, but not its secret- ing glandular parts. Now that in uny case of abscess we look for tlie cause in the chain forms of globular bacteria {Sirejitococcus pyogenes), in the cluster form of white globular bacteria {Stapliylococcus pyogenes albus), and in the golden and citron-yellow forms of clustered globu- lar bacteria {Slajjhylococcus pyogenes aureus and SfapliyJococcus pyogenes citreus), the formation of pus gives presumptive evidence of the action of one or more of these germs. So in cases of mortifica- tion of the bag; in the verj^ occurrence there is fair circumstantial evidence of the presence of erj^sipelas micrococcus or other germ which kills the local tissues. Again, in tuberculosis affecting the bag (a not uncommon condition)^ the active local cause is without doubt the tubercle bacillus. It has been found that false membranes have formed in certain cases of mammitis in the cow, and Klein, after inoculating the diph- theria of man on the cow, found an ulcerous sore in the seat of inoc- ulation and blisters on the teats and udder, in which he found what he believed to be the bacillus of diphtheria. The results are doubt- ful, even in the absence of false membranes. Loffler, too, in the diphtheria of calves, found that the germ was more delicate and longer than that of man, and that its pathogenesis for rodents was less, guinea pigs liaving only a nonfatal abscess. The presence of false membranes in one form of mammitis in cows does not neces- saril}' imj)ly its communicabilitj" to man. It has been claimed that scarlet fever has been transmitted from the cow to man, and it can not be denied that in many cases the infec- tion has been disseminated through the milk. The facts, however, when brought out fullj" have shown that in almost everj- case the milk had first come in contact with a person suffering or recovering from scarlet fever, so that the milk was infected after it left the cow. The alleged exceptional eases at Hendon and Dover, England, are not conclusive. Li the Ilendon outbreak inoculations were made on calves from the slight eruption on the cow's teats, and they had a slight eruption on the lips and a form of inflammation of the kidneys, which Doctor Klein thought resembled that of scarlatina. The cows that had brought the disease to the Hendon dairies were traced back to Wiltshire, and cows were found there suffering from a similar mal- ady, but there was no sign of scarlet fever resulting. In the Dover outbreak, the dairyman first denied any disease in his cows, and brought the certificate of a veterinarian to prove that they were sound at the time of the investigation ; then later he confessed that the cows had had foot-and-mouth disease, and consequent eruption on the teats some time before. So the question remains whether the man who denied sickness in the cows to begin with, and adduced professional evidence of this, did not later acknowledge the foot-and-mouth dis- 236 DISEASES OF CATTLE. ease as a blind to hide the real source of the trouble in scarlatina in his own family or the family of an emploj^ee. In America Doctor Stickler claimed that he had produced scarlatina in cliildren by inoculation with imported virus of foot-and-mouth dis- ease, but his contention is negatived hj the facts that with foot-and- mouth disease constantlj^ present in Europe scarlatina does not accom- pany it, and that in America, with scarlatina constantly prevailing at some point, foot-and-mouth disease is unknown except at long inter- vals locally and as the result of the importation of infected animals or their products. Man is susceptible to foot-and-mouth disease, but this never appears during the frequent epidemics of scarlatina. Among other contagious forms of mammitis I maj^ name one which I have encountered in large dairies, starting as a sore and slight swell- ing at the opening of the teat and extending nj) along the milk duct to the gland structure in the bag, all of wliicli become indurated, nodu- lar, and painful. The milk is entirely suppressed in that quarter of the bag, and from that it may extend to the others as it does from cow to cow through the milker's hands. Another form almost universally prevalent in this district of cen- tral New York in 1889 broke out over the teats and udder as blisters stronglj^ resembling cowpox, but which were not propagated when inoculated on calves. It was only exceptionally that this extended through the teat to the gland tissue, yet in some instances the bag was lost from this cause. Scarlatina in man was very prevalent at the time (many schools were closed in consequence), but no definite connection seemed to exist between this and the cow disease, and on different dairy farms there were families of young children that had never had scarlet fever and wlio did not at that time contract it. The most common cause of contagious mammitis in cattle is a spherical bacterium in cliain form {Streptococcus). (Moore, Ward.) Yet it is clear that contagious mammitis is not a single affection, but a group of diseases which have this in common, that thej^ attack the udder. Prevention. — Prevention is to be especially sought in all such cases. In purchasing new cows see that they come from a herd Avhere the teats and udder are sound. If a new cow with unknown antecedents comes from a public market, let her be milked for a week by a person who does not milk any other cows. Keep her in a separate stall from others, so that there may be no infection from litter or flooring. Wash the udder with soap and water, and wet with a solution of two teaspooiifuls carbolic acid in a pint of water before letting the regular milker of the otlier cows take her. If any cow in the herd shows the indurated end of the teat or the inflammation and nodular tender character of the gland, separate her at once and give her a separate milker. If another cow is to be put into the stall she occupied, first clean and scrape it, and Avet it with a strong solution of bluestone, DISEASES FOLLOWING PARTURITION. 237 5 ounces in a gallon of water. The milk may be drawn off with a teat tube, or spring; teat dilator (PL XXIV, figs. 3 and 4), and the milk ducts injected frequently with a solution of peroxide of hydro- gen or iodoform. I have had little success in checking the upward progress of the disease through the teat with carbolic acid or boracic acid solutions. Used on the outside of the other teats, however, these may serve to prevent them from becoming infected. In the absence of peroxide of hydrogen the affected teat may be injected with a solution of 1 grain corrosive sublimate in a pint of water, and the same may be used on-the other teats, provided it is washed oft" ever}^ time before milking. As additional precautions, no cow with a retained afterbirth or unhealthy discharge from the womb should be left with the other cows. Such cows doubtless infect their own udders and those of the cows next them by lashing with the soiled tail. If milkers handle retained afterbirth or vaginal discharge, or unhealthy wounds, or assist in a difficult and protracted parturition, they should wash the hands and arras thoroughly with soap and warm water and then rub them with the corrosive sublimate solution, or if not, at least with one of carbolic acid. Clothes stained with such offensive products should be washed. The general treatment of contagious mammitis does not differ from that of the simple form, except that antiseptics should be given by the mouth as well as apjilied locally (hyposulphite of soda, one-half ounce daily). COWPOX, This is another f oi'm of contagious inflammation of the udder which does not sj^read readily from animal to animal except by the hands of the milker. It is held to occur spontaneously in the cow, but this is altogether improbable, and so-called spontaneous cases are rather to be looked on as instances in which the germs have been preserved dry in the buildings or introduced in some unknown manner. It is not uncommon in the horse, attacking the heels, the lips, or some other inoculated part of the body, and is then easily transferred to the cow, if the same nuin grooms and dresses the horse and milks the cow. It may also appear in the cow by infection, more or less direct, from a person who has been successfully vaccinated. Many believe that it is only a form of the smallpox of man modified by ijassing through the system of cow or horse. It is, however, unreasonable to suppose that this alleged modified smallpox could have been trans- mitted from child to child (the most susceptible of the human race) for ninety years, under all possible conditions, without once revert- ing to its original type of smallpox. Chauveau's exj)eriments on both cattle and horses with the virus of smallpox and its inoculation back on the human subject go far to show that in the climate of western 238 DISEASES OF CATTLE. Europe, at least, no such trausformation takes place. Smallpox remaius smallpox ami cowpox, cowpox. Again, smallpox is com- municable to a person who visits the patient in his room but avoids touching him, while cowj^ox is never thus transferred through the air unless deliberately diffused in the form of SDraj'. The demonstration of a protozoan germ in smallpox imj)lies a similar microbe in cowpox. The disease in the cow is ushered in by a slight fever, which, how- ever, is usuall}^ overlooked, and the first sign is tenderness of the teats. Examined, these may be redder and hotter than normal, and at the end of two days there appear little nodules*, like small peas, of a pale-red color, and increasing so that they may measure three-fourths of an inch to 1 inch in diameter by the seventh day. The yield of milk diminishes, and when heated it coagulates slightly. From the seventh to the tenth day the eruption forms into a blister with a depression in the center and raised margins, and from which the whole of the liquid can not be drawn out by a single puncture. The blister, in other words, is cham- bered, and each chamber must be opened to evacuate the whole of the contents. If the i)Ock forms on a surface where there is thick hair, it does not rise as a blister, but oozes out a straw-colored fluid which con- cretes on the hairs in an amber-colored mass. In one or two daj^s after the pock is full it becomes yellow from contained i3us, and then dries into a brownish yellow scab, which finally falls, leaving one or more distinct pits in the skin. Upon the teats, however, this regular course is rarely seen; the vesicles are burst by the hands of the milker as soon as liquid is formed, and as the}^ continue to suffer afc each milking they form raw, angry sores, scabbing more or less at intervals, but slow to undergo healing. The only treatment required is to heal the sores; and as milking is the main cause of their persistence, that must be done as gentlj^ as possible, or even with the teat tube* or dilator. (PI. XXI Y, figs. 3 and 4. ) It is essential to check the propagation of the germ, and for this pur- pose the sore teats ma,y be washed frequentl}^ with a solution of half an ounce hyposulphite of soda in a pint of water. This will usually check the inflammation and cut short the malady. SUPPRESSION OF MILK. Tl\e absence of milk in the udder may result from ill health, debilitj^ emaciation, chronic disease of the bag, wasting of the gland from pre- vious disease, or insufficient food, but sometimes it will occur suddenly' without any axjpreciable cause. The treatment will consist in remov- ing the cause of the disease, feeding well on rich albuminoid food made into warm mashes, and giving ounce doses of aromatic carminatives, like anise-seed, fennel-seed, etc. Rubbing and stripping the udder are useful; and the application of oil of lavender or of turpentine, or even a blister of Spanish flies, Mill sometimes succeed. DISEASES FOLLOWING PARTURITION. 239 BLOODY MILK. Blood may escape witli tlie milk wlieu tlie udder has beeia injured by blows, also wlieu it is congested or inflamed, when the circulation through it has been suddenly increased hy richer and more abundant food, or when the cow is under the excitement of heat. The milk frothing up and assuming a pink tinge is often the first sign of red- water, and it may result from eating acrid or irritant plants, like the Ranunculacete, resinous plants, etc. Deposits of tubercle or tumors in the udder, or induration of the gland, may be efficient causes, the irritation caused bj^ milking contributing to draw the blood. Finall}^, there may be a reddish tinge or sediment when madder or logwood has been eaten. In milk which becomes red after it is drawn it may be due to the l^resence in it of the Micrococcus iirodigiosus. This also grows on bread, and is the explanation of the supposed miracle of the "bleed- ing host." The treatment will vary with the cause. In congested glands give 1 pound of Epsom salts, and daily thereafter one-half ounce saltpeter, with a dram of chlorate of i)otash ; bathe the bag with hot or cold water, and rub with camphorated lard. If the food is too rich or abundant it must be reduced. If from acrid plants these must be removed from pasture or fodder. Induration of the udder may be met by rubbing with a combination of iodine ointment 1 part, soft soap 2 parts; or mercurial ointment and soap maj' be used. Careful milking is imperative. BLUE MILK. AVatery milk is blue, but the presence of a germ {Bacillus cyanogens) causes a distinct blue shade even in rich milk and cream. It may reach the m-ilk after it has been drawn, or it may find its way into the oiDcning of the milk ducts and enter the milk as it is drawn. In the latter case, frequent milking and the injection into the teats of a solu- tion of 2 drams of liyposulphite of soda in a pint of water will serve to destroy them. STRINGY MILK. This may be caused bj' fungi developing in the liquid, and that the spores are present in the system of the cow may be safelj" inferred from the fact that in a large herd two or three coavs only will yield such milk at a time, and that after a run of ten days or a fortnight they will recover and others will be attacked. I have found that such affected cows had the temperature raised one or two degrees above the others. Like most other fungi this does not grow out into filaments within the body of the cow, but in five or six hours after milking the surface laj^ers are found to be one dense network of filaments. If a needle is dipped in this and lifted, the liquid is drawn out into a long 240 DISEASES OF CATTLE. thread. In one ease which I investigated near Ithaca, N. Y., the contamination was manifestly due to a spring which oozed out of a bank of black muck soil and stood in pools mixed with the dejec- tions of the animals. Inoculation of pure milk with the water as it flowed out of this bank developed in it the fungus and the string}^ characters. By fencing in this spring and giving the affected cows each 2 drams bisulphite of soda daily, the trouble was arrested promi)tly and permanently. CHAPPED TEATS. These may be caused by anything which irritates them. The power- ful sucking of the calf, the sudden chilling of the teat in winter after the calf has just let it go or after the completion of milking with a wet hand ; contact with cold water, or stagnant putrid water, or with filth or irritants when lying down; slight congestions of the skin in connection with overstocking, and, indeed, any source of local irrita- tion may cause chap]3ing. This may be slight or extend into great gaping sores and induce retention of milk or even mammitis. Sooth- ing applications of vaseline, or a combination of equal parts of sper- maceti and oil of sweet almonds may be api3lied. If healing is tardy, add 10 grains balsam of Peru to the ounce of ointment. If the irri- tation is very great, wash first with a solution of 1 dram sugar of lead in 1 pint of water, and then apply benzoated oxide of zinc ointment. WARTS ON THE TEATS. These are often very troublesome, yet they may be greatly benefited or entirely removed by smearing them thickly after each milking witli pure olive oil. If tliey persist they may be cut off with a sharp pair of scissors and the sore touched with a stick of lunar caustic. They may now be oiled and the caustic repeated as demanded to prevent their renewed growth. Scabby teats may be smeared with vaseline containing enougli car- bolic acid to give it an odor. TEAT BLOCKED BY CONCRETION OF CASEIN. Under unhealthy conditions of the gland or milk ducts, clots of casein form, and these, pressed clear of most of their liquid and rolled into rounded masses, may block the passage. They can be moved up and down by nuinipulation of the teat, and if they can not be pressed out they may be extracted by using the spring teat dilator (PI. XXIV, fig. 3), being held surrounded by its three limbs. Before extraction is attempted an ounce of almond oil, previously boiled, should be injected into the teat. DISEASES FOLLOWING PARTURITION. 241- TEAT BLOCKED BY CALCULUS. When the culcareous matter of the inilk has been precipitated in the form of a smooth, rounded stone, a rough congh^merated concre- tion, or a fine, sand-like debris, it may cause obstruction and irrita- tion. These bodies are felt to be much harder than those formed by casein, and the milk usualh' contains gritty particles. Extraction may be attempted by simple milking in the case of the finely divided gritty matter, or with the spring dilator (PL XXIV, fig. 3) in the case of the larger masses. Should this fail the teat may be laid open Avith the knife and sewed up again or closed with collodion, but such an operation is best deferi-ed until the cow is dry. TEAT BLOCKED BY A WARTY OR OTHER GROWTH INSIDE. In this case the obstruction may be near tlie orifice of the teat or higher up, and the solid mass is not movable up and down with the same freedom as are concretions and calculi. The movement is lim- ited by the elasticity of the inner membrane of the teat from Avhich it grows, and is somewhat freer in certain cases because the growth has become loose and hangs by a narrow neck. In the case of the looser growths they may be snared by a fine spring wire passed as a loop • through a fine tube (like a teat tube open at each end), and introduced into the teat. When this can not be done, the only resort is to cut ■ in and excise it while the cow is dry. THICKENING OP THE MUCOUS MEMBRANE AND CLOSURE OP THE^ MILK DUCT. As a result of inflammation extending from without inward, a gradual narrowing of the milk duct may occur from thickening and narrowing of its lining membrane. This may be limited to a small area' near the lower end, or it may extend through the whole length of the teat. The stream of milk becomes finer and finer until it finally ceases altogether, and a firm cord is felt running through the teat. If the constriction is onlj^ at the outlet, the teat ma}^ be seized and distended by pressing the milk down into it from above, and an. incision may be made with a sharp penknife in two directions at right angles to each other and directly in the original opening. The knife ■ should be first cleansed in boiling water. The opening may be kept ■ from closing by a dumb-bell shaped bougie of guttapercha (PI. XXIV, . fig. 5) or b}" the spring dilator. If the obstruction is more extended it maj' be perforated by Liithi's perforating sound. (PI. XXIV, fig; 1« and lb.) This is a steel wire with a ring at one end, and at the other is screwed on to the wire a conical caj) with sharp cutting edges at the base, which scrapes away the thickened masses of cells as it is- drawn back. This may be passed again and again to sufficiently,'' 8267—04 16 242 DISEASES OF CATTLE. enlarge the passage, and then the passage may be kept open by Avear- iug a hjng dumb-bell bougie, a thick piece of carbolized catgut, or a spring dilator. If the passage can not be sufficiently opened with the sound it may be incised by the hidden bistoury. (PI. XXI Y, fig, 2.) This is a knife lying alongside a flattened i)rotector with smooth rounded edges, but which can be projected to any required distance by a lever on the handle. The incisions are made in four directions and as deep as may be necessary, and the walls can then be held apart by the spring dilator until they heal. In case the constriction and thickening of the canal extend the whole length of the teat, it is practicall}'' beyond remedj^ as the gland is usually involved so as to render it useless. CLOSURE OF THE MILK DUCT BY A MEMBRANE. In this form the duct of the teat is closed by the constriction of its lining membrane at one point, usually without thickening. The clos- ure usually takes place while the cow is dry ; otherwise its progress is gradual, and for a time the milk may still be pressed through slowly. In such a case, if left at rest, the lower x^art of the teat fills up and the milk flows in a full stream at the first pressure, but after this it will not fill up again without sufficient time for it to filter through. This is to be cut open by the hidden bistoury (PL XXIA", fig. 2), which may be first passed through the opening of the membrane, if such exists. If not it maj' be bored through, or it may be in-essed uj) against the membrane at one side of the teat and opened toward the center, so as to cut its way through. Incisions should be made in at least two opposite directions, and the edges may be then held apart by wearing the spring dilator until healing has been completed. In all cases of oj^erations on the teats the instruments must l)e thor- oughly disinfected with hot water, or by dipi^ing in carbolic acid and then in water that has been boiled. OPENING IN THE SIDE OF THE TEAT (mILK FISTULA). This ma}' occur from wounds penetrating the milk duct and failing to close, or it may be congenital, and then very often it leads to a dis- tinct milk duct and an independent portion of the gland. In the first form it is only necessary to dissect away the skin leading into the open- ing for some distance down, to close the orifice with stitches, and to cover the whole with collodion. A teat tube or spring dilator may be worn to drain off the milk and prevent distention and reopening of the orifice. In case of an independent milk duct and gland one of two courses may bo selected — to oi>en the one duct into the other by inci- sion and then close the offending opening, or to inject the superfluous gland through its duct with a caustic solution, so as to destroy its secreting power. In both cases it is desirable to wait until the cow goes dry. Diseases of Cattle. Plate XXII. PnmriHt Ct. Bctreii. Supports for Prolapsed Uterus. Diseases of Cattle. Plate XXIII. Supports for Prolapsed Uterus. Diseases of Cattle. Plate XXIV. Instruments. DISEASES FOLLOWING PARTURITION. DESCRIPTION OF PLATES. Plates XXII, XXIII: Ilhistrate various appliances used in prolapse or inversion of the uterus. Tlie uterus should first be returned to its proper situation and then some appa- ratus applied to prevent a recurrence of the inversion or protrusion. Plate XXII: Fig. 1. Crupper, strap truss — taken from Hilfs Bovine Medicine and Surgery. Fig. 2. Renault's rope truss. The rope for this truss should be from 35 to 30 feet long and about the thickness of the little finger. Plate XXIII: Fig. 1. Cow to which Delwarfs rope truss has been applied. Fig. Irt. Shows the loop of Delwarfs truss. Fig. 2. Zundel's labial sutures. These consist of two wires passed through the lips of the vulva in a horizontal direction, and two additional wires passed through the loops at the ends of the horizontal wires in order to hold them in place. Fig. 3. Iron truss for holding the vagina or uterus in place after calving. The cords are passed through the eyes at the corners of the triangular iron; the base of the triangle fits under the tail. The truss is from 5 to 7 inches long and about 2i inches wide. Plate XXI Y: Fig. 1. Liithi's perforating sound, for opening the milk canal through the teat when this has become occluded; A, the sound one-half the natural siae; B, section of head of sound, natural size, showing cutting edge. Fig. 2. Bistouri cache. A blade hidden in its sheath which by pressure of the finger may be made to protrude a certain distance. This distance is regulated by the screw near the handle. The instrument is used to open the milk canal when closed up. It is introduced into the milk canal with its blade in the sheath and withdrawn with the blade protruding. Fig. 3. Spring teat dilator, about one-half natural size, for dilating^ the milk canal. Fig. 4. Ring teat syphon, for withdrawing milk when the teat is sore or in j lire d. Fig. 5. Guttapercha bougie, for dilating the opening of the teat. Fig. 6. Truss applied to calf for umbilical, or navel, hernia. From Fleming's Veterinary Obstetrics. Fig. 7. Amiatage's iron clam for umbilical, or navel, hernia. When this clam is applied care must be taken not to include a portion of the bowel. 243 DISEASES OF YOUNG CALVES. By James Law, F. R. C. V. S.. Professoi^ of Veterinary Science, etc., in Cornell University. SUSPENDED BREATHIN<4. The moment the circulation through the navel string is stoj)ped the' blood of the calf begins to get overcharged with carbon dioxide (CO^), and unless breathing is speedily established death promptlj^ follows. Fortunately the desire to breathe, roused by the circulation of the venous blood and the reflex action from the wet and chilling skin, usually at once starts the contractions of the diaphragm and life is insured. Among the obstacles to breathing maj' be named suffoca- tion before or during birth from compression of the navel cord and the arrest of its circulation; the detachment of the fetal membranes from the womb before the calf is born; a too free communication between the two auricles of the heart (foramen ovale) by which the nonaerated blood has mixed too abundantly with the aerated and induced debility and profound weakness; a condition of ill health and debility of the calf as a result of semistarvation, overwork, or disease of the cow; fainting in such debilitated calf when calving has been difficult and prolonged; the birth of the calf with its head envel- oped in the fetal membranes, so that it has been unable to breathe, and the presence of tenacious phlegm in the mouth and nose, acting in the same manner. Besides the importance of proper care and feeding of tlie cow as a preventive measure, attention should be given at once to relieve the newborn calf of its investing membrane and of any mucus that has collecte'd in mouth or nostrils. Wiping out the nose deeply with a finger or feather excites to sneezing, hence to breathing. Blowing into the nose has a similar effect. Sucking the nostril through a tube applied to it is even more effective. Slapping the chest wilrh the palm of the hand or with a towel dipi)ed in cold water, compression and relaxation alternately of the walls of the chest, may start th*e action, aiul ammonia or even tobacco smoke blown into the nose maj' suffice. Ever}^ second is precious, however, and if possible the lungs should l)e dilated by forcibly introducing air from a bellows or from the human lungs. As the air is blown in through bellows or a tube the upper end of the windpipe must be pressed back against the gullet, as otherwise the air will go to the stomach. In a large dairj' a piece 244 DISEASES OF YOUNG CALVES. 245 of elastic tubing one-third of an inch in bore should be kept at hand for sucking and blowing in such cases. BLEEDING FROM THE NAVEL. This nia}' occur in two conditions — when the cord is cut off too close t« the navel and left untied and when it tears off at the navel. (PI. XIV.) It may also bleed when torn across naturally, if it is sucked by the dam or another calf. In an animal with little plas- ticity to its blood it will flow under almost any circumstances. Where any cord is left it is always safe to tie it, and it is only when it is swollen and may i^ossibly contain a loop of the bowel that there is danger in doing so. By pressing upward any bulky contents such danger is avoided. If torn or cut too close to be tied the bleeding may be checked by applying alum, copperas, or for a fraction of a second the end of an iron rod at a dull-red heat. If much blood has been lost it may be requisite to transfuse several ounces of blood or of a weak common-salt solution into the open umbilical vein. URINE DISCHARGED THROUGH THE NAVEL (PERSISTENT URACHUS). Before birth the urine passes from the bladder by a special tube through the navel and navel string into the outer water bag (allan- tois). (PI. XII.) This closes at birth, and the tube shrinks into a fine cord up to the bladder. It is only in the bull calf that it is likely to remain OT)en, doubtless because of the long, narrow channel through which the urine must otherwise escape. The urethra, too, is some- times abnormally narrow, or even closed, in the male. If part of the cord remains tie it and allow the w^hole to wither np naturally. If the cord has been removed and the tube (urachus) protrudes, dis- charging the urine, that alone must be tied. If there is nothing pendent the urachus must be seized, covered by the skin, and, a curved needle being passed through the skin and above the duct, it may be tied along with this skin. A blister of Spanish flies, causing swelling of the skin, will often close the orifice. So with the hot iron. If the urethra of the male is impervious it can rarely be remedied. INFLAMMATION OF THE URACHUS (nAVEL URINE DUCT). This may originate in direct mechanical injury to the navel in calving, or shortly after, with or without the lodgment of irritant and septic matter on its lacerated or cut end. The mere contact with healthy urine, hitherto harmless, can now be looked on as becoming suddenly irritating. The affection is usually marked by the presence of redness and swelling at the posterior part of the navel and the escape of urine and a few droj^s of whitish serous pus from the orifice of the nrachus. In those cases in which urine is not discharged a tender swelling, like a thick cord extending upw^ard and backward 246 DISEASES OF CATTLE. from the navel into the abdomen, may be identified. The navel enlargement may be considerable, but it is solid, does not gurgle on handling, and can not be done away with by pressing it back into the abdomen, as in a case of hernia. In cases at first closed the pus may burst out Inter, coming from the back part of the navel and the swelling extending backward. In other cases whitish X3us may pass with the urine by the ordinary' chan- nel, showing that it has opened back into the bladder. In other cases the umbilical veins become involved, in which case the swelling extends forward as well as backward. Thus the disease may result in destructive disorders of the liver, lungs, and, above all, of the joints. The disease may usually be warded off or rendered simple and com- paratively harmless by applying antiseptics to the navel string at birth (carbolic acid 1 part, water and glycerin 5 i)arts each, or wood tar). Later, antiseptics may be freely used (hj'posulphite of soda 4 drams, water 1 quart) as an application to the surface and as an injection into the urachus, or even into the bladder if the two still communicate. If they no longer communicate, a stronger injection may be used (tincture of perchloride of iron 60 drops, alcohol 1 ounce). Several weeks will be required for complete recovery. ABSCESS OF THE NAVEL. As the result of irritation at calving or by the withered cord, or by licking with the rough tongue of the cow, inflammation may attack the loose connective tissue of the navel to the exclusion of the urachus and veins, and go on to the formation of matter. In this case a firm swelling appears as large as the fist, which softens in the center and may finallj' burst and discharge. The opening, however, is usually small and may close x>rematurely, so that abscess after abscess is formed. It is distinguished from hernia by the fact that it can not be returned into the abdomen, and from inflammations of the veins and urachus by the absence of swellings forward and backward along the lines of these canals. Treatment. — Treatment consists in an early opening of the abscess b}' a free incision and the injection twice a day of an astringent anti- septic (chloride of zinc one-half dram, water 1 pint). INFLAMMATIOX OF THE NAVEL VEINS (UMBILICAL PHLEBITIS). In this affection of the navel. the inflammation may start directly from mechanical injury, as in either of the two forms just described, but on this are inoculated infective microbes, derived from a retained and i:»utrefying afterbirth, an abortion, a metritis, a fetid discharge from the womb, an unhealthy open sore, a case of erysipelas, from overci'owding, from filthy floor or bedding, or from an offensive accumulation of manure, solid or liquid. As the microbes vary in different cases, given outbreaks will dilfer materially in their nature. DISEASES OF YOUT^G CALVES. 247 One is erysipelatoid ; another purulent infection with the tendency to secondary abscesses in the joints, liver, luDgs, etc.; another is due to a sei^tic germ and is assjociated with fetid discliarge from the navel and general putrid blood poisoning. In estimating the causes of the disease we must not omit debilitj' of the calf when the mother has been underfed or badly housed or when either she or the fetus has been diseased. Symptoms. — The symptoms will vary. AVith the chain-form germs (streptococci) the navel becomes intensely red, "with a very firm, pain- ful swelling, ending abruptly at the edges in sound skin and extend- ing forward along the umbilical veins. The secondary diseases are circumscribed black engorgements (infarctions) or abscesses of the liver, lungs, kidnej^s, bowels, or other internal organs, and sometimes disease of the joints. With the ordinary pus-producing germs {Staphylococcus pyogenes aureus and Streptococcus pnjogenes) the local inflammation in the navel causes a hot, painful swelling, which rapidly advances to the formation of matter (pus), and the raw, exposed surface, at first bright red, becomes dark red or black, soft, friable, and pultaceous. If the 13US is white, creamj^ and comparatively inoffensive in odor, the sec- ondary formations in internal organs and joints are mainly of the same j)urulent character (secondary abscesses). If, on the other hand, the discharge is very offensive and the j)us more serous or waterj^ or bloody, there is reason to suspect the pres- ence of some of the septic bacteria, and the results on the general sj'stem are a high fever and softening of the liver and sx)leen and no tendency to abscesses of the internal organs. Diarrhea is a common symptom, and death ensues early, the blood after death being found unclotted. Complicated cases are common, and in all alike the umbilical veins usually remain open and can be explored by a probe passed at first upward and then forward toward the liver. Prevention is sought by applying a lotion of carbolic acid or iodine solution to the navel string at birth, or it may be smeared with com- mon wood tar, which is at once antiseptic and a protective covering against germs. , In the absence of either a strong decoction of tea of oak bark may be used. Local- treatment consists in the application of antiseptics to the sur- face and their injection into the vein. As a lotion use carbolic acid, 1 ounce in a quart of strong decoction of oak bark, or salicylic acid or salol may be sprinkled on the surface. The interior of the vein should be swabbed out with a probe wrapped around with cotton wool and dipped in boraeic or salicylic acid. If complications have extended to the liver or otlier internal organs, or the joints, other treatment will be demanded. In acute cases of general infection an early fatal result is to be expected. 248 DISEASES OF CATTLE. pyemic and septicemic inflammation of joints in calves (joint-ill). This occurs in young calves within the first months after birth; it persists in the joints when once attacked, and is usually connected with disease of the navel. Rheumatism, on the other hand, rarely occurs in a calf under a month old. It tends to shift from joint to joint and is independent of anj' navel disease. Rheumatism, again, affects the fibrous structures of the joints, and rarely results in the formation of white matter, wdiile the affection before named attacks the structures outside as well as inside the joints and, above all, the ends of the bones, and tends to the destruction and crumbling of their tissiie and even to the formation of open sores, through which the fragile bones are exposed. The microbes from the unhealthy and infected wound in the navel pass into the system through the veins, or lymphatics, and form colonies and local inflammations and abscesses in and around the joints. Symptoms. — The symptoms are swelling of one or more joints, which are very hot and tender. The calf is stiff and lame, lies down con- stantly, and cares not to suck. There is very high fever and acceler- ated breathing and pulse, and there is swelling and purulent dis- charge (often fetid) from the navel. There may be added symptoms of disease of the liver, lungs, heart, or bowels, on which we need not here delay. The important point is to determine the condition of the navel in all such cases of diseased and swollen joints beginning in the first month of life, and in all cases of general stiffness, for besides the diseases of the internal organs there may be abscesses formed among the muscles of the trunk, though the joints appear sound. Cases of this kind, if they do not speedily die, tend to become emaci- ated and perish later in a state of weakness and exhaustion. Prevention. — Prevention must begin with the purity of the build- ings and the navel, as noted in the last article. Treatm,ent. — Treatment is in the main antiseptic. The slighter forms may be painted daily with tincture of iodine; or an ointment of biniodide of mercury (1 dram) and lard (2 ounces) may be rubbed on the affected joints daily until they are blistered. In case of swellings containing matter this may be drawn off through the nozzle of a hypo- dermic syringe and the following solution injected: Compound tinc- ture of iodine, 1 dram; distilled (or boiled) water, 2 ounces. Inter- nally the calf may take 5 grains quinia twice daily and 15 grains hyposulphite of soda, or 20 grains salicylate of soda three times a day. umbilical HERNIA (BREACH AT THE NAVEL). This may exist at birth from imperfect closure of the muscles around the oi)ening; it may even extend backward for a distance, from the two sides failing to come together. Apart from this, the trouble rarely appears after the calf has been some time on solid food, as the paunch DISEASES OF YOUNG CALVES. 249 then extends down to the right immediately over the navel, and thus forms an internal pad, preventing the protrusion of intestine. Sijnqjfoms. — The symptoms of umbilical hernia are a soft swelling at the navel, with contents that usually gurgle on handling, and can be entirely returned into the abdomen by pressure. The diseases of the navel hitherto considered have not gurgling contents, and can not be completely returned into the abdomen. The only exception in the case of the hernia is when the walls of the sac have become greatly thickened ; these will, of course, remain as a swelling after the bowel has been returned; and when the protruding bowel has contracted permanent adhesions to the sac it is impossible to return it fully with- out first severing that connection. Treatment. — Treatment is not always necessary, A small hernia, like an egg, in a new-born calf, will usually recover of itself as the animal changes its diet to solid food and has the paunch fully devel- oped as an internal pad. In other cases apply a leather pad of 8 inches square attached around the bod}' by two elastic bands connected with its four corners, and an elastic band passing from its front border to a collar encircling the neck, and two other elastic bands from the neck collar along the two sides of the body to the two bands passing up over the back, (PL XXIV, fig. G.) For small hernias nitric acid may be used to destroy the skin and cause such swelling as to close the orifice before the skin is separated. For a mass like a large goose egg one-half ounce of the acid may be rubbed in for three minutes. No more must be applied for fifteen days. For large masses this is inapplicable, and with too much loss of skin the orifice may fail to close and the bowels may escape. The application of a clamp like those used in castration is a most effective method, but great care must be taken to see that all the con- tents of the sac are returned so that none may be inclosed in the clainp. (PI. XXIV, fig. 7.) Another most effective resort is to make a saturated solution of com- mon salt, filter and boil it, and when cool inject under the skin (not into the sac) on each side of the hernia a dram of the fluid. A band- age may then be put around the body. In ten hours an enormous swelling will have taken place, pressing back the bowel into the abdo- men. When this subsides the wound will have closed. DROPSY OP THE NAVEL. A sac formed at the navel, by contained liquid accumulated by rea- son of sucking by other calves, is unsightly and sometimes injurious. After making sure that it is simply a dropsical collection it may be deeply punctured at various points with a large-sized lancet or knife, fomented with hot water, and then daily treated with a strong decoc- tion of white-oak bark. 250 DISEASES OF CATTLE. THE BLUE DISEASE (CYAXOSIS). This appearing in tlie calf at birth is due to the orifice between the two auricles of the heart (foramen ovale) remaining too oj^en, allowing the nonaerated (venous) blood to mix with the aerated (arterial) blood, and it is beyond the reach of treatment. It is recognized by the blue- ness of the eyes, nose, mouth, and other mucous membranes, the cold- ness of the surface, and the extreme sensitiveness to cold. CONSTIPATION. At birth the bowels of the calf contain the meconium, a tenacious, gluey, brownish j^ellow material largely derived from the liver, which must be expelled before they can start their functions normally. The first milk of the cow (colostrum, beestings), rich in albumen and salts, is nature's laxative to expel this now offensive material and should never be withheld from the calf. If, for lack of tliis, from the dry feeding of the cow, or from any other cause, the calf is costive, straining violently without passage, Ij'ing down and rising as in colic, and failing in appetite, no time should be lost in giving relief bj" an ounce dose of castor oil, assisting its action by injections of soapsuds or oil. Whatever meconium is within reach of the finger should* be carefully removed. It is also important to give the cow a sloppy, laxa- tive diet. INDIGESTION. This may occi^r from manj' different causes, as costiveness; a too liberal supply of milk ; milk too rich ; the furnishing of the milk of a cow long after calving to a ver^' young calf; allowing a calf to suck the first milk of a cow that has been hunted, driven by road, shipped by rail, or otherwise violently excited; allowing the calf too long time between meals, so that impelled by hunger it quickly overloads and clogs tlie stomach; feeding from the pail milk that has been held over in unwashed (unscalded) buckets, so that it is fermented and si^oiled; feeding the milk of cows kept on unwholesome food; keeping the calves in cold, damp, dark, filthj^ or bad-smelling pens; feeding the calves on artificial mixtures containing too much starchy matter; or overfeeding the calves on artificial food that may be aj)j)ropriate enougli in smaller amount. The licking of hair from themselves or others and its formation into balls in the stomach will cause obstinate indigestion in the calf. Syi)i2)to)ns. — The symptoms are dullness, indisi^osition to move, un- easiness, eructations of gas from the stomach, sour breath, entire loss of appetite, lying down and rising as if in pain, fullness of the abdo- men, Avhich gives out a drumlike sound when tapped with the fingers. The costiveness may be marked at first, but soon it gives place to diarrhea, by which the offensive matters may be carried oft' and health DISEASES OF YOUNG CALVES. 251 restored. In other cases it becomes aggravated, merges into inflam- Tuation of the bowels, fever sets in, and the calf gradually sinks. Prevention. — Prevention consists in avoiding the causes above enumerated or sltij others that may be detected. Treatment. — Treatment consists in first clearing away the irritant present in the bowels. For this purpose 1 or 2 ounces of castor oil with 20 drops of laudanum may be given, and if the sour eructa- tions are marked a tablespoonful of limewater or one-fourth ounce calcined magnesia may be given and repeated two or three times a day. If the disorder continues after the removal of the irritant, a large tablespoonful of rennet, or 30 grains of pepsin, may be given at each meal along with a teaspoonf ul of tincture of gentian. Any return of constipation must be treated by injections of warm water and soap, while the persistence of diarrhea must be met as advised under the article following this. In case of the formation of loose hair balls inclosing milk undergoing putrid fermentation temporary benefit may be obtained by giving a tablespoonful of vegetable charcoal three or four times a day, but the only real remedy for these is to cut open the paunch and extract them. At this early age they may be found in the third or even the fourth stomach; in the adult they are confined to the first two, and are comparatively harmless. DIARRHEA (sCOURING) IN CALVES (SIMPLE AND CONTAGIOUS). As stated in the last article, scouring is a common result of indi- gestion, and at first may be nothing more than an attempt of nature to relieve the stomach and bowels of offensive and irritating contents. As the indigestion persists, however, the fermentations going on in the undigested masses become steadily more complex and active, and what was at first the mere result of irritation or susjjended digestion comes to be a genuine contagious disease, in which the organized fer- ments (bacteria) propagate the affection from animal to animal and from herd to herd. More than once I have seen such epizootic diar- rhea start on the headwaters of a creek, and, traveling along that stream, follow the watershed and attack the herds supplied. Avith water from the contaminated channel. In the same waj' the disease, once started in a cow stable, is liable to persist for 3'ears, or until the building has been thoroughly cleansed and disinfected. It may be carried into a healthy stable by the introduction of a cow brought from an infected stable when she is closelj^ approaching calving. Another method of its introduction is by the purchase of a calf from a herd where the infection exists. In enumerating the other causes of this disease we may refer to -those noted above as inducing indigestion. As a primary considera- tion, any condition which lowers ^he vitality or vigor of the calf must be accorded a prominent place among factors which, apart from con- tagion, contribute to start the disease de novo. Other things being 252 DISEASES OF CATTLE. equal, the strong, vigorous races are the least predisposed to the mal- ady, and in this respect the compact form, the healthy coat, the clear eye, and the bold, active carriage are desirable. Even the color of the hair is not unimiiortant, as in the same herd I have found a far greater number of victims among the light colors (light yellow, light brown) than among those of a darker tint. This constitutional i3re- disposition to indigestion and diarrhea is sometimes fostered by too close breeding, without taking due account of the maintenance of a robust constitution, and hence animals that are very much inbred ueed to be especially observed and cared for unless their inherent vigor has been thoroughly attested. The surroundings of the calf are powerful influences. Calves kept indoors suffer to a greater extent than those running in the open air and having the invigorating influences of sunshine, pure air, and exer- cise; but alose, crowded, filthy, bad-smelling buildings are especially causative of the complaint. The presence in the air of carbon diox- ide, the product of breathing, and of the fetid gaseous products of decomposing dung and urine diminish bj^ about one-fourth of their volume the life-giving oxygen, and in the same ratio hinder the aera- tion of the blood and the maintenance of vigorous health. Worse than this, such fetid gases are usually direct poisons to the animal breathing them ; for example, sulphnreted hydrogen (hydrogen sul- phide 2 SHo) and various alkaloids (ptomaines) and toxins (neutral poisonous ijrinciples) produced in the filth fermentations. These lower the general health and stamina, impair digestion, and by lead- ing to the accumulation in stomach and bowels of undigested mate- rials they lay the foundation for offensive fermentations within these organs, and consequent irritation, poisoning, and diarrhea. They further weaken the system so that it can no longer resist and overcome the trouble. The condition of the nursing cow and lier milk is another potent cause of trouble. The food of the cow is important. The influence of this is shown in the following tables: Becquerel and Vernois. Casein Character of feed. Water. and ex- tractive matter. Milk sugar. Butter. Salts. Cows on winter feed: Trefoil or lucern, 12-i;j pounds; oat straw, 9-10 Parts in 1,000. Parts in 1,000. Parts in 1,000. Parts in 1,000. Parts in 1,000. pounds; beets, 7 pounds; water, 2 buckets ... 871.26 47.81 33.47 42.07 5. .34 Cows on summer feed: Green trefoil, lucern, maize, barley, grass, 2 buckets water 859. .56 54. 70 .36.38 42.76 6 80 Goat's milk on different feed: On straw and trefoil 858.68 888. 77 844.90 47. :« a5.i4 3,5.47 38.02 36.90 52.54 33.68 56.87 5.93 On beets 5 73 Normal mean 6.18 DISEASES OF YOUNG CALVES. 253 In these examples the deterioration of the milk in casein on the less- nutritious winter feeding is very marked, although the relative amount of butter remains almost unchanged. In the case of the goat the result is even more striking, the beet diet giving a very large decrease of both casein and butter and an increase of milk sugar. The following table, condensed from the Iowa vVgricultural Experi- ment Station Bulletin, gives the results in butter and total solids when the same cows were fed on different rations in succession. Each cow was fed a daily ration of 12 pounds corn fodder and 4 pounds clover hay, besides the test diet of (1) 12:^ pounds corn and cob meal, and (2) 10 pounds sugar meal — a product of the glucose manufacture. This special feed was given seven days before the commencement of each test period to obviate the eifects of transition. The analj^ses of the special rations are given below: Constituents. Corn and | cob meal, i Sugar meal. Moisture Salts Fat _ Carbohydrates i^heat formers) Woody fiber Proteids (flesh formers) - Per cent. 13.37 1.43 2.81 65.99 8.03 8.37 Per cent. 6.10 1.17 11.16 52. C6 8.64 20.27 The great excess of fat and nitrogenous or flesh-forming principles in the sugar meal is very evident. Animal. Milk. Fat. Solids. Fat. Solids. Ratio of fat to solids not fat. Grade Shorthorn cow: Pounds. P.ct. Per ct. Pounds. Pounds. First period, 21 days, corn and cob meal- 631.25 3.43 11.57 21. 67 73.02 422.0: 1,000 Second period, 21 days, sugar meal 641.50 4.04 12.53 25.93 &3.38 476.2 : 1,000 Third period, 21 days, corn and cob meal. 559. 00 3.22 11.86 17.97 66.32 371.7 : 1,000 Grade Shorthorn cow: First period, 21 days, corn and cob meal- 604.75 3.57 11.95 21.56 72.28 426.1 : 1,000 Second period, 21 days, sugar meal 582.00 3.91 12.37 22.74 72.57 456.3 : 1,000 Third period, 21 days, corn and cob meal. 527. 00 3.37 12.05 17.78 m. 48 389.1: 1,000 Grade Shorthorn cow: First period, 21 days, sugar meal 753.50 3.97 12.43 29.94 93.67 469.8: 1,000 Second period , 21 days, corn and cob meal 601.50 3.15 11.45 18.97 68.89 380.0: 1,000 Third period, 21 days, sugar meal 560.50 3. 85 12.16 21.58 68.16 463.3: 1,000 Grade Holstein cow: First period, 21 days, siigar meal 487.50 4.15 1.3.27 20.25 64.69 45.5.6: l.OfW Second period , 21 days, corn and cob meal 379.00 3.51 12.69 13.30 48.09 382.3 : 1,000 Third period, 21 days, sugar meal 374.50 3.72 13.01 13.95 48.74 401.0: 1,000 Here we see in every instance a marked relative increase of the but- ter, and to a less extent of the other milk solids whenever the sugar meal — rich in fat and albuminoids — was furnished. The opposite 254 DISEASES OF CATTLE. theoiy having been largely taught, it becomes needful to thus sustain the old and well-founded belief of the dairymen. Not only does the richness of the milk vary with the nature of the food, but it varies also according to the time of the day when it is drawn, the morning milk giving 7^ per cent of cream and the evening milk r4 per cent (Hassall). Boedecker found that the morning milk had 10 per cent of solids, while the evening milk had 13 per cent. Again, the milk first drawn at any milking is always poorer than the last drawn. The first may have only one-half, or in extreme cases one-fourth, the cream of the last. Once more, when the cow is in heat the milk becomes richer in solids (casein and butter), and contains granular and white blood cells like the colostrum, and often disagrees with the 3'oung animal living on it. Now, while these various modifi- cations in the amount of solid matters may prove harmless to a strong and vigorous calf, they can easily be the occasion of intestinal dis- order in a weaker one, or in one with health alread}^ somewhat impaired by sickness, exposure, or unwholesome buildings. The casein of the cow's milk coagulates in one solid mass, and is much less easily penetrated by the digesting fluids than the fine flaky coagula of woman's or mare's milk. An excess of casein, therefore, thrown on an already overtaxed stomach can all the more readily Induce dis- order. So with butter fat. While a most important element in nutri- tion, it may be X)resent in the stomach in such amount as to interfere with the action of the gastric juice on the casein, and with the inter- rui3tion of the natural stomach digestion the fats themselves undergo decomposition with the production of offensive and irritating fatty acids. The milk of the ver}- young cow is usuallj^ more watery than that of the mature animal, and that of the old cow has. a greater liability to become acid. It varies much with the breed, the -Channel Island cattle being notorious for the relatively large amount of cream, while the Holsteins, Ayrshires, and Shorthorns are remarkable rather for the amount of casein. The milk of cows fed on x^otatoes and grass is very poor and watery; that from cows fed on cabbage or Swedish turnips has a disagreeable taste and odor (from the former an offensive liquid has been distilled). Cows fed on overkept, fermented, and soured rations have acid milk which readily turns and coagulates. Thus old, long-kept brew- er's grains, swill, the refuse of glucose factories, and ensilage which has Ijeen put up too green, all act in this way. The same may come from disease in the cow's udder, or any general disease of the cow with attendant fever, and in all such cases the tendency is to rapid change and unwholesomeness. If the milk is drawn and fed from a pail there is the added danger of all sorts of poisonous ferments getting into it and multiplying; it may be from the imperfect cleansing and scalding of the pail ; from rinsing the pails with water that is impure; from the DISEASES OF YOUNG CALVES. 255 eutrance of bacterial ferraonts floating in the filthy atmosphere of the stable, or from the entrance of the volatile chemical products of fermentation. In addition to the dangers coming through the milk, the calf sulfers in its digestive powers from any temporary illness, and among others from the excitement attendant on the cutting of teeth, and impaired digestion means fermentations in the undigested masses and the exces- sive production of poisonous i^tomaines and toxins. Whatever may be the starting or predisposing cause of this malady, when once established it is liable to i)erpetuate itself by contagion and to prove a veritable plague in a herd or a district. Symptoms. — The symi^toms of diarrhea may appear so promptly after birth as to lead to the idea that the cause alreadj^ existed in the body of the calf, and it usually shows itself before the end of the second week. It may be preceded by constipation, as in retained meconium, or by fetid eructations and colicky pains, as in acute indi- gestion. The tail is stained by the liquid dejections, which are at first simply soft and mixed with mucus with a sour odor, accompanied h\ a peculiar and characteristic fetor (suggesting rotten cheese), which continually grows worse. The amount of water and mucus steadily increases, the normal predominance of fatty matters becoming modi- fied by the presence of a considerable amount of undigested casein, which is not present in the healthy feces, and in acute cases death may result in one or two days from the combined drain on the system and the poisoning by the absorbed j)roducts of the decomposition in the stomach and bowels. Wlien the case is prolonged the passages, at first five or six per day, increase to fifteen or twent}', and j)ass with more and more straining, so that they are projected from the animal in a liquid stream. The color of the feces, at first yellow, becomes a lighter grayish yellow or a dirty white (hence the name white scour), and the fetor becomes intolerable. At first the calf retains its appetite, but as the severity of the disease' increases the animal shows less and less disposition to suck, and has lost all vivacity, lying dull and listless, and, when raised, walking weakly and unsteadily. Flesh is lost I'apidlj^ the hair stands erect, the skin gets dry and scurfy, the nose is dry and hot, or this condition alternates with a moist and cool one. By this time the mouth and skin, as well as the breath and dung, exhale the peculiar j)enetrating, sour, offensive odor, and the poor calf has become an object of disgust to all that approach it. At first, and unless inflammation of the stomach and bowels supervene (and unless the afl:ection has started in indigestion and colic), the belly is not bloated or painful on pressure, symptoms of acute colicky pains are absent, and the bowels do not rumble, neither are bubbles of gas mingled with the feces. The irritant products of the intestinal fermentations may, however, irritate and excoriate the skin around the anus, w^hich becomes red, raw, and 256 DISEASES OF CATTLE. broken out in sores for some distance. Similarly, the rectum, exposed by reason of the relaxed condition of the anus, or temporarily in straining to pass the liquid dejection, is of a more or less deep red, and it may be ulcerated. Fever, with rapid pulse and increased breathing and temperature, usually comes on with the very fetid char- acter of the feces and is more pronounced as the bowels become inflamed, the abdomen sore to the touch and tucked up, and the feces more watery, and even mixed with blood. Prevention. — The prevention of these cases is the prevention of con- stipation and indigestion, with all their varied causes as above enu- merated, the selection of a strong, vigorous stock, and, above all, the combating of contagion, especially in the separation of the sick from the healthy, and in the thorough purilication and disinfection of the buildings. The cleansing and sweetening of all drains, the removal of dung heaps, and the washing and scraping of floors and walls, fol- lowed by a lilK^ral application of chloride of lime (bleaching powder), 4 ounces to the gallon, are indicated. Great care must be exercised in the feeding of the cow to have sound and wholesome food and water, so apportioned as to make the milk neither too rich nor too poor, and to her health, so that the calf may be saved from the evil consequences of poisonous principles that may be produced in the body of the cow. The calves should be carefully kept apart from all calving cows and their discharges. Similarly, each calf must have special attention to see that its nurse gives milk which agrees with it, and that this is furnished at suitable times. If allowed to suck, it should either be left with the cow or it may be fed three times a day. If it becomes hungry twice a day it is more likelj' to overload and derange the stomach, and if left too long hungry it is tempted to take in unsuitable and unwholesome food, for which its stomach is as j'et unprepared. So, if fed* from the pail, it is safer to do so three times daily than twice. The utmost cleanliness of feeding dishes should be "secured and the feeder must be ever on the alert to prevent the strong and hungry from drinking the milk of the weaker in addition to their own. In case the cow nurse has been subjected to any great excite- ment by reason of travel, hunting, or carrying, the first milk she yields thereafter should be used for some other purpose and only the second allowed to the calf. Indeed, one and all of the conditions above indicated as causes should be judiciouslj^ guarded against. Treatment. — Treatment will vary according to the nature and stage of the disease. When the disease is not widespread, but isolated cases onlj^ occur, it may be assumed to be a simple diarrhea and is easily dealt with. The first object is to remove the irritant matter from stomach and bowels, and for this 1 or 2 ounces of castor oil may be given, according to the size of the calf. Reduce the milk by one-half or two-thirds. If the stools smell particularly sour, it may be replaced bj' 1 ounce calcined magnesia, and in any case a table- DISEASES OF YOUNG CALVES. 257 spoonful or two of limewater must be given with each meal. Great harm is often done by giving opium and astringents at the outset. These merely serve to bind up the bowels and retain the irritant source of the trouble; literally, "to shut up the wolf in the sheep- fold." When the offending agents have been exi^elled in this way, carminatives and demulcent agents may be given — 1 dram anise water, 1 dram nitrate of bismuth, and 1 dram gum arable, three times a day. Under such a coarse the consistencj'^ of the stools should increase until in a day or two they become natural. If, however, the outbreak is more general and evidently the result of contagion, the first consideration is to remove all sources of such contamination. Test the milk of the cow with blue litmus paper, and, if it reddens, reject the milk of that cow until by sound, dry feeding, with perhaps a course of hyposulphite of soda and gentian root, her milk shall have been made alkaline. The castor oil or magnesia will still be demanded to clear away the (now infecting) irritants, but they should be combined with antiseptics, and, while the limewater and the carminative mixture may still be used, a most valuable addition will be found in the following : Calomel, 10 grains; prepared chalk, 1 ounce; creosote, 1 teaspoonful; mix, divide' into ten parts, and give one four times a day. Or the following may be given four times a day : One dram Dover's powder, 6 grains powdered ipecacuanha; mix, divide into ten equal parts. Injections of solutions of gum arable are often useful, and if the anus is red and excoriated, one-half dram of copperas may be added to each pint of the gummy solution. All the milk given must be boiled, and if that does not agree, eggs made into an emulsion with barley Avater may be substituted. Small doses (tablespoonful) of port wine are often useful from the first, and as the feces lose their watery character and become more consistent, tincture of gen- tian in doses of 2 teaspoonfuis may be given three or four times a day. Counterirritarts, such as mustard, ammonia, or oil of turpen- tine, may be rubbed on the abdomen when that becomes tender to th>^ toucii. ACUTE CONTAGIOUS SCOURING IN THE NEWBORN. The most violent and deadly form of diarrhea in tho newborn calf deserves a special mention. This may appear immediately after birth, and shows itself almost invariably within the first or second day. The most intense symptoms of white scour are complicated by great dull- ness, weakness, and prostration, sunken eyes, retracted belly, short, hurried breathing, and very low temperature, the calf lying on its side, with the head resting on the ground, lethargic and unconscious or regardless of all around it. The bowel discharges are pi^ofuse, yellowish white, and very offensive. As a rule, death ensues within twenty-four to thirty-six hours. 8367—04 17 258 DISEASES OF CATTLE. A marked characteristic of this form of illness is that it attacks almost every calf born in the herd, or in the building, rather, and if the calf escapes an attack in the first two or three days of its life it usually survives. Those that recover from an attack, however, are liable to suffer from an infective inflammation of the lungs one or two weeks later. The infection clings to a stable for years, rendering it impossible in many cases to preserve and raise the calves. It has frequently coincided with abortions and failures to conceive in the same herd, so that it has been thought that the same infective germ produces one type of abortion. On the other hand, the removal of the calving cow from the herd to calve in a separate building, hitherto unused and therefore uninfected, usuall^'^ secures the escape and sur- vival of the offspring. The disease has been traced b^^ Nocard and Lignieres to a small bacillus having the general characters of those which produce hemor- rhagic septicemia, which is usually combined with a variety of others, but is in some cases alone and in pure culture, especially in the joints. The theor}^ of Lignieres is that this bacillus is the primarj^ offender, and that once intro'duced it so depresses the vital powers of the S3^steni and tissue cells that the healthy resistance to other bac- teria is impaired or suspended, and hence the general and deadly invasion of the latter. Inoculations with this bacillus killed guinea pigs or rabbits in six to eighteen hours, and calves in thirty hours, with symptoms and lesions of hemorrhagic septicemia, including jjrofuse fetid diarrhea. The predominance of the early and deadly lesions in the alimen- tary tract would seem to imply infection through the food, and the promptitude of the attack after birth, together with the frequent coin- cidence of contagious abortion in the herd, suggest the presence of the germ in the cow; yet the escape of the calf when the cow calves in a fresh building is equally suggestive of the infection through germs laid up in the building. This conclusion is further sustained by the observation that the bacillus evidently enters by the raw, unhealed navel, that it is diffused in the blood, and that a very care- ful preservation of the navel against infection gives immunity from attack. Prevention. — The disease is so certainly and speedily fatal that it is hopeless to expect recovery, and therefore prevention is the rational resort. When a herd is small, the removal of the dam to a clean, unused stable a few days before calving and her retention there for a week usually succeeds. But it is in the large herd that the disease is mainly to be dreaded, and in this it is impossible to furnish new and pure stables for each successive group of two or three calving cows. The thorough disinfection of the general stable ought to succeed; yet I DISEASES OF YOUNG CALVES. 259 have seen the cleanest and jjurest stable repeatedly disinfected with corrosive sublimate without stopping the nialad}'. It would appear as if the germ lodged on the surface or in the bowels of the cow and tided the infection over the period of stable disinfection. But though insufficient of themselves, the supply of separate calving boxes and the frequent thorough cleaning and disinfection of both these and the stables should not be neglected. The most important measure, how- ever, is the disinfection of the navel. The cow should be furnished with abundance of dry, clean bedding, sprinkled with a solution of carbolic acid. As soon as calving sets in, the tail and hips, anus and vulva, should be sponged with a carbolic- acid solution (one-half ounce to the quart), and the vagina injected with a weaker solution (2 drams to the quart). Fresh carbolized bed- ding should be constantly supplied, so that the calf shall be drojiped on that and not on soaked litter nor manure. The navel string should be at once tied with a cord that has been tciken from a strong solution of carbolic acid. The stump of the cord and the adjacent skin should then be washed with the following solution; Iodine, one-half dram; iodide of potassium, one-half dram; water, 1 quart. When dry, it may be covered with a coating of collodion or tar, each containing 1 per cent of iodine. Whenever a calf shows any sign of scouring, it should be instantly removed to another pen and building, and the vacated one should be thoroughly cleaned and disinfected. Different attendants should take care of the sound calves and the infected ones, and all utensils, litter, etc., kept scrupulously apart. After one week the healthy calves may usually be safely herded together or the}^ may be safely placed in the cow stable. OTHER AILMENTS OF THE CALF. Among these maybe named several congenital imperfections, such as imperforate anus, vulva, or prepuce, which are to be recognized by the inability to pass dung or urine, in spite of straining, and the formation of swellings in the anus, vulva, or sheath. Each must be carefully incised with the knife, taking care not to injure the muscles which cir- cumscribe the respective openings. Also tongue-tie, in which the thin flaccid mucous membrane passing from the median line of the lower surface of the tongue binds the latter too closely to the floor of the mouth and renders the tongue unfit for gathering in the food in after life. This must be cut with knife or scissors, so as to give the tongue a reasonable amount of liberty. Aphtha, or thrush, is another trouble of the sucking calf, showing itself as a white, curdy elevation on the tongue, lips, cheeks, or gums, and when detached leaving a raw, red, angry surface. It is due to the growth of a vegetable parasite long recognized as the O'idiuni albicans 260 DISEASES OF CATTLE. {Saccliarouiyrfs alhicans). It is easil^y removed by rubbing with powdered borax, but inasmuch as other colonies are likely to start either in the mouth or lower down in the pharynx, gullet, or stomach, it is well to give a dose of one-half dram of hyposulphite of soda in water day by day for several days. Hirli-eis is not a common disease in calves, and comes on, if at all, later than those we have been considering. It consists in softening and friability of the bones from a deficiency of lime salts, and appears to be mainl3' connected with an inherited weakness of constitution, unsuitable feeding, cold, close, danij) buildings, niicrobian infection, and other conditions inimical to health. The prevention and treat- ment of rickets consists essentially in the improvement of the diges- tion and general health; hence sunshine, open air, exercise, nourish- ing food, and tonics are indicated. BONES: DISEASES AND ACCIDENTS. By V. T. Atkinson, V. S. [Revised in lOOi by John R. Mobler, V. M. D.] Some knowledp;e of the skeleton is advisable to facilitate the study Of diseases of bones and the accidental injuries to which they are exposed. The skeleton of the adult ox is made up of the following- number of bones: Spinal column _ . . . . 45 Head 28 Chest 27 Shoulder 2 — 1 on each side. Arm 2 — 1 on each side. ""ore arm _ . . 4 — 2 on each side. Fore foot 40 — 20 on each side. Pelvis 2 — 1 on each side. Thigh 2 — 1 on each side. Leg 6 — 3 on each side. Hind foot 38 — 1 9 on each side. Total . 196 Without attempting to burden the reader with the technical names and a scientific classification of each, it appears desirable to describe some of the characteristics of forms in general, and of a few classes into which they maybe divided, leaving the special study of individual bones to the illustrations of the skeleton (PI. XXV), which will serve better than any amount of writing to fix in the mind of the reader the location, relation, and function of each one. In early fetal life the place of bone is supplied by temporary cartilage, which graduallj' changes to bone. For convenience of study, bones ma}^ be said to be composed of a dense form of connective tissue impregnated with lime salts and contain two elementary constituents — the organic, or animal, and the inorganic, or earth3^ In young animals the former predomi- nates; with increasing j'ears the relative proportions of the two change, so that when advanced age is reached the proportion of inorganic far exceeds the organic. The gradual change with advancing years from organic to inorganic has the effect of rendering the bone harder and more brittle, and though it is stronger tlie reparative process is slower when injury does occur. The bones are nourished in two ways : First, from the outside through their covering, called the periosteum — the thin, strong membrane that 261 262 DISEASES OF CATTLE. covei'sj every part of the bone except the articular surface of the joints — and, second, from within through the minute branches of blood vesyels which pass into the bones through holes (foramen) on theii- surface and are distributed in the soft structure (medulla) of the inside. The structure of the bone is divided into two parts — the compact or hard material of the outside, which gives strength and is more abundant in the shafts of long bones, and the cancellated softer tissue of the inside, which affords accommodation to the blood vessels necessary for the nourishment of that part of the structure. In shape bones are divided into three classes — long, flat, and short. The long bones are the ribs and those mostly found in the limbs; the flat bones are found in the head, the shoulder, and the pelvis; and the short bones in the spinal column and in the lower portions of the limbs. With this little introduction, which seems almost indispensable, we Avill proceed at once to the consideration of diseases of bones, for they undergo diseased processes like any other living tissue. OSTEITIS. Inflammation of the compact structure of bones (osteitis) may be either acute or chronic, and may involve the whole extent of the bone affected or may be confined to only a portion of it. This inflamma- tion results from injury, such as concussion, laceration, or a crushing bruise; also from specific influences, as in actinomycosis or cases of foul foot. The latter affection frequently involves the bones, and for this reason the pastern is the most frequent seat of osteitis. There is dull pain on pressure and a painful swelling of bone when pus is j)re.sent. Suppuration may involve the overlying soft tissues, causing an abscess, which may finally break through the skin. The inflam- matory condition sometimes assumes an ulcerated form (caries) or from interrupted nutrition of the part deprived of the blood neces- sary to its nourishment may cause death of a large section of bone (necrosis), and this dead fragment (sequestrum), becoming separated from the main portion of bone, acts as a foreign body. Treatment. — This consists in resting the affected part and in giving vent at the earliest possible moment to whatever pus may be present. Free drainage should then be maintained. Apply dressings of lactic acid or inject with 5 per cent zinc chloride solution and pack with tampons of cotton soaked in antiseptic solutions. A laxative to keep the bowels moving freely is the only internal treatment necessary. PEIIIOSTITIS, This disease is an inflammation of the external covering of bone (periosteum) and is usually produced by wounds, pressure, or crmsh- ing of the part. The periosteum is well supplied with sensitive nerve bones: diseases and accidents. 263 endings and when inflamed is very sensitive to pressure and may cause lameness. This condition is often difficult to determine, and even an acute observer maj^ fail to locate the x>oint of its existence. There are three forms of periostitis — aseptic, purulent, and fibrous, ASEPTIC PERIOSTITIS. Aseptic periostitis when it becomes chronic causes such a bony enlargement (exostosis) as is seen in the callous formation following the fracture of a bone. The formation of such a tumor o" enlarge- ment on the surface of a bone is liable to occur in any part of tlie bone covered with periosteum, and when found in the neighborhood of a joint involving two or more bones it is likely to result in their union (anchylosis). Treatment. — Applications of cold water to check the inflammatory processes is indicated for the first few days in aseptic periostitis, fol- lowed by hot fomentations to hurry resorption of fluids. Massage should then be given with camphor ointment, mercurial ointment, soap liniment, or Lugol's solution. In the chronic form point firing or a biniodide of mercury blister will be found beneficial. PURULENT PERIOSTITIS. Purulent periostitis follows wounds which reach the periosteum and become infected, as observed in compound fractures, or it may result from advancing purulent conditions in neighboring structures, as in foul foot. It may also occur in the course of an infectious dis- ease, when small abscesses are formed under the periosteum (subperi- osteal abscess). It may lead to necrosis of the bone or a fistulous track from the bone to the surface. There is usually much pain and fever present, and the odor from the wound is ofCensive. Treatment. — In this form of periostitis the periosteum should be freely incised, followed either by continuous irrigation or frequent injection of the wound with antiseptic solutions. FIBROU-^ PERIOSTITIS. This form of the disease consists in the thickening of the outer layer of the periosteum from the inflammation I'eaching it from neigh- boring structures. This newly formed fibrous tissue may become ossified or may transmit the inflammation to the deeper bony struc- tures. It is frequently seen in cases where there has been an intense inflammation of the skin close to an underlying bone. Treatment. — The treatment should follow that recommended for aseptic periostitis. OSTEO-MYELITIS. This term refers to an inflammation of the bone marrow, which is most commonly seen following the bacterial infection of a comi)ound fracture and usually results in pus formation. The bone is melted 264 DISEASES OF CATTLE. away, and pns escapes from tlie bone under the periosteum, involving the soft tissues. It is principally confined to the long bones and sel- dom affects more than one. Treafmenf. — The bone should be opened for the purpose of curret- ting out the diseased portion of the marrow cavity and removing all the necrotic pieces of bone. This should be undertaken only by a competent veterinarian. The after treatment consists in tamponing the wound with pledgets of iodoform gauze or injecting a 2 per cent solution of sulphuric acid or hydrochloric acid of similar strength or pui'c lactic acid or a mixture of iodoform 1 part and glycerine 4 parts. The wound in the soft tisssue should be kept open until the cavity in the bone has filled with granulation tissue. RICKETS. This disease, also called "rachitis," is an inflammatory affection of young, growing bones, and involves the ribs and long bones of the legs mostly. It consists in a failure of the organism to deposit lime salts in bone, and for this reason the bones do not ossify as i apidly as they should. The cartilaginous ends of the bones grow rapidly, but ossification does not keep pace with it. The bones become long and their ends bend at the joints, the legs become crooked, and the joints are large and irregular. All the bones affected with this disease are thicker than normal, and the gait of the animal is stiff and painful. A row of bony enlargements maj^ be found where the ribs articulate with the cartilages connecting them with the breastbone and is called the "beaded line." A catarrhal condition of the digestive tract is usually observed. The disease may result from an inherited weak- ness of constitution, poor hygienic surroundings, or improper diet. Calves and foals are less frequently affected with rickets than dogs and pigs. Treatment. — The affected animal should be given nourishing food .^.ontaining a proper amount of lime salts. Outdoor exercise and plenty of fresh air are indispensable. Limewater should be given once daily for drinking purposes and ground bone meal mixed with the food. Phosphorus, one-fortieth of a grain, and calcium phos- phate, 1 dram, given twice daily to a 2-months-old calf, and propor- tionally increased for older animals, has proved efficacious in this disease. In some eases the long bones of the limbs are too weak at birth to support the weight of the animal and temporary splints, carefully padded and Avi-apped on with some soft bandages, become necessarj'. OSTEOMALACIA (CREEPS). This is a condition of bono brittleness or softening of bone found usually in adult life. It consists of the decalcification of mature bone, with the advancing diminution of the compact portion of bone bones: diseases and accidents. 265 b}' absorption. The pei'iostenin strips very easily from the bone' This disease is seen in milch cows during the period of heavy lacta- tion or in the latei' stages of pregnaucj% and the greater the yield of milk the more rapid the progress of the disease. Heifers with their first calf are frequently affected, as these animals require a consider- able quantity of animal salts for their own groAvth and for the nourish- ment of their calves. Symjjtoms. — In marked cases there is a gradual emaciation and symptoms of gastro-intestinal catarrh, with depraved appetite, the animal eating manure, decayed wood, dirt, leather, etc. Muscular weakness is prominent, together with muscle tremors, which simulate chills, but are not accompanied by any rise of temperature. The animal has a stiff, laborious gait, there is pain and swelling of the joints, and constant shifting of the weight from one leg to another. The restricted movements of the joints are frequently accompanied by a crackling sound, which has caused the name of "creeps" to be applied to the disease. The coat is dull and rough and the skin dry and hidebound. The animal is subject to frequent sprains or fracture of bones without apparent cause, as in lying down or turning around, and when such fractures occur they are difficult to unite. The bones principally involved are the upper bones of the legs, the haunch bone, and the middle bones of the spinal column. The disease in this country is confined to localized areas in the Southwest, known as the "alkali districts," and in the old dairy sections of New York. The cause of this affection is the insuflBciency or total absence of lime salts in the food, also to feeding hay of low, damp pastures, kitchen slops, and potatoes, or to overstocking lands. It occurs on old, worn-out soil devoid of lime salts, and has also been observed to follow a dry season. Treatment. — This should consist in a change of food and the artifi- cial feeding of lime salts, such as magnesium and sodium phosphate. Foods containing mineral salts may be given, such as beans, cowpeas, oats, cotton-seed meal, or wheat bran. Cotton-seed meal is one of the best foods for this purpose, but it should be fed carefully, as too large quantities are injurious to cows. Phosphorus mav also be given in one-fourth grain doses twice daily, together with a tablespoonful of powdered bone meal or crude calcium phosp ate at each meal. Ordi- nary lime dissolved in drinking water (limewater) will also be found efficacious in cambating this disease, and can be provided at slight expense. A change of pasture to a locality where the disease is unknown and a free supply of common salt and bone meal will be the most convenient method of treating range cattle. sprains. The most common accident occurring to bones and joints is a sprain of the ligaments uniting the bones, or the tendons uniting the muscles and bones. A sprain is the result of a sudden forcing of a joint in an 266 DISEASES OF CATTLE. unnatural direction; or, if in a natural direction, beyond the power of the ligament or tendon to restrain it proporly, so that part of the fibers of either are ruptured. When such an accident occurs pain is imme- diately inflicted, varying in degree with the extent of the injur}-, which is soon followed by swelling, with more or less heat and tenderness. If the seat of the injury be in anj"^ of the limbs, lameness is likely to result. Of the causes of sprain, slipping on ice or a wet floor, play- ing, or fighting with another animal are the most common. SPRAIN OF THE SHOULDER JOINT. Tliis is likely to occur from any of the causes mentioned above or from the animal slipping suddenly into a rut or hole. When such an accident occurs, sudden lameness will attract attention. The animal will be noticed to drag the leg when walking and to carry it in a cir- cular direction, outward and forward, at each step. The leg should be carefully examined, pressure over the joint causing the animal to evince pain. If the person making the examination is in doubt, it is well to make a comparison between the shoulders by pressing first on one and then the other. After such an accident the animal should be tied up so as to limit so far as possible the use of the injured joint. Soft food should be given with a view to keeping the bowels acting freely. Treatment. — During the first three days the treatment should con- sist of cold-water irrigation to check the inflammation and relieve the j)ain. Hot fomentations maj' then be applied to hasten the absorption of the inflammatorj' fluids. When the pain has somewhat abated, equal parts of mercurial ointment and green soap may be rubbed into the swollen tissue. Should lameness continue after the tenth day, good results will be obtained from tlie application of a blister. This may be done by carefullj' clipping the hair off over the joint, includ- ing a surface of 4 or 5 inches in circumference, and rubbing in the following preparation : Powdered cantharides dram. . 1 Biniodide of mercury do 1 Vaseline ounce. . 1 The animal's head should be carefully tied until the third day to prevent its licking the blister. The blistered surface should then be smeared with lard or vaseline every other day until the scabs fall off. Gentle exercise should be allowed after the fourth or fifth day from t he application of the blister. If the lameness still remains the blister may be repeated in three weeks or a month. SPRAIN OF THE FETLOCK. This may occur from misstep when the animal is moving rapidly, and the twisting or wrenching of the foot is sufficient to rupture par- tially the ligaments which bind the bones together at that part. Such an accident also frequently occurs by the foot becoming fastened in BONEb: DISEASES AND ACCIDENTS. 267 a liole in the floor, tiiid the wrenchiiii;- is the result of the animal's attempt to liberate it. Lameness, followed by swelling* of the joint and i)ain when it is handled, or when the animal Jiioves the joint, and heat, are the more notieeable symptoms. If the sprain be very severe the animal occasionally does not bear its weight on the limb. Treatment. — The most important coi^sideratiou in the treatment of this affection is rest, which is best enforced by keeping- the animal in the stall and placing strong muslin bandages about the inflamed joint. As in the sprain of the shoulder, cold water in the form of douches, continuous irrigation Avith hose or soaking tub, or finely chopped ice poultices is indicated for the first throe days. Following this apply a Priessnitz bandage" moderately tight about the joint, which not only conduces to rest, but also favors absorption. Massage with stimulat- ing liniments, such as soap or camphor liniment, may later be applied to the affected parts. If the lameness has not disappeared by the tenth daj^, the blister advised for the sprain of the shoulder should be applied, and the same precautions observed as to tying the animal's head and subse- quent smearing with vaseline. When a blister is applied in this locality, the back part of the heel should be first filled with lard or vaseline, and care taken to prevent any of the blistering preparation from coming in contact with the skin of that part. If this precaution is not observed, scratches may ensue and prove troublesome. SPRAIN OF THE HIP. This is likely to result from the animal slipping in such a way as to spread the hind feet wide apart. The patient goes stiff with the hind legs, or lame with one hind leg, walking with a straddling gait and swinging the leg outward as it is carried forward. Tenderness may occasionally be detected on pressure, but owing to the heavy covering of muscles outside of the joint this test is not always reliable. In the acute cases, give rest and cold local applications. After the fourth or fifth day the blister mentioned for sprain of the shoulder may be applied with advantage, and if this proves insufficient, we may fire in points over the joint as a last resort. SPRAIN OF THE BACK. Sprain of the back, particularly in the region of the loins, is not an uncommon accident among cattle. It is likely to occur from the ani- " A Preissnitz bandage is a dressiiig which combines the three properties of keeping a part warm, moist, and subjecting it to uniform pressure. It consists of three layers of material. The inner layer is composed of absorbent cotton or some other material which is capable of holding moisture. This is soaked in water and wrapped around the part. The second layer consists of a substance which is impervious to moisture, as oiled silk or oiled paper, and is applied about the inner layer to prevent evaporation. The third or outside layer is co:np'>sed of a flannel or woolen bandage to prevent the radiation of heat and thus keep the moist inner layer at the temperature of the body. 268 DISEASES OF CATTLE. mal slipping with both liind feet sidewaj^s so as to twist the back, or the feet slipping violently backward so that great stress is thrown on the loins. The patient moves with difficulty, using the hind parts in a guarded manner as if afraid of causing severe pain. Occasionally, if the sprain is severe, the animal will rise with difficult3'. Pressure on the back in the immediate region of the loins causes pain. Such cases may be mistaken for paralysis, and, in fact, in severe cases, although the nerve supply is not interfered with, the injury to the muscles and resulting pain is so great that the condition is almost equal to i)aral3'sis during the early stages of the injury, although likely to be attended with more favorable results. Hot applications, such as blankets wrung out of hot water and changed at short inter- vals, will be likely to afford I'elief during the earlier stages. After- Avards the blister mentioned for si)rain of the shoulder may be aj)ijlied with advantage. FRACTURES (BROKEN BONES) Bones may be accidentallj^ broken in many ways and from different causes. Fractures in general are likely to be produced by external force suddenly and violent!}^ applied, either directly to the part or at a distance, the force being transmitted througli the stronger bones until it expends itself by breaking a weaker one remote from the seat of the injury. Occasionall}^ violent contraction of muscles is sufficient to break a bone. Certain bones, those of the limbs in particular, are more liable to fractui-e than others, owing to their exposed position. The bones of some animals are more easily fractured than those of otliers, owing to certain predisjiosing causes, such as age, habit, or hereditary constitutional weakness. The bones of an animal advanced in years are more subject to fracture because of the preponderance of inorganic matter rendering them more brittle. They are also occa- sionally rendered liable to fracture by a previously existing diseased condition. Fractures are divided into four classes — partial, simple, compound, and comminuted. PARTIAL FRACTURES. Partial fractures are those which are likely to occur in a young animal in Avhich the i)reponderance of animal matter or the semicarti- laginous condition of the bone renders it tough, so that even when considerable force is applied the bone bends, breaking on the side opposite that to which the force was applied, after the manner in which a green stick would bend and break. SIMPLE FRACTURES. Simple fracture is one in which the bone is severed in two parts, either transversely, longitudinally, or obliquely, without serious injury to the adjoining structures. bones: diseases and accidents. 269 COMPOUND FRACTURES. Compound fracture is one in which there is an open wound pei'- mitting the air to communicate with the ends of the broken bones. COMMINUTED FRACTURES. Comminuted fracture is one in which the bone is shattered or divided into a number of fragments. COMPLICATED FRACTURES. Complicated fracture is one Avliere otlier structures surrounding the bones are injured. GENERAL SYMPTOMS OF FRACTURE. When a fracture of one or more of the large bones of a limb occurs, symptoms are sure to be well marked. After the accident the animal refuses to touch the foot to the ground and, if compelled to move, does so with great pain and reluctance. There is more or less short- ening of the limb, with trembling of the muscles in the vicinitj' of the injury; deformity, and increased mobility, so that, instead of the natural joints of the limb and the natural muscular control of their motion, a new joint is formed where the fracture occurred, over which the animal has no control. As the leg hangs dependent from the body, shortened by the ends of the bones being forced past one another from the muscular contraction which invariably takes place, it swings in an awkward and unnatural manner, permitting the toe and foot to assume positions in their relations to other parts of the body which otherwige would be impossible. If the fractured bone is so situated that the parts may be moved one upon another, a grating sound, known as crepitus, will be observed. GENERAL TREATMENT OF FRACTURES. When a fracture occurs, the advisability of attempting treatment must first be determined. If the animal be young, valuable, and of reasonably quiet temperament, and the fracture not too great in extent, the chances of recovery are fair. On the other hand, if the animal should be of little value, irritable, advanced in years, and the fracture a serious compound or comminuted one, the wiser course would generally be to put the creature out of its miser3^ Having determined to attempt treatment, no time should be lost in restoring the parts as ueai'ly as possible to their natural position and retaining them there. If the ends of the bones have been drawn past one another, they should, by firm and continuous tension, be drawn out until they again assume the position in which they were before the accident. All this can better be done before the swelling (which is sure to result) takes place. If the swelling has occurred before the 270 DISEASES OF CATTLE. injury is noticed, do not attempt to treat it, but proceed at once to treat tlie fracture as though tlie swelling were not present, for no step can l)e taken toward recovery until the ends of the bone have been restored to their proper position. When that is done and proper appliances have been used to prevent them from being again mis- l^laced, the swelling, which is the result of ij-ritation, will be relieved. In selecting the appliances to be used in the treatment of fracture the judgment and ingenuity of the operator are of much importance. Splints, made of wood shaped to fit the limb and padded with soft material where they come in contact with bony prominences, and held in position by means of bandages, ai^e the oldest method, and with some are still the most popular. The fracture pads used in human surgery, and for sale in surgical depots, are very convenient. After being dipped in water they may be molded to fit the limb and be retained by means of bandages. Heavy sole leather is also used after being soaked in warm water and molded to the shape of the limb and holes cut in it to fit over any sharp irregularities in the natural shape of the bones. Guttapercha sheets are also used and answer well. They are prepared and used in the same way as the leather. Another and i^erhaps the simplest of all methods is the application of a plaster of Paris bandage, which is made as follows: Strips of thin cheese cloth 3 inches wide and 8 or 9 feet long are laid flat on a board and on them is spread a layer of plaster of Paris about one-eighth of an inch thick, then, starting at one end, roll carefully so as to gather the plaster in between the layers of the bandage. It is of course important that the cloth be thin and the plaster of Paris fresh and active. After preparing four or five of such bandages the operator is ready to dress the fracture, which, after the parts have been brought into position, should be done by covering all that part of the limb to which the plaster of Paris bandage is to be applied with a single \a,yev of the dry bandage, letting it extend both above and below the part to which the plaster of Paris bandage is to be applied and including under the folds of the dry bandage at each end a layer of absorbent cotton, which is intended to form a pad to prevent the ends of the plaster of Paris bandage from chafing the skin beneath. When this is done one of the plaster of Paris bandages should be placed in a vessel of water and allowed to remain till the air bubbles have ceased to rise from it, which will generally indicate that it is soaked through. Then, taking it in the hand, wind it carefully around and around the limb, unrolling the band- age as it is wound around the limb, occasionally smoothing down the lilaster of Pai'is. Should it form roughly or in ridges, the hand may be dipped in water to impart increased moisture to it. When about finished with one bandage, place another one in the water, so that 1 1m' winding opei-ation may be continued without delay. The bandages should be applied till the cast is from one-half to three-quarters of an incli thick, then gently restrain the animal for one-half or three- bones: diseases and accidents. 271 quarters of an hour till the plaster is hardened. Any of the appliances used should be so manipulated as to prevent absolutely any motion of the detached parts. If the fracture is near a joint, it is generally best to include the joint in the appliance. The part of the limb below the bandage should be carefully and firmly wrapped with an ordinary cotton bandage all the way from the plaster bandage down to the hoof. This last bandage will tend to prevent swelling, which is likely to occur, the result of the dependent position in which the animal is forced by nature to keep the injured limb. When plaster of Paris bandages are applied to a compound fracture, the injured part may be previously' dressed with a small, thick pad of cotton immediately over the wound. In applying the bandage the operator maj' with a little care so arrange it as to keep the folds of the bandages off the cotton, or have only a thin layer over it, which may be easily cut out and the cotton removed, leaving a convenient opening througli which to dress the wound without removing the bandage. The ends of the bandage or other appliance should be carefully watched to see that the skin does not become chafed, par- ticularl}' at the lower end. If the bandage should become weak or broken at any part, it may be strengthened without removal by apply- ing other bandages immediately over it. If swelling has taken place before the bandage has been applied, there is likely to be some loosen- ing as it disappears, and even without the swelling there is likelj'^ to be a tendency of the bandage to slide downward. This may be over- come b}' fastening it to a suspender attached to a surcingle or passed over the body and attached to the opposite leg. If the looseness can not be overcome in this way, the space may be filled by pouring in a thin paste of jilaster of Paris. A better method, however, is to remove the bandage and apply another. Owing to the hardness of the bandage it will be removed with some difficulty. A deep groove should be cut down completely through it on the opposite sides. This may be done with a chisel and a small hammer, if the bandage is carefully held by an assistant so that the concussion of the blows is not transmitted to the injured bones. The i^atient should have a roomy stall and should be tied by the head to prevent any attempts to move around. In some cases slings have been used. Ordinarily, however, they are not satisfactorj^ in cattle practice, and if applied should only be for a few daj^s at a time and with a view to lessen the animaTs disposition to lie down, rather than to ijrevent it. When thej^ are used continuously, the pressure on the abdomen is likely to interfere with digestion and the general health of the animal. Modes of union. — The animal should be kept as quiet as possible and given such food as will have a tendency to keep the bowels slightly relaxed. The success of the operation will depend chiefly on the skill of the operator, but not alone in the selection and use of the appli- ances ; for as much attention must be given to subsequent manage- 272 DISEASES OF CATTLE. ment. The patients aie unreasonable, and a single awkward motion may undo the work of weeks so far as the union of the parts of the bone is concerned. Union takes place after the same process and, if the conditions are favorable, with greater rapidity than in the human being. The injury that caused the fracture is almost sure to have extended to some of the adjacent tissues, and, even though the frac- ture may be of the simplest type, there is almost sure to be consider- able hemorrhage around the ends of the broken bone. This, however, is unimportant if the skin remains intact, unless a A'cry large vessel should be injured, or the fracture should open some of the important cavities of the bodj^ in which case a fatal hemorrhage might result. If, on the other hand, the fracture be a compound one, the external open- ing furnishes a fertile field for the lodgment of disease-producing germs. Unless great care is exercised in such cases a suppurative process is likely to be established which will seriouslj^ interfere with, if not entirely arrest, the process of union between the bones; or it may become so serious as to endanger the general health of the animal and even be attended with fatal results. This last danger is greater where the injury has occurred to the bones of the arm or thigh. In such cases, owing to the dense covering of fascia which ensheathes the muscular covering, pus is likely to be imprisoned, and, burrowing downward, saturate the whole structure, not only endangering the limb, but, by absorption, may set up blood poisoning and seriously interfere with the general health of the patient, even to causing death. In order so far as possible to j)revent such an unfortunate complica- tion, the Avound should be carefullj^ cleansed with a mild solution of carbolic acid, then dusted over with iodoform before the bandages are applied, and cleansed and dressed daily in the same wa3^ After dressing always cover with absorbent cotton. In the earlj^ jjrocess of union an exudation of lymph takes place, which is at first fluid, grad- ually becoming thicker and firmer till it forms a callus in the shape of a ring or ferrule surrounding the detached portions of the bone, known as the external or ensheathing callus. It occasionally happens that this callus only forms at the ends of the bones, filling the spaces that exist between them, when :'t is known as the intermediate (^allus. The process of union may be divided into five stages. Iii ^he first stage, including the first eight days, the detached portions of the bone and the sharp projections that are not sufficiently nourished are absorbed; the blood which escaped into the surrounding tissues, the result of the injury, is gradually absorbed, and the effused lymph, which is ultimately to constitute the temporary cartilage, takes its place. In the second stage, from the tenth to the twentieth day, the tumor or callus is formed and fibrocartilage is developed inside and around the exjjosed end of the bone. In the third stage, extending from the twentieth to the fortieth or fiftieth day, according to the age and strengtli of the animal, the fibrocartilaginous structure under- bones: diseases and accidents. 273 goes a change and is gradnally converted into bone, forming a ferrule on the outside and a plug on the inside, which serve to hold the part in position. In the fourth stage, extending to about the sixth month, the whole of the new structure is converted into bone. The fifth stage, extending up to the end of the first j^ear, the callus is absorbed, being no longer necessary, and the connection between the cavities of the two bones is again established. Common complications. — The process of union just described is healthy and normal. Diseased conditions nuiy at any time supervene during the treatment and render the operation unsuccessful. In the case of compound fracture, the open wound communicating with the ends of the bones, a septic condition is apt to arise which maj^ become so serious as to endanger the animaFs life and bring about conditions which in human surgery would indicate amputation. Although that operation is not a general one in veterinary practice, there is no rea- son why it should not be attempted as a last resort, particularly if the animal be valuable or one whose existence is necessary in order to perpetuate some valuable strain. Even in th(? simplest form of frac- ture, if the sjilints or bandages are improperly applied and the frac- tured bone left so loosely guarded that the broken ends move one upon another, the formation of the calluses previously described is likely to be interfered with, and in place of a strong, rigid, and health}^ union a formation of elastic cartilage is the result. This false struc- ture unites the broken ends of the bones in such a way that they move one upon another, depriving the bone of its stability and usefulness. When once the healthy process of union is interrupted in the manner just described, it is with great difficult}^ that it can be again estab- lished. It no longer does any good to continue the restraining power; in fact, the change of the temporary cartilage into bone is more likely to be reestablished if the parts move violently upon one another for a short time so as to set up and renew the process of inflammation. Then if the restraint be again applied there is some chance of union. In order so far as possible to avoid this danger, care should be exer- cised that the bandage fits closely and that it is kept on till there is no longer any danger but that a perfect union has taken place. It is impossible to say at just what time the si^lintsor bandages can safely be removed. In a young and healthy animal of quiet temperament, where the parts have been firmly held in position throughout the whole time, from thirty to forty days may be regarded as reasonably safe. Under more unfavorable conditions as to age, vitality, and restraint, the period would better be extended up to sixty days if the general condition of the animal is such as to permit of so long a con- tinuance. After the appliance has been removed the animal should be allowed to stand quiet for a few days, then given very gentle exer- cise, gradually increased over a period of a week or ten daj^s, by 8267—04 18 274 DISEASES OF CATTLE. wliiclitime the patient will be so far recovered as to be placed in pas- ture. It should, however, be alone for a time, so as not to take any- chance of injury from fighting or other accidents that association with other animals might involve. SPECIAL FRACTURES. Fracture of the horns. — Of the special fractures liable to occur, that of the horn is j^erhaps the most common. It is always the result of violent mechanical means, such as blows, injury occurring while fighting, or from the animal getting its head locked in some manner while feeding from a rack. When it occurs there are two ways in which the injury is likely to affect the animal. First and most com- mon, the horny crust is likely to be stripped from the bony projection which it covers. Second, the crust and bone may both be broken or bent down, the fracture occurring in that case at the root of the horn and involving part of the bones of the head in the immediate vicinity. In the first case, where the horny covering is knocked off, little attention is necessarj*. The aniinal may be relieved from suffering by smearing the stump with pine tar and wrapping it in cloth. If the core is much lacerated, perhaps it would be better to amputate. The necessity for such ah operation must be determined by the con- dition of the injury, influenced to some extent by the ideas of the owner on the subject. When the operation is performed, it should be done with a sharp, fine-toothed saw, and by sawing the horn off close enough to include a little of the skin and hair around its base. The practice of dehorning has grown popular in many parts of the coun- try. It is a simple operation, and, although attended with some immediate suffering, does not produce serious constitutional disturb- ance. The advisability of performing the operation on all cattle is a question of expediency and must be justified by the expectation of benefit on the part of the feeder. If the horn should be bi'oken so that the core and crust are bent out of shape without the detachment of one from tlie other, it may be restored to its normal position and retained there by means of a splint made to fit across the back of the head, so as to be laced to both horns, the sound horn serving to hold the broken one in position. Such a splint may be fastened on by means of either wire or cord and allowed to remain six weeks or two months. If the horn and core have both been broken off, bleeding is usually severe and should be checked by astringents, such as alum, or by pressure. After the hemorrhage has ceased the exposed portion of the fracture should be covered with pine tar, with or without a ban- dage. An imperfect growth of horn will in due time cover the exposed bone. Fractures of the bones of the face. — These occasionally occur, and when over the cavities of the nose i)roduce depression, disfigure- bones: diseases and accidents. 275 ment, and impeded respiratiou, owing to the lessening of the caliber of the nasal passages. When such an accident occurs, the depressed bone should be gently forced back to place by introducing the finger in the nostril, or if the fracture be too far up for this, a j^robe may be passed and the parts retained by placing a plaster of thin leather or strong canvas smeared with tar immediately over it, extending out to the sound surround- ings, taking care to embed the hair over the fractured portion in the tar of the plaster so it will be firmly held and prevented from again becoming depressed. If only one nostril shonhl be involved, the depressed portion may be held in position by packing the nostril on that side with absorbent cotton. This practice, however, has the objection of giving the animal great discomfort, and in some cases a disposition to aggravate the injury. Fractuke op the skull (cranium). — Fractures of the bones forming the cavity in which the brain is situated are, owing to their strength, comparatively rare among cattle. Such an accident can only be the result of external violence, and it is hardly possible that it could occur without some fragment of the broken bone pressing upon the brain so as to cause coma or other severe nervous derange- ment, or even <-eath. If the animal survives the first shock, the efforts should be directed toward relieving the pressure, which may be done by making an open- ing in the bone (trephining) and with a hook drawing the depressed part outward. Interference is not so likel}^ to be attended with good results as to be warranted in all cases. The effects of a \ery severe shock which may not have produced a fracture, although the symp- toms were alarming, will in many cases pass off, leaving the animal in a better condition than if an operation had been performed. Fracture of the lower jaw. — This occasionally occurs, and is more likely to result from the kick of a horse than from any other cause. The front part of the jaw is likely to be split or shattered in any direction in which the force may have been applied. Bloody dis- charges from the mouih and failure to eat or ruminate are symptoms most likely to attract attention. The treatment is simple, and consists of first removing detached pieces of bone, then drawing the parts together and retaining them by means of pieces of copper wire fastened around the teeth, and feeding the animal on sloppy food until recovery takes place. The wound should be dressed once or twice a day with a 3 per cent solution of carbolic acid, forced gentlj- in with a syringe, so as to remove any food which may have become impacted and interfere with the healing process. Fracture op the vertebra (spinal column). — This is not so common among cattle as other animals. If the fracture should be through the body of the bone there is likely to be pressure on or lace- 276 DISEASES OF CATTLE. ration of the spinal cord, causing paralysis of all parts posterior to the seat of injury. Fractures of the prominences on the vertebra occasion- ally occui- Avithout interfering- with the canal in which the spinal cord is located. Such accidents are likely to pass unnoticed, for, although the animal may suffer considerable pain, it is not likely to be mani- fested in such a way as to attract attention, and the deep covering of muscles serves to effectually conceal the injury. When the fracture occurs in the upper part of the neck, paralysis of the muscles used in respiration must result, and death from asphyxia very shortly ensues. The more common accident is to the loins, and when a fracture of the body of the vertebra occurs in this region so as to produce pressure on the spinal cord, paralysis of the hind legs and quarters is the result. Diagnosis of such an accidentis more difficult than in the case of any other fracture. The parts can not be moved one upon another so that crepitus is noticeable. The heavy coating of muscles conceals irregu- larities of shape which would otherwise be likely to attract attention. About the only reliable symptom is paralysis or loss of use and sensa- tion of the parts posterior to the injury. Careful examination may reveal the seat of the injury. If it was the result of a blow, there is likely to be some abrasion of the skin. The diagnosis is only impor- tant as an aid in determining the proper course to pursue. If paralysis is present and a depression or irregularity of the spinal column is so apparent as to leave no doubt of the existence of a fracture, the only alternative is to destroy the animal, for of recovery there can be no hope. If, on the other hand, the paralysis is incom- plete and there is no depression or irregularity of the spinal column or other evidence of fracture, the patient should be made as comfortable as possible b}^ being placed in a well-bedded box stall and a few days permitted to elapse before the case is abandoned. The symptoms last described might possibly be the result of a severe strain of the muscles of the loins, in which case an improvement will soon be noticeable. Fractures of the pelvis. — The pelvis, or bony framework which gives shape to the posterior part of the body, is liable to fracture in many waj's. A common one is by a separation of the two bones which constitute the whole i^elvis along the bottom and center line (symphysis pubis). In early life the two bones are separate and distinct. The union between them, which is at first cartilaginous, undergoes a change and is converted into bone, so that in adult life the whole pelvis is practically^ one bone. The point on which the two bones are united is weaker than tlie adjoining parts of the bone. When an animal slips vio- lently, spreading the legs wide apart, the weaker materials give way and the bones are divided. If the accident is noticed when it occurs, it is likely to throw light on the nature of the injury. The animal will imme- diately go stiff behind, the legs being spread apart. Further examina- tion may be made by introducing the hand, previously carefully oiled, into the rectum or vagina and pressing down along the central line, bones: diseases and Acri dents. 277 which will Otiiise the patient to evince acute pain. In this case no appliance can be used to advantage. The animal shonld be tied in a stall until the parts become i-eunited and the lameness disappears. Fractnre of the posterior part of the bone (ischium) which forms the point of the buttocks occasionally occurs. The buttock on the injured side will be less prominent than the other. Careful manipu- lation will generally move the parts so that crepitus may be recog- nized. If the fracture is through the posterior part of the bone, it is unimportant and deserving of no more attention than placing the animal in such a position as to insure it against subsequent injury until the bones are united. Some distortion is likely to result, but not sufficient to warrant interference. Fracture through the bodj^ of the bone on a line with the hii3 joint (acetabulum) occasionally, though rarely, occurs, and is nearlj^ always associated with dislocation of the hip joint and the forcing of the head of the upper bone of the leg (femur) upward, far out of its place. The violent contraction of powerful muscles of the hip renders it imi30ssible to reduce the dislocation, and even if it were possible the fractured pelvis could not be held in position, so that the case becomes at once a hopeless one. It may be recognized by the animal stand- ing on three legs, the leg on the injured side seeming shorter than its fellow and hanging pendulous, the muscles of the hip violently contracted and hard to the touch. The animal evinces great pain when the limb is moved. There is likely to be some apparent distor- tion in the relations between the point of the hip and the point of the buttock. This will be more readily noticed by comparing the injured side with the other. The parts may be moved so as to produce crepitus. The examination may be completed by introducing the oiled hand into the vagina or rectum, when the two sides of the pelvis will reveal well-marked differences. Fkacture of the point of the hip, — The anterior and external part of the pelvis (ilium), commonly known as the point of the hip, is liable to fracture, which stock owners describe as "hipping," or being "hipped," or having the hi]3 "knocked down." This accident is likely to be the result of crowding while passing through a narrow door, of falling violently on the point of the hip, or from a violent blow directed downward and forward against it. The lesion generally extends across the flat surface of the bone from its outer and posterior edge forward and inward. Distortion is likely to l)e the only notice- able symptom. The detached portion varies in size in different cases and with it the resulting deformity. The animal is noticed to be slightly lame, but this symptom soon disapi^ears. The detached portion of the bone is drawn downward and away from the main jiart by the action of the muscles below, which are so powerful as to render return impossible. The bones therefore remain permanently sepa- rated, union taking place by fibrous callus. The animal suffers very 278 DISEASES OF CATTLE. little inconvenience, and for practical use may be serviceable as before the accident, though the distorted appearance depreciates its value. Fracture of the ribs. — Such an occurrence can take place only as the result of a direct injury, as from blows or crowding. The pos- terior ribs, being more exposed, are more liable to fracture. Pain in moving, slight swelling over the seat of injurj^ and difficult breathing are obvious symptoms. If the fracture be complete, crepitation may be occasionally noticed bj' placing the hand flat over the injured part, observing carefully the motion as the chest contracts and expands during respiration. This sjnnptom is more noticeable when the animal coughs. Unless the point of the broken bone penetrates the cavity of the chest the fracture is usually unimportant and calls for no treat- ment other than quiet. If the breathing is very labored and attended with much pain, motion may be limited by applying a wide bandage firmly around the chest. The animal should be restricted in the amount of food and water for a few days, the stomach being kept as nearly empty as j)ossible. Sloppy food should be given to encourage, as much as possible, free action of the diaphragm in breathing. Fracture of bones of the limbs. — On this subject much has been said in the preceding remarks on general fractures. As a rule, fracture through one of the large bones of the shoulder (scapula) or thigh (femur) is very difficult to manage. The powerful contraction of the muscles and the changing shape of the limb resulting from their action renders it impossible to retain the detached parts of the bone in proper position. Therefore, though the union should take place, there is almost sure to be considerable deformity and more or less lameness. Fracture of the arm (humerus) or leg (tibia) is likely to be attended with better results. The muscular covering is not so thick, the sheath in which they are held is more tense, and the change in the shape of the limb from muscular action not so noticeable, the muscular force not so great, all of which facilitate replacing in posi- tion the dislodged ends and retaining them. Fracture op the knee (carpus) and hock (tarsus). — Unless it is the result of a very violent injury this seldom occurs, and is gener- ally associated with other injury and serious complications. Dis- placement does not generally occur to any considerable extent. The treatment, of course, will consist in holding the limb perfectly quiet in a natural position, which may be done by the application of long wooden splints retained by bandages, or a plaster of Paris bandage. Fractures below^ the knee. — Fracture of the long bone below the knee (metacarpus) and hock (metatarsus) is more common. In young animals of quiet temperament the treatment of simple fractures here is likely to be attended with good results. On the other hand, a compound fracture in this region becomes a serious matter. The structures which surround the bones are so thin that a very small degree of sloughing will expose parts of the bones and be likely to lead to serious complications and i)robably fatal results. bones: diseases and accidents. 279 Fractures of bones below the fetlock. — Tliose fractures are comparatively unimportant unless associated with other serious injury. The parts can generally be held in ]>osition without much difficulty, and union generally takes place quite rapidly. Appliances. — Of the appliances used in the treatment of the frac- ture of limbs above the knee, splints made of wood or iron strips and bandages are likely to serve best. Below the knee plaster of Paris bandages are preferable. The writer is well aware that many of the standard authors deprecate the use of the latter, but an extensive experience leads me to believe that they have many advantages over any of the other appliances when used alone, and they may in manj^ ways be used with advantage in combination with others. dislocations. Luxation, or displacement of the bones forming a joint without fracture, is comparativeh' rare among cattle. It most frequently occurs in the stifle joint, where dislocation of the kneepan (patella) takes place. A glance at the skeleton (PI. XXV) will show the rela- tions better than they can be described. It will be observed that the small irregularly shaped bone (patella) plays on the anterior rounded part of the lower end of the thigh bone (femur) and between it and the upper end of the shank bone (tibia). The outer ridge on the lower end of the thigh bone is less prominent than the inner one, so that dis- placement, when it does take place, is by slipping outward. Such an accident may occur from direct injury or external force, as a blow, or from slipping. When it does occur the symptoms produced are some- what alarming. The animal is unable to draw the leg forward, and either stands with it thrown back with the toe pointing downward or, if it should succeed in getting its weight upon it, holds it firmly on the ground, fearing to move it. Examination of the outside of the joint will disclose the situation of the patella outside of its proper place. If the operator is not familiar with the normal appearance of the joint, it is well to make a comparison between the injured and the sound one. If compelled to move, the animal does so with great difticulty, jerking the leg which it is unable to bring forward, hopj)ing with the other and partially dragging the injured one. Treatment. — The treatment is simple. A rope 20 feet long should be applied around the fetlock of the affected leg, passed forward between the front legs and up over the opposite side of the neck, back over the withers, and wrapped once behind the elbow around tliat por- tion of the rope which passes between the front legs. The leg is then drawn away from the body and forcibly pushed forward bj^ an assist- ant, while another person tightens up the slack in the rope until the affected leg is off the ground in front of the supporting leg. The rope is then drawn taut and the assistant grasps the tail and pulls the cow toward the affected side. The animal makes a lurch to keep from falling, contracts the muscles, and the patella slips into place with a 280 DISEASES OF CATTLE. sharp click, and the animal walks off as if nothing had happened. If tihe animal resists this method of handling, it may suffice to manipu- late the dislocated kneepan by shoving it inward and forward with the heel of the hand while the affected leg is drawn well forward. Unless some precaution is taken the accident is liable to recur, as the ligaments have been stretched by the dislocation till they no longer hold the bone with that firmness necessary to retain it. The animal should be tied and the foot fastened forward, so that the patient can just stand on it comfortably, by means of a rope or strap around the fetlock carried forward between the front legs around the neck and tied on the breast. Should this accident occur more than once it is a good practice to apj)ly a blister around the joint, as in the formula recommended for sprain of shoulder, and observe the precautions as to restraint and subse- quent treatment there recommended. With this one exception, disloca- tions in the ox occurring independently of other complications are rare. Dislocation with fracture may occur in any of the joints, and where one is suspected or discovered, examination should always be made for the other before treatment is applied. When a fracture occurs in the vicinitj' of a joint the force sufficient to rend the bone is likely to be partly exerted on the immediate tissues, and when the bone gives way the structures of the joints are likely to be seriously injured. It occa- sionally happens that the injury to the joint becomes the most impor- tant complication in the treatment of a fracture. In order clearly to understand the reason for this a few words are neeessarj^ in relation to the structure of joints. The different pieces constituting the skeleton of the animal body are united in such a manner as to admit of more or less motion one upon another. In some of the more simple joints the bones fitting one into another are held together by the dense structures around them, admitting of very little or no movement at all, as the bones of the head. In other joints the bones are bound together by dense car- tilaginous structures, admitting of only limited motion, such as the union of the small bones at the back part of the knee and hock (metacarpal and metatarsal). In the more perfect form of joint the power of motion becomes complete and the structures are more com- plex. The substance of the bone on its articular surface is not cov- ered with periosteum, but is sheathed in a dense, thin layer of carti- lage, shaped to fit the other surfaces w^ith which it comes in contact (articular). This layer is thickest toward its center when covei'ing bony eminences, and is elastic, of a pearly whiteness, and resisting, though soft enough to be easily cut. The bones forming an articula- tion are bound together by numerous ligaments attached to bony prominences. The whole joint is sealed in by a baud or ribbon-like ligament (capsular ligament) extending around the joint and attached at the outer edge of the articular surface, uniting the bones and her- bones: diseases and accidents. 281 metically sealing the cavities of the articulation. This structure and the articular surface of the bone is covered by a thin, delicate mem- brane, known as the "synovial membrane," which secretes the joint oil (synovia). This fluid is viscid and colorless, or slightly j^ellow, and although it does not possess a large amount of fat, its character somewhat resembles oil, and it serves the same purpose in lubi-i- cating the joints that oil does to the friction surfaces of an engine. Although the tissues of the joint when used in a natural way are able to withstand the effect of great exertion, when unnaturally used, as they are very delicate and complex, they are liable to inflammatory and other changes of a very serious nature. The synovial membrane, and in fact the whole structure of the joint, is susceptible to injury and serious inflammatory derangement, and the capsular ligament is liable to be distended from excessive secretion of synovia. The lat- ter process may be almost noninflammatory, and attended with little inconvenience or importance other than a blemish to the animal, which in cattle is not serious. It may occur on the back part of the leg above the fetlock or on the inner and fore part of the hock, cor- responding in its location to windgalls and bog spavin of the hoi'se. Continuous support by bandages will generally force reabsorption, and as the limb is not subjected to violent action, as in the case of the horse, the affection is not so liable to recur. SPAVIN. Occasionally working oxen that are used in the lumber woods and made to pull heavily, with bad footing, are afflicted with this condi- tion. ■ AVhen it occurs lameness is the first symptom. During the early stages of the disease the lameness is most severe in the morning and disappears after the animal is exercised; it gradually becomes more severe as the disease advances, so that when the disease is well established the animal is lame continuously. Shortly after the lame- ness appears a bunch (exostosis) will be noticed on the inner and fore part of the affected joint. This bunch differs from bog spavin in that it is hard, while bog spavin is soft. It increases in size as the disease advances till the animal is too lame to be used for labor. As the dis- ease is always attended with considerable pain there is more or less loss of flesh. In the most advanced stage the animal will step with difficulty, frequently holding the foot from the ground, or, if forced to take a few steps, stands with it elevated, twitching with pain. In the earlier stage of the disease only a small portion of the fore part of the lower, or second, articulation is involved, but the inflammatory process gradually extends over the whole surface of the lower joints of the hock. The structures of the joint are broken down and the bones are united (anchylosis). This process may include any or all of the three lower joints of the hock. The joint of motion which is situated on the lower end of the leg bone is seldom involved. 282 DISEASES OF CATTLE. Treatment. — Treatment of spavin in the ox, as in the horse, is likely to be tedious, and not always resultin<>: in perfect cure. Usu- allj" it is best to fatten the animal for slaughter. If, however, treat- ment is decided upon, it should consist of complete rest and counter- irritation of the part either by sharp blisters or the firing iron. It is advisable to try the effect of blistering first, and for this purpose the following mixture is recommended: Powdered cantliarides drams. . 3 Biniodide of mercury . do S Vaseline ounces. . 14^ Clip the hair off and apply over the inner and fore part of the joint, covering the surface an inch and a half in every direction from the enlargement, or over an area three to four inches acioss. Fasten the animal's head so that it can not reach the part to lick it ; after the third day grease with lard every other day until the scabs come off. This blister may be repeated three or four times at intervals of three weeks. The lameness will genei'ally begin to disappear about the third or fourth month if the above treatment proves beneficial. Should lameness j)ersist, firing in points by a qualified v^eterinarian may effect the desired result and should be tried as a last resort. In a case of spavin the cure is not effected by restoring the dis- eased parts to their natural condition, but by uniting the bones and obliterating the joints. If this union extends over the whole articular surface of the joiuts affected and is sufficiently strong to prevent any motion of the bones, the animal will again go sound. The joints that are obliterated, not being those of motion, are not important, so that the animal suffers no inconvenience in their loss. RHEUMATISM. Rheumatism is a constitutional disease due to a specific condition of the blood and characterized by inflammation of the fibrous struc tures of the body. It is usually accompanied by stiffness, lameness, and fever. The parts affected are usually swollen, but swelling may be lacking. The inflammation may be transitory — that is, it changes from place to place. The parts usually affected are the fibrous strtic- tures of the joints, tendons, ligaments, and muscles. The serous mem- branes and heart may also be affected. According to its location, rheumatism is specified as articular or muscular. According to its course, it is designated as acute or chronic. Cause. — Among the factoi-s which are activel}' causative of rheuma- tism may be mentioned exposure to dampness and cold, especially while the animal is perspiring or fatigued after severe physical exer- tion. Among otlier causes often mentioned are acidity of the blood, nervous derangement, microbes, and injuries. It occasionally follows another disease, such as pleurisj*. The influence of age and heredity bones: diseases and accidents. 283 may be considered as secondary or predisiDosinjj; causes. Sometimes the disease appears without anj^ apparent cause. On the whole, it may be said that any of the above-mentioned factors may have more or less influence on the production of rheumatism, but the si:>ecific cause is as yet unknown. Syniptoius of articular rheumatlsin. — The symptoms appear sud- denly and with varying degrees of severity. The animal presents a downcast appearance, with staring coat, horns and ears cold, and the mouth and muzzle hot and dry. Appetite and rumination may be impaired and followed later or be accompanied at the same time bj'' constipation. Constij^ation may be followed by impaction of the stomach or bowels. Thirst is increased, but the amount of urine voided is scanty. Respiration and pulse are accelerated, and there is usually a fever, rising sometimes as high as 108° F. The animal pre- fers to lie down, and when forced to rise stands with its back arched. The movements are stiff and lame and cause great pain. The disease may attack one or more joints at the same time; in fact, it is often symmetrical. One joint may improve while another becomes affected, thus showing the shifting tendency of the inflammation. The affected joints, including their tendons, ligaments, and synovial membranes, may be swollen, hot, and distended with liquid. They are very ten- der, and, if treated carelessly or injured, may become infected, thus leading to suppuration. While rheumatism attacks perhaps more fre- quently the knees and fetlocks, it has no special affinity for any joint and may attack the stifle, hip, shoulder, or elbow joint. In mild cases of articular rheumatism, the animal may fully recover in a few days. In chronic articular rheumatism there is less tendency of the dis- ease to shift about, but there is a greater liability of structural change in the affected joints. This change may consist of induration, exos- tosis, or even anchylosis. These structural changes about the joints may lead to permanent deformitj^ such as bending of the neck. Fever is not so constant in the chronic form as in the acute, and the latter may lapse into the former. 8ij))i2)toms of muscular rheumatism. — This form of rheumatism may appear under the same general conditions as the articular form. The general appearance of the animal is the same in both forms. The cow usually assumes a recumbent position, and all the movements made are stiff and lame. The method of rising or of locomotion indicates pain in certain muscles or groups of muscles, as of the croup, shoulder, or neck. As in the case of articular rheumatism, the tendons, liga- ments, and synovial membranes may become involved. The constitu- tional symptoms in both articular and muscular rheumatism are sim- ilar, so that it is often perplexing to differentiate between the two forms. Prevention. — It is somewhat difficult to procure preventive treat- 284 DISEASES OF CATTLE. meut for oattle, especially when there are large numbers -with little or no shelter. In general it is advisable to protect the animals so far as possible from inclement weather conditions, sneh as (u)ld rains, lieavy dews, and frosts. This is more particularly necessary for ani- mals in poor condition, or those which are persi^iring or fatigued after long physical exertion. Careful feeding is also essential. Treatment. — In attempting to treat cattle for rheumatism the first step is to procure proper shelter and environment. The animal should be quartered in a large, clean, dry stall with plenty of light and fresh air, but protected from strong drafts. There should be an abundance of clean, dry bedding. Tlie food should be soft and easily digestible and slightly laxative, and the animal should have access to clean, pure, cool water. For general or constitutional treatment of acute rheumatism, sodium salicylate is indicated. In order to gain the best results from this drug, it should be administered with the idea of rapidly saturat- ing the system. To cattle it may be given in doses of one-half ounce every two hours for ten hours or until immediate relief is obtained. This drug should not be continued indefinitely, but may be given once a day after immediate relief has been obtained, and this single dose continued daily until permanent relief ensues, when it should be stopped. The use of sodium salicylate in chronic rheumatism is not advisable on account of the danger of depressing the heart, whose action is already somewhat impaired by the lesions which have attacked it. In this case one-half ounce doses of potassium nitrate or bicarbonate may be given three times a day. Besides the constitu- tional treatment, it may be necessary to give special attention to the bowels in order to relieve constipation. Cattle may be given saline laxatives at the outset, such as 1 pound of Epsom salts for an ordinary-sized cow, and the bowels kept regular by an occasional smaller dose. In chronic rheumatism the best course of treatment is to give tonics and local treatment. Local treatment may also be advisable in acute rheumatism in addition to tlie constitutional treatment already pre- scribed. External treatment depends solely on the local conditions and should l)e applied judiciously. Among the various remedies may be men- tioned hot or cold moist packs, hot air and vapor baths, friction, etc. Aiiodynes are often applied locally with good results. Blisters are occasionally indicated. As anodynes m-Aj be mentioned liniments and ointments containing salicylic acid or sodium salicylate in com- bination with laudanum, aconite, or chloral hydrate. C^amphorated spii'it, soap liniment, and essential oils also afford some relief when applied locally. Of blisters, those containing cantharides are most effective. Diseases of Cattle. Plate XXV. SURGICAL 0PERATI0]^8. By the late Dr. Wii^liam Dickson. Veterinarian to the State Farmers' Institute of Minnesota, Dr. William Herbert Lowe, State Veterinarian of Neiv Jersey; President of the State Board of Veterinary Medical Examiners of Neiv Jersey ; former Superintendent of the Animal Quar- antine Station for the Port of Neio York. [Revised in 1904 by "William Herbert Lowe.] Surgery is both a science and an art. The success of surgical operations depends upon the judgment, skill, and dexteritj', as well as upon the knowledge, of the operator. The same fundamental principles underlie and govern animal and human surgeiy, although their applications have a wide range and are verj^ different in many essential particulars. We must not lose sight of the fact that hygiene and sanitation are essential to the best results in veterinary as well as in human surgT Asepsis is an ideal condition which, although not always jsossible in animal surgery, is highly important in connection with the mechan- ical details of all surgical operations in proportion to the nature and seriousness of the same. Aseptic surgery may be said to be such as is preserved from contamination by poisonous materials, whether such poisons be applied directly to it or be generated in it by the action of germs that gain access to it and find within it the conditions favorable to their growth. It should be borne in mind that there are three ways that a wound may be kept aseptic; by the protection it receives from the first, at the hands of the surgeon, from the access of septic agents; by the power of living tissue to resist and destroy septic agents, and by application to the wound of substances which destroy them. Local and general anesthesia should be resorted to in painful and serious surgical operations, as operations upon all living creatures should be humanely performed and all unnecessary pain and suffering avoided. Anesthesia is necessary where absolute immobilitj^ of the patient is essential, and where entire muscular relaxation is indispen- sable. The anesthetic condition is also favorable for the reduction of displaced organs. 286 DISEASES OF CATTLE. Large animals have to be cast and secured before an anesthetic is administered. For complete anesthesia chloroform is generally em- ployed; sometimes ether and chloroform. A sponge is wet with the anesthetic and placed in a nosebag and the animal allowed to inhale the fumes. The amount of chloroform requii-ed to produce insensi- bility to external impressions varies much in diiferent cases and must be regulated, as well as the admixture of air, by a competent assistant. If the probability of the success of an operation is remote and the animal is in a healthy physical condition, so that its flesh is good for human food, it is more advisable to let the butcher have the animal than to attempt a surgical operation that offers little encouragement to the owner. The best judgment has to be exercised in determining a matter of this kind, for no animal suffering from inflammation or that is in a feverish condition is fit for human food. All cases of major operative surgery require the skill and dexterity of the experienced veterinary surgeon, and no one else should attempt such an operation, for unnecessary suffering must be prevented as well as the success of the operation attained. Nevertheless, the more knowledge and understanding an owner of animals has of surgical operations and manipulations, the better for all concerned. In the first place, such an owner will appreciate more fully the skill of the qualified veterinarian, and, in the second place, he will be the better prepared and equipped to render assistance to his suffering dumb dependents where no practitioner is accessible and in cases of emer- gency. There are, moreover, sundry operations upon cattle, some of which can hardly be classed as surgical, that the stockman and farmer should be able to perform himself. In the performance of any operation upon an animal of the size and strength of the bull or cow, the first consideration is to secure the ani- mal in such a manner as to preclude the possibility of its injuring either itself or those taking any part in the operation, for two or more are invariably necessary. The nature and time likely to be occupied by an operation must, of course, largely determine the method to be adopted. The majority of operations with which the present chapter is con- cerned are usually performed on the animal in a standing position. « To secure the cow in this position, grasp the nose, the finger and thumb being introduced into the nostrils, and press against the carti- lage which makes a division between them. If she has horns, grasp one of them with the disengaged hand. If this is insufiicient the ani- mal should be secured to a post, the side of a building or put in a stanchion. A very excellent method of restraint is to tie a long rope in a slip noose over the horns, pass it around the chest just behind the fore legs, taking a half hitch on itself, taking another half hitch in front of the hind limbs, passing the free end under the tail, bring- « A bull should always be held by a stafif attached to the ring in his nose. SUBGICAL OPEEATIONS. 287 ing it forward and making- it fast either to the head or one of the hitches. The head should be raised to the level of the back before the final knot is tied, so as to render it too serious and painful a mat- ter for her to repeat the first attempt she makes to lower it. Should the nature or extent of the operation be likely to take up a consider- able length of time, it is invariably the best plan to throw the animal. In the case of the ox this is verj^ easily done, either by use of liorse hobbles, should they be at hand, or by the application of a simple rope. If the horse hobbles are used, they should be fastened on the leg just above the fetlocks (ankle joints), as they are in that position less liable to come off than if placed around the pastern. Of the many ways of applying the rope for this purpose we will describe two onh% which we consider the best and simplest: First. Take a long, strong rope (one which has been used a few times is more flexible), double it, and at 2 or 3 feet from the doubled end, according to the size of the animal, make a knot and pass the collar thus formed over the animal's head, allowing it to rest on what would be the collar place in a horse. Now pass the ends of the roj^e between the fore legs, carry one around each hind leg just above the fetlock joint, from outside in, under itself once, and bring the free ends for- ward, passing each through the collar loop on its own side and bring- ing the slack back toward and bej^ond the hind quarters. (PI. XXVI, fig. 2. ) Two or three stout men should then take hold of each rope and at a given signal pull. The animal's hind legs being drawn forward, the balance is lost, and if the animal does not fall or lie down he can be readily pushed over on his side and secured in the desired position. Second. The three half hitches. Take a rope 30 or more feet long, make a slip noose at the end and pass it over the animal's horns, leaving the knot in the loop between the horns; then pass the rope backward along the neck to the withers, just in front of which take a half hitch on it, passing it along the back, take one half hitch just behind the forelegs and a second in front of the hind limbs round the flank. (PI. XXVI, fig. 1.) The free end of the rope is taken hold of by one or two assistants while another holds the animal's head. By pulling firmly on the rope, or inducing tlie animal to make a step or two forward while steady traction is made on the rope, the beast will quietly lie down, when his feet can be secured in the way most con- venient for the operator. There are numerous other methods, involving more or less complete restraint, which may be equally efSicacious, but one or other of the ways indicated will aoubtless be found to meet fully all ordinary cases. RINGING THE BULL. This is usually and ought always to be done before the calf has attained sufficient weight or strength to make his restraint a matter of serious difficulty. An ordinary halter is usually all that is required, 'JSS DISEASES OF CATTLE. the strap being secured to a tree or post. A jointed steel or copper I'ing is ordinarily used. Those made of the latter metal are prefer- able. The common method of i3iinching- a round piece out of the nasal septum for the introduction of the ring is, I think, open to objection, as portions of the fine nervous filaments are destroyed. The sensi- bility of the parts is thus lessened and the object of ringing to some extent defeated. The insertion of the ring by means of a trocar and canula is preferable, as the method is not open to this objection. For some years we have used a little instrument which can be made by any worker in metal, consisting of a steel point riveted into a short canula made to fit on one end of the ring while open. (PL XXVIII, fig. 11.) When attached to the ring it is easily and quickly passed through the septum, the half of the ring following as a matter of course. It can then be removed, and the ends of the ring brought together and fastened by means of the screw for that purpose. JBy this means any animal can readily be ringed by anj^one in less time than it takes to describe the process; whereas, by any other method which necessitates first puncturing or piercing the septum and subse- quently introducing the ring, the operation is, even when the animal's struggles do not complicate matters, necessarily rendered tedious and uncertain by the fact that the openings through the skin and cartilage are not in apposition. DEHORNING. In this and other countries for some years past controversies have from time to time been cai*ried on not only as to the advisability of dehorning, but also as to the propriety of the proceeding. The advocates of wholesale removal of horns in many cases exaggerate alike the necessity and the advantages accruing from the practice; on the other hand, their opponents are backed by the ultra humanitarian Avho stigmatizes the operation as barbarous, or worse. In some coun- tries these views are upheld even by courts of law whose legal acumen is able to detect in the procedure grave cruelty to animals. In this country owners are left to decide matters of this sort for themselves, but a work of this kind would hardlj^ be complete without some expression of an opinion on the subject which might be helpful to the dubious when the matter comes up for decision. Justly, then, does the operation amount to cruelty? We answer distinctly. It does not. Cruelt}^ to animals is defined as the infliction of unnecessary pain. Now, the operation of dehorning causes pain certainly, as all surgical operations necessarily do, but it is not bj' anj^ means more painful than man}- other operations (notably castration), to which we regularly subject individual animals without a second thought. More- over, the pain is transient as well as slight, and, as a matter of fact, pales into insignificance before the severe and lasting torture inflicted SURGICAL OPERATIONS. 289 as a matter of everyday occurrence by animals upon eaeli other when left to wear in confinement their weapons of olfense, which, although doubtless of utility in a wild state, aie, in a state of domesticity, a men- ace to their companions and a dangerous incumbrance to themselves. The matter has acquired enhanced importance from the fact that, owing to the strenu roper treatment the advantages thus obtained need neither be lost nor lessened. The animal, shorn of its weapons, dreads the very approach of man, and its impulse is to go from him instead of for him. Animals have more retentive memories than they are generally credited with. In performing the operation the precaution of the greatest impor- tance is to see that the animal is secured so that it can not struggle enough to hurt itself. The animal may be thrown by any of the methods already indicated. The only additional accessories for the above purpose are a strong halter and a long rope, fastened around its girth before it is cast. The free end of this is then passed through the ring on the halter and the head jjuUed back against the ribs. A hitch underneath the tail should bring the rope forward to the halter, where it may be fastened, so as to be readily loosed when the first horn has been removed. To remove the second horn loose the head, turn the animal over, and refasten the head as before. The exponents of dehorning have attempted to envelop the opera- tion in a mist of a technical absurdities, and insist on the necessity of an apparatus as intricate as a self-binder and about as easy to move around as the average elevator. But the above method will answer all practical purposes. The only instrument needed is an ordinar}^ jointing saw, which should be used as quietly and quickly as possible. Animals may be dehorned any time except in fly time, or when the mercury is liable to droj) to the neighborhood of zero, and cold water is the only dressing needed. It is a good practice to deprive tlie ani- mal of food for twelve hours before operating. BLEEDING (bLOOD-LETTING). Although nowadays this operation has fortunately become less fre- quent than when it was generally considered the panacea for all ills, there are bej'ond doubt some cases in which the operation is admit- tedly the quickest and surest means of affording relief. SURGICAL OPERATIONS. 291 In cattle the operation is usually performed on the left juj^ular vein, which is large and is easily rendered so prominent as to prevent the possibility of mistake by tying a cord around the neck below the place where the incision is to be made. (PI. XXVII, fig. 4.) The rope should be tied in a slip knot, so as to admit of its being easily undone, or a rope used with a loop at one end and a series of good- sized knots at the other, the- loop and knots to be used as buttons and button holes. The proj)er instrument to use is a large-bladed fleam, (PI. XXVII, fig. o.) After the animal is secured the operator stands by the shoulder, holds the fleam in his left hand, the blade just short of touching the skin and parallel to the direction of the vein, and the stick or mallet with which to strike it in his right; one quick, sharp blow should be sufficient. If the hair is long, it is a wise precaution to moisten and smooth it down. When sufficient blood has been withdrawn the rope is removed and the orifice closed by means of a pin inserted through the lips of the incision in the skin only, and a piece of fine string or tow wound either over or under it in the shape of a figure 8, or in a circle between the skin and the pin (PI. XXVIII, fig. 10), the point of which should be clipped ofi:. To prevent the animal from rubbing the part and tearing or dislodging the pin, it is advisable to tie the head up for a couple of days, providing the animal's health Avill admit of it, after which the pin may be removed and the wound left to heal in the usual manner. Before leaving the subject it may be well to add that as the good effects derived from bleeding depend more on the quickness with which the blood is drawn than on the quantity extracted, it is of importance that a liberal opening should be made into the blood vessel and the blood allowed to flow until a perceptible impression has been made on the pulse, SETONING. Setons are used in cattle for various purposes, of which perhaps the most common is as a preventive in anthrax or blackleg, when a seton is usually inserted in the dewlap. This is not done to afford exit to any poisonous discharge from the sj^stem, as is generally supposed, but to cause a sufficient amount of inflammation to increase the coa.ii:ulating proporties of the blood, which in these diseases becomes altered (as described elsewhere), notably losing its viscidity and in consequence oozing through the walls of the blood vessels. For this purpose the seton should be deeply inserted and should be dressed daily with turpentine or common blister. The ordinary use of a seton is for a different object, as, for instance, to keep up constant drainage from a cavity containing matter, or to act as a stimulant or counterirritant. To insert a seton, the place of entrance and e: it having been decided on, with the finger and thumb make a small fold of the skin transverse to the direction the seton is 292 DISEASES OF CATTLE. to be inserted, and cut it through, either with a sharp knife or a pair of scissors (tliis should be done at both the entrance and exit); then with a stead}^ pressure and sliglit lateral movement insert the seton by means of a seton needle. (PL XXYIII, figs. 1 and 2.) The seton should consist of a piece of strong tape, varying in breadth according to circumstances, and should be kept in place eitlier by a knot on each end or by tying the ends together. Setons should be gently moved once a day after suppuration is set up, and they should not be allowed to remain in over three weeks, or a month at the outside. TRACHEOTOMY. This op