Gifr of Fk. STANENSF
LIBRARY
_NEW YORK STATE VETERINARY COLLEGE
ITHACA, N. Y.
Cornell University Library
SF 961.S81t 1893
iT
A TREATISE
ON THE
DISEASES OF THE OX:
‘BEING A
_ MANUAL OF BOVINE PATHOLOGY.
ESPECIALLY ADAPTED FOR THE USE OF VETERINARY
PRACTITIONERS AND STUDENTS.
BY
JOHN HENRY STEEL, M.R.C.V.S., A.V.D.,
PROFESSOR OF VETERINARY SCIENCE AND SUPERINTENDENT, BOMBAY
VETERINARY COLLEGE ;
LATE DEMONSTRATOR OF AND LECTURER ON ANATOMY AT THE
ROYAL VETERINARY COLLEGE OF LONDON ;
CORRESPONDING MEMBER OF THE ITALIAN VETERINARY ACADEMY ;
AUTHOR OF ‘OUTLINES OF EQUINE ANATOMY,’ AND
‘ DISEASES OF THE ELEPHANT.’
FOURTH EDITION.
j LONDON:
LONGMANS, GREEN, AND CO,,
AND NEW YORK: 15 EAST 16th STREET.
1898.
All rights reserved.
be hd « ge Rt 45 ne x
WORKS BY J. H. STEEL, F.R.C.V.S.
A TREATISE ON THE DISEASES OF
THE DOG; being a Manual of Canine Pathology.
Especially adapted for the Use of Veterinary Prac-
titioners and Students. With 88 Illustrations.
8vo, 10s. 6d.
A TREATISE ON THE DISEASES OF
THE OX; being a Manual of Bovine Pathology
specially adapted for the Use of Veterinary Prac-
tioners and Students. With 2 Plates and 117
Woodeuts. 8vo, 15s.
A TREATISE ON DISHASES OF THE
SHEEP; being a Manual of Ovine Pathology for
the Use of Veterinary Practitioners and Students.
With Coloured Plate and 99 Woodcuts. 8vo, 12s.
Lonpon: LONGMANS, GREEN, & CO.
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Bit
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On
PRINCIPAL JAMES BEART SIMONDS,
PROFESSOR OF CATTLE PATHOLOGY AT THE ROYAL VETERINARY
COLLEGE, HONORARY MEMBER OF THE AGRICULTURAL
SOOIETY OF ENGLAND, ETO.
WHO FOR
SO MANY YEARS PASSED HAS ENCOURAGED THE STUDY OF
CATTLE PATHOLOGY,
AT ONCE BY PRECEPT AND EXAMPLE,
AND HAS THEREBY MATERIALLY ASSISTED IN GIVING
TO BOVINE PATHOLOGY IN GREAT BRITAIN SUCH
SCIENTIFIC TENDENCIES AS IT MANIFESTS
IN THE PRESENT DAY,
THIS WORK IS
DEDICATED BY HIS FORMER PUPIL,
THE AUTHOR.
1881.
POSTSCRIPT.
Tuts edition of “ Diseases of the Ox” has been edited
many miles away from Great Britain. The publishers have
endeavoured to avoid material increase in size of the
book, although much new matter has been added, there-
fore the expedient of small type has, here and there, been
resorted to. So it must be remembered by the reader,
that smallness of type represents printer’s convenience
and expediency, and not unimportance of matter.
My best thanks are due to Veterinary Surgeon Fred
Smith, of the Army Veterinary School, Aldershot, for his
kindness in assisting to correct the proofs. The few
illustrations fresh to this edition are from Klein’s
valuable little work on micro-organisms, and permission
to make use of them is here acknowledged, with thanks.
J. HS.
Bompay, 1887,
PREFACE
TO THE
SECOND EDITION.
Tue five years which have elapsed since first this work
was introduced to the professional public have been marked
by important increase in our knowledge of the diseases of
cattle. Foremost among facts of practical interest and
scientific value to be recorded was the discovery of acti-
nomyces, which has cleared up several points which we
were, for lack of sufficient evidence, in our first edition
compelled to consider doubtful. The determination of the
distinct pathological nature of “ black leg,” the general
acceptance of Pasteur’s anthrax vaccination, the marked
progress of Willem’s inoculation for pleuro-pneumonia,
introduction of intratracheal injection as a method of
treatment for husk, and general application of the theory
of micro-organisms in blood diseases will be observed as
important matters inserted in this edition as the outcome
of recent progress.
The author has availed himself of the opportunity
afforded by a demand for a new edition to correct such
few inaccuracies as escaped notice in the former issue,
Vi PREFACE TO THE SECOND EDITION.
and also to add a few points which it is considered will
increase the practical value of the work to the reader.
The additions have been made with as little alteration in
style and in bulk as possible.
J. H.S.
Bompay, 1886,
PREFACE.
Bovine pathology has not been hitherto adequately re-
presented in British Veterinary Literature, but the time
has now come when it ought to take up its proper position
as a distinct section of veterinary science. Under these
circumstances it is somewhat surprising that none of our
leading veterinary surgeons have produced a scientific
work of a comprehensive nature on diseases of cattle.
Tt seems that some, owing to their professional engage-
ments, have had little time left for literature, while others
have been deterred by supposing that there must already
be many preparing to fulfil so urgent a task. An oppor-
tunity of preparing a work on this subject having pre-
sented itself, I have not hesitated to avail myself of it;
and in doing so I have not advanced to my work heedless
of the amount of labour involved in it, or of the uncer-
tainty of the data on which it would have to be based.
My ideal of a work on special pathology necessitated, in
the first place, the somewhat dogmatic summary of the
general study of disease comprised in the Introduction,
Section 1. With the data thus afforded I was in a better
position to specially consider diseases of the ox. No
trouble has been spared in assigning to each part of the
work its proper position, with a view to practical conveni-
ence and facility in study. The table of contents is, to a
certain extent, an expression of the careful arrangement
which I haveadopted. The intimate matter requires some
comment; my aim has been to tersely indicate the bear-
ings of the subjects dealt with, to point out that which
has been based on science and confirmed by experience
in contrast with crude theory and superstitious empi-
ricism. In following out this plan I have been compelled
vili PREFAOE.
to omit the arguments which have been advanced in
support of many theories. It may be fancied that in
these cases I am dogmatic, but a full statement of each
controversy would have trespassed too much on my space
and perchance on the patience of my readers, to many
of whom the work will, even in its present form, seem
quite large enough. I the less regret that I have
not been in a position to exhaustively treat my subject,
since simultaneously with the announcement of this manual
appears that of alarger and more pretentious work on the
same subject, by an author whose ability has been already
proved by an excellent volume on ‘Canine Pathology,’
Professor J. W. Hitt, F.R.C.V.S. My treatise on ‘ Bovine
Pathology’ is specially prepared for the veterinary practi-
tioner and student. I desire that for the former it may
be a useful means of recalling facts, which in the rush of
daily business are apt to slip the memory, and may also,
afford a ready reference to past periodical literature,
through which he would neither have time nor inclination
to wade. At the expense of severe literary research I
have summarised and arranged the facts which have been
communicated to the profession through the medium
of our journals. But while I have thus endeavoured
to produce an exact statement of the present condition
of cattle practice, I have not aimed at a record of pro-
found investigation. Neither the state of the profession
nor of science demands this, so I have been content to
think at every point “how does this concern the prac-
titioner ?” The requirements of the student are similar,
also his knowledge must be comprehensive and exact for
the emergencies of examinations. Thus, I have specially
aimed at method, the application of general principles,
and precise statement of facts and conclusions. Also I
have inserted accounts of methods of administration and
other details which might to the practitioner seem trivial.
I have endeavoured to as much as possible indicate the
relations of diseases of the ox to those of other animals,
and have, wherever necessary, alluded to liability of com-
munication of disorders to man, as by contagion, meat,
PREFACE ix
milk, &c. The time has not yet arrived when in considera-
tion of special pathology we can afford to omit a hasty sum-
mary of the leading points of the anatomy and physiology
of the object of our investigations. My method has been
chosen in the hope that it will refresh but not burden the
memory of the reader. Having thus, to the best of my
ability, prepared this work for the veterinary profession,
it will be observed that I have made free use of technical
terms (all of which, I believe, are explained in the intro-
duction), and have not encouraged empiricism by the
insertion of numerous prescriptions; I have indicated the
line of treatment, but the exact means to be used must
be adapted to the emergencies of each case. The few
formule given are such as from their general usefulness
or repute ought to be remembered by the reader. It will
be constantly found in practice that the difficulties arising
from complications of disease or from surroundings
necessitate special modifications of the methods here
suggested. Much of the success of a practitioner depends
on his skill in applying general principles to special cases,
and acting accordingly. JI may by some be considered
to have too much curtailed the list of symptoms of special
disorders ; in this matter I have in each case acted
advisedly, wishing to economise the labours of the
reader. Thus, “ general signs of febrile disorder ”
frequently does duty for the somewhat prolonged list of
these in detail, and so on in similar cases.
There being much difference of opinion among our
leading authorities on cattle pathology, it has seemed
to me best to express my own opinions, while stating
and acknowledging those of others. Thus, I am
fully prepared to find that many of my views do not
meet with general acceptance. I await the verdict of
the professional public, however, since I have proceeded
throughout on scientific methods, and have supplemented
such practical experience as was at my disposal by
most careful literary research. I have endeavoured to
express my acknowledgment of the assistance which I
have derived from the few comprehensive works on bovine
x PREFACE.
pathology, and the numerous works on veterinary surgery
and medicine which allude to diseases of cattle, as
well as from some very excellent writings on special
sections of my subject. Accordingly a bibliographical
list of these has been inserted, which will, I hope,
prove a useful guide to any reader who may wish to
work up a special subject. Lastly, I have to acknow-
ledge the kind courtesy by which the publishers and
authors of the following works have afforded to Messrs.
Longmans & Co. the numerous engravings, which have
been inserted in the hope of rendering the work of greater
value :—
Armatage, ‘ Clater’s Cattle Doctor’ (Messrs. F. Warne
& Co).
Harley & Brown, ‘ Practical Histology’ (Longmans &
Co.). :
Fleming, ‘ Veterinary Obstetrics’ (Balliére, Tindall &
Cox).
Colin, ‘ Traité de Physiologie Comparée’ (Balliére &
Co.).
Cobbold, ‘Internal Parasites of our Domesticated
‘Animals’ (The Field Office).
Dobson, ‘On the Diseases of the Ox’ (Messrs. Long-
mans & Co.).
Hrichsen, ‘ Surgery ’ (Messrs. Longmans & Co.).
Cut 4 has been copied by permission from Gant’s
* Science and Practice of Surgery.’
Messrs. Arnold and Son, the well-known veterinary
instrument makers, of West Smithfield, have supplied me
with some cuts of instruments, for which I hereby convey
my thanks.
Thus I submit my manual to the veterinary profession,
and in appearing for the second time as an author, I
venture to hope for such favour and consideration as
my first effort has received.
JOHN HENRY STEEL,
NOVEMBER, 1880,
CONTENTS.
CHAPTER I.—INTRODUCTION.
Stcrron 1. General Consideration of Disease.—Etiology, 2; Diagnosis, 3;
Symptoms and signs, 4; History,5; Pulse,6; Respirations, 8; Asphyxia,
9; Cough, 10; Internal temperature, 10; Other symptoms and the
means of observing them—Prognosis, 14; Death, 15; Morbid anatomy
or intimate pathology, 17; Degenerations, 18; Infiltrations, 20; Inflam-
mation, 23; Suppuration, 26; Caries and ulceration, 29; Gangrene, 32 ;
Necrosis, 33; Varieties of inflammation, 34; Congestion, 35; Hemor-
rhage, 36; Solutions of continuity, 37; Functional disease, 37; Post-
mortem examination, 38 ; Varieties of disease, 40; Treatment, 41; Opera-
tions, 43 ; Nursing and prevention, 46 ; Salutary inflammation, 47; Value
of rest, 48; Antiphlogistics, 49; Counter-irritants, 51; Treatment of
congestion, hemorrhage, and dropsy, 53.
Sgorion 2. The Ox in his relations to the General Consideration of Disease.
—Summary of general peculiarities of conformation and internal strac-
ture, 54; The influence of domestication on the constitution of the ox,
57; Other predisposing causes, breeding “ in-and-in,” gregariousness,
58; Diet, 59; Pregnancy, 59; Influence of surrounding air and climate,
60; Age, sex, and conformation, 61; Exciting causes, 61; Symptoms,
general, 62; Pulse,62; Temperature, 64; Respirations, 64; Cough, 65;
Other symptoms, objective, and subjective, 65; Prognosis, 68 ; Treat-
ment, 69; Methods of restraint, 70; Chloroform and chloroforming, 74;
Nursing and prevention, 75.
Sxotion 3. Bovine Therapeutics and Materia Medica.—Methods of admin-
istration of agents to the ox, 76; drenches, 76; balls, 77; enemas, 78;
inhalations, 79; subcutaneous injection, 80; Doses, 80; Materia medica,
tables, 82 to 87; Agents which are administered internally and those
which are applied externally, 88; Application of boiling water
and blistering, 88; Fomentations and poultices, 88; Disinfection, 89;
Bloodletting, 89; The use of setons, &c., 92.
CHAPTER II.—DISEASES OF THE BLOOD.
Srot1on 1. Non-specific Hamal Affections.—Hasty summary of the anatomy
and physiology of the blood in general, that of the ox in particular, 93.
Nutritive Disorders : Hypertrophy (plethora), 95 ; Atrophy (anzemia), 96 ;
xi > CONTENTS.
Cachexia aquaso verminosa (liver-fluke disease), 97; Perverted nu-
trition (pyrexia or fever), 99; Necremia, effects of lightning on animals,
102. Variations in Constitution: Increase or decrease of normal con-
stituents, 103; Leucamia or leucocythemia, 104; Retention of matter
which should be excreted, 105; Carbonic anhydride poisoning, 105;
Icterus, jaundice, 105 ; Urwmia, 108; Rheumatism, 109; Hemoalbumi-
nuria, muir ill, red-water or black-water, 111; Scarlatina, 115; Purpura
hemorrhagica (doubtfully urticaria tuberosa), diabetes insipidus and
mellitus, 115; Introduction into the blood of matters soreh to it—
ordinary toxic agents, specific toxic agents.
Srorion 2. Specific Hamal Affections—On the nature of these disorders in
general— inoculation, infection, and contagion, 117; Cancer, 124;
Scrofula or tuberculosis, 126; Phthisis pulmonalis, 126; Tabes mesen-
terica, 128; Tubercular meningitis, 129; Scrofulous arthritis, 129; Scro-
fulous tumours, “ wens” and “ clyers,” 129; Scrofulous inflammation of
the supra-pharyngeal lymphatic glands, 180; Tubercular mammitis, 132 ;
The essential nature of tubercle, 130; The changes which the miliary —
tubercle undergoes, 183; Relations of tuberculosis of cattle to that of
man, 134; Bacillus of tubercle, 185; Diagnosis of tuberculous and typhoid
ulcers, 186; Actinomycosis, osteosarcoma, spina ventosa or fibro-plastic
degeneration of bone, 189; Wens or “ clyers,” cancer of the tongue, 140 ;
Milk sickness, “trembles,’”? 141; Pleuro-pneumonia epizootica v. con-
tagiosa v. exudativa, 141; Post-mortem appearances, intimate pathology
after Dr. Yeo, 146; Treatment, the question of inoculation, 150; Eczema
epizootica v. contagiosa, 153; Its complications, 155; Its relations to
disease in man, 159 ; Rinderpest, cattle plague, or puschima, 160; Spread
of the contagium, 163; Means of eradication, 164; Its pathological
equivalent in man (different views), 168; Exanthemata, their general
characters, 168; Vaccinia, cow-pox, variola vaccinia, 169; Jenner’s
conclusions, smallpox in the cow, 170; Considerations on lymph for
vaccination use, 170; Relations to variola ovina, 171; Varicella and
vaccinoides, 171; Stages of vaccinia, 172; Infectious aphtha, 173;
Stomatitis pustulosa equi, 173; Aphthous disease of the genital organs
of cattle, 173; Anthracoid affections, charbon, 174; Its relations with
Bacillus anthracis, 175-177 ; Post-mortem appearances of these diseases
in general, also curative and prophylactic means, 177; splenic fever, splenic
apoplexy, essential charbon, 181; Texas fever, splenic fever (American),
or Spanish fever, 182; gloss anthrax, maligant sore-throat, blain or
“hawks,” 183; Charbonous gangrene of the lungs, 184; Emphysema
infectuosum, known also as black leg, black quarter, &c., 185; Ite rela-
tions to true anthrax, Arloing’s methods of inoculation, 185 ; Pyzmia and
septicemia, 188; Parturient septicemia, 189; septic mammitis, 190;
Glanders, farcy, and strangles, doubtful cases in the ox, 191; erysipelas,
191; and Diphtheria, 192; Croup, the relations of diphtheria of man to
“garget ”’ in cows, 193; Gangrenous stomatitis, 193; General considera-
tions of non-contagious specific disorders, 196 ; Malignant catarrh, coryza,
CONTENTS. xiii
or “ glanders,” 197 ; Rabies, “ hydrophobia,” 199; Recurrent fevers, 200;
Parasites in the blood or which are distributed throughout the system by
the blood, 201; Echinococcus disease, 201.
ADDENDUM 1. Poisons, 203.—Classification, 204; Cumulation, 204; Causes of
poisoning, 205 ; Examination ofa field, from grazing in which animals are
supposed to have been poisoned, 205; Treatment and post-mortem ap-
pearances, 206; Special stimulants—strychnia, 208; and ergot of rye,
208; Narcotics—opium, 209; Phosphorus poisoning, 209 ; Chloroform,
tobacco, 210; Hyoscyamus and belladonna, 211; Sedative poisons—
hydrocyanic acid, aconitum, 211 ; Conium, 211; Colchicum, yew, digitalis,
212; Lead, laburnum, 213; Irritant poisons, astringent poisons, corrosive
poisons, 214; Corrosive sublimate, 215; Eliminative poisons—arsenic,
antimony, calomel, nitre, 215; Copper-smoke disease, 216.
ADDENDUM 2.—Parasites and Parasitismus, 216 ; Animal parasitic organisms,
219 ; Tabular list of parasites infesting the ox and his allies, 222; Vege-
table parasitic organisms, 224.
CHAPTER III—DISEASES OF THE CIRCULATORY SYSTEM.
Srction 1. Of the Heart.—Summary of special points of anatomy and phy-
siology of this organ, 225 ; “ Functional” disease—palpitation, 227 ; Or-
ganic diseases—inflammation, carditis, or myocarditis, 228 ; Hypertrophy,
228; atrophy with fatty and cretaceous degeneration, also the condition
known as “ pouched heart,” endocarditis, 229; Pericarditis, 231; Trau-
matic and idiopathic, 234; Hydrops pericardii, rupture of the pericar-
dium, cardiac polypi or hematomata, 235 ; Tumours and parasites on and
in the heart, rupture of the heart, 236; Malformations and misplace-
ments (ectopie), 237.
SEcTion 2. Of the Arterial System.—Degenerations (atheromatous and tu-
bercular), aneurism, 238 ; Thrombus, wounds of arteries, 239 ; Irregulari-
ties, 239.
Sgotion 3. Of the Capillary System.—Capillary hemorrhage, 240.
Sxcrion 4. Of the Venous System.—Phlebitis, 240; Thrombus, rupture
varicosity, 241; Varicocele and tumours of the veins, 242.
AppEenpuM 1. Diseases of the Lymphatic System.—Inflammation, mistakenly
called “farcy,” 242; Lymphadenoma or lymphoma, 243,
AppENDUM 2. Diseases of the Vascular or Ductless Glands.—Spleen—
hypertrophy, atrophy, inflammation, parasitic invasion, rupture, 243;
Of thyroid and thymus, 244.
CHAPTER IV.—DISEASES OF THE DIGESTIVE SYSTEM.
Sxcrron 1. Of the Alimentary Canal.—Irregularities and diseases of the lips,
teeth, 245 ; and palate, 247; Dropping the cud, 248; Anatomy and phy-
" siology of the salivary glands of the ox, 248; Ptyalism, inflammation,
parotiditis, 249; Non-occurrence of salivary calculi; the tongue, 250;
xiv CONTENTS,
_glossitis, 251 ; Induration, 252; Cramp, 253 ; Cystic diseases and injuries,
253; Paralysis, and ulcers, 253; Aphtha, 254; Congenital malformation
of the palate, 255; Pharyngeal polypus: the esophagus, 255; Csopha-
gitis, fibrous degeneration, dilatation, stricture, 256 ; Parasites, Rupture,
257; Warty growths or degeneration of the mucous membrane, Choking,
258; Passing the probang, 261; Csophagotomy, 263; Vomition, true
and false (after Youatt), 264; Anatomy of the gastric apparatus, 265;
Rumination, 269 ; Tympany, “ Hoven” or “ Blown,” 272 ; Puncture of
the rumen, 276; Impaction of the rumen, 278; Alvitis, 278; Rumino-
tomy or “ paunching,” 279; Rupture of the rumen, 280; Foreign bodies
in the rumen and reticulum, 281; Parasites, calculi, hair-balls or ega- _
gropiles, 281; Hernia of the rumen and reticulum, Impaction of the
omasum, 282; Omasitis, 284; Abomasitis, 285; Impaction of the abo-
masum, also atrophy of the lamin of the omasum, 285; Rupture of the
abomasum, parasites in it, also rupture of the blood-vessels of the stomach,
286 ; Indigestion, stricture of the pylorus, 286 ; Gastro-enteritis of calves,
vulgarly known as “ white scour” or “skit,” 287; The intestines, 288;
General anatomical and physiological considerations: colic, simple spasm
of the bowels, 291; Colic, flatulent, 292; Impaction or distension with
obstruction of the bowels, calculi, intussusception or invagination, 292 ;
Volvulus, ileus, or twist of the bowel, 293; Laparotomy, 293; Hernia,
294; Umbilical, exomphalos, 295; Ventral, 297; Phrenic, mesenteric,
inguinal and scrotal, 298; Pelvic hernia, “gut-tie” or “bound,” 299 ;
Prolapsus ani, 301; Constipation, 302 ; Use of cathartics in cattle prac-
_ tice, 303; Hemorrhoids or piles, diarrhea, 304; Dysentery, “ bloody
flux,’’ 806 ; Pantas, moor-ill, or wood evil, 8308; Enteritis, 309; Crupous
form with fibrinous intestinal casts, 310 ; Intestinal apoplexy, perforation
or rupture of the intestines ; of the rectum, 311; Intestinal parasites and
tumours, malformations of the intestines, proctatresia or impervious anus,
mechanical distension of the rectum, 312.
SxEctTIon 2. Of the Liver.—Hepatitis, 313 ; Congestion of the liver, hepati-~
rhoea, hemorrhage from and rupture of the liver, 315 ; Ramollissement or
softening, 316; Hepatic hernia, 317. :
ADDENDUM 1.—The gall-bladder and its diseases, 317.
ADDENDUM 2. The pancreas and its diseases, 318.
Sxorion 3. Of the peritonewm.—Peritonitis, 318 ; Ascites or dropsy, 319.
CHAPTER V.—DISEASES OF THE RESPIRATORY APPARATUS.
Comparison of this apparatus of the ox with that of the horse, also anatomical
and physiological details, 321; Auscultation, 322; Nasal and laryngeal
sounds, 323; Cavernous rale, sibilus, rhonchus, &c., 323; Examination
of the chest of the ox by auscultation, 324; Percussion, 326; Mani-
pulation, succussion, and mensuration, 327; Nasal chamber, anatomical
facts, 8327 ; Catarrh, 828; Epistaxis, nasal polypus, 329; Parasites, nasal
gleet, laryngitis, 330; Tracheotomy, 331; Laryngotomy, 332; Pharyn-
CONTENTS. XV
gotomy, 333 ; Tumours of the larynx and fractures of the cartilages,
333; The trachea, its anatomy, 333; Bronchitis, 335; Chronic form,
336; Asthma, 337 ; Parasitical form, “ husk,” “ hoose,” “ hoast,” phthisis
pulmonalis verminalis, 337; Fumigation, 340; Pulmonary congestion,
acute, 341 ; subacute, 341; Pulmonary apoplexy, 341 ; Hamoptysis, 341 ;
Pneumonitis, 342, Crupous and catarrhal forms, 342, Interstitial form,
343; Cysts in and wounds of the lungs, 345; “Tic,” 346; The Pleura,
pleuritis, pleurisy, hydrothorax, 346; Empyema, 347; Paracentesis
thoracis v. thoracentesis, 348 ; Pneumothorax, pleuro-pneumonia spora-
dica, 349; The diaphragm, rupture of, 350.
CHAPTER VI—DISEASES OF THE URINE AND URINARY
APPARATUS.
Auatomical features of urinary apparatus, 351; Composition and characters
of the healthy urine of the ox, 352.
SEoTION 1. Abnormalities of the Urine.—Diabetes simplex v. insipidus, 352 ;
Non-secretion of urine, hematuria, 353; Albuminuria, 354.
SEctTIon 2. Diseases of the Kidney.—Nephritis, 355 ; Abscess, Renal calculus,
357; Parasites, renal encephaloid, 357.
SECTION 38. Diseases of the Urinary Passages.—Calculi in and dilatation of
the ureter, 357; The bladder, retention of urine and ischury; passing the
catheter, 358; Incontinence or diuresis, 359; Dysuria, strangury, cystitis,
360; Spasm of the neck of the bladder, rupture, inversion (prolapsus),
361; pervious urachus, calculus, and sabulous matter or “ gravel,” 362 ;
Rupture of the urethra, lithecstasy, lithotrity, 363; Lithotomy, 364;
Tumours in the bladder, 364; urethral calculi, stricture of urethra, pra-
putial calculus, 365.
CHAPTER VII.—DISEASES OF THE ORGANS OF SPECIAL SENSE.
SEorion 1. Abnormalities of the Skin.—Hidebound,” “staring coat,”
Classification of skin disorders, 366.
Sub-section 1, Non-parasitic Diseases : Inflammation.— Dermatitis, erythema,
E. mamillarum (“sore teats”), 367; Eczema, psoriasis, herpes, 368 ;
Impetigo (pustular dermatitis), urticaria (nettle-rash or surfeit), urt.
tuberosa, stinge (blain or singe), 369; Ecthyma or acne, furunculus, car-
buncle, pemphigus, 370. Hypertrophie.—Keratoid, pityriasis, nzvus,
371; Dermopilous cysts, scleroderma (elephantiasis), warts (“angle
berries,” verruce), 372. Atrophic—Alopecia (depilation or baldness),
373. Functional—Cdema or anasarca, emphysema, 373; bloody sweat,
Pruritus (neurosis), 374; effects of colour on diseases of the skin, 374,
Sub-section 2. Parasitic Disorders of the Skin.—Animal Parasitic Diseases
of the Skin of Cattle—Mange, acariasis, 375; Phthiriasis (lousiness),
estriasis (“ warbles”), 378; tsetze fly, maggots, and ticks, 379. Vege-
table Parasitic Diseases of the Skin of Cattle—Tinem, “ringworm,” T.
xvi CONTENTS.
favosa, (honeycomb ringworm), 379; T. tonsurans, decalvens v. depilens,
380. :
SECTION 2. Diseases of the Foot.—Anatomical considerations, 381; Foul (loo,
low), 382; Amputation of the foot, 384; Laminitis (founder), loss of a
hoof, sore feet, shoeing, 885; Overgrowth of horn, pricks and other
penetrating wounds, monstrous conditions, interdigital fibromata, ulcera-
tion of the heel, 386.
SECTION 3. Diseases of the Ear—General considerations, otitis, 387.
SxcTIon 4. Diseases of the Eye and its Appendages, 387.
Sub-section 1. Abnormalities of the Ocular Appendages.—General considera-
tions, 387; Bony tumours on and fractures of the margin of the orbit,
fungus hematodes, lacerations, emphysema, edema, warty growths of
the eyelids, 388; Ptosis, tumours on caruncula lachrymalis, 389.
Sub-section 2. Diseases of the Hyeball—Anatomical features, conjunctivitis
(simple ophthalmia), keratitis or corneitis, 389; opacity of the cornea,
nebula, albugo, staphyloma, 390; Congenital hairy tumours, worm
in the eye, lymphy deposits in aqueous chambers, specific or periodic
ophthalmia (retinitis), 391; Cataract, amaurosis, 392.
SECTION 5. Diseases of the Organ of Taste.—Perversion of gustation, 393.
CHAPTER VIII.—DISEASES OF THE NERVOUS SYSTEM.
General considerations, 394.
Srcrion 1. The Cerebro-spinal System.—The brain, phrenitis (encephalitis,
cerebritis, phrensy), 894; Epilepsy (megrims and staggers), 396; Apo-
plexy, 397 ; Dropsy (hydrocephalus). Hydr. congenitalis, operation for
delivery, 398; Parasites, 400; Bony tumours in cranium (“ossified
brain”), “stomach staggers,” coma, narcosis, delirium 401; The spinal
cord, myelitis; tetanus, 402; Paralysis (palsy), 404; Progressive lipoma-
tous paralysis, 406; Adynamia nervosa generalis, 407; Chorea (string-
halt), parturient apoplexy (milk fever, dropping after calving), 408;
“ Bedsores,” 409; Parturient fever, mania puerperalis, the nerves:
neurotomy, division of the pneumogastric nerve, 414.
SECTION 2.—TZhe Sympathetic System, 414,
CHAPTER IX.—DISEASES OF THE SKELETON, &o.
General anatomical considerations, 415.
Suction 1. Abnormalities of the Osseous System.—Ostitis, 416; Periostitis
and inflammation of the outer lamina of a bone, periostosis and exostosis,
417; Osteophytes, fragilitas ossium, cachexia ossifraga malacia, 418 3
Osteoporosis, rachitis (rickets), 419; Fractures, 420; Of the horns, of
the metatarsal or metacarpal bones; of the os innominatum, 421 3 of
the ribs, and cranium, “ greenstick fracture”? and separation of epi-
physes, 422,
CONTENTS. xvil
Srorion 2. Injuries to and Diseases of Ligaments and Muscles.—Sprain,
complete rupture, sprain of the fetlock-joint, 423; Of ligamentum teres
of the hip, ruptured suspensory ligament, ruptured serratus magnus,
424; Displacement of abductor femoris, parasites in muscles, open tendi-
nous sheaths, 425.
Suction 3. Abnormalities of the Joints.—Arthritis, 425; Hydrops articu-
lorum (dropsy of joints), 426; Synovitis, relaxation of the pelvic sym-
physis; Dislocations or luxations, 427; Of the patella, 428.
CHAPTER X.—WOUNDS AND OTHER SURGICAL CONDITIONS.
SECTION 1. Wounds.—Incised, punctured, lacerated, 430 ; Contused, poisoned,
gunshot, methods of repair, 431; Treatment, 432; Sutures, 434; Anti-
septic surgery or “ Listerism,” 435; Results of wounds, 436.
Srction 2. Tumours, 436.
Sub-section 1, Malignant.—Cancers, carcinomata, scirrhus, 437; colloid,
medullary sarcoma (encephaloid), 4388; Epithelioma, melanosis (“black
cancer ”’), treatment, 439; Sarcomata, 440.
Sub-section 2. Non-malignant, Innocent, Simple.—Solid, epidermic, or epithe-
lial, fibromata, 440; Lipomata, enchondromata, exostosis and osseous
tumours, calcareous, lymphomata, cystic, hamatomata, serous abscesses,
441; Bursal enlargements, hydatids, dermopilous cysts, 442; Treatment
and surgical removal, 443.
CHAPTER XI.—THE GENERATIVE ORGANS.
Sgorion 1. Diseases of the Male Organs of Generation.—Anatomical con-
siderations, castration, 446; The various methods of procedure, orchitis,
450; sarcocele, varicocele, sterility, hydrocele, injuries and cancer of the
penis, 451; Phymosis, urethral calculus, 452; Gonorrhea, “ bull-burnt,”
453 ; Urethritis, 455.
SrctTion 2. Diseases of the Female Generative Organs.—Anatomical con-
siderations, 455 ; Dropsy and atrophy of the ovaries, 456; Ovariotomy,
“spaying,” 457; Menstruation, “cestrum,” or “ heat,” 458; Profuseness,
suspension, or retention of cestral products, amenorrhea, sterility, “ free
martins,” 459; Utero-gestation, false labour-pains, 460; Signs of preg-
nancy, abortion, “slinking,” 461; Premature birth, prolonged utero-
gestation, excess in number of the progeny, superfcetation, extra-uterine
conception, 463; Cesarean operation, parturition, 464; “Cleansing,” or
“after-birth,” retention of the foetal membranes, 465; After-pains,
placenta previa, hemorrhage per vulvam, 466; “ Blood flux,” presenta-
tion, normal; mechanical assistance sometimes required, 467; False or
abnormal, 468-475; Diseases and irregularities of the calf—hydroce-
phalus, ascites, emphysema, polysarca, oedema, 475; Monstrosities, 476;
“Lusus nature,” 478 ; Embryotomy, 478; Twins, 480; Diseases of the
b
XVIii CONTENTS.
foetal membranes, dropsy of the amnion, hydramnios, 480; Hair-balls
in liquor amnii, obstructions of the genital passages, tumours, imper-
forate vagina, 481; Stricture of os uteri, soft strictures, vaginal
hysterotomy, impervious os uteri, 482; Persistent hymen, torsion of
the uterine neck, 483; Dilatation of os uteri, imperfect post-partum
contraction of the uterus, uterine inertia, 484; Furor uterinus, bydrops
uteri, inflammation of the uterus, endometritis, 485; Ecthymatous
disease of the arms of veterinary obstetrists, metroperitonitis or puerperal
peritonitis, 486; Lacerations of the uterine walls, uterine fistula, rupture
of the uterus, 486; Prolapsus vel inversio uteri, 489; Amputation of the
uterus, inversion of the vagina, 493; Inversion of the bladder, hernia
uteri or hysterocele, tumours in the uterus, malformations of the uterus,
494; Rupture of the vagina or vulva, recto-vaginal fistula, vesico-vaginal
fistula, leucorrheea (“ the whites ”), vaginitis, 495.
ADDENDUM 1. The Lactiferous Apparatus.—Absence or imperforated state
of the teats, 496; Mammitis, v. “ garget,” downfall of the udder, 497;
Scirrhous state of the mammary gland, 498; Congestion, tumours on the
teats, 500; Obstructions in the teats (as lacteal calculi), inflammation of
the lining membrane of the duct, stricture, relaxation, lactorrhea, 501.
ADDENDUM 2. Milk and its Diseases, 501; Agalactia, 502; Hypergalactia,
changes in the quality, 503.
ADDENDUM 8. Diseases of very Young Animals, 503.—Umbilical hemor-
rhage, perviousness of the urachus, gastro-enteritis, accumulations of
meconium, inflammation of the umbilical cord v. omphalitis, edema of
the umbilicus, 504.
Bibliography, 505.
FIG.
165.
20.
23a.
24,
25.
26.
27.
28.
29.
31.
382.
33.
34.
35.
36.
37,
38,
LIST OF ILLUSTRATIONS.
Exploring trocar (Arnold) ‘ .
Fatty degeneration of the heart (Harley andl Brown) is
Pus-corpuscles and mucus-corpuscles (Harley and Brown)
Process of healing of a wound by granulation (after Gant)
Spray diffuser for anesthetics or disinfectants . :
The “bull dogs” applied (Armatage) . . ‘
An ox prepared for casting (Armatage) . . .
The stomach-pump in use (Armatage) . . .
Application of steam to the nostrils (Armatage) .
Method of covering the nostrils for steaming (Armalagey
Hypodermic syringe (Armatage) . . ‘
Clyster syringe (Arnold) . : . .
. Ox prepared for bleeding (emaiase) A : .
Bleeding fleam (Arnold) . ; 2 : .
Seton needles (Arnold) . . . 7 .
Red blood-globules (Dobson) s 3 5 .
Fascicola hepatica (Cobbold) . 7 % .
Distoma lanceolatum (Cobbold) . . . .
Amphistoma conicum (Cobbold) . ; .
Elemeuts of an encephaloid tumour (Harley and poe .
Tubercle (Harley and Brown). ‘
Incipient pleuro-pneumonia epizootica (Simonds)
Advanced stage of pleuro-pneumonia (Simonds) . .
Bacillus anthracis (Klein) . .
Gloss anthrax, or blain, early stage (Armatage)
248, 24c. Bacilli (Klein) . ; 3
Malignant catarrh, second stage (asmiatase) ‘ :
Teonia echinococcus (Cobbold) . . °
Infusoria from alimentary canal (Colin) . 7
Cysticercus tenuicollis (Cobbold) : 7 *
Beef measles in the heart of a calf (Cobbold) * ‘
A beef measle (Cobbold) . . . . ‘
Pentastoma (Cobbold) 7 fs é
Thoracic contents, as seen from the left aida (BSimondé) .
The heart with right cavities opened (Simonds) . ‘
Ectopia cordis (Fleming) . 7 : ‘ .
Artery ligature knots (Erichsen) . é j ‘
Tying an artery (Erichsen) :
A piece of a thymus of a calf (Harley and Brewed .
Incigors of the ox (Chauveau) . ‘ : :
223
223
223
228
225
226
237
240
240
244
246
39.
42,
LIST OF ILLUSTRATIONS.
Teeth of the ox (Chauveau) . . . .
Salivary glands with their ducts (Simonds) . .
Passing the probang (Simonds) 7 r . .
Armatage’s wooden gag. .
Forceps or grasping probang (dsmasapey. a
Csophageal groove (Carpenter)
Rumen and reticulum opened, seen from the left (Simonds)
Ditto, muscular coat (Simonds) .
Omasum and abomasum (Simonds) . 7
Gastric mass, from the left (Simonds) . < ‘ ‘
Ditto, from the right (Simonds) . : - s .
Rumen in state of distension (Simonds) . ‘ .
Seat of puncture of rumen (Simonds) . . ‘ .
Trocar and canula 3 . . : . .
Stomachs of the calf (Simonds). . ‘ . .
Position of intestines of the ox (Colin) . , . ‘
Intestines, from the left (Simonds) x * ‘ %
Ditto, from the right (Simonds) . ‘ : j <
Truss for the umbilical hernia (Armatage) . . .
Clamps for umbilical hernia (Armatage) . . .
Liver and pancreas of ox (Simonds) i
Tracheotomy tube (Armatage) . Z
Animal wearing tracheotomy tube (hematawe) .
Larynx and os hyoides of the ox (Simonds)
Bronchi and lungs of ox (Simonds) . :
Thoracentesis v. paracentesis thoracis (enistana) Z
Ditto, primary incision (Armatage) . ‘ .
Kidney of the ox (Chauveau) ; 7 . :
Passing the catheter in the ox (armatage) : .
Mange insects (Dobson) . i
Hair with trichophyton spores (Nantes anid ewe) .
Method of applying dressings between hoofs (Armatage)
Staphyloma (Armatage) . . . 7
Congenital hydrocephalus (Simonds) . . . :
Ccenurus cerebralis (Cobbold) 2 . . .
Ditto, in sitd (Cobbold) . ¢ é ‘
Natural position of rest, as in adynamia (Ar snuteeds 3
Puerperal (parturient) apoplexy (Fleming) 7 i ‘
The catheter ‘e ‘ i ; ‘ 3
Skeleton of the ox (Dobson) : s : :
Dislocation of the patella (Armatage) ‘
Means of prevention of its recurrence (Armatage)
Pin or figure-of-eight suture (Dobson) é
Interrupted suture (Dobson) 3
Scirrhous growth from the mammary siand (Harley a Browa)
Suction trocar (from Erichsen’s ‘Surgery ’) .
Pneumatic aspirator . : . ‘ .
Miles écraseur 8 . ¥ - + %
PAGE
248
261
261
262
265
266
267
268
270
270
273
276
276
287.
289
289
290
296
296
313
331
331
332
334
348
351
359
375
380
384
390
399
400
400
407
413
416
428
428
434,
434
437
441
442
444
LIST OF ILLUSTRATIONS,
FIG.
87. Beach’s écraseur . . . . .
88. External generative organs of a bull (Chauveau) .
89. Urethral canal of the ox (Armatage)
90. Castrating clamps . . . . .
91, Female generative organs (Simonds)
92. Maternal and fotal cotyledons of the cow (Fleming)
93. Normal presentation (Simonds) . . .
94 —99. Abnormal presentations (Simonds)
100. Congenital ascites (Simonds) : .
101. Hydrocephalus congenitalis—calf eming) .
102. Harelip (Fleming) .
103. Common embryotomy knife
104, Gowan’s knife . : . . .
105. Finger hook é 7
106. Chain saw .
xxi
PAGE
449
458
468
469-47 4
- A476
477
479
479
479
479
107. Portion of chorion with plaventulie (from Fleming’ 8 ‘Obstetrics 489
108. Cotyledon of a cow’s uterus (do.) .
109. Gowing’s truss (Simonds) .
110. The loop of Delwart’s truss (Fleming’ 8 ‘Obstetrics 0)
111. Lobules of lacteal gland (after Langer) .
112. Means of supporting the udder in mammitis (Armutape)
113. Injection of fluids into the mammary gland (Armatage) .
114. Section of a cow's teat (Colin) . ‘
115. Lobule of a mamma filled with milk (Calin .
116. Milk or teat syphon «i ‘ .
117. Parturition forceps e ‘ . .
Plate I.—Section of a pleuro-pneumonic lung—Frontispiece.
Plate I1.—Feetus in utero—To face page 455.
Instruments of control (Peuch and Toussaint)—To face page 72.
Page 72, 14th line from bottom should be Vigan.
3 18th ‘5 o 5b Goiffon.
490
» 492
493
+ 496
- 499
+ 499
+ 602
+ 603
- 504
LIST OF SURGICAL OPERATIONS AND
DIAGNOSTIC MEANS.
PAGE
1. Taking the pulse—sphygmograph . : : : ‘ 6
2. Taking the temperature—thermometer 3 ‘ . - (10
8. Ophthalmoscope and exploring needle . : . . (4
4. Method of conducting a post-mortem examination . . - 388
5. Methods of restraint . ; ‘ ‘ $ - 70
6. Use of anesthetics . 3 . a é «74
7. Administering a draught . - a ‘ ‘ - 76
8. Administering anenema . . ‘ . - 7
9. Administering an inhalation . . . 5 : . 79
10. Subcutaneous injection : : . : ; . 80
11. Application of boiling water . : . ‘ ‘ 88, 310
12. Bleeding P . . . . . . . 89
13. Setoning . . . . . . . 92
14. Tests of urine in jaundice . F ‘i . : - 106
15. Inoculation for pleuro-pneumonia . . . . . 161
16. Vaccination . : ; 5 . : . . 170
17. Operation for traumatic pericarditis . c 7 - + 234
18. Ligature of arteries . . ° 7 240
19. Passing the probang . . . i. . 261
20. Esophagotomy . . . : : 263
21. Puncture of the ramen : . . ‘ : . 276
22. Ruminotomy, “ paunching” . : . . ‘ . 279
23. Laparotomy or gastrotomy . . - 293
24, Operation for umbilical hernia rs : ‘ 296
25. Operation for ventral hernia . : 7 - 3 - 297
26. Taxis . , . . A . : A » 299
27. Operation for inguinal and scrotal hernia ‘ . - 299
28. * pelvic hernia . 7 . fs + 300
29. Operation for impervious anus . . : 3 - 812
30. Paracentesis abdominis 2 . * s . » 3820
31. Auscultation . . . . . : . » 324
32. Percussion . 7 . : F . . - 826
33. Operation for pharyngeal polypus. . . 2 - 330
34, Tracheotomy . . . . . . . - 331
35. Laryngotomy. 7 . . . ' . + 332
36. Pharyngotomy . . S . . ‘ « 883
37.
38.
39.
40.
41.
42.
43.
4A,
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58
70.
val
72.
73.
74,
75.
76.
77.
78.
79.
80.
81.
82.
LIST OF SURGICAL OPERATIONS AND DIAGNOSTIC MEANS. xxiil
“Mulling,” or pnchitiilasts, 446 ; lashing,” 447; with
elastic band, 448; with hot iron, 448; scraping, 448 ;
ligature, 448; torsion, 448; “ tearing out the testicles,”
449; with the écraseur, 449; with the clamps, 449;
covered operation, 449.
PAGE
Fumigations in parasitical bronchitis ‘ ‘ . . 340
Paracentesis thoracis or thoracentesis : : . . 348
Testing for albumen in albuminuria - . . » 354
Operation for. renal calculus é ; s . . 857
Passing the catheter : . F . . 3859
Lithotrity, lithecstasy, and lithotomy . % * 863
Operation for urethral calculus. ; . ‘ . 3865
Amputation of the foot . 4 . . . . 884
Shoeing ‘ s : s . “ - 385
Removal of worm from theeye . - . ‘ 391
Delivery of hydrocephalic calf . ; - . 398
Trephining for Coenurus cerebralis . . . . - 401
Neurotomy ‘ : . . ‘ . - 414
Periosteotomy . . . . e : . 417
Setting a fractured bone . . . « 421
Operation for dislocation of abaivetan fasartx , 7 « 425
Reduction of a dislocated patella . ‘ ‘ . - 428
Means of checking hemorrhage. . 5 . + 432
Treatment by means of sutures. ‘ . - 434
Antiseptic surgery, or “ Listerism ” . . . + 435
Surgical removal of a tumour ‘ : F . 443
—69. Castration 7 . . 446-450
Ovariotomy, “spaying” . . . * 7 « 457
Signs of pregnaney . . . . . - 461
Cesarean operation . . . . : . 464
Signs of parturition . : . . . - 465
Removal of the foetal membranes . + 465
Management of a parturition case with connie ‘srouentatfod - 467
Ditto, abnormal : . - 468
Operations for hydrocephalus donpen tats sei aseitnd . - 475
Embryotomy . : . : . - 478
Operation for stricture of os uteri . . ° - 483
Operations for torsio cervicis uteri . _ e - 484
Restoration of uterus in prolapsus ‘ . . - 491
Amputation of the uterus . ' . ° .
494,
oonrowond =
LIST OF TABLES.
PAGE
. System of record of cases ‘i . ; . 7 7 6
. Agents whichare administered internally . és : « 682
. Ditto, externally . . . a . . - 86
. Classification of poisons . 2 . . 3 + 204
. Parasites (after Cobbold) : ° . . g - 222
. Classification of skin diseases . i . . . . 866
BOVINE PATHOLOGY.
CHAPTER I.—INTRODUCTION.
Srctrion 1.
Diszasz is a departure from a healthy condition, and is
consequently modified in its characters and effects in
animals of different species by special anatomical and
physiological peculiarities. In by far the larger number
of cases functional disorder is present, dependent on
structural changes, and it seems that, with the improve-
ments which will be made in our methods of minute
examination of tissues in health and in disease, we shall
in direct ratio find that diseases supposed to be purely
functional are due to alterations in structure. This has
already been done in many cases, and we may take it as a
law, sufficiently proved for working purposes, that disease
is a departure from healthy structure of constituents of
the body. These constituents of the body are elements,
such as cells, fibres, membranes, and granules, which are
combined together to form tissues, which produce by
union in various ways the organs which co-operate to
accomplish the various processes essential to life. In
the highest animals these organs are collected into
systems for the accomplishment of the various functions
which high complexity of vitality necessitates. Thus,
in pathology, we have to deal with elements, tissues,
organs, and systems, and all of these are bound together
so intimately in the animal mechanism, that alteration of
any one of them tends to throw the body into an abnor-
1
2 BOVINE PATHOLOGY.
wal state. Alteration of structure as present in disease
is often brought about by changes from ordinary states of
parts in situation, relations (either among themselves or
with foreign bodies), andform. Such changes may result
occasionally from inherited and other intrinsic influences,
but are almost always due to agency from without. Every
living being is adapted to certain external conditions, and
is capable of undergoing modification in accordance with
any variations which these conditions may show within
certain limits ; but the complexity of organisation in such
an animal as the ox requires gradual transitions, or dis-
order ensues. Thus, we generally seek the cause of any
attack of disease in changes of surrounding agencies, as
weather, food supply, &c. This branch of study is termed
Erronoey.
Causes are predisposing or exciting. The greater the
amount of activity in a part or animal the greater the
liability to disease. Thus may be explained a-number of
facts, such as that highly organised animals are most
often diseased, when we develop one system specially for
economic purposes it most frequently of all the body
systems is liable to disorder, and the most active body
tissues are similarly susceptible. But apart may be in such
a highly active condition and yet able to do its duties, until
some sudden change disturbs its relations with surrounding
parts and alters its structure. These states of verging on
disease are termed Prupisposine Causes. Thus, the milch
cow is predisposed to mammitis, and the fattening ox to
diseases of the digestive apparatus. By an extension of
meaning, predisposition has come to imply also liability to
disorder from any external surrounding conditions ; thus,
we hear of predisposition to choking in the fact of animals
being fed on improperly prepared turnips, and to hair
accumulations in the rumen, as a result of the habit oxen
have of licking themselves and each other. Determination
of all predisposing causes present is highly necessary, for
counteraction of them is essential to success in treat-
ment.
By some authorities intrinsic causes are termed Predis-
INTRODUCTION. 3
positions, in contrast with simple predisposing causes
which act from without. Among these, hereditary pre-
disposition is of great importance. When we consider
that the parent transmits to the offspring similarity of
external structure, with the specialities of function result-
ing therefrom, we shall hardly deny that peculiarities of
internal structure are also transmissible. So intimate is
the connection between the various parts of the body that
each must be affected by the others. Thus, the germ-cell
and sperm-cell have special family characters manifested
only in the product of their development. The parent
and offspring being alike in most structural points, and
special structure giving special liability to disease, we can
understand how it is that hereditary predisposition to
disease of special form occurs in such disorders as tuber-
culosis and cancerous diseases. The reverse of predis-
position is termed immunity.
Excitine Causes are the direct producers of disorder ;
sometimes they are enabled to act deleteriously in spite of
the absence of predisposition, but generally they find
certain favouring states, so, the cautery always arouses
diseased action, but a mild external stimulant may simply
arouse the activity of the part to which it is applied; the
latter, however, becomes an active promoter of mischief
when the part is already in a disordered state. Removal
of the cause, of all causes, is the grand principle in treat-
ment of disease. Our inability to draw a sharp line of
demarcation between health and disease is a direct result
of deficiency in our acquaintance with structure and
function. We cannot yet tell whether structure exists in
the protoplasmic contents of cells; and when we see that
a white blood-corpuscle is capable of exhibiting all the
properties of life, we cannot doubt that profound secrets
of nature, as carried on in the laboratory of cell structure,
remain yet to be explored.
Diagnosis oF Disuasz is determination of the seat and
nature of a malady. An animal is brought to us “ill,”
as manifested by certain symptoms. ‘These may be
general or special. All animals have certain ways of
4 BOVINE PATHOLOGY.
showing that they are unwell, and we shall have to notice
such among bovines. These depend upon special structural
or physiological peculiarities, so that one of our earliest
duties will be to indicate these as distinctive of the ox
and his allies.
These general symptoms are often the first which appear,
and then are pREmMoNITORY; they do not always persist
throughout the attack, being obscured by special symptoms
in many cases. They especially come under the notice of
caretakers of animals, and the value of such depends
much upon their ability to mark at the earliest stage
departure from the usual habits of the animal.
Stans, Diacnostic or Spectan Symptoms, serve either to
enable us to determine the seat or nature of a malady.
They may be simply manifested in the diseased part or
parts, but we often find that local disorder becomes
systemic, as a result of the close relations existing between
all parts of the body, especially in their functions.
Systemic Symproms are found in inflammations and
debilitating diseases, for example; they prove useful in
determination of the nature of the disease, but observation
of Loca, Symprroms is essential to complete diagnosis. The
latter indicate to us what parts must be especially affected
by treatment, the former show us what the nature of the
remedial means must be. Sometimes the systemic sym-
ptoms are present, but no local indications can be observed.
This occurs in “ blood diseases ”’ in which the blood, a tissue
with liquid intercellular substance, being circulated in
every part of the body, gives a generally diffused mani-
festation of disease, which is the condition known as
fever.
Some practitioners err in treating only symptoms. In
each case these must be taken merely as indications of the
conditions of the diseased parts. Any clue they give as
to the causes which produced, or tend to continue the dis-
ease must be specially noted; for, our aim in each case
must be to “ remove causes that effects may cease.” Such
is the accuracy of mechanism in the economy of a living
being that it returns to true working when disturbing
INTRODUCTION. 5
agencies no longer act. In the diagnosis of disease
COMPLICATION is an important element. As a rule, we have
to do with disease of more parts than one, and have to
come to a clear understanding in each case, for the dis-
ease which causes the others, the PRIMARY DISORDER, must
be that against which our medicinal efforts are directed.
If we succeed in removing it, SECONDARY DISEASES result-
ing from it will generally disappear. Thus, dropsy is a
secondary condition often dependent on heart disease.
Secondary pathological conditions may be due to co-
operation in function, or to continuity or contiguity of
structure. The instance just given illustrates the first
method, for the dropsy results from escape of watery con-
stituents through the walls of the overloaded vessels which
cannot perfectly pour their contents into the heart. Ex-
tension by continuity of structure is seen when the pleura
becomes involved by extension of disease which originated
in the lungs. Contiguity is less frequently a means of
spread; sometimes we see a gangrenous patch on the
wall of a serous cavity opposite a gangrenous portion of
a contained viscus. This means is also exemplified in joint
diseases, and wherever living cells lie together without or-
ganic connection. Occasionally we find in a special disease
some symptoms by means of which its nature may be at
oncedetermined; such a symptom is termed Parsoanomonic.
Thus, the presence of the anthrax Bacillus im the blood is
pathognomonic of charbon, and the changed condition of
the urine similarly enables us at once to determine the
presence of heemo-albuminuria.
The History of every case of disease should be ascer-
tained with the utmost care, and when possible a written
record should be kept for future reference. It should
comprise all ascertained particulars of the case, from its
commencement to its termination. It will prove not only
a more sure guide to diagnosis and prognosis than the
memory, but will enable the practitioner to perform his
duty to the profession in recording the case if it prove
interesting. We can never be assured of the professional
value of a case until it has terminated. Much of the
6 BOVINE PATHOLOGY,
value of good cases is often lost from paucity or inaccu-
racy of records of the early stages. In each case a
regular system should be adopted; dates especially should
be insisted upon, and all records should be made at once.
We have found the following a satisfactory system of
record:
Date of admission Date of
Case, Colour. Sex. Age. totreatment. discharge. Disease. Progress.
Pulse, State of the blood, if any has
Respirations, hos special chart. been removed.
Internal temperature, Conditions of mucous mem-
Excretions, branes.
Appetite, Temperature of surface of body
and condition of the skin.
Special features of case.
The Putsz is due to periodical enlargement of arteries
such as results from their distension with blood in con-
sequence of the heart’s beat. It is one of the most useful
indications of the state of an animal’s health, and can be
taken at any accessible artery ; but, under ordinary circum-
stances, we utilise for this purpose only such vessels as
are but slightly separated from the surface of the body,
and are so placed in relation to hard structures that they
can be compressed against the hard adjacent tissues by
the fingers, and thus their beats rendered perceptible to
the observer. These beats vary in number with the
heart’s contractions, and are perceptible sooner after the
heart’s beat in vessels near that organ than in those more
remote. They depend upon the conditions of the arteries
as well as of the heart, and the vessels passing from the
heart are so constructed that the pulse is less marked in
the smaller arteries than in the larger ones, even rela-
tively, and disappears in the smallest of these vessels.
The sphygmograph is an instrument used to obtain a
written record of the condition of the pulse; it has not
yet been applied to Bovine surgery. The pulse assumes
various characters according to its rapidity of beat, frequency
of occurrence, resistance to pressure, regularity, and per-
ceptibility. Thus we have the quick and slow, frequent and
infrequent, hard and soft, full and imperceptible, large and
INTRODUCTION, 7
small pulses, the characters of which may be determined
from their names, also that form known as the intermittent,
either regular or irregular. In the latter case the beats
and intervals are uncertain, in the former at regularly
recurring intervals the pause is prolonged. The dicro-
tonous or double pulse is found in blood diseases; it
consists in a double rise of the arterial wall for each beat
of ‘the heart; physiologists debate its nature; it is a
symptom of importance. ‘The thready pulse is extremely
small, and scarcely perceptible. The “ running down”
pulse occurs just before death, especially in cases of
hemorrhage, and consists in rapid loss of force of beat,
with increasing frequency, until the pulse becomes imper-
ceptible. It is a very grave symptom. The “venous
pulse” is a sign of which we shall make use when
treating of heart diseases. The sharp beat of the
‘quick ”’ pulse must be distinguished from the increase
in number of beats per minute characteristic of the
“frequent” pulse. Sometimes the enlargements of the
_ artery vary in successive beats, then the pulse is termed
unequal, while extreme irregularity, and difficulty in
perception and appreciation of its characters constitute
the confused beat. The oppressed beat is prolonged and
not very marked, while the vessels are much distended.
We are not desirous of drawing attention here to. the
exact method by which these conditions of the pulse are
produced, but will merely state that variations in frequency
and rapidity of beat are connected directly with the action
of the heart, and, therefore, especially dependent on states
of the nervous system and fever, inducing rapidity,
and certain brain disorders, reducing the beats below the
normal number per minute ; while the quick pulse shows
an irritable state of the heart, slowness of beat often de-
pends on impediment to egress of the blood. Hardness
and softness depend upon the tone of the arteries, which
consists in slight persistent contraction of their white
muscular fibres adapting them to their contents ; while
largeness or smallness depends upon the amount of blood
in the arteries, resulting from the state of supply from
fee aye Ole
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pete
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8 BOVINE PATHOLOGY.
the heart and outfall into the capillaries. With largeness
of the pulse may be associated hardness, constituting the
“corded” beat; the “wiry” pulse is small and hard,
and a soft pulse may be large or small. The complicated
vaso-motor mechanism, by means of which these variations
in the states of the artery of the living subject, together
with the intrinsic and extrinsic nervous mechanisms of
the heart are brought about, are explained in all modern
works on physiology. We have given enough information
‘to enable us to complete our remarks on this point, by
observing what states of our patients may modify the pulse.
The beats vary with age, being generally frequent in very
young animals and declining until old age ; somewhat more
frequent in the female than the male, they are especially
increased by conditions of pregnancy (varying with the
stages) and lactation. Individual temperament may
affect the number, but especially alters the character of
the pulse. The nature of the animal’s work and mode of
life, as also various processes of digestion (especially
rumination) and some minor influences also affect the
pulse.
The Rzsprratory System, by means of which much
impure matter is removed from the blood and much
oxygen is added to it, gives us indications of importance,
as serving for diagnosis and prognosis of disease. Varia-
tions occur in the manner of introduction of air into the
lungs, and of its expulsion after utilisation, also in the
frequency of these processes. The extent of this system
renders it liable to become affected by contiguity to many
parts. Also its nervous connections are of considerable
importance. Hence, in every case we should examine the
number and kind of breathing efforts, and we shall often
find it necessary to note the presence and character of
a cough or other sound produced by respiratory acts. . It
has been observed that under healthy conditions the pulse
and respirations bear to each other a definite numerical
relation, one to four, but this is hardly exact. Fevers,
inflammations, and other diseased conditions affecting the
system, cause increased frequency of breathing.
INTRODUCTION. 9
Respirations consist of two acts, inspiration and
expiration. The former is brought about by elevation of
the ribs, and contraction of the diaphragm—both acts of
muscular exertion. The effect of contraction of the
diaphragm is to lessen its concavity towards the abdomen,
hence it presses on the abdominal viscera and causes
bulging of the walls of the belly. Expiration under -
ordinary circumstances depends upon elastic recoil of the
elevated walls of the thorax, resulting in expulsion of air
through the trachea and larynx. Respirations vary with
their depth, frequency, quickness, facility, and the nature
of the movements by which they are brought about. Thus,
they may be quick or slow, frequent or infrequent, deep
or imperfect, laboured, unequal, irregular, &c.
Dyspnea is a term used to imply difficulty of breathing
of any kind.
Apnea is the extreme of infrequent respiratory effort,
dependent upon the circulation of highly oxygenated
blood through the medulla oblongata, where the respira-
tory centre resides. Until its natural stimulus, venous
blood, is supplied to this centre, no respiratory effort will
occur.
OrrHorpn@a is that condition in which difficulty of
respiration is marked except when the animal is in a
standing position.
Aspuyxta (literally pulselessness) is a complicated con-
dition due to insufficient supply of air for respiratory
purposes. It commences as dyspnoea, convulsions with
violent expiratory efforts succeed, and, finally, exhaustion
sets in, leading to death. In the later stages of asphyxia
the animal is stretched out in a recumbent position, with
dilated pupils, loss of general sensibility, scarcely per-
ceptible pulse, visible mucous membranes dark purple in
colour, respirations deep and slow. Finally, he gasps
for breath, extends the limbs, shudders, and dies. And
on post-mortem examination the lungs, right side of
the heart, medulla oblongata, and various body tissues
are found in a state of venous engorgement. Lungs,
heart, and medulla are all concerned in the fatal result,
10 BOVINE PATHOLOGY.
neither of these organs being stimulated because of the
deficiency of oxygen. Inhalation of such heavy gases as
prevent access of oxygen to the lungs, suffocation, and
many other diseased conditions bring about death in this
way. Sometimes the expulsion of air from the lungs is
laboured, and accompanied by a harsh rattling sound; the
breathing is then said to be Srmrrorous. It depends
upon the movement of velum pendulum palati by the
expiratory current, and may be observed in cases of
parturient apoplexy, for instance.
Coven is brought about by a deep inspiration, the
glottis is then closed until the outward current of air
suddenly forces the vocal cords apart, when the air
escapes with a sharp sound, and emerges either through
the nostrils or mouth with some force, carrying with it any
foreign body, such as a mass of mucus, &c., which may
have been about the glottal opening. Cough depends upon
reflex nervous action, and may be primary when the
irritation exists in the lungs or air passages, or secondary,
when due to irritation of the stomach, intestines, or
other parts having nervous communications with the
respiratory apparatus. We speak of harsh, difficult,
paroxysmal, suppressed, and other coughs which do not
require special description. Some coughs are considered
pathognomonic signs, such as that of pleuro-pneumonia
azymotica,
Oxygen introduced by the process of respiration into the
blood is the grand agent in the production of animal heat. It
combines with various matters, whether in the blood or in the
other tissues, and produces with them carbonic anhydride
and water (which are passed off by excretory organs, espe-
cially the lungs) and heat, which enables the several parts
of the body to perform their functions. Observation has
proved that for each species of animal we may determine a
standard internal temperature, which proves useful in
the diagnosis of disease, especially when of an epizootic
and contagious character; to a slight degree indi-
viduality modifies the readings. Thermometry is now gene-
rally practised and many valuable results have been obtained
INTRODUCTION, 11
from it. The clinical thermometer (self registering) is
the instrument used, and proves a most valuable aid to
the veterinary inspector of contagious disorders. The
vagina, mouth, and preferably the rectum, are the seat of
insertion. The instrument requires to be “ set ” to near
the expected reading, as by warmth from the hand, to be
introduced a short way and then moved farther in, and to
be rested against the walls of the cavity for about three
minutes, These precautions are mentioned, as neglect of
them may lead to imperfect observation. Ordinary
-physiological influences as exercise, digestion, &c., give
rise to slight variations of internal temperature, but a rise
of 2° or 8° is sufficient to lead us to suspect some febrile
disturbance, and it has been found that a rise of the
internal temperature is the earliest perceptible indication
of various eruptive fevers. It therefore is a valuable
indication of the advisability of separation when it occurs
in animals which have run risk of contagion. A marked
fall in temperature below the normal occurs in most cases
shortly before death, and a low temperature is observable
in typhoid fever and other diseases of a low or asthenic
type. When this instrument is not available we must
resort to the usual methods of investigation of the surface
temperature. OColdness or the reverse of the extremities,
of the mouth, of the expired air, must be estimated by our
sense of touch, while care is taken to note any variations of
these points, either at different times or at one and the same
time among similar members. Any tendency to coldness or
unequal temperature of these parts must be viewed with
suspicion, as indicating deficiency or perversion of the blood |
supply whereby heat is diffused throughout the body.
Excessive warmth indicates febrile conditions. A fall in
temperature of the surface is generally a precursor of
death, so we often read of “deathly coldness of the
extremities.” The conditions of the skin also require
attention, it is the principal regulator of internal tempera-
ture, and the effects of its disorder are well seen in the
rise of the mercury in fever cases. Its supply of blood
and its nervous organisation are very marked, so it-is
12 BOVINE PATHOLOGY.
liable to disorder, and very early indicates systemic
disease. It varies under diseased conditions in its
moisture and smoothness as well as temperature. We
see it dry and harsh, with an erected condition of its
hairs, “staring,” as it is termed, in most disorders. It
may be bedewed with moisture, locally or generally, as a
result of pain. While coldness with dampness—“ cold
sweats ”’—are a sign of approaching dissolution. The
mucous membranes exhibit variations in conditions visible
to the eye, and thus serve to supplement the conclusions
arrived at from the state of the skin; they become.
reddened in fever, purple in certain morbid conditions of
the blood, pale in low fever and other debilitating con-
ditions.
The various excreta should be most carefully examined
as to their quality, quantity, and mode of expulsion.
Each excretion has a definite normal composition as ex-
hibited by certain physical and chemical characters.
Odour, appearance (including colour, form, and arrange-
ment of components), consistence, and in some cases even
taste, exercise the special sense faculties of the observer.
Specific gravity is especially altered in the fluid matters
given off from the body, such as urine and milk; it is
tested by modified forms of the hydrometer, or by sp. gr.
balls, which sink or float according to the density of the
liquid in which they are placed. The faces and urine
should be subjected to physical and chemical tests.
Sweat, saliva, and especially milk should be likewise
examined. We shall hereafter note the special features
of various excreta and secretions as altered by disease.
Among other ejecta the expired air must not be forgotten ;
its odour often leads to diagnostic inferences. Micro-
scopical examination enables us to determine whether
those constituents of excreta which have a definite form
present their ordinary characters, and are in proper pro-
portion. The microscope is a most useful aid to diagnosis,
and as having a wide utility may be here mentioned.
Moderate powers, as the $-inch and }-inch by good makers,
are sufficient for ordinary diagnostic purposes. The blood
INTRODUOTION. 18
may be obtained for examination in any case; its charac-
ters in such disorders as leuceemia and anthrax are diag-
nostic. Morbid products of various kinds, as discharges
from membranes and new growths, may disclose their
nature to the microscopical observer. . Parasites, as ova,
immature forms, or adults, may by this instrument be
proved to be present in active disease reasonably attri-
butable to them. The spectroscope is now used by
pathologists and physiologists; its application to veteri-
nary surgery affords an untrodden path to reputation for
some future observer.
In our examination of the patient we require next to
examine the special features of the case. The indications
derived from the observations above mentioned are usually
of a general rather than a special character, and at every
stage of the examination we must endeavour to determine
whether the conditions observed are due to local or general
disorder ; the special features of the case have generally
somewhat of a diagnostic character, so much so that from
the messenger sent to request our services we may some-
times learn the sort of case which we are about to take in
hand. ‘The popular names of disorders are not without
their use (thus farm labourers can understand the nature of
“ dropping after calving ”’ to a certain extent), and though
not always correct, will enable the practitioner to select
such instruments and medicaments as are most likely to
be urgently required.
Some means of determination of symptoms with a view
to diagnosis are special in their application. Thus, men-
suration, auscultation, and percussion will be considered
when treating of diseases of the thoracic viscera.
These means, nevertheless, have somewhat a more ex-
tended application; thus, auscultation has been recom-
mended for determination of the presence of a foetus in
utero, and it is a most important means in diagnosis of deep-
seated fractures, while percussion assists in the distinction
of tympany from impaction. We must especially lay stress
upon the value of MANUAL EXPLORATION, either by introduc-
tion of the lubricated hand into the rectum, vagina, or
14 : BOVINE PATHOLOGY.
mouth, or by manipulation of the surface, whereby we are
enabled to ascertain by touch the form of superficial
structures, their relations, and size, determining whether
these are normal or abnormal. Their consistence is de-
tected by palpation, skilled touch. The “ tactus erwditus”
reveals many obscure states, such as deep-seated ab-
scesses, aneurisms, &c.
The ophthalmoscope and other valuable instruments are
limited in their application. The exploring or grooved
needle must be mentioned here, for its value in deter-
Fie. 1.—Exploring trochar (used for the same purpose as the grooved needle).
mining the contents of fluctuating swellings, cavities, and
the constituents of, tumours. It is so small as not to
seriously injure the parts into which it is introduced. Its
groove or cup brings up sufficient material for micro-
scopical examination. It is to us what the dredge is to
the deep-sea explorer. It must not be supposed that the
methods of observing symptoms suggested by us require
to be all adopted in every case. Our aim is to ensure
systematic examination of those symptoms of disorders
which from their general prevalence may be deemed of
minor importance. The determination of the seat of dis-
order will suggest to us which of the less general aids
should be adopted in any particular case.
Prognosis must depend upon extended diagnosis. It
too frequently assumes the character of simple guesswork
or of empirical surmise. The practitioner should in fancy
“see through” his patient, should know what parts are
diseased, their pathological conditions, with the possibility
of renovation, the resisting power due to constitutional
energy of the patient ; also the probable influence of medi-
cinal means. He must note how the disease tends to inter-
fere with essential vital functions, and especially its influence
upon the “ vital trio,” the brain, heart, and lungs.
INTRODUCTION. 15
Duarte may be either systemic or local. This is a direct
result of the composition of the body of cells bound to-
gether to form a complicated mechanism. Local death is
of two kinds, molar and molecular. In the latter form
cells die by themselves and at different times, and thus a
gradual loss of tissue occurs; the former results when a
number of cells and other tissue elements simultaneously
succumb to some injurious influence. Ulceration is
molecular, gangrene is molar death. Local death
results from systemic as soon as the amount of nutritive
material supplied to each tissue by the last blood which
entered it has been exhausted. So the most active tissues
die most readily, while less highly-organised parts retain
vitality for some time after systemic death. It must be
remembered also that the life of each part of the body
varies in its duration,and that in the course of life of such
an individual as an ox, every element of a tissue is not
always the same, but consists of a number of short-lived
minute bodies which succeed one another. The blood is the
most important bond of connection between all the body-
cells. Of the value of the nervous system in this respect we
are not so assured. ‘The action of each cell depends upon
a due supply of fresh blood containing nutritive matter.
Cessation of the circulation of the blood is in every case
the immediate cause of death. ‘The failure of the heart
may arise in itself, on account of some failure in its nervous
or muscular elements, or by reason of some mischief affect-
ing its mechanical working. Or it may be due to some
fault in its internal medium, such for instance as a want
of oxygenation of the blood, which in turn may be caused
by either a change in the blood itself, as in carbonic oxide
poisoning, or by a failure in the mechanical conditions of
respiration, or by a cessation of the action of the respira-
tory centre. The failure of this centre, and, indeed, that
of the heart itself, may be caused by nervous influences
proceeding from the brain, or brought into operation by
means of the central nervous system; it may, on the other
hand, be due to an imperfect state of the blood, and this
in turn may’ arise from the imperfect or perverse action of
16 BOVINE PATHOLOGY.
various secretory or other tissues. The modes of death
are in reality as numerous as the possible modifications of
the various factors of life; but they all end in stoppage
of the circulation, and the withdrawal from the tissues of
their internal medium” (Foster).
The following methods of death may be remembered :
Death from Anmmia, due to cessation of blood-supply,
as after profuse hemorrhage. The symptoms observed in
such cases are running down pulse, respirations irregular,
pallor of visible mucous membranes, coldness of extre-
mities and of general body-surface, which may be bedewed
with cold sweats; dilatation of the pupil, and loss of
sensibility of the retina; loss of voluntary power, and,
finally, convulsions. The first vital organ which fails in
this case is the brain. The recumbent position, therefore,
tends to prolong life by mechanically keeping up the supply
of blood to that important organ.
Transfusion of Blood has been successfully resorted to
in such cases in man. It is a dangerous operation to the
healthy animal from which the blood is taken. It has
been accomplished experimentally in the lower animals by
connecting the carotids of two individuals by a tube, such
as an ureter (Percivall). Thus, it has been proved that ~
the blood must be from individuals of the same species.
Death from Nucrmmia occurs in blood diseases where
the vital fluid has lost the stimulating power by which it
excites the heart to action, as a result of putrid decom-
position.
Death by Asruenra is sudden cessation of the heart’s
action, and may be due to poison or shock, as in
lightning injury. After death the right side of the heart
is found to contain venous and the left arterial blood.
This form of death is also known as syncope, but this
term is generally also applied to ansemic death. Asthenia
sometimes occurs gradually, then the pulse becomes irre-
gular, and the blood supply to distant parts of the body
is defective. This culminates debilitating disorders.
Death by AspHyxta has been elsewhere described.
Apnea does not cause death, it accelerates life,
INTRODUCTION. 17
Death by coma commences at the brain. The sym-
ptoms present are, firstly, those due to deficiency of cere-
bral energy, loss of sensation and power of voluntary
motion, stupor, with slow stertorous breathing, and later
the medulla becomes involved, and the respiratory centre
ceases to perform its function, and the right side of the
heart becomes blocked up with dark blood. Apoplexy
causes death in this way. Prolonged artificial respiration
may enable the medulla to regain its energy, as when
coma results from certain poisons.
Our prognosis requires especially diagnosis of the patho-
logical conditions of the diseased parts, and makes a
knowledge of MoRBID ANATOMY, sometimes termed INTIMATE
PATHOLOGY, a matter of the highest moment. The ana-
tomical changes which occur in organs during the progress
of disease vary according to the structure of the parts and
to the nature of the diseased action. The objects of
morbid anatomy are to determine exactly the changes
which structures undergo as a result of diseased processes,
how those changes are related to each other, how their
causes have operated to produce them, and how they are
liable to affect the wellbeing of the animal. The methods
of morbid anatomy comprise examination of all organs,
tissues, and elements which have been altered by disease.
These parts may be procured in many cases from the living
animal, but in others only on post-mortem examination.
They require to be subjected to all available processes,
physical, chemical, microscopical,—indeed, the study of
morbid anatomy is but a branch of diagnosis—the exten-
sion of its methods as above enumerated. Our determi- —
nations of the changes which have occurred in an organ
are only made in some cases after death, and the infor-
mation thus gained must be applied at an earlier stage of
future cases. The changes which structures undergo:
during disease may be in situation, structure, form, and
size; also it seems that in some cases their function may
be changed either by increase, decrease, or perversion
without appreciable alteration in structural characters.
Displacement of elements, tissues, and organs results in
2
18 BOVINE PATHOLOGY.
interference with function when such displacement also
causes change of structure. Thus, most of the non-malig-
nant tumours are said to consist of normal tissue-elements
out of place, and may exist without seriously disturbing vital
‘functions until their bulk causes them to interfere with
neighbouring parts in a purely mechanical manner ; and as
soon as structural changes of these neighbouring parts
causes them to become secondarily involved, the disease as-
sumes a more urgent character. Again, a displaced bowel in
a case of hernia causes no inconvenience nor true patholo-
gical condition until it becomes strangulated, and thus
structurally disordered. Displacement simply of tissues
seldom occurs. Ohanges in size of a tissue-element may
be of increase or decrease, and these may be due to altera-
tion of constituents, or to simple variations in their quan-
tity. The various degenerations are changes in consti-
tuents generally either of a retrograde or a retrospective
character. To understand this, we must recall to our
minds the elementary structure of the body. It originates
as a simple cell, or even earlier, perhaps, a simple mass of
protoplasm. This cell is endowed with all the properties of
a living organism, dependent upon the high vitality of its
protoplasm ; hence it exhibits the phenomena of irritability,
contractility, spontaneous power of movement, and repro-
ductive energy. All the elements of the adult body are
lineal descendents of this primitive element, but each has
progressed in a special line; hence, in a muscle-cell con-
tractility is the prominent property ; in a nerve-cell spon-
taniety or irritability, and in white fibrous tissue-corpuscles
probably the control of local nutrition. Under certain
diseased conditions, each of these forms of cell is liable to
regain some of its lost or dormant powers; thus, the
tissue-corpuscle becomes a reproductive cell, and proli-
ferates freely in suppuration; the muscle-cell exhibits
spontaneity. Such are retrospective degenerations. Re-
trograde metamorphoses are much more frequent, the
principal being mucoid, colloid, and fatty degenerations.
Mucor Dscenzration consists in such an alteration of
the tissues that they assume a mucus-like character. It
INTRODUCTION. 19
is considered to be generally a retrospective change,
whereby the primitive characters of the tissues aro
resumed ; it occurs especially in connective tissues and
cartilages, affecting generally the intercellular substance.
CotLo1 Duaenzration depends upon the conversion of
the protoplasmic contents of cells into a tenacious jelly-
like material. The cells are burst by accumulation of
this matter, and considerable lumps of gelatinous material
are produced. The thyroid body is the most frequent
seat of this change, but both mucoid and colloid changes
may cccur in tumours, whether of a malignant or non-
malignant type. Neither of these has any bearing of
importance upon cattle pathology, though we shall find it
occasionally necessary to allude to them.
Farty Dsceneration is extremely liable to occur in
organs which have nerve or blood supply interfered with,
for it is a retrograde process resulting from deficient
supply or appropriation of nutritive matter. It is a
conversion of the contents of the cells of a tissue into fat,
which may accumulate so considerably as to burst the
cell-walls, whereby a secondary process of diseased action
h
Niele gier |
19 Oop Bn 2 Celi”
° ons a oS OB Glee
4 G Oo” 0 WSN Te a
af 70D, Be 93] S316]
a 200% e Ey 8
> dose
Fig. 2.—Fatty degeneration of the Heart. x 200 diameters.
After Harley and Brown.
occurs. It affects especially the muscles, as also the
lining membranes of arteries and the bowels (in which case
the epithelial cells are involved). This process is of very
considerable importance, for it occurs often when a
morbid product is to be absorbed and passed into the
blood. Sometimes casEOUS CHANGE supervenes upon this
20 BOVINE PATHOLOGY.
form of degeneration, the part affected becoming a mass
of substance of a cheese-like character, yellow in colour,
inelastic, and rather soft. Tuberculous deposits are very
liable to undergo this change, as also certain malignant
growths.
Catcarzous Cuancz depends upon the deposition of
lime salts in the intercellular substance of a tissue,
whereby it assumes a gritty character and becomes opaque
and resistant. It occurs very frequently as a result of
excessive activity of the process which normally hardens
the costal and laryngeal cartilages of old animals, and is a
means by which deposits are rendered permanent and
prevented from absorption.
These processes of degeneration take place normally
in certain parts of the. body, and when they occur in
disease are either in excess in normal situations, or in
abnormal sites. The mucoid and colloid degenerations
tend to softening of tissue. Fatty degeneration places
the matter in that condition under which it is most
fit for removal. Caseous change tends rather to per-
manency, while calcification exhibits this to a still more
marked degree. The calcareous change generally as-
sumes the character of an INFILTRATION, involving
intercellular tissues rather than the cellular elements
of a part, and resulting from the deposition of matter
from the blood instead of its production as a result of
change in the protoplasm of the cells. Fatty infiltra-
tion is very common, involving such organs as the liver
and muscles (especially the heart) in animals fattened for
slaughter. This proves prejudicial when the accumula-
tions of fat pressing upon the tissue elements of the
affected part impair their nutrition. Accumulations of fat
of this nature occur physiologically in the processes of
fattening, then the connective-tissue corpuscles are
affected, and this very frequently occurs also in disease.
Picmentary Inrinrration especially affects the lungs
of old animals.
_ Amyzorp Iyrinrration has been observed in the liver,
and consists in the deposition from the blood of a starchy
INTRODUCTION. 21
material, which gives to the organ in which it occurs a
waxy character. The process generally commences in the
small vessels of the part. It has not been found, as yet,
to have much clinical importance. Special chemical,
microscopical, and physical tests enable us to determino
the presence of these changes in parts. These will be
found recorded in more special works. Fatty, calcareous,
and pigmentary changes, when sufficiently advanced to
produce serious disorder, can readily be detected by the
unaided senses of the observer. Let it be clearly under-
stood that all these degenerations and infiltrations are
physiological processes in excess or out of place; they
may also be deficient, as occurs in rachitis where there is
deficient deposition of lime in the bones. They result
from perverted states of nutrition, dependent upon con-
ditions of the blood or of the cell-elements themselves.
Certain forms of degeneration lead to increase in the sizo
of organs, and very considerable modification of form.
_ The tissues are so arranged as to form solid or hollow
organs. When the former are the seat of changes their
increase in size and change of form cause them to press
upon neighbouring parts, and thereby interfere with
functional duties; or softening with rapid enlargement
may lead to rupture, as is sometimes seen in the liver.
It must be remembered that very considerable degeneration
of an organ may occur without alteration in bulk, increase
in size of some parts atoning for diminution of others,
and vice versd. Here we have a case of degeneration
with atrophy. When a hollow organ is involved in these
degenerative processes they may lead to thickening of its
walls with or without diminution of its cavity, or to
thinning of the walls—atrophy—a condition which, with
concomitant softening, tends to produce rupture. When
an organ is subjected to free supply of nourishment, with
high functional activity, it becomes HYPERTROPHIED, this
condition consisting of an increase in the number (hyper-
plasia) or size of active tissue elements; such a change
must be carefully distinguished from other forms of enlarge-
ment. It occurs often as a provision against disease ;
22 BOVINE PATHOLOGY.
thus the bladder may have its walls thickened when any
obstruction in the urethra interferes with the passage of
urine. The reverse of this is ArropHy or wasting, which
is described as of two kinds, simple and numerical. The
former depends upon decrease in size of the proper
elements of a tissue dependent upon deficient supply of
nutritive matter, the latter is a more advanced stage of
the same state in which actual removal of tissue elements
has occurred. Atrophy may result from an imperfect
supply of blood or from imperfect ability to appropriate
nutritive matter, such as often results from inflammation. It
may be difficult to ascertain this state from simple inspec-
tions of organs, for as the useful elements are removed the
connective elements may be increased in quantity, or dis-
placement of some material into the organ may serve to
maintain its size. The ADDITIONS OF MATERIAL TO AN ORGAN
in almost all cases take place from the blood, and hence
have the character of infiltrations. They may be solid,
liquid, or gaseous. Liquid matters most frequently over-
flow from the blood, or are removed in excess from that
fluid by over-excited tissue elements. They contain solid
matters. in solution, and as their fluid portions are most
readily removed by absorption, solid deposits may remain
behind. These latter either become organised by exten-
sion of vessels into them, undergo calcareous change
and become permanent (but in the condition of foreign
matters), or undergo retrograde changes, especially the
fatty, and become absorbed. We shall have more to
say about these processes when treating on inflammation.
Accumulation of liquid added material constitutes Dropsy.
Gas sometimes occurs in a tissue either as a result of
gangrenous change of the tissues (the blood for instance)
as in black quarter, or as a result of ill-explained nutri-
tive changes in a part, or entry of air through an external
or pulmonary wound. The gases which occur are such as
normally exist in the blood or the atmosphere. Having
dealt with the general changes which structures undergo
as a result of diseased processes, we must next examine
the characters of those processes themselves,
INTRODUCTION. 23
PaiecMon or INFLAMMATION is defined to be “ perverted
nutrition of a part resulting from the application of a
stimulus not sufficiently powerful to cause immediate
death.” It is a familiar but complicated series of pheno-
mena of the highest pathological importance, since it occurs
in all tissues, and varies considerably according to its seat.
We may consider it is nature’s method of rising to the
emergencies of injury, whereby repair is brought about.
Tn all cases it seems to follow injury of the part affected ;
thus it ensues in the majority of cases of wounds, and
originates in internal organs either as a result of local
injury, or when impressions made upon the surface of
the body have proved injurious to more deeply seated
parts through the intimate nervous unions which occur
between the structures. Of these nervous unions we are
not yet assured by physiologists. It cannot be expected,
therefore, that the pathologist will be in every case able
to determine how any cause which he suspects of having
originated internal inflammation acts. We accept this
theory of the nature of inflammation since it sufficiently
explains all the phenomena of that condition to afford us
a good practical basis. Inflamed parts are found to be the
seat of stagnation of blood in the vessels, of transudation
of its fluids with migration of its formed elements, also
of an altered condition of the tissue elements. Probably
the latter change is the most essential, for it is marked in
cartilage and other tissues which have only indirect blood
supply. It consists of high reproductive activity of these
cells (proliferation), the products not being so highly
developed as the parent cells. The stagnant condition
of the blood in the vessels is brought about gradually
through certain stages. It is found, by observations of
the circulation in the blood-vessels of an artificially in-
flamed transparent membrane, that dilatation of the
vessels first occurs with acceleration of the flow of blood,
which, however, very soon becomes retarded, then irre-
gular and oscillatory until stagnation—“ stasis ”—ensues.
Then a large number of colourless corpuscles are found
to have accumulated in the affected vessels near the walls,
24 BOVINE PATHOLOGY.
while red corpuscles, aggregated into bundles, lie nearer
the centre of the vessels. Migration now occurs as a
result especially of the amceboid activity of the white
corpuscles, whereby they are able to penetrate the proto-
plasmic, and, therefore, living walls of the capillaries.
Thus they, and sometimes a few red corpuscles, pass into
the tissue interspaces, and intermingle with the new
generation of cells produced by the proliferation of the
tissue elements. At the same time the serous portions of
the stagnated blood transude through the walls of the
vessels, and thus originates EFFUSION as well as EXUDATION,
for they are rich in solids. Hffusion of serum and exuda-
tion of lymph are early accompaniments of inflammation ;
they occur, to a more or less degree, in almost every case,
and are the principal cause of sweLtinc. This depends,
also, to a certain extent, upon the conditions of the
vessels in the parts bordering on that inflamed. They
are very full of blood coursing rapidly through them, are
in a state of hypereemia or congestion. The presence of
this large quantity of rapidly flowing blood, with, perhaps,
also the rapid tissue changes in the inflamed part,
generates the characteristic heat; to the congestion and
amount of blood, even in the seat of disease, the REDNESS,
characteristic of inflammation, must be attributed ; while
pressure from effused material and distended vessels is
the cause of the painful nature of the process. The pain
present must also be attributed to heightened sensibility
of the nervous structures. It is related to the hardness
of the part, hence inflammation of unyielding organs is
most painful. The reproductive activity of the tissue.
elements replaces their normal function, and the rapidity
of new cell formation prevents the elaboration of inter-
cellular substance, hence the intercellular material accu-
mulates in a state of imperfect development as fluid, and
tends to increase the added liquid and plastic material
which has been thrown out. Effused liquid material can
be taken up again by the capillaries and lymphatics of a
part with facility if the vessels have not themselves
undergone change. When the latter complication is,
INTRODUCTION. 25
present fluid accumulations occur, which constitute
(ipema when they are in areolar tissue, and Droprsy
(hydrops) when into cavities of various kinds. These may
take place apart from inflammation when an excess of
liquid material exists in the blood, or when the vessels
are over-distended. The former condition occurs in cases
of debility resulting from defective supply of nutritive
matter ; also certain poisonous materials aggravate their
effects by causing excessive fluidity of the vital fluid. An
illustration of the latter condition may be drawn from
general dropsy, whereby excessive distension of the veins
is relieved when any obstruction prevents return of the
blood to the right side of the heart. When the material
added to a part has a more solid character, it primarily
assumes the form of CoacuLasLe Lympu. Thisis fibrinous
material which is deposited between tissue elements, ren-
dering the parts abnormally hard, or as bands extending
across cavities, also membranes lining them, and it will
be noticed in the straw-coloured liquid portion of the
serous effusion. When all active inflammatory change
has subsided, the lymph tends either to permanency or
to disappearance. It may be rendered permanent either
by organisation, when vessels shoot into it by ordinary
processes of development and it thus becomes vascular and
in process of time somewhat like areolar tissue, or by
calcareous deposition in its substance. The former change
occurs in the repairs of any large gap of living tissue which
has resulted from injury. It causes filling up of abscess
cavities, and of deep penetrating wounds, but is not
always so salutary ; for when it occurs in such a cavity as
the pleural sac, by uniting the lungs to the wall of the
chest, it may seriously impede respiration. Calcification is
the process which normally occurs in the hardening of lymph
between the fragments of a broken bone forming the mass
known as callus. Its appearance is not always desirable,
thus when it takes place in the walls of arteries it renders
them liable to rupture, and frequently its presence acts as an
impediment to movement, as when false anchylosis results
from the calcification of ligaments around joints.
26 BOVINE PATHOLOGY.
Supruration is that result of inflammation which is
manifested by the production of the fluid which is familiar
to us as pus. It results especially when inflammation
runs high in a very vascular organ, but may occur under
different circumstances. Pus consists of highly active
corpuscles, which closely resemble white blood-corpuscles,
and float in serous fluid—Liquor Puris. It has a sp. gr.
of 1030. This fluid is simply the effused material with a
large number of cells resulting from proliferation of
tissue elements, and migration of leucocytes, This result
Fria 3.—A. Pus corpuscles from an abscess; (a) the same after treatment
with acetic acid. B. Mucus corpuscles from the Schneiderian mem-
brane ; (a) after a drop of acetic acid has been added. C. Mucus
corpuscles speckled with pigment granules from a case of chronic
irritation of lining membrane of the larynx. After Harley and Brown.
of inflammation is most frequent when a natural moisture
of the part and capability of yielding to swelling are
properties of the diseased organ or tissue. While exuda-
tion most frequently occurs on serous membranes, the
mucous surfaces generally when inflamed produce pus ; but
pus may be produced by a serous membrane and plastic
deposits by a mucous membrane, such as that of the bowel
or trachea. When suppuration assumes a local character,
€
INTRODUCTION. 27
and the pus which is formed accumulates in the areolar
tissue, it exerts a solvent action upon the white fibrous
elements, and thus produces an Axscuss. Ordinarily we
may observe that the inflammatory process, where less
acute at a distance from the centre of pus production,
causes exudation of lymph which limits the infiltration
of pus into the neighbouring tissues, and constitutes the
boundary of the abscess cavity, though forming no
distinct membrane. This firm limiting tissue gives
way with extension of suppuration, and at the same
time, the parts external to it, which previously were only
the seat of effusion of serum, have lymph exuded, and thus
in turn prevent infiltration of pus into the undiseased
areolar tissue. So, in puncturing a large or a small
deep-seated abscess we pierce first tissue with serous
effusion, then tissue with lymph exudation, and so arrive
at the abscess cavity. In chronic abscesses the inflam-
mation has subsided, as also has the serous effusion.
The lymph deposit has become organised to form a wall
of the abscess cavity in which has accumulated pus, often
of a fetid character, but sometimes broken up into the
liquid serous portion and the solid materials, the latter
being converted into more or less regularly rounded and
hardened masses of a curdy or cheesy character, which
are bathed by the fluid. These abscesses are sometimes
termed cold; they are seen in deep-seated positions
where the inflammation has been only moderate in
intensity.
Purvuient Inrinrration occurs when collections of pus
are allowed to enter the areolar tissue of an organ, either
by non-deposition of lymph circumscribing the seat of pus
formation and leading to abscess, or by the giving way of
only a thin layer of this material. It is especially liable
to occur in the less active forms of inflammation, and in
organs with a considerable amount of areolar tissue ; thus,
it may be observed in scrofulous disease of the lungs, and
leads to rapid spread of diseased action. Sometimes pus
is found in serous cavities. When the pleura is the seat
of this the disease is termed empyema. This state seldom,
28 BOVINE PATHOLOGY.
if ever, results from pus production by the serous mem-
brane, but from bursting of an abscess into the serous
sac. It has been observed that layers of fibrous tissue,
fascize, aponeuroses, limit the extent of abscesses. A
knowledge of the position of these is, therefore, important
from a surgical aspect, for when externally placed to the
pus accumulation they oppose that extension of the abscess
towards the surface which leads to evacuation of the pus
by bursting through the skin. The local symptoms of for-
mation of an abscess are primarily hardness of the diseased
parts, with an cedematous condition of the tissues around,
with elevation of temperature, and throbbing of the arteries
of supply ; then the centre of the seat gradually becomes
softer, and at length fluctuates on pressure. The part is
swollen and most prominent centrally. After this the fluc-
tuation extends from the centre, where the hairs fall off, and
a slight amount of serous fluid exudes until the pressure of
pus in the abscess bursts the skin, which has been much
attenuated by absorption, and thus the pent-up fluid
escapes ; and any which forms after this also escapes, for
nature has produced an opening with a jagged edge, such
as does not readily close. As the pus, which is now pro-
duced, exerts no pressure on the abscess-walls, a rapid
closure of the cavity results from deposition of lymph
around its walls, each layer undergoing changes which
terminate in conversion of them, in order of seniority, into
an organised tissue somewhat resembling the white fibrous.
This process is termed granulation. By it, finally, the
cavity is filled; then the external wound closes. Escape
of pus by bursting of an abscess on to the surface of the
body, or of a mucous membrane, is a very salutary process.
But it may take place into serous cavities and other in-
ternal spaces when the result is not so. satisfactory.
Evacuation of pus from a mucous membrane is often to be
encouraged as being nature’s method of relief of its in-
flamed state. When pus does not become removed by
natural or artificial evacuation, its permanence or the
reverse will depend upon the state of the vessels of the
parts, and also on whether its corpuscles undergo the
INTRODUCTION. 29
retrograde process of fatty degeneration, pus-cells seem
to be never absorbed. When they have undergone fatty
change, and with the Liquor Puris form the so-called
ParnotoeicaL Mizx, this may be taken up, just as so much
‘chyle would be, by the lymph-vessels. The blood-capil-
laries probably assist, but when neither blood nor lymph-
vessels can take up the metamorphosed or unchanged pus,
a cold abscess results. Pus is of various kinds:
Laudable, when it has a creamy, whitish-yellow ap-
pearance ; is devoid of smell and rich in corpuscles. This
is the form which is familiar to us as occurring in well-
matured abscesses.
Fetid, when it has undergone decomposition, either
from a long pent-up condition, or from a depraved state
of the parts producing it.
Sanious, when it is thin and watery, and intermingled
with blood in small quantity.
Ichorous, when thin, watery, almost devoid of cor-
puscles, largely made up of cell débris, and often with a
marked odour, and an acrid, irritating character. This
is produced in parts which are of low organisation, or
have been reduced in vitality by long continued diseased
action. It occurs in diseases of the feet in long standing
fistulous ulcers, where the healing process is at a stand-
still.
Specific, when it contains the virus of some specific
disorder, as when it is produced by the mucous mem-
branes in cattle plague. Such pus when used for inocu-
lation transmits the specific disorder.
Strwmous, when resulting from the breaking down of
tubercle, This is white, watery, and has specific cha-
racters.
Pus may be mixed with other fluids as in muco-purulent
discharges from mucous membranes. The characters of
Inspissated Pus which occurs in chronic abscesses have been
already alluded to.
Caries AND ULCERATION are processes of molecular dis-
integration, which sometimes occur when inflammation
cuts off the nutritive supply of a part in a gradual manner.
30 BOVINE PATHOLOGY.
Caries especially affects articular surfaces of bones as well
as those portions invested by fibro-cartilage. In it no
tendency to repair is exhibited but the process of exten-
sion of the disorder progresses slowly, and removal of the
articular lamina of the bone by molecular disintegration
leads to death of the cartilage which it supports, and so
to roughness of a surface which for due performance of its
functions ought to be smooth. Hence results secondary
disease of the opposing surface, whether articular or ten-
dinous. The process of caries isremarkable for the small
amount of liquid product, and hence generally the absence
of marked distension of the joint capsule or wall of the
tendinous sheath. Ulceration is of much more general
occurrence, and as removal of tissue occurs at one part,
repair takes place at another. Pus is produced often in
very considerable quantity by ulcers, and may be of any
of the different kinds mentioned above. Ulcers are local
deficiencies of structure, which generally appear on mucous
membranes or the skin as breaches of the epithelial layer,
with the deeper layers of the membrane more or less in-
volved. In the cornea we sometimes see ulcers consisting
in local deficiency of the tissue of the cornea propria, in
which the conjunctiva is not involved; this is due to the
fact that the latter membrane is supplied with nutriment
from a different source than the cornea. As a rule, the
epithelium is nourished by the deep-seated structures, and
is early involved in the diseased process. We must not in
all cases consider ulceration due todeath of tissue-elements ;
it probably much more frequently results from cell pro-
liferation, which, replacing the parent by numerous cor-
puscles in a fluid medium, leads to breach of tissue, and
formation of a fluid with suspended cells, which either
escapes aS pus, or is removed by the action of absorbent
vessels. The breaches of tissue resulting from ulceration
and suppuration are repaired by Granutation. This con-
sists in the production of small pointed projections over
the exposed surface, which are found to be composed of
cells, the deeper seated of which undergo organisation,
while the superficial degenerate into pus. By their
INTRODUCTION. 31
growth these projections coalesce, and new blood-vessels
shoot into them from the neighbouring parts. Thus, by
formation of successive crops of granulations, their fusion
and organisation, the ulcer is constantly reduced in size
whenever the activity of repair exceeds that of disin-
tegration. Thus, also, we generally see pus produced in
considerable quantity from a granulating surface; but it
seems possible by means of dressings to increase granula-
tion at the expense of suppuration, and thus promote
rapidity of healing of a wound. The granulation tissue
tends to the conversion of its cells (exudation corpuscles)
Fia. 4.—Granulation tissue. (After Gant.) To the left, granulation corpuscles
with rounded pus cells. To the right, the newly formed vascular loops.
into proper tissue-elements resembling those of ordinary
fibrous tissues. The process of cicatrisation, whereby the
breach is “skinned over,” will be dealt with when we
treat especially of wounds. Ulcers are of various kinds,
according to their shape, products, causes, and granula-
tions. — :
The Simple or Healthy Ulcer occurs in animals of
healthy constitution, presents small, vascular granulations,
uniform in size and in diffusion over the surface, which is
concave. Laudable pus is produced, and the edges are
not hard.
The Inflammatory Ulcer depends upon an irritable state
of the constitution, and presents few granulations, a raw
32 BOVINE PATHOLOGY.
appearance, and ichorous or sanious pus. When the irri-
tation is local, it gives rise to excess in size and extreme
painfulness of granulations, while the surrounding parts
are congested and cedematous—such is an Inflamed
Uleer.
Weak Ulcers have large, cedematous, pale, flabby
granulations ; they occur on cedematous organs.
Callous Ulcers are usually deep with pale base, pre-
senting small, imperfectly formed granulations, and having
an ichorous discharge of tissue débris. The borders of
the ulcer are thickened, hard, and project considerably.
A Fistula, or Sinus, often has this character. Fistule
penetrate deeply into parts, and open at each extremity.
Sinuses have only one opening to each; but we may have
fistulee and sinuses which present all the characters of
healthy ulcers except their shallowness.
Specific Ulcers are such as occur in specific diseases.
Sometimes these lesions are diagnostic, but often their
special character may be proved only by the nature of the
pus produced by them.
A Cold Ulcer is surrounded by a purple ring of con-
gested tissue, and is of a very painful character. It is
very often specific, and results from marked deficiency in
circulatory energy in the affected part. It occurs under
a special form in those parts of old animals which are far
from the centre of circulation. It is then termed “ Senile
Ulcer,” and is characterised by a deficient tendency to
repair with a liability to rapid spread by sloughing of
tissue. Thus, several ulcers “run together,” producing
a widespread breach of tissue. They are then said to be
Confluent Ulcers, and this tendency to blending of ulcers
is marked in several specific disorders.
The Phagedenic Ulcer rapidly spreads by sloughing of
masses of neighbouring tissue. A large foul surface with
an ichorous discharge is thus left. This serves to draw
our attention to molar death, which may result from in-
flammation, and is termed Ganerenz, depending upon the
processes which constitute sphacelus or mortification.
When the supply of blood is cut off from an organ or any
INTRODUCTION, 83
part of the body it dies, and chemical forces are enabled
to bring about its decomposition. Sometimes the blood is
not permitted entry into a part through obstruction of
the arteries of supply; then dry gangrene may take
place, which consists in the drying up of the tissues, their
diminution in size, and complete loss of all vital pro-
perties. The dry, mummified mass remains as a foreign
body, perhaps becoming invested by a coating of lymph.
This has been observed in the case of pleuro-pneumonic
lung. When a part is the seat of moist gangrene, it be-
comes very dark in colour, pits on pressure, swells in con-
sequence of the liberation of gases by decomposition and
their accumulation beneath the epidermis, which they raise
in spots forming blebs. A sanious discharge with foctid
odour takes place from the surface of the mass, which is
sodden with a similar material, and has lost all sensation
and other physiological processes, and is very cold.
Moist gangrene is more frequent than the dry form,
and depends on impeded return of blood. A _ part
which has thus undergone mortification is removed by
sloughing. Salutary inflammation sets in on the line of
junction of the dead with the living parts, and here con-
solidation by exudation takes place to prevent infiltration
of gangrenous material into healthy parts. Suppuration
of this consolidated layer occurs, and thus the dead mass
is thrown off. Molar death of bony tissue is termed
Necrosis, and the portion of removed material is a
Srquzstrum. During this process of gangrene the con-
stitutional powers are much diminished, the pulse being
small and weak and frequent, and the strength rapidly
failing. The animal has a wild, apprehensive look, and is
very restless ; cold sweats bedew the skin, and there is a
gangrenous odour. Sudden cessation of pain often
announces this result of inflammation. The termination of
the case will be favorable or otherwise, according as the
strength of the body proves equal to removal of the slough
or the reverse. Inold age senile gangrene may occur asa
result of deficiency of vital energy, affecting especially those
‘parts most remote from the central organ of circulation.
3
34 BOVINE PATHOLOGY.
Resolution is a termination of inflammation most to be
desired ; it consists in the gradual resumption of healthy
conditions of the diseased part. In it the products of
cell proliferation are absorbed, lymphy deposits and serous
effusions undergo the same fate, and the blocking up of
the vessels which has resulted in stasis gives way, so that
healthy circulation is resumed. When this process occurs
very suddenly, as when only stasis and effusion of serum
have to be overcome, a few hours suffices for resolution,
which is then termed Drtitzscencz. Occasionally this is
related to appearance of inflammation in some other organ,
when it is termed Martastasis, a phenomenon which occurs
very frequently in rheumatic affections. How this is
brought about we are not in a position to say. Cases of
false metastasis have been found to be due to direct con-
tinuity of structure, and true alteration of the seat of an
inflammation may be due to the ill-ascertained conditions
of nerve continuity. There are various terms used to.
indicate the forms assumed by inflammation as dependent
on consitutional or local conditions :
Specrric, when it depends upon the presence of special
materies morbt.
Traumatic, when it is due to local injury from without
through mechanical, chemical, thermal, and other agen-
cies.
Iproraruic, when not attributable to any such cause.
SrHenic, when occurring in a constitution with high
vital energy, and tending to the throwing out of plastic
lymph, which rapidly undergoes organisation, or to sup-
puration. The pulse being full and strong, and the
internal temperature high, and the nervous system in a
state of high activity, these cases run their course in a
short time.
AsTHENIC, when tending to assume a low character with
imperfect lymph deposits which do not circumscribe the
accumulations of badly matured pus, which, therefore,
tends to spread widely by infiltration into neighbouring
parts. This leads to extensive destruction of tissue, and
a depressed state of the constitution, the pulse being
INTRODUCTION. 35
weak, quick, and often irregular, and the temperature
being liable to marked variations. This depends upon a
depraved condition of the blood in the majority of cases.
Acuts Inriaumartion is of the sthenic type, running its
course with well-marked symptoms, and passing rapidly
either to resolution or to suppuration, ulceration, or gan-
grene.
In the curonic form both local and general sym-
ptoms are slight ; the tendency is to firmness and organi-
sation of deposits with permanency of effects, and the
conditions which are set on foot by it are slow. Inflam-
mation is considerably influenced in its course and effects
by the tissue in which it is located; thus, we shall notice
that mucous membranes thus affected tend to suppurate,
fibrous tissues to undergo calcification, serous and
synovial to exudation of lymph, cartilage to caries and
ulceration, &c.
’ Conczstion is a form of diseased action, second, indeed,
to inflammation in importance and complexity, but never-
theless exercising an important influence upon pathology.
Dr. Williams distinguishes between congestion and
hyperemia, considering the former to differ from the
latter in that retardation of movement of blood through the
affected part has occurred. In both cases there is excess
of blood in the part, but in hyperzmia the flow is rapid
and the outfall as great as the income. Hyperzmia is,
therefore, not disease ; it occurs in every organ or tissue
which is in a state of activity. Congestion may be active,
passive, or mechanical.
Active Congestion is that accumulation of blood in a
part which occurs when the income is great but the out-
fall is small. It occurs as a result of irritation, precedes
the inflammatory process, and often is confused with
hyperemia.
Passive Congestion results from a relaxed condition of
the small arteries and the capillaries of a part depending
upon deficiency of tone, so the flow of blood becomes
slow, and the vessels distended. It may arise either from
local or general disorder of the vessels, from imperfect
36 BOVINE PATHOLOGY.
action of the heart, or from a depraved condition of the
blood.
Mechanical Congestion depends upon impediment to
return of blood from a part in consequence of pressure on
the veins ; it generally assumes the passive character. In
active congestion there is swelling, pain, redness, and
heat, with an exaltation rather than a perversion of func-
tion, but practically it is extremely difficult to distinguish
from inflammation upon which it verges. Passive con-
gestion is indicated by swelling due to serous extra-
vasation, coldness and deficient vitality of the part, which
has a dark blue colour. The swelling is influenced by
position of the patient, for it is caused by a watery fluid
devoid of plastic elements. Such swellings may dis-
appear very rapidly and occur in pendulous positions.
Congestion terminates either in inflammation or resolu-
tion, and may persist for a long time, giving rise to
Exrravasations, either serous or sanguineous, or mixed
(sero-sanguineous).
Serous ExrravasaTIoN may occur either on a serous or
mucous surface, or into intercellular spaces. It may be seen
in the early stages of catarrh of various mucous membranes,
and, mingling with mucus, constitutes the discharge of the
early stages of inflammations of those structures. When
serum is extravasated into a serous cavity as a result of
congestion, it is a salutary relief to the diseased parts, and
the liquid can be readily returned into the blood, for the
serous cavities are only large dilatations of lymph-vessels.
Intercellular collections of serum are similar in their
pathological importance. Sometimes, however, accumu-
lations of serous or sero-sanguineous fluid appear on the
surface of the body as a result of injury ; the surrounding
areolar tissue becomes condensed and retains the fluid.
Incision into these “serous abscesses” is sometimes
necessary.
Sanguineous extravasation is known as HamorrHacs.
It depends either upon a depraved state of the blood, or
on a giving way of the walls of vessels. Not only in the
latter case is unaltered blood displaced, but it is allowed
INTRODUCTION. 8?
that a migration of red corpuscles (diapedesis) as well
as of white may occur from the vessels under certain
circumstances. Hemorrhage is TRAUMATIC when due to
injury from without, and ipioparHic when dependent
on intrinsic causes. Traumatic haemorrhage may be
due to injury of arteries, veins, heart, or capillaries,
and will be treated more at length under the heading
* Wounds.” Idiopathic blood-extravasation may be
active or passive.
Active Hemorrhage occurs in plethoric subjects, and is
preceded by active congestion. It results from a giving
way of the walls of capillary vessels, and the blood which
thus escapes is considerable in quantity, of a bright colour,
flows rapidly, and coagulates freely. Passive hemorrhage
generally depends upon debility and a disordered state of
the blood. It occurs in organs which have been weakened
by disease, and is often a symptom of some value. The
escape of blood tends to still further reduce the strengt'
of the patient. In certain blood disorders we find extra-
vasations of blood, either considerable infiltrations of
areolar tissue (hemorrhagic infarctions), or circumscribed
small patches of blood, petechta. Rupture of the wall
of a vessel, fracture of bone, and other lesions of a like
kind, are known in surgery as “ Sonutions or Continorty.”
These give rise to disorder only when the continuity of
structure is essential to due performance of function;
thus, a solution of continuity of horn may be present and
give rise to no inconvenience if the sensitive structures
beneath be not exposed to injury, as from compression.
Again, a simple incised wound, when the parts are brought
and maintained in contact, may become obliterated by
simple growth without the intervention of inflammation.
In bones continuity is essential to render them firm bases
of support. FRacruxzs, therefore, interfere with function,
and must be carefully studied. The walls of blood-vessels
are constantly subjected to pressure by the contained
blood, when a solution of their continuity takes place,
therefore, Hamorruace results.
In the present state of pathology we must admit the
38 BOVINE PATHOLOGY.
existence of certain FUNCTIONAL DISORDERS, on the under-
standing that they will probably, with improvement of
methods of research, be proved to be due to alteration of
structure. The term “ Functional disease” is of value
clinically, especially in relation to disorders of the nervous
system and other parts, with the physiology of which we
are not very well acquainted, but as our knowledge of
physiology and its relation to structure advances, we
trace such disorders to appreciable changes of struc-
ture. Functional disease of the rumen occurs in some
cases, and leads to accumulation of gas and food in that
viscus. Probably the derangement is due to nervous
disturbance, for such accumulation is found in many
brain diseases. We must be understood, therefore, to
imply a certain amount of ignorance when we speak of
disorder of function.
In conducting a post-mortem examination we must be
as systematic and thorough as circumstances will allow,
_ so that we shall be in a position to give evidence on each
case to either legal or medical authorities. The note-
book should be in constant use, and we must adopt an
established routine, to be varied as little as possible with
the exigencies of time, place, &c. Thus, the external
evidences of disorder must first be noted, position, expres-
sion and rigidity of the patient ; then the presence of dis-
order of the skin and visible mucous membranes, any indi-
cation of discharges or of injury, the age, sex, condition, and
breed of the animal, also special circumstances of history.
The carcase of the ox in the field must be supported by
means of pitchforks so placed as to sustain the limbs like
props. In the cow-house, or barn, or shed, the limbs of
one side may be supported by ropes thrown over a beam.
In opening the peritoneal sac by incisions through the
abdominal walls the conditions of the peritoneum and the
position and general appearance of the abdominal organs
must be observed, also any abnormality of the contents of
the peritoneal sac, which may be bloody, purulent, loaded
with flocculi of lymph, contain food material, &. The
stomachs, with the intestines, should then be removed,
INTRODUCTION. 89
and thus the liver, kidneys, diaphragm, and genito-urinary
organs are more or less exposed. The situation of each
of these should be examined before removal, any abnormal
relations and adhesions being carefully noted. To
thoroughly examine the genito-urinary apparatus one of
the hind limbs should be removed from the hip, and the
symphysis of the os innominatum and the neck of one
ilium cut through with the saw, and the portion of bone
thus loosened removed. Next, the thoracic viscera should
be subjected to scrutiny, the articulations between the
sterno-costal cartilages and the true ribs having been
divided, some of the anterior sterno-costal cartilages
of false ribs may be cut through, and thus the sternum
drawn away from its position and forwards. To do this
the connections of the fore extremities with the trunk
must be divided, and the skin reflected from the median
inferior longitudinal line of the body. During this
process dropsical collections or diseased conditions of the
axillary lymphatic glands may be found. The pericardial
and pleural sacs must then be examined for they are
exposed, and their contents must be observed. The
heart and lungs may be then removed en masse. Next,
the diaphragm and liver may be separated together from
the surrounding parts. After this the structures in the
lower part of the neck must be separated from their
surroundings and examined, but left in position until we
have the structures of the fauces ready for removal with
them. ‘This is accomplished either by dissection of the
skin from the central line of the sub-maxillary space, and
a deep incision on either side against the inner surface of
the lower jaw, whereby the tongue is freed from its
attachments, anteriorly and laterally, and can be drawn
between the branches of the lower jaw, or by removal of
the skin farther up the side of the face, and amputation
of half of the inferior maxilla at the symphysis, and just
below the condyle. The mouth, pharynx, posterior nares,
and isthmus faucium may thus be examined, and the
temporo-hyoid articulations being divided, the tongue,
larynx, and pharynx removed with the trachea, esophagus,
40 BOVINE PATHOLOGY.
&c. The head having been skinned and disarticulated at
the occipital condyles, may be retained for examination of
the brain, eye, nasal chambers, &c., secundum artem,
The subsequent examination of solid organs, variations in
size, form, and structure must be noted and deter-
mined to be primary or secondary causes of death. The
contents of hollow viscera must be retained and examined,
and the capacity, form, and structure also placed on
record. Finally, a scientific summary of post-mortem
results, with conclusions deduced from them, should be
drawn up after each organ or tissue exhibiting disease
has been specially examined.
Disease may assume various forms dependent upon its
method of appearance and the manner in which it runs its
course. Thus, acute disorders are characterised by short
periods of attack and rapid morbid changes leading to death
or to resolution in a few days, whereas chronic cases last
for some time, changes occur more slowly and lead to
greater permanent alteration of structure. Such attacks
as are active in their phases, but chronic in their effects,
are termed Subacute. Different diseases generally affect
one or other of these characters. Certain blood diseases
are very liable to assume the chronic form, rheumatism,
for instance, while inflammations of important viscera, as
the lungs, heart, &c., are generally acute. When
a number of animals of the same species become
simultaneously affected with a disease which does not
seem to be confined to any special locality the outbreak
is said to be Epizooric, but if animals of various species
suffer from the disorder it is termed Panzoortc. Enzoorics
are those diseases which affect a number of animals in a
circumscribed locality. Thus, eczema epizootica is a
panzootic, pleuro-pneumonia zymotica is an epizootic, and
anthrax generally manifests itself in enzootic outbreaks.
The term Srorantc is applied to those disorders which do
not affect a number of animals simultaneously, but now
and then an individual becomes attacked, while a number
of others subjected to like conditions escape unharmed.
Most non-specific disorders assume the sporadic character,
INTRODUCTION. 41
Having determined the nature of the attack under which
an animal is labouring, and by the various methods of
“inquiry above noted, in so far as they are applicable to
the special case, having arrived at a conclusion as to the
part disordered, and the extent to which it has undergone
pathological changes, and to which its altered conditions
affect surrounding parts, the practitioner must next
determine the method of treatment to be adopted and
rigidly enforced with a view to restoration of health, or
to a condition of fitness for special duties according to the
nature of the patient. It has been truly remarked that
in many cases a veterinary surgeon has not the oppor-
tunity to carry his medicinal skill to its full extent since
his patients are almost always viewed as representing so
much capital, and not as being in a position to claim
moral protection for life so long as it exists. Again, in
the majority of cases the veterinary surgeon must
thoroughly cure his patient, and may find a “ patched up ”
case which would bring his medical confrére much credit,
is apt to prove even prejudicial to him. Such being the
case, it can hardly be a matter of wonder that the study
of the treatment of such animals as our bovine patients
has not been pursued with such energy as certain other
branches of therapeutics. The animal if slaughtered at
once will prove useful for food, if kept alive will probably
have its system impregnated with medicinal agents, and
at the same time will rapidly decline from ‘‘ market con-
dition.” The veterinary surgeon’s bill and the keep of the
animal until it is again fit for its special duties will
mount up very considerably, so the owner is too often
tempted to send the patient immediately to the butcher.
Promptness is most essential, then, in the treatment of
our patients, both in prognosis and in administration of
remedies. In all cases we must remember the grand rule
“remove the cause and the effect will cease,” and must
not only remove the immediate cause, but any other
influences which are tending to bring about increase of
the disorder. We must thoroughly trace out the value of
each pathological condition in relation to other morbid
42 BOVINE PATHOLOGY.
states, and the primary disease must in all cases determine
the course of our therapeutical efforts.
All secondary diseases, symptoms of which show that
they are liable to destroy the patient, must also receive
attention ; thus, in a case of indigestion we often require to
prevent death from suffocation when distension of the
rumen with gas impedes movements of the diaphragm,
evacuation of the gas is then urgent and must be adopted
asa palliative measure, together with the curative means
directed to reduction of the indigestion. Curative means
may be either medicinal or surgical. Medicinal agents of
various kinds have been found to have different effects
upon the animal system since they increase, retard, or
prevent natural processes. A judicious selection of these
agents may be made to assist nature in her attempts to
restore healthy conditions; in all cases the educated prac-
titioner must apply his knowledge of the action of special
medicaments and of the methods which nature adopts as
reparative. Thus, with a wound of a sluggish character,
he will endeavour to promote salutary inflammation by
means of digestives, and in a case of hemorrhage, he will
endeavour to coagulate the fibrine of the blood and so
plug up the orifice of escape. Treatment must be of no
definite and fixed character, nostrums and recipes occupy
too prominent a position in works on cattle diseases ; the
educated practitioner alone should treat the case, and he
will be able to vary the doses and agents administered
according to the many and ever variable phases of diseased
action.
Human medicine has been facetiously termed “the art of
amusing the patient while nature cures the disease.”’ All
medicinal treatment consists in a state of constant vigilance
and free supply of aid whenever the vis medicatrix nature
requires us to assist her in restoring health equilibrium.
Surgical Treatment comprises all operations performed
upon the various parts of the body with a view to
restoring the natural condition of the constitution or a
satisfactory state of health. Many refinements which have
been adopted in human surgery and so materially allevi-
INTRODUCTION. 48
ate suffering and prolong life, have not been able
hitherto to find a place in veterinary surgery. For want
of co-operation on the part of the patient and his slight
pecuniary value if imperfectly restored, and the expense of
keep, prove sad opponents of our advancement in this
respect. Thus the medical and surgical branches of
professional work have not been artificially delegated to
distinct. sections of practitioners, and as they depend on
the same laws of disease, and are at every phase in
close interunion, we have not deemed it right to separate
surgery from medicine in the work before us. Surgical
treatment comprises operations, the use of appliances, and
dressings of various kinds.
Orzrations may be performed with special instruments or
by manipulatory methods; they have for their aim either
removal of the cause of disorder as in cesophagotomy, or
palliation of its effects, as opening the trachea in a case
of laryngeal obstruction. Again, they may have a pre-
ventive effect, as in removal of ® tumour which by its
spread tends to involve important organs, and ovariotomy
in an animal with some mechanical impediment, to expul-
sion of afcetus, Operative surgical skill may, to a certain
extent, be acquired in the dissecting-room by the study of
topographical or regional anatomy, but can only be per-
fected by operations on the living subject, preferably in
the course of general practice; though some educational
authorities consider that the pain inflicted on a few animals
during a course of operative vivisectional surgery, will be
amply atoned for by subsequent more skilful execution of
professional duties. In the performance of any operation
the practitioner must have determined beforehand the
most favorable methods for the particular case, the com-
plications liable to arise, and the measures of after treat-~
ment which will be necessary if everything succeeds
according to his expectations. It is in the occurrence of
complications that the skill of the operator is best tested ;
coolness, promptness in emergency, and neglect of sur-
roundings, are valuable qualities under these circumstances.
With large patients special means of restraint during all
44 BOVINE PATHOLOGY.
major operations have to be resorted to by the veterinary
surgeon. The animal requires to be cast or otherwise to
be disarmed of defensive powers and ability to escape.
AnzstHetics have not been hitherto used much in
veterinary surgery. They are not so frequently required
as in human surgery because major operations on animals
are less frequent, and also because the amount of nervous
wear and tear in the lower animals is not so great as in
man, with his extremely elaborate and delicate nervous
mechanism. The pain of anticipation, also, in animals,
is reduced to a minimum. CxHLoRororM requires to be
administered in very large quantity to large herbivores,
and seems to so thoroughly impregnate the blood as
to interfere with subsequent healing processes and to
give rise to serious complications. This agent proves
more expensive than the owner of the patient generally
likes, and the preliminary stage of excitement produced
by it induces severe struggling and reduction of the
strength of the patient. Local anesthesia as induced by
Dr. Richardson’s spray diffuser, has been used for certain
veterinary operations ; cold water is sometimes continuously
applied to produce this effect, and cocaine has been utilized
in this way for Bovine surgery.
Fra. 5.—Spray diffuser for anmsthetics or disinfectants,
The preliminary treatment of a patient must be such as
will induce as vigorous a state of the constitution as is
compatible with the circumstances. Food of good quality
and wholesome, a free supply of air, and exercise, should
INTRODUCTION. 45
be adopted when possible. Operations should not be per-
formed when certain blood diseases are present, and organic
disease of various organs, together with the special condi-
tions of the patient, should be most carefully considered.
Professor Williams is careful to caution us lest we ope-
rate with dirty instruments or hands or near a dissecting
room. The operation should be performed in a place where
there is lots of room, light, and quietude. The subject
should be placed in position by skilled assistants, and the
necessary instruments and appliances should be clean, in
order, and placed under the charge of a special assistant.
Thoroughness, cleanliness, and judgment should be the fea-
tures ofalloperations. Emergencies asthey arise must be met
and counteracted. Heemorrhage, protrusion of viscera, and
collapse of the patient, are some of the most formidable.
Cot.apse consists in sudden interference with the heart’s
action, the result of nervous shock. The patient ceases to
struggle, and loses all voluntary power, the limbs are
relaxed, the pulse scarcely perceptible and extremely
irregular; sighing, pallor of visible mucous membranes,
and coldness of the body are present in most cases.
In this state of affairs a free supply of fresh air must
be secured, and sometimes artificial respiration resorted to.
Stimulants must be administered and frictions applied to
the extremities and general surface. Extreme quiet and
stimulant tonics must constitute the after-treatment.
When death occurs from this cause, the blood is found
diminished in consistency and occupying all the cavities
of the heart, the right especially being engorged.
Tn all cases after a serious operation the patient should
be kept in a well-ventilated house, and supplied with good
and not over-nutritious diet, the necessity for stimulant and
tonic agents being estimated in accordance with the case.
The various forms of appliances and dressings will re-
quire special notice. An important rule to be observed in
operative surgery is to preserve every portion of structure
which can become useful, while removing all diseased parts
with an unsparing hand. This is the grand doctrine of
7 EP)
“ Conservative Surgery.
46 BOVINE PATHOLOGY.
Finally, we must impress upon our minds the extreme
value of Nursine and PREeveNnTION.
Nursing consists in attention to minor details which
are conducive to the comfort of the patient. Supply
of tempting and palatable food, and water or other drinks,
as suited to the state of the patient ; free supply of fresh air
of an agreeable temperature, prompt removal of ejecta, and
the supply of a good clean bed of straw, clothing properly and
with judgment, administration of medicines in the gentlest
and most effectual manner, and application of dressings of
various kinds, also constitute the duties of the nurse.
When it is remembered that very frequently these simple
matters prove more valuable than more active treatment, the
necessity for good nursing in all cases will be evident.
PREVENTION or PROPHYLAXIS is a most important question.
We have seen that conditions are rather unfavorable to
curative treatment, but prevention is correspondingly
valuable. Veterinary surgeons are called in to prevent
disorders of any kind among a herd of cattle, or to adopt
special prophylactic means against such a disorder as
anthrax. In each case he must carefully adopt hygienic
measures with a view to avoidance of predisposing causes.
When exciting influences occur they will then be less able
to produce marked effects. The quality and quantity of
the food must be duly regulated ; the purity and tempera-
ture of the air and the sanitary conditions of stalls, houses,
&c., as well as the general treatment of the beast, must
be adapted to the object for which they have been kept
Such individual predispositions as result from age, con-
formation, breed, and temperament, must as much as
possible be obviated ; and, lastly, all exciting causes, such
as standing in draughts and sudden transitions from heat
to cold must be guarded against. There can be no doubt
that by such means latent tendency to tubercle and other
similar affections can be restrained for a considerable
time. The effect of disease of parents may be manifest
at birth when it is termed Concenrrat, or it may remain
1 J . ] . »
Neceasity for lnprovement ia Farm Hygiode'” (pabiiued wee evetadeee
Journal’ and ‘ Veterinarian’ for 1886) ought to be studied by both practi-
tioner and student.
INTRODUCTION. 47
in a latent state until the young animal has attained a —
definite age corresponding often with that in which it
first appeared in the parent. For the prevention of out-
breaks of special disorders various means are adopted.
Inocunation depends for its value upon the fact that
some diseases do not occur twice in the same subject, and
when artificially induced have a mild character.
Vaccination consists in securing immunity from a
severe disorder by bringing on an attack of a closely
allied but very mild disease.
SprcraL BREEDING consists in the crossing of animals of
a breed predisposed to a disorder with animals of a breed
manifesting no such tendency, as in crossing shorthorns
with less carefully bred animals.
SPECIAL LEGISLATIVE MEASURES, with which we shall after-
wards have to deal, are necessary to check contagious
disorders.
The treatment of inflammation is complicated in accord-
ance with the complex conditions of that pathological
state, and the effects of these processes. We must
remember that inflammation is in very many cases salutary
and that it must therefore be encouraged under the
following circumstances ; when reparative, constructive, or
usefully destructive. Reparative inflammation is the
means by which injuries are repaired, and when a con-
siderable amount of new tissue has to be produced, as in
filling up’ an abscess cavity, constructive inflammation
causes granulative repair. In the removal of foreign bodies,
whether introduced from without or resulting from death
of a part, as in sloughing, inflammation is usefully des-
tructive. Inflammation under these circumstances must
be carefully watched, and either promoted or controlled
as occasion may require. If the process becomes sluggish,
as in indolent ulcers, on account of deficiency either of
local or constitutional energy, stimulants must be applied
or administered ; while if the local changes are intensely
acute and give rise to a high state of fever sedative
means must be adopted locally, and general sedatives
and antiphlogistics be used. At the same time the
48 BOVINE PATHOLOGY.
cause of excess or deficiency must be sought for and
removed. In salutary destructive changes where a
foreign body becomes the centre of an abscess, whenever
necessary the tendency of the abscess to pass in the
direction of least pressure must be directed by relaxing
superficial parts by moisture and warmth, also any impe-
diment to such progress towards the surface, as layers of
fascia, must be overcome by operation. Our anatomical
knowledge will guide us in this matter. Local energy
must be promoted in cases of removal of gangrenous
parts by sloughing, and when the general or local powers
begin to flag they must be assisted by surgical removal
of the altered mass. The circumstances of each case will
suggest to the practitioner the proper time for operation,
and when there is inability to produce a “ line of demar-
cation,”’? removal must be made where the tissues retain
vital energy sufficient for repair. When it is necessary to
treat inflammation of a non-salutary character the original
cause of the disorder must be first removed. Thus, a
foreign body in the muscular structures of a part, resting -
op the conjunctiva, or situated in a passage too small
to accommodate it under ordinary circumstances, if not
removed artificially will be thrown off if possible by
exacting processes of nature, or death will result from the
attempt. Occasionally a coating of lymph will be thrown
out over a foreign body, and thus its irritating characters
obviated. Next, ail causes which tend to produce similar
inflammation must be removed, for they simply aggravate
the casein hand. Thus, in inflammation of the peritoneum
quiescence of the bowels is to be sought, for active peris-
talsis, suchas results from cathartics, causes friction between
the inflamed surfaces. As activity predisposes to disorder,
both directly and by influencing blood supply, we must
secure Rust whenever possible ; thus we keep the animal
in a dark place in cases of ophthalmia, and endeavour to
promote the action of other excretory organs in cases of
inflammation of the kidneys, to relieve the diseased glands, .
There is a natural tendency to this which we must
eudeavour to promote. The substitution of the action
INTRODUCTION. 49
of one excretory organ for that of another is vicarious
activity. Agents which, when administered internally,
counteract inflammation, are termed antiphlogistics.
Many of them act by promoting vicarious secretion,
whereby the blood is purified; also in doing so they act
as derivatives. There is a marked determination of blood
towards a part suffering from inflammation, and a corre-
spondingly diminished supply to other parts of the body.
Our efforts must be directed to the diffusion of nervous
energy which controls vaso-motor activity, so we resort
to general stimulants, clothing, hand rubbing of limbs,
and stimulating applications to the surface. It has been
long recognised that when blisters applied to the surface
of the body during internal acute inflammation act freely
it is a favorable sign. We must look upon it as a proof
of diffusion of nervous energy and blood which previously
had been accumulated in. the affected part. Derivatives
assist in the process of diffusion. The excess of blood is
removed from the zone of congestion and simple hyperzemia
around the part where stasis has occurred, and thus the
disease limited in its extent. The same effect results
from certain modifications in posture, and from bloodletting.
Certain agents have been extolled as especially efficacious
in cases of severe inflammation, either by producing
changes in the blood or by their action upon the heart.
Mercury, as calomel, acts on numerous secretory organs,
and is correspondingly valuable as a means of purifica-
tion of blood which is over-loaded with inflammatory
débris; also it is considered to check or prevent plastic
deposit. It is a debilitating agent of a very powerful
kind, and so is often contra-indicated. _
PorassIO-TARTRATE OF ANTIMONY is considered valuable
in reducing the heart’s action as does bleeding, but having
the advantage of it being permissible to administer it
several consecutive times.
Diarrauis also controls the heart’s action, but it is cumu-
lative, and thus requires very careful watching. It pro-
duces intermittency of the heart.
Opium is valuable “in various ways; by quieting the
a
50 BOVINE PATHOLOGY.
nerves, by sustaining the faltering action of the heart, by
keeping the inflamed parts at rest’ (Watson).
In nursing a patient suffering from severe inflammation
we must select such food as is very easy of digestion, and
therefore not likely to aggravate the disordered condition
which the stomach shares with other organs of the body
in such cases. The appetite of the patient must be
tempted, for it is generally difficult to make him take
anything which will assist in husbanding the strength
against the emergencies of the attack. Some practitioners
rely almost wholly on stimulants in the treatment of in-
flammation; these, they urge, foster the strength, and
hasten the local changes to a favorable issue, while they
prevent all those unsatisfactory effects, such as ulceration
and gangrene, of deficient local power which are apt to
result from the depletory system of treatment; they also
prevent the attack from lapsing into a chronic character.
There certainly is much feasibility in this line of argu-
ment, and the benefit of the system is proved by the un-
doubted fact that under it cases of true hydrothorax less
often result from pleurisy. But we must exercise judgment
and discriminate when we can afford to run the risk of
plastic results of an acute attack, and when haste is less
essential than thorough ultimate recovery. In all cases
where vital organs are inflamed stimulating treatment is
likely to be of value. With regard to local conditions,
too, sometimes stimulation is beneficial. This is well
shown in many cases of so-called counter-irritation, as in
application of vesicants to the sides in cases of pleuritis.
Undoubtedly many cases of supposed inflammation, are at
first simply congestion, and nowhere does this more often
occur than in the pleura; the stimulus arouses the activity
of the congested blood-vessels, and enables them to expel
their contents, and thus immediate relief follows. Again,
undoubtedly deficient nervous energy in a part is a potent
cause of inflammation; stimulation removes this cause.
It is even possible that when stasis has occurred a sti-
mulus may so strengthen the blood-current as to enable
it to break down the obstruction, and so alter the local
INTRODUCTION. 51
states of nutrition as to give no tendency to renew it.
But while admitting this mode of action of external
stimulants, we cannot refuse to admit the derivative effect
of COUNTER-IRRITANTS.
Recent researches on the vaso-motor system have
proved how powerful an effect a stimulus may have in
altering blood-distribution. These researches, though by
no means complete, are favorable to the view that a
deep-seated inflammation may be relieved by originating
a similar process in superficial tissues. Setons, blisters,
cauteries, and rubefacients are means to this end.
Coup, when applied locally in a continuous manner for
a long time, will, in such cases as open joints and similar
pathological states, enable repair to occur with a minimum
of inflammation, for such, if it set in to a marked degree,
would cause high fever on account of the unyielding nature
of surrounding parts. Also under this treatment the in-
flammation is not so liable to involve the joint surfaces.
This continuous application numbs the parts, and so lessens
pain; but some say that ultimately the white muscular
fibre of the arteries relaxes, and passive congestion occurs.
However this may be, its practical value in joint diseases
has been proved.
Hear with Moisture relaxes parts, and so eases pain, it
also tends to promote suppuration. It must be used,
therefore, to assist the maturation of abscesses, but should
be avoided whenever suppuration would be prejudicial. In
the earliest stages of inflammation resolution may be
brought about by warmth mechanically relaxing the
vessels in which stasis has occurred, and thus readmitting
the current of blood, or the same effect may be the result
-of extravasation.
Loca Szpatives, as Goulard’s solution of the subacetate
of lead, check the spread of inflammation by lessening the
passive congestion around the seat of stasis; they are very
useful in cases of ophthalmia, contusions, &c.
Loca Bioop-LETtine must never be brought about by
incisions in the inflamed part, but rather in the proximity.
It seems to temporarily relieve congestion and hyperemia,
52 BOVINE PATHOLOGY.
but the effect is evanescent. Occasionally free scarifica-
tions allow the escape of excessive extravasated material,
which, by pressure, tends to interfere with favorable pro-
gress towards resolution, For the removal of effused
material pressureand stimulation have been found beneficial.
The effects of pressure are very gradual, and some mechani-
cal applianceisnecessary; the moreconvenient planof stima-
lation is, therefore, generally adopted, compounds of iodine,
especially the biniodide of mercury, being most useful. The
friction in application also tends to promote absorption.
When ulceration is present the treatment must be
regulated according to the condition of the sores. Often
tonics and stimulants must be administered internally.
Indolent ulcers require local stimulation; callous, the
application of caustics, whereby a fresh granulative surface
will be exposed ; inflamed, local sedatives; inflammatory
and specific, attention to constitutional conditions ; phage-
denic, powerful caustics, followed by poultices.
When Surrvurarion has occurred, free exit must be given
to the pus by means of a depending orifice, but the abscess
must not be opened until fully matured. Purulent infil-
trations should be relieved byincision. The system must
be well supported by nourishing food and stimulant tonics
in the meanwhile, and the animal be clothed carefully, for
suppuration is an exhausting process, and causes febrile
symptoms, rigors, debility, and fulness and rapidity of the
pulse. Tonics will be favorable to the constructive pro-
cesses by which the abscess cavity will be filled up;
locally, carbolic dressings are most useful.
Mortification necessitates support of the strength of.
the patient, for not only is the system severely taxed in
throwing off the slough, but also gangrenous fluids tend
to enter the circulating current, and give rise to an asthenic
character of subsequent changes. Stimulants and tonics
require to be administered freely internally, while poul-
tices such as Cataplasma Calcis Chlor., or Catap. Fermenti,
promote the separation of the slough. We have already
indicated that surgical removal of the diseased part is
oftea necessary.
INTRODUCTION. 53
It remains only for us here to state that febrile com-
plications of inflammation will be subsequently noticed,
and that inflammation is sometimes induced as a prophy-
lactic means, as when a seton is inserted in the dewlap of
young cattle as a preventive against “black quarter.”
ConeEstion requires treatment directed to the removal
of causes, such as relaxation of arteries or impediment
to return of blood through veins. Often a local stimulant
will remove any tendency to stagnation, while astringents,
such as cold water, will cause tonic contraction of the
previously passively-relaxed vessels. When the conges-
tion is due to weakness of constitution, tonics must be
prescribed. Often it is necessary to palliate the accumu-
lation of blood by scarifications, phlebotomy, or applica-
tion of equable pressure to the part. An elevated posture
will prove beneficial. Moisture with warmth may lead
to removal of congestion by causing the vessels to relieve
themselves by serous effusion.
Haworruacs, when traumatic, must be treated as here-
after described. When due to blood disease, and occur-
ring as petechie and hemorrhagic infarctions, they must
be deemed of minor importance as secondary to the
general disorder of the blood. The other form of passive
hemorrhage, that due to debility, must be treated by
strengthening the patient; and in active hemorrhage we
must reduce plethora and tendency to congestions by less
food and more exercise, and also laxative and diuretic
agents. Local astringent applications, as cold water, act
as styptics, restraining hemorrhage. Certain medicinal
substances, when administered internally, are considered
heemostatic, as oleum terebinthineg.
Drorsy will disappear with the congestive or inflam-
matory state from which it originated. The process may
be promoted by stimulating the water excreting organs,
kidneys, and skin; also such agents as lessen blood
pressure promote absorption; digitalis is one of the
best. If the supply of fluid for drinking purposes be
limited, effused fluids will be taken up to maintain the
due liquidity of the blood. Iodine and its compounds are
54 BOVINE PATHOLOGY.
supposed to assist the process of absorption in these cases.
When absorption is prevented by lympby deposits on the
walls of a sac, or when the fluid has collected in such
quantity as to cause extreme tension, paracentesis (or
tapping) must be resorted to. Injection of a stimulating
agent may close a serous abscess by lymph exudation.
This is, of course, inadmissible in dropsies of serous
cavities. Senile dropsy is generally incurable.
Section 2.
The ox, Bos Taurus, is a ruminating, hoofed mammal,
and presents certain leading anatomical and physiological
characteristics which leave their impress upon his patho-
logical conditions. Thus the alimentary system is remark-
ably well developed, constituting a considerable propor-
tion of the total weight of the body. It is largely composed
of stomachs, which fill the greater part of the abdomen and
consist mainly of three compartments, modified forms of
the inferior extremity of the cesophagus, adapted for pur-
poses of rumination. The fibres of the tubular portion of
the cesophagus are arranged in such a manner as to readily
permit either upward or downward passage of the food,
and the organs of mastication and salivation are specially
adapted for prolonged action.
As in other herbivorous mammals, the molar teeth are
large grinding organs, which, by the size of the fangs
firmly implanting them in the jaw, necessitate a large
condition of the face in comparison with the cranium ;
and by their weight so increase that of the head that the
neck is short and presents superiorly a highly developed
ligamentum nuchx.. The weight of the skull is also in-
creased by offensive organs, the horns, developed from the
fontal bones at the superior prominence of the skull.
But the weight of these is lessened by the fact that into
them extend prolongations of those large facial sinuses
which contain rarefied air, and buoy up the unsupported
skulls of most mammals, as the air sinuses in the bones of
birds also buoy up their bodies in adapting them for rising
INTRODUCTION. : 55
in the air during flight. As in other ruminants incisors are
deficient in the upper jaw, being there replaced by a dental
“pad, and in the inferior maxilla the canines assume the
figure of incisors and form part of a continuous series of
eight.
The anterior extremities of the nasal and oral chambers
are connected together by a duct of Stenson, leading to
the organ of Jacobson, an accessory olfactory appa-
ratus, in all probability closely connected with the mouth
that the sense of smell may exercise more direct control
against ingestion of poisonous herbs. The upper lip and
the anterior nares are occupied by the muffle, a fibrous
organ covered with a delicate but firm membrane devoid
of hair, but constantly, in health, secreting a dewy moisture,
and kept clean by the tongue, which latter organ is deve-
loped to aremarkable extent for prehensile purposes. The.
eyes are prominent and rather far back as in other herbi-
vores, whereby extensive range of vision enables the animal
to view an enemy afar and not be disturbed suddenly
during the prolonged period of rumination. This act is per-
formed by the animal preferably in the recumbent posi-
tion. The rumen when full presses against the diaphragm,
and the thorax, under any circumstances, is not remarkable
for extent, but has special provisions whereby it may in-
crease in transverse diameter when the animal is lying
down, Besides the shortness of the thorax of the ox and
other ruminants as compared with that of the horse and
his allies, the lungs are more largely composed of areolar
tissue, the calibre of the trachea is less, and the anterior
nares are smaller and less mobile, and devoid of that
remarkable complexity of formation which assists in
adapting the horse for rapid movement over the earth.
Altogether the respiratory system is less developed than
in the horse.
In accordance with this the circulatory system is less
developed, the arteries being small and the heart generally
more frequent but less powerful in its action, so that the
pulse has a somewhat soft beat. The blood does not ex-
hibit that tendency to the formation of- the buffy coat
56 BOVINE PATHOLOGY.
which that of the horse does under normal conditions,
though the corpuscles are about equal in size.
The nervous system has a rather small cerebrum, due
especially to deficiency in size of the anterior parts of the
hemispheres; these also are remarkably short in the ox.
The spinal cord is fairly developed, and the ganglionic
system large and energetic. The organs of the senses are
all well developed, the skin is thick and somewhat loosely
applied, and covered with a dense coating of hair; the
thermogenic functions are active, hence the internal tem-
perature is high. This we may associate with smallness
and insensibility of the organs of exit of heat as compared
with those of production. The other excretory organs,
kidneys and liver, are large and active; the urine of the
ox differing in some marked chemical and physical char-
acters from that of the horse.
The muscular system is less developed for functional
purposes than that of the horse, and is less compact.
The basement structures of the limbs are less adapted to
secure sharpness and precision in movements, and termi-
nate inferiorly in division, which produces the characteristic
cloven condition of the hoof in ruminants, while the limbs
of the ox are capable of more varied mobility than those
of the horse, of which the forward kick is a rather forcible
illustration. In each case these organs are used simply
for purposes of progression, the ox therefore is devoid of
ossific union of the fore extremity with the trunk, the
clavicle being absent and the scapula large.
The generative system is largely developed both in male
and female. Sexual desires are urgent in the male, and
he is specially endowed with strength and weapons suitable
to enable him to maintain supremacy against intruders into
the herd of which he is lord and master. A struggle
for existence among the males determines at once the
numerical excess of females and the continued improvement
of the race. The female is prolific, frequently producing
twins, with a period of gestation shorter than that of the
mare. The mammary gland is largely developed and
placed in the hypogastrium,
INTRODUCTION, 57
In a state of nature the ox is gregarious, the females
much predominating in numbers over the males. Inhabits
prairies and other wide expanses of pasture land, spends his
time partly in grazing and considerably in ruminating.
Migrates frequently to fresh pasture land or flies rapidly
with considerable energy from a foe. When attacked,
defends himself with his horns and by trampling the foe
under foot, sometimes also by kicking.
Under domestication these conditions are much wigdl
fied.. The range becomes limited to meadows and straw
yards, or to the extreme of stall life, thus the fat produc-
ing powers are increased, leading to either general fatness
for feeding purposes or to increase in lacteal secretion to
a most extraordinary degree. Warmth, such as results
from shelter,and diminished supply of oxygen due to con-
finement, operate in the same direction, and tend to
dimimish vital energy while encouraging fat production.
Limited range also lessens the activity and compactness
of the muscular system, the “wiry” organism of the
wild animal becomes altered into the “soft” state of the
domesticated. There is no necessity for frequent migra-
tion nor flight when they are protected by man, and the
prevention of combats between males tends to interfere
with the inherent energy of the race, and probably to
generate a more docile offspring. Increased supply of
more nutritious food, obtained without the necessity of
traversing large tracts of country, and without the dis-
-turbing influence of constant dread, causes actual increase
in the size of the race.
Artificial conditions to which the ox is subjected are
such as tend to diminish the circulatory, respiratory, and
cerebro-spinal sensory organs, to lessen acuteness of smell,
taste, sight, and probably hearing, and also the secretory
activity of the skin. On the contrary, the alimentary and
generative systems (with, as a result, the ganglionic
centres) are increased in activity in adaptation to our
requirements.
In the working ox the conditions of life are not so
profoundly altered; he spends his days in the open air
58 BOVINE PATHOLOGY.
utilising his locomotory system, and not indulging in
either excess of alimentary or reproductive pleasures. He
is hardy, but gives us examples of diseases of the locomotor
system as also of the cloven hoof.
Such marked subjection to the uses of man has led to
two results; increase in varieties of the ox and increased
liability to disease. As varieties differ from the original stock
so in direct proportion do they become liable to disease, and
when by culture we generate remarkable activity of an organ
we render it correspondingly predisposed to disorder.
In the production of a breed with special qualities there
is a transmission of hereditary tendency to special pecu-
liarities of structure and to activity of function, conditions
predisposing to disease, and these predispositions are very
marked as a result of “breeding in and in,” which pre-
vents the counteraction of family tendency to some special
degeneration by the introduction of new blood. Excessive
development of one part of the body tends to cause a want
of reciprocity of different parts of the body, to the preju-
dice of the whole; only by very gradual development can
modifications of species occur; nature shows us this, for
variation under domestication tends to disease. The mere
fact of breeding from near relatives is not prejudicial, if
both be in a state of thorough health. -
Gregariousness is not favorable to individual peculiari-
ties, nevertheless, when epizootic disorders occur certain
individuals will exhibit immunity under extreme conditions
of exposure ; this seriously complicates experiments on
the transmission of these disorders. A similar immunity
from the effects of altered conditions may be noted after
the ingestion of medicinal or toxic agents; some
individuals require immense doses, while others become
seriously influenced by small quantities. The latter con-
dition is termed intolerance ; the former, tolerance, may
be due to frequent administration of the same agent when
it is of a non-cumulative character. Immunity in certain
blood diseases is secured often by an attack either of the
same or of a closely allied disorder,
Diet acts as a predisposing cause of disease either by
INTRODUCTION. 59
its quality, quantity, or mode of preparation. A very
rich diet predisposes to anthrax and inflammatory disorders,
a poor diet to anzmia and dropsies. Food materials may
be in themselves prejudicial either by medicinal or poison-
ous constituents. Mouldy fodder serves to illustrate
this, also the various cases of poisoning by oil cake.
Excess of food either causes excessive distension of the
stomach as in plenalvia, or, when in small quantities fre-
quently administered, gives rise to plethora. Deficiency
of food gives rise to debility and anamia. When not
enough food at a time is given to an ox he is unable to
ruminate, thus indigestion is produced. The familiar
instance of choking from an uncut swede is an example of
ill effects from improperly prepared foodstuff. Diet
unadapted to the special uses for which an animal is kept
will frequently cause disappointment to the owner and
require correction by the veterinary surgeon consulted
about the case. An extreme instance of this may be
seen in pregnant animals, for the nature of the diet will
affect the well being of the foetus in utero. Anemic
conditions of the mother will give rise to dropsy of the
foetus and its membranes and perhaps to its death,
while not unfrequently an ergotised condition of pasture
grass is the cause of abortion.
Pregnancy in itself alters the nutritive equilibrium of
parts, and hence predisposes to disease, especially of the
generative organs; it produces important though tem-
porary systemic changes. ‘The pulse beats more rapidly,
the amount of carbonic anhydride excreted from the lungs
is altered, the constituents of certain excretions, especially
the urine, are modified, the appetite often becomes depraved,
and the state of the nervous system different from ordi-
nary. These changes culminate in the special phenomena
of parturition and lactation, and with decline of the latter
diminishes the predisposition to disease from pregnancy.
The conditions of surrounding air may predispose to
disease. Many specific disorders originate through vola-
tile contagions conveyed through the air and taken up
through the respiratory mucous membrane ; this is termed
60 BOVINE PATHOLOGY
Inrgcrion. Again, the air has an important influence on
respiration and cutaneous exhalations. When loaded
with deleterious gases it may act as a poison, but if these
be present only in small quantities it may simply produce
local disorder. Variations in the surrounding air consist
principally in moisture, temperature, or purity. When
moisture is deficient, but the air warm, the skin acts
readily but the muscular system is relaxed, hence the
system is predisposed to herniw. Tetanus is prevalent
in countries with such a prevailing climate as this, and
diseases become acute. Warmth, with moisture, while
determining blood to the skin, lessens the escape of
moisture from the surface and from the lungs; thus a
sluggish lymphatic condition is induced, and the animal is
predisposed to dropsical effusions and low fevers. These
conditions are specially favorable to the growth and
multiplication of vegetable organisms, fungi, such as give
rise to anthracoid disorders and intermittent fevers. Cold,
with dryness, produces just the reverse effects, and gives
a very low rate of mortality. It is remarked that the
first touch of frost checks the ravages of an epi-
zootic. These conditions tend to slowness and stunted
growth, but produce hardihood, and are favorable to
the healing of wounds without the occurrence of septic
accidents. Cold with moisture, tends to a lowering of
vital energy, and an accumulation of impurities in the
system due to defective excretion by the lungs and skin,
diseases tend to an asthenic type, internal congestions
frequently occur, and rheumatismal diseases are prevalent
and severe. But where currents of air give rise to draughts
they are active agents in production of disorder, they
disturb the nervous system and originate inflammation
in that organ which is most predisposed to disease.
While warmth promotes fattening and the production of
milk, it must not be procured at the expense of venti-
lation and drainage. Unless fresh air is admitted, and
foul air escapes, and ejecta are not allowed to accumulate,
the air in the cowhouse will become overloaded with
impurities which predispose to disease, will tend to make
INTRODUCTION. 61
epizootics and other specific disorders of a highly destruc-
tive character, will induce any disease which occurs to
assume a low type. The drinking water supplied to an
animal may be so impure as to originate or communicate
disease. Besides the conditions already mentioned, age,
sex, and conformation determine individual liability to
disease. Young animals respire quickly, have a quick pulse,
and high internal temperature, they are particularly liable to
diseases of growth, to acute inflammations, and to catarrhal
affections of the alimentary and respiratory tracts, also
their constitutional energy is hardly able to check and
counteract the ravages of entozoa. In adult animals the
tendency is to certain disorders resulting from diet, also to
diseases of the generative system. In old animals we
find the effects of deficient energy of the heart and
degeneracy of blood-vessels ; hence metastatic congestions,
senile gangrene, and heart disorders occur especially in
them. Male animals are most liable to acute disorders,
_as being endued with higher vital energy than females.
Castration materially modifies constitutional conditions,
and secures immunity from such acute disorders of the
generative organs as occur in the entire animal, facilitates
fattening, and lessens lability to injury. It causes the
disorder known as pelvic hernia or “ gut-tie.”” Females
run the risks of parturition and lactation, their respira-
tory, circulatory, and nervous functions are generally less
active than those of the male. Conformation and the
uses to which the animal has been put have marked
effects as predisposing causes; thus, the shortness of
the neck of the ox accounts for his frequent attacks of
apoplexy, and too free exercise of generative powers
will bring about atrophy of the bull’s testes. Previous
disease of an organ predisposes it to renewal of an attack.
Sometimes only imperfect repair occurs, and the partially
formed tissue is liable to again become the seat of morbid
changes, even without the action of any appreciable
excitant. Recurrent abscesses are of this nature, as also
certain forms of dysentery. Exciting causes are varied, .
such as exposure to currents of cold air, sudden transition
62 BOVINE PATHOLOGY.
from cold to heat, mechanical and chemical irritants.
They will be specified under the heading of each disease.
The general symptoms manifested by cattle suffering
from acute disorders are dulness and separation from the
rest of the herd, unwillingness to move, a “ hide bound”
or “staring” condition of the coat (cutis anserina).
The animals do not lick themselves or one another,
nor stretch properly on rising; dryness of mufile,
failure or deficiency of the appetite, and cessation of
rumination. In the milch cow the lacteal secretion is
diminished or suppressed. Frequently when these are
observed examination by the experienced will detect
fever and even local disorder, but generally we have only
the history of the case to determine any efforts against
special contingencies. Nursing must here be relied
upon. The patient must be housed ina moderately warm,
well-ventilated place, frictions applied to the surface, and
laxative, easily digestible matter given as food; change of
diet being particularly beneficial, but the appetite must be
tempted, not forced. A diffusible stimulant will be
useful under these circumstances, it may divert an inflam-
matory attack, and is so evanescent that it will not influence
any disorder which may assert itself shortly after. The
experience of many observers has sanctioned also the
administration of a laxative saline dose at the same time.
The alimentary canal being so extensive in the ox is often
laden with matter of an indigestible character, which will
tend to aggravate local or general disorder. The Putss
of the ox may be taken at the submaxillary artery, the
vessel of the right side being felt by the right hand
passed over the neck, while the left hand holds the left
horn ; at the brachial within and rather to the front of the:
elbow-joint, the hand being passed round the front of the
limb to its junction with the trunk; at the large
metacarpal above and behind the fetlock; at the middle
coccygeal on the middle line of the root of the tail; at the
carotids in the channel of the neck; and at the anterior
auricular in front of the root of the conchial cartilage.
Different practitioners make a practice of selecting each one
INTRODUCTION. ; 63
of these vessels. The submaxillary we find the generally
most convenient ; it is smaller and less firmly bound down,
and therefore suffersmore displacement than the correspond-
ing vessel in the horse; also the arrangement of the lower
margin of the inferior maxilla and masseter externus are
less advantageous for accurate determination of its position,
and the pulse can not be estimated here when the animal
is feeding. The brachial or radial artery will afford useful
indications after a little practice; the large metacarpal
is a vessel of considerable size, and can be conveniently
felt without disturbing a patient who chances to be in a
recumbent position. The pulse in the ox is small, slow,
and frequent as compared with that of the horse, its beats
average 46 per minute. In the young animal it is
faster (55—65).
Pregnancy causes irregularity of the pulse, and con-
siderable increase in frequency. Digestion produces in-
creased fulness and sharpness; and Dobson tells us :—
* Animals in warm cowsheds and in plethoric condition
will have the number of beats increased several strokes
per minute as compared with their brethren in the straw-
yard and the field.” Williams says:—“‘In the cow
during rumination it may be observed that the pulse is 70
or 80 a minute, and the respirations not more than ten.
Indeed, the pulse of the cow in a state of confinement, in
so far as regards the number of its beats, cannot be de-
pended upon in the diagnosis of disease; the states of
pregnancy and obesity, the effects of artificial food, and
of the activity of the lactiferous glands, as well as the ex-
citement caused by the act of rumination, generally pro-
duce such an impression upon the nervous system as to
cause the action of the heart to be much increased, such
increase being entirely consistent with a state of perfect
health in an animal so circumstanced.”
Useful information is gained by examining the heart’s
action by auscultation, placing the head against the
side. The “venous pulse” is the periodical change in
calibre of a vein, which sometimes results from regurgi-
tation of blood into it. It is seen at the jugulars in heart
64 BOVINE PATHOLOGY.
disease, but in health generally the action of the carotid
artery causes changes in the jugular which lead to appa-
rently pulsating movements.
The normal remprraTurE of the ox, as taken at the
rectum, is 38° C.—38°5° C., according to Colin; 389° C.
(Siedamgrotsky) ; 39° C. (Zundel) ; oxen and cows 100°8°
F. during confinement, and 101°8° F. during work or at
liberty; calves and stirks, 100-9° F. to 101-9 F. (Armatage)?
Variations resulting from ordinary conditions of the
system are but slight, seldom amounting to more than
1° F. Any rise above this must be considered suspicious
as indicating the presence of fever. The reading will be
higher in a young animal and lower than the normal mean
in a very old animal. Ingestion of food, exercise, and
change of external temperature cause slight variation.
The thermal regulators of the body are very efficient during
health. When fever sets in, escape of heat is prevented and
its generation increased; in typhoid disorders and shortly
before death heat generation is interfered with, and the
temperature markedly falls. The rectum should always be
the seat of thermometric observations in the ox, and the
routine already recommended should be always carried out.
The temperature of the vagina is somewhat lower.
Respiration is performed in the adult ox about fifteen
times per minute. The acts are slightly more frequent in
the calf (18—20). They vary in number somewhat with
surrounding conditions, but any marked increase or
decrease in number must, if permanent, be attributed to
disease. The increase which results from exercise quickly
1 Careful observations by Prof. Robertson and Mr. Singleton have proved °
Armatage’s estimates too low. They gave the following results :
Fat cattle at Smithtield Show—
Under 2 yrs. old, average temp., M., 102-05° F.; E., 102-39°; Resp. 32
Between 2 and 8 yrs., $s » 101°87°F.; ,, 102°3° ; 4, 28°4
39 3and4 ,, 5 x» 101°83° F.; ,, 102°11°; ,, 30:2
Over 8 yrs., 5 » 1019° F.; ,, 102:2° ; ,, 34
Various ages, 3 » 101°4° F.; ,, 101°4° ; 4, 29°08
Dairy cows—
Various ages, $5 >» 101°5°
General average, from 352 animals, cows and oxen, morning, 1C1°65° F.;
evening (from over 200 animals), 102° F.; respirations 30°25. Variations in
eaiee animals in health from 99°8° F. to 104°6° F.; respirations from 11
to 106.
INTRODUCTION. 65
disappears when the animal is placed at rest. We have
already alluded to the remarkable difference in position
between the horse and ox suffering from pulmonary dis-
order ; while the former stands persistently, the latter
rests on the lower part of the chest and on the abdomen.
The position which an animal assumes during an acute
attack is often diagnostic or even pathognomonic. This
may be seen in tetanus, in hoven, and many other
diseases.
The Covanof the ox is shorter and less powerful than that
of the horse. It may become almost pathognomonic in
certain diseases, as especially pleuro-pneumonia contagiosa.
In our determination of disease of the ox, as in those
of most other dumb animals, we have to rely principally
on OBJECTIVE Symptoms, which are independent of the
animal’s sensations, rather than upon those SUBJECTIVE in-
dications conveyed by the animal himself. Nevertheless,
we have a few of the latter to guide us, such as shaking
of the feet in eczema epizootica, backing in pelvic hernia,
and flinching when pressure is applied to the intercostal
spaces in cases of pleuritis. The expression of the animal
is often the means of conveyance of useful information
to us; the retracted condition of the angles of the
mouth in trismus, the wild look in rabies, the staring
of the eyes under acute abdominal pain, and the altered
expression due to opacity of the eye are familiar to
most practitioners. General sensation is sometimes per-
verted or lost, and is tested by inserting a pin into a limb
presumed to be paralysed. The movements of the animal
may be stiff as in tetanus, rheumatism, &c., or the inter-
ference may amount to absolute lameness, due either to
disorder of the affected limb or to sympathy with other
parts, as may be observed in the lameness of the right
fore-limb in liver disorder. The visible mucous mem-
branes of the ox during health somewhat vary in colour.
The Schneiderian is moist and pink, but under disease
may ‘become livid, yellow, scarlet, or very pale, ulcerated,
and covered with discharge of a nature varying according
to the case, mucous, purulent, sanguineous, &c. The
5
66 BOVINE PATHOLOGY.
lining membrane of the mouth is very dense in the ox,
developed into horny papillae on the inner surface of the
cheek and the dorsum of the tongue, and modified to form
the dental pad at its antero-superior part. It sometimes
exhibits abrasions either from coarse material taken into the
mouth, or from the sharp prominences of the molar teeth.
In other cases it has vesicles of a specific or ordinary cha-
racter upon it ; in febrile cases it isdry. While observing
its condition we can note also the characters of the saliva,
which may be profuse, constituting PryaLism, as seen in
injuries of the mouth or mercury poisoning, or defi-
cient. Sometimes it is materially altered in quality,
thus it may be viscid (“ropy”’) or fcetid, as in some
cases of tetanus. In cases of enteritis and other abdo-
minal inflammatory disorders, the rectum will, on manual
exploration, be found markedly elevated in temperature,
and its mucous membrane may protrude somewhat
through the anus, being of a bright scarlet colour. In
prolapsus recti it forms a rounded purple mass, its walls
being thickened . by gelatinous deposit. This mucous
membrane is the seat of tumours (hemorrhoids or piles)
which may protrude after expulsion of the feeces. Manual
exploration of the rectum of the ox presents no special
features. The feces are soft, pultaceous, and form a
rounded cake of a dark greenish-brown colour. They may
be altered in quality or quantity, scanty or wanting as in
constipation and costiveness, profuse in diarrhoea and dy-
sentery, mixed with much mucus in the former and with
blood in the latter case. The nature of the diet and the
activity or inertness of the liver alter their qualities, while
their odour also is very variable. The mucous membrane
of the vulva may be altered in colour, ulcerated, or the
seat of profuse discharge of a purulent, mucous, or san-
guineous nature; it becomes congested during cestrum.
The conjunctiva during health is of a rosy colour where it
lines the eyelids, and transparent where it invests the
cornea. In the latter position it may become opaque and
clouded, in the former of a bright scarlet in cases of
fever, yellow in liver disease, pale in anemia, &c. The
INTRODUCTION. 67
tears may be profuse, as in local irritation, blocking of the
ductus ad nasum, and in the early stages of catarrh ; acrid,
as in certain blood diseases; mucous or purulent under
inflammation. The eyes may be over sensitive to light,
in consequence of which the eyelids droop ; frequently the
Meibomian secretion is profuse and adhesive, and the eye-
lids are swollen. The conditions of the alimentary canal
afford some useful indications. Hxamination of the mouth
may detect diseased teeth, presence of foreign bodies, &c.
Enlargement may be present along the cervical portion of
the course of the cesophagus, due either to presence of
an impacted body, or to a dilated state of the tube. De-
glutition may be difficult (dysphagia) or the appetite
impaired or absent (anorexia).
Navsza may be present or vomition, the former being
an uncomfortable sensation, manifested by attempts to
return matters from the stomach for expulsion from the
body, the latter being a successful performance of the act.
These are due to irritability of the stomach, and evacua-
tion of the contents of the ramen somewhat readily occurs
in the ox, in consequence of the adaptation of the cesophagus
for regurgitation, as well as downward passage of food.
Borzoryema is abnormal rumbling of the bowels, such as
may be observed after administration of drastic purgatives.
Often it depends on accumulation of gas in the stomach or
intestines, FLATULENCE, or TyMPANY. The conditions of the
abdomen, whether diminished in size, “tucked up ” as in
acute disorders, or distended by gas, tumours, or food
accumulations, should be noted. The size, movements, and
general conditions of the thoracic walls also vary.
The Usine oF THE ox normally has a specific gravity of
1080—1040, a yellowish-white colour, a special odour, and
an alkaline reaction. Its chemical, physical, and micro-
scopical characters vary much with different conditions of
life and in disease. The specific gravity may be tested by
the urinometer, or by specific-gravity globules. The urine
will be found modified, under various circumstances, in
quality and quantity, and especially in proportions of its.
several constituents.
68 BOVINE PATHOLOGY.
Tue Sern or THE ox éxhibits a fair amount of activity.
Animals in health keep it clean by licking, and thus often
introduce hairs into the stomach. Perspiration may occur
generally or locally under disease, and the perverted con-
ditions of the cutaneous secretions in weak patients, and
those with a scrofulous tendency, as also dirt accumulations,
predispose to local irritations, and invasion by vegetable
or animal parasites.
The expirep Arr has an odour characteristic of the
animal, due to effete matter which it carries from the
system. Its temperature and odour vary. Thus, it may
be cold in later stages of asthenic disorders, warm in acute
attacks, footid in gangrenous disease of the lungs.
Our prognosis, when medically attending the lower
animals, does not hold in view simply the chances of a fatal .
result ; we have to consider our cases from a pecuniary point
of view, and to determine promptly for the owner the length
of time which will elapse before return to health, and also
whether the value of the animal after recovery will be such
as to make treatment an advantage to the owner. Prompt
decision is especially called in a case of disease in the ox,
for the flesh of an animal slaughtered in the early stages of
some diseases, before the system has been interfered with
by medicinal agents, may be used for human food. This
seems to lessen our opportunities of tracing cases of dis-
ease in the ox from commencement to termination, and
proves a very sharp test as to the correctness of our dia-
gnoses. We often have an animal brought under our
notice in sufficiently good condition to fetch a good price
from the butcher. The owner propounds the following
questions in order :—What is the matter with this animal ?
Will it be likely to die? How soon will it recover?
Will it be reduced considerably ? and, if so, how long will
it take to regain its present state of flesh? If it seems
likely to die, it is at once killed, and our diagnosis verified
or the reverse. If it is allowed to live, the prognosis is
subjected to similar smart scrutiny. With milch cows
the interference with milk supply is the source of the
owner’s solicitude; while animals kept for breeding pur-
INTRODUCTION. 69
poses necessitate considerations of the bearings of various
disorders on the reproductive functions. In no branch
of medical study does the practitioner require skill more
than in cattle practice.
The milk varies in quality and quantity, and its production
has been much inereased by artificial selection. The first
milk, colostrum or beastlings, is rich in fatty matter and
worn-out, tough, epithelial cells filled with fat globules.
It acts as a natural cathartic; freeing the bowels of the
newly-born calf from the accumulation of biliary and other
matters which constitute the meconium. The milk may
be bloody, may contain pus or specific virus. It requires
special examination in each case of disorder, for in some
instances it can convey disease to animals of other species,
‘eventoman. Dears of the ox may take place by either of
the above described methods, necremia being observable
in such disease as anthrax, according to some pathologists,
while others attribute the fatal result to asphyxia. With
regard to MORBID CHANGES, the degenerations of various
kinds are frequent, especially the caseous and calcareous,
and the tendency of disease is to the production of deposits
of a lymphy or serous character rather than to gangrene
and ulceration. Abscesses are frequent, metastases seldom
occur, hemorrhages are rather frequent. Inflammation
tends rather to the chronic type, and is less frequent than
in most other animals subjected to similarly complex
conditions as the ox. Epizootic and enzootic diseases will
occupy a great deal of our space as being of great
importance, numerous, and widespread, causing immense
annual loss to stock owners, and often directly related
to human disorders.
In the trzarment of the diseases of the ox palliative
measures are often important as giving time for fattening
or as preserving an animal useful for breeding or dairy
purposes. Curative means of medicinal character are
often hampered by our deficiency in information as to the
specific influence of certain agents on the ox and the doses
in which they should be administered. Surgical opera-
tions of minor importance as cesophagotomy, tracheotomy,
70 BOVINE PATHOLOGY.
and puncture of the rumen are frequent, while major
operations, amputations, lithotomy, laparotomy, &c., are
occasionally resorted to and might be more frequent, but
we have already mentioned how our bovine patients are
frequently handed over to the butcher without our having
had a fair trial of curative means. In accordance with
paucity of major operations anesthetics are seldom re-
sorted to, but various means of restraint are adopted.
Altogether cattle are not endowed with high nervous
organisation, and will therefore stand operations very well,
and are correspondingly seldom the subjects of collapse.’
Thus artificial respiration is not very frequently required,
fortunately so, for when brought about by pressure rhyth-
mically applied to the thoracic walls it is imperfect, and
seldom effectual in our larger patients. The ox is usually
Fie. 6.—The “Bulldogs” applied. (Armatage.)
held by one horn, the thumb and forefinger of the dis-
engaged hand being introduced into the nostrils and
pressed together against the septum narium, or the
familiar ‘‘bull-dog” is fixed to the nostrils in a somewhat
similar manner and held in the hand. (See Fig. 6.)
1 A case of death from collapse under operation has been recorded in the
specimen issue of the ‘Quarterly Journal of Veterinary Science in India,’ the
Peet being an artillery draught bullock affected with aneurism of the
carotid,
INTRODUCTION. 71
The Sipexrve is sometimes fixed on the ox as on the horse.
In minor operations on the posterior parts of the body,
the hind legs are fixed together by means of a double
hobble or tied by a rope, which commences at the right
hind limb, involves the left in a loop, and is tied in front
to the right fore limb above the fetlock. This is termed
* shackling.”
Peuch and Toussaint give the following methods of
restraint of bovine animals in a standing position :—To
fiw the head, with a view to prevent assaults and to limit
the brusque movements of the animal : (1) Hold his head
by horn and nostrils (sec. art.). (2) A cord tied at one
end to the horns, then laced (first) round the sides and
(second) round the flanks and tied round the root of the
tail will prevent him getting his head down to charge, by
the pain the dragging would cause at the root of the tail.
(3) Tying the head either to a tree or post. (a) The fore-
head is placed against the post, then a running knot of
cord is fixed around the base of say the right horn, from
which the cord first passes round so as to embrace the
left horn ; it then comes again round the right, over the
neck, and round the post to the left; the end of the rope
is then passed between the head and the post, and brought
down along the face, looped round the muzzle, and the
end given to an assistant. (6) The beast is fixed with
one side of the neck resting against the post, one horn
also against the latter. The loop of cord is fixed on
the left horn, looped round the base of the right horn,
brought round the post from left to right over the neck,
round the left horn again. It is brought round in the
same way a second time, then over the face, looped round
the muzzle, and held by an assistant. (4) Sometimes an
animal is controlled by fixing him under the yoke with
another ox.
To limit the movements of the limbs and prevent attacks.
—The ox strikes forward with the hind limbs, backwards
with the fore limb (when raised), shifts suddenly side-
ways, or throws himself down.
Bouley recommends the following methods: (1) To
72 BOVINE PATHOLOGY.
hobble together the hind limbs. (2) To bring the tail
between the hind limbs, around the thigh of the limb
which threatens the operator, and to have it held firmly
by an assistant supporting himself by one hand against
the hip. (3) Place a tourniquet (such as a twitch) above
the hock, and tighten until the tendo Achillis rests against
the back of the tibia. (4) Raise the hind limb from the
ground by a rope tied round the pastern, and fix the other
end of the rope either to the forearm or to the horns.
(5) Have a pole held in the bend of the two hocks by
two assistants. (6) Or use the pole as a lever, by means
of which the body may be kept firmly against a wall and
forward bounds prevented. The pole is supported
obliquely from the ground of the side opposite the opera-
tor and brought in front of the stifle. An assistant then
supports the upper end on one of his shoulders, and uses
the pole as a lever to shift the animal up to the wall and
keep him there. Or two poles may be used, one on each
side of the animal, by which means he can be turned as
required. (7) Or the animal may be fixed against the
wall by a strong strap running from a ring just in front
of the chest to a ring behind the buttocks.
(3) To control a bull and move him about as required
are used (a) Bull-dogs of various forms, (b) rings (of dif-
ferent patterns), with ropes or conducting staffs, such as
that of Roland and that of Vignon.
Peuch and Toussaint describe and figure Goffon’s trevis
as used. for the ox.
To put a ring in a bull’s nose.—Fix him, stand on his
right side, perforate the nasal septum from the right with
a trocar, leave the cannula in position until in it has been
fixed one end of the ring, then withdraw the cannula, and
fasten the ends of the ring together.
To cap the horns.—Place on their tips caps of wood or
copper and fix with a screw or rivet inserted transversely.
Hozsizs are also used for throwing the ox. It is
advisable to fix them above the fetlocks. Calves may be
thrown by drawing one hind leg forwards with the side-
line and pushing at the opposite quarter.
INSTRUMENTS OF CONTROL.
B
Nose ring (Roland’s), open and closed. (Peuch and Toussaint.)
Conducting staff (Roland’s). (Peuch and Tonssaint.)
[To face page 72.
7
Y
Goiffon’s Trevis. (Peuch and Toussaint.)
INTRODUCTION. 73
Ropzs. The ox is very frequently thrown just as is the
horse when the long cart rope is used for securing the
animal for castration. (See Fig. 7.)
Fie. 7.—An Ox prepared for casting. a. Seat of incision in ruminotomy.
(Armatage.)
Peuch and Toussaint describe in detail two methods
suggested by Rueff (Reportorium f. Thierheilkunde). The
Jjirst consists in taking a cord about five-and-twenty-feet
long, doubling it and looping it at the centre, fixing the
loop on the horns, passing the ends between both fore and
hind legs, bringing them from within outwards around each
pastern, and then through the loop round the horns, which
is to act as a pulley. Two assistants (at a signal from
the operator) pull the ends powerfully ; this causes the
animal to sink down or to yield behind and finally be
stretched on the litter. Assistants must also drag at head
and tail to aid in throwing the animal, and any resistance
on his part will only make him fall the more promptly and
the ropes run more freely.
The second method (called “Entangling ”’) is that
commonly used by the natives of India. Gurlt and
Hertwig also mention it. The animal should be kept
short of food for some time. A rope similar to that used
in the first method has a running knot at one end, which
74, BOVINE PATHOLOGY.
is fixed around the horns. The rope, well lubricated with
lard or soap, is then brought along the dorsal margin of
the neck as far as its posterior third, where the first loop
is formed; it then is carried backwards above the withers
and the second loop formed behind the shoulders, the
third loop is formed around the flanks and belly, and then
the end of the rope brought straight backward along the
sacrum. ‘Two assistants drag the cord to the side opposite
that on which the animal is to fall, and one at the head
tries to throw him. The traction tightens the loops and
the animal soon flexes his limbs and lies down quietly. In
India the neck loop is not formed, and the animal is often
pushed over before he goes down of his own accord.
Casting is therefore a frequent cause of fracture of the
hip-joint and neck of the femur in that country.
Dressing the feet of the ox, as in eczema epizootica,
may be effected either by means of a long stick with some
tow fixed on the end, or, when the hind feet are to be
treated, by raising the foot towards a beam by a hobble
fixed above the hock, the rope passing from it over the beam
and its free end held by assistants. Another method is to
pass a pole between the hind legs and have the limb sup-
ported just above bend of the hock by a man at each end
of the pole in such a way as to raise the limb as much as
required.
Slinging of the ox is not often resorted to. It too
much interferes with digestive and respiratory processes.
Four drachms of chloroform administered to a two-year
old heifer caused slow and laboured respirations at the
end of a minute, at two anda half minutes the animal
staggered, and at three and a half minutes fell to the
ground. At six minutes the breathing had become more
laborious. At six and a half minutes the animal seemed
completely insensible, the pupils were fully dilated, the
conjunctives congested. The sponge was now removed.
At ten minutes respiration became quick and agitated ; at
eleven minutes the animal got up but had much difficulty
in standing ; shortly afterwards it staggered into the straw-
yard. Morton gave four ounces of chloroform toa heifer
INTRODUCTION. 75
and it produced no insensibility, the animal only seeming
to be intoxicated by it (‘ Veterinary Record,’ vol. iv).
Method of administration of chloroform to large animals.
—It is essential that the animal be cast previous to
administration, otherwise he will be uncontrollable in the
preliminary stage of excitation. Then a due admixture
of air must be ensured by the use of an apparatus with
two tubes, one of which communicates with the outer air,
the other passing from the chloroform vessel, each fitting
at the other extremity into a nostril; several inhalers
varying slightly in form have been suggested. Or a
sponge with chloroform poured on it may be held against
the muzzle, and the hand and muzzle loosely covered with
a cloth, the chloroform being renewed from time to time.
The amount of chloroform essential for the production of
insensibility to external impressions varies much in different
cases, and must be regulated by the judgment of the chlo-
roformist. If after the operation is completed the animal
does not regain sensibility sufficiently soon, cold water
may be thrown over the body and air freely admitted.
Why nursing should not be utilised to the full in
treatment of cattle affections, when circumstances are
favorable, we cannot say, but in some quarters there
seems to be a prejudice against nursing an ox. It must
be our duty in every case to ensure such nursing means
as we have already indicated, they will very materially assist
our medicines ; even rough methods of preserving a com-
fortable warmth of the surface of the body and a due
supply of fresh air, and a draught of cool water so refresh-
ing to the palate of a feverish patient, are valuable.
The prevention of disease consists in the careful super-
vision of those details of management which experience
has suggested as best for various kinds of animals, but it
assumes a special character when we are requested to
check the ravages of an epizootic in a herd or to prevent
access of a dreaded disorder.
In such cases ISOLATION must %e rigidly enforced, all
predisposing and exciting causes must be removed or
obviated. The slightest trace of disease, of any kind, in
76 BOVINE PATHOLOGY.
one or more of the animals, must lead to sEGREGATION.
Measures of pisinrection of houses, utensils, and atten-
dants, must be carried out with energy; and to effect
this, the manager of the herd must be a thoroughly reli-
able man. Under these circumstances we shall probably
succeed in our efforts to prevent or limit an invasion.
Section 3.
In the present section we will place before our readers
as succinctly as possible the therapeutical actions of
such medicinal agents as have been utilised in the
treatment of cattle, availing ourselves of modern thera-
peutical ideas, of the researches which have recently been
occupying observers of the actions of medicines, and of
the assistance of the several works on veterinary medicine
and pharmacy, which have been presented to the profes-
sion. We shall follow in the main the system adopted
by Headland in his most admirable ‘Action of Medicines,’
adapting this to our special requirements. We shall use
the tabular form as most economical of space, and shall
so arrange matters that we may utilise our system after-
wards in our notice of toxicology.
For ADMINISTRATION to the ox agents are generally prepared
in a draught (or “ Drench”), soluble matters being dissolved
in the water, which is usually the principal vehicle, insoluble
matters being in a state of powder and suspended. Drenches
are preferred for the ox because they can be readily ad-
ministered, act sooner than solid masses, and probably al-
most always mainly pass into the third and fourth stomachs!
directly without delay in the rumen, and the chance of
rejection during rumination. In practice, a bottle with
a gradually tapering neck is found to be useful for ad-
1 Finlay Dunn, discussing this matter, says, “It is a very prevalent notion
that medicines, when poured very slowly down a cow’s throut, pass, like the
ruminated food, direct to the fourth stomach. From a number of observa-
tions made at the slaughter-houses on both cattle and sheep, I find, however,
that neither animal can be induced to exert this voluntary effort in behalf of
our medicines, which in all cases, no matter how slowly soever they be given,
fall into the first and second stomachs,”’
INTRODUCTION. 77
ministering the dose. Generally the head of the patient
is straightened on the neck by drawing the muzzle
forwards and upwards, the nostrils being grasped so as
not. materially to interfere with respiration. Preferably,
however, the head is flexed to the right, and the admin-
istrator stands with his back against the right shoulder,
keeps the left hand partially in the left side of the mouth,
and gives the draught with the right. The opening
of the bottle is then inserted into the mouth, and the
contents gradually allowed to pass down towards the
pharynx; sometimes the drenching horn is used, but the
_ bottle is preferable as giving continuous, steady, and
ready flow. This operation is much easier than adminis-
tration of a draught to a horse, the ox receives his drench
more quickly, and loses hardly any. It is necessary to
cease the operation when any sign of coughing appears.
An ordinary cattle drench measures from a pint and a half
to two pints. Cases of suffocation from passage of fluid
into the larynx and trachea occur sometimes, as we shall
detail hereafter. This is liable to take place in attacks
of parturient apoplexy, and must be avoided by giving
any medicines the animal requires by means of the
stomach pump. Some practitioners consider balls useful
aa
Fig. 8.—The Stomach-pump in use. (Armatage.)
for the ox, others as strongly object to them. Aloes
may be conveniently and beneficially administered in this
78 BOVINE PATHOLOGY.
form; its active principle is soluble in alkaline solu-
tions, such as the secretion of the rumen, and hence
becomes more rapidly absorbed than it would have been
if it had passed at once into the true digestive stomach.
Few other agents are better given in solid form than in a
drench, powders do not harmonise well with the ordinary
food of the ox, and would probably pass directly into the
huge mass of masticated matter in the torpid rumen of the
diseased animal.
Enemas (injections, clysters, or glysters) may be either
gaseous or liquid. The former, as tobacco smoke, &c.,
are well worthy of more frequent trial. They are easily
administrable, and prove local sedatives in enteritic dis-
orders. They are administered with an enema tube con-
nected by a long flexible pipe with a vessel in which
tobacco is burnt. Liquid enemas are administered to
produce either local or general effect. In the latter case
they form the vehicle of such agents as are most readily
absorbed from the large intestines such as strychnia.
Locally, they act as fomentations, demulcents, and laxa-
A) ¥ Pp
1
s Deen 4) :
Fie. 9.—Application of steam to the nostrils. (Armatage.)
tive means. In the latter respect they are most useful,
INTRODUCTION. 79
softening any fecal accumulations, and arousing peristalsis
in a simple but effectual manner. They should be admin-
istered in such quantity that they will be retained for
some time, and may be injected by means of the enema
syringe, Reid’s pump, or the gravitation funnel.
Inhalations of chloroform, steam, chlorine, and carbolic
acid are used in cattle practice, the first has been noticed
as anesthetic. Chlorine, under the form of Vapor Chlori, is
generated in a loose box or stable, into which are collected
calves suffering from bronchitis parasitica. It acts as a
Fia. 10.—Method of covering the nostrils for steaming. (Armatage.)
very powerful irritant, gives rise to distressing cough,
and expulsion of numbers of the strongyles:. which cause
the disorder. Vapor Acidi Carbolici is generated for
internal disinfection by pouring some of the Calvert’s
acid into a pan resting on a tripod, a box in the bottom
of the pan holding a red hot flat iron heater. The box
and the animals become thoroughly disinfected, but the
beneficial effects have not been proved as far as internal
disinfection is concerned.
The thickness of the skin of the ox prevents frequent
taking up of medicinal matters into the system after in-
unction. Intra-venous injection is sometimes practised, as
also is the absorption of medicines from an abraded sur-
face, but administration of agents by the skin may best
80 BOVINE PATHOLOGY.
be by subcutaneous injection. The syringe for this pur-
pose (seo Fig. 11) is small, and can conveniently be
carried in the pocket; has its barrel graduated, and made
A
ce
Fiq. 11.—Hypodermic Syringe. (Armatage.)
of glass; generally has a handle to its piston, every complete
turn of which expels a known quantity of the contents, and
a nozzle shaped like a trocar with a side opening of exit.
The puncture is scarcely noticed by the animal, and
should preferably be made where the subcutaneous areolar
tissue is plentiful and the skin thin, By this means ex-
tremely small doses of very potent agents may be given
with certainty in solution of not more than one ounce
measure. We must conclude, then, that methods of
administration to the ox are seldom other than by drench.
M. Taborin estimates the dose for the ox to average 3ths
that requisite for the horse, but specific differences between
the animals, as far as the actions of different agents go,
render this useful conclusion not always reliable. He also
reckons the ox’s dose three times as large as that for the
sheep.
Hertwig suggests for an animal aged one to two years
half a dose, six months to one year one quarter, three to
six months one eighth, and one to three months one
sixteenth. Pregnancy and lactation and other conditions
also influence the dose, and we must remember that
many agents administered to the cow pass off by the
milk and affect the calf.
It is thought that all “agents which produce their
effects upon remote parts of the system must be absorbed
and added to the blood.” ‘The phenomena of certain
cases of poisoning hardly enable us to accept this dictum
unreservedly, When very large doses have been taken
INTRODUCTION, 81
death completely and immediately occurs, seemingly
similar in its characters to that which has been seen to
result from a blow on the epigastrium. These observa- -
tions on poisoning in man apply to animal poisoning, but
this “death by shock” is quite the exception. When
agents enter the blood they circulate in its current and
act upon various organs. Accordingly they are divided
into hematics, neurotics, eliminatives, and astringents.
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BOVINE PATHOLOGY.
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83
INTRODUCTION.
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SOLLOWNEN
BOVINE PATHOLOGY.
84
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85
INTRODUCTION.
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Fig. 63.—Healthy lungs of the ox, seen from eae Showing the extra
lobe of the right lung with its bronchus (8). a@ Trachea e¢. Right
bronchus. d. Right bronchial tubes. (Simonds)
the horse under similar circumstances. A study of
the arrangement of the respiratory muscles in ruminants
THE RESPIRATORY APPARATUS. 835
serves to give much information as to their respiratory
uses,
Broncuitis—Inflammation of the Lining Membrane of
the Trachea and Bronchial Tubes—is of comparatively fre-
quent occurrence in the ox, depending either on the ordi-
nary cause of respiratory disorders, exposure, or on
extension of inflammation from the larynx and Schnei-
derian membrane. Also it may be due to mechani-
cal causes, the entry of solid or liquid particles into
the air-passages during temporary laxity of the glottis,
and the development and residence of parasites in the
lungs.
Symptoms.—Besides the ordinary signs of inflamma-
tion the pulse is remarkably hard, and the respirations are
increased out of all ordinary relation tothe beats of the pulse,
the inspirations being difficult, and each effort short and
imperfect. The animal does not look at the side, nor flinch
at pressure on it. The cough is paroxysmal, frequent, and
very distressing. The visible mucous membranes are purple
through defective oxidation, and there is a considerable
amount of debility present, due to the same cause. Ausculta-
tion in the early stages gives various results according as
the larger or smaller air-tubes are involved ; later, both are
affected, as well as the lung-tissue in general. Rhonchus
or sibilus, according to the region auscultated, in the
early stages, and the mucous rale later in the attack,
may be present; sometimes, also, we find intermittent
loss of sound in some parts of the lung, due to mu-
cous accumulations plugging the bronchial tubes. In
some cases this latter condition may occur permanently,
and loss of small portions of the lung result. This
is much less important than the similar state in the
horse. The functionless parts atrophy and often burst,
and the neighbouring air-vesicles enlarge somewhat.
Percussion gives healthy results from every part of the
chest. The dry stage of the bronchi is succeeded by pro-
fuse discharge from the nostrils, which passes through
the usual phases, from watery to muco-purulent. This
relieves the inflammation, and recovery may now com-
336 BOVINE PATHOLOGY.
mence. Sometimes the disease afterwards assumes a
chronic character. Death may result from suffocation as
when the effused fluid blocks up the air-passages and fills
the pulmonary cells, or from imperfect blood oxidation, or
from extension of the disease to the lungs, pleura, or
larynx.
Post-mortem examination shows the air-passages blocked
up with frothy fluid, and their lining mucous membrane
discolored. The lungs have a sodden appearance, and
are also congested.
Treatment must be directed to support of the strength
of the patient, the promotion of resolution, and the avoid-
ance of lapse into the chronic stage. The animal must
be most carefully nursed, allowed a free supply of pure
air, a liberal supply of tempting food, and unlimited
nitrated water. The air-passages must be steamed and
stimulating applications applied to the sides and along
the course of the trachea ; these must not prove excessively _
irritating nor vesicant. When the bowels are torpid
enemas may be administered, but not cathartics, for
though, in the ox, the alimentary mucous membrane does
not so readily become involved, together with that of the
respiratory passages, as in the horse, want of judgment in
this respect may cause diarrhoea, and fatally tax the
strength of the already debilitated patient. Aconite or
belladonna may be used to control febrile excitement.
When the patient commences to rally, diffusible stimu-
lants with vegetable tonics will prove most beneficial.
- Chronic Bronchitis is frequent im the ox; it sometimes
is a sequela of the acute form, but more frequently by far
results from scrofulous disorder. The lungs, in these
cases, non-specific as well as specific, undergo various
changes. The most remarkable of these are asthma, em- -
physema, consolidation. The symptoms common to the
two are a persistent hacking cough, general unthriftiness,
and tendency to slight asthenic febrile attacks. Emacia-
tion becomes very marked, and the respirations are want-
ing in depth. The animal is unequal to the slightest
exertion.
THE RESPIRATORY APPARATUS. 837
Asthma consists in inflammation of the muscular coat
of the bronchial tubes, which atrophies, whereby either
dilatation of the tubes occurs, or, since due supply of
air to each air-cell is not regulated, these become dilated,
and eventually ruptured, so that air escapes into the
interlobular areolar tissue. The latter condition is known
as interlobular emphysema ; the former is vesicular enphy-
sema. Dilatation of an air-cell leads to impervious con-
dition of the beautiful capillary network on its walls,
and so atrophy of the affected part of the lung is pro-
duced. The conditions observed in addition to these in
scrofulous bronchitis have been already denoted. We
can do nothing to cure these states, and but little to pal-
late them. Stimulant tonics, easily digestible food, and
quiescence, will keep the animal alive for some time,
but the owner will generally prefer destruction of the
patient.
Parasitical Bronchitis, ‘ husk,” “ hoose,” or “ hoast ;’
phthisis pulmonalis verminalis.—This disease is of frequent
occurrence among calves under a year old; it certainly is
seen in older animals when they are in a debilitated con-
dition, but seldom proves fatal in such cases, though it
sometimes causes considerable mortality among calves, for
in them there is not sufficient constitutional stamina to
enable them to resist the debilitating effects of the para-
sites. In the older animal the parasites may be found in
numbers in the lungs, even when no special indications of
their presence have been given; but it must be clearly
understood that their ill effects are directly proportional
to the strength of constitution of the patient and the
number of the parasites. These worms are known as
Strongylus micrurus, the same parasite as is found so fre-
quently in the lungs of the ass. They are armed nema-
todes, and are also found sometimes in the alimentary
canal, and Williams notes their presence in the heart and
blood-vessels in some cases. Hence it is inferred that
they arrive at the lungs by entry of the alimentary canal
with the food, boring a passage into the blood-vessels,
passing with the current of blood through the blood.
22
338 BOVINE PATHOLOGY.
vessels, and from the latter into the bronchial tubes.
The arguments which have been brought to support
this, the most probable, view are that this is undoubtedly
the method of distribution of many forms of parasites,
and the disease is most frequent and the worm in the
lungs are most numerous in young animals in which the
tissues are most readily permeable. Other views are
those of direct migration from the alimentary canal and
entry through the larynx. There is no evidence to sup-
port the former view; the latter is based upon the idea
that it is possible for entry to occur even in spite of
the coughing, which would result from the passage
of the worms through the glottis; this is rather doubtful.
Again, they might, when immature and small, be carried
in with the inrush of air during inspiration. This view
does not account for the boring armature of the animal ;
it has been advocated by Mr. Grey, who has shown
experimentally that infection by one impregnated female
suffices in a very short time to kill the host, and the
parasites multiply with great rapidity, and their tenacity
of life must be considerable. He considers they are
inhaled in the form of ova. As is usual with parasitic
affections, this disease is prevalent in wet seasons, on
low lands which are liable to flooding. It is seen par-
ticularly in calves kept out late in the autumn, and as a
result of feeding over land which has been previously
pastured by affected animals. It attacks a number of
animals at once, and the weakest are the first to give
way. The special nature of the irritant determines cer-
tain special features in the symptoms. ‘Thus, acute
febrile signs are absent, except when the debility causes
that form of fever known as hectic. This only is observable
in the later stages. The cough is remarkably forcible,
distressing, and of a special hacking and paroxysmal
character. It leads to the expulsion of stringy mucus,
in which parasites may be detected or their ova observed
under a low power of the microscope. The attack has a
subacute character, and proves very exhausting. Thus,
emaciation rapidly increases, and diarrhoea sets in as a
complication, The parasites, embedded in stringy mucus,
THE RESPIRATORY APPARATUS 339
lie intertwined in groups, or stretched against the bron-
chial mucous membrane. When in balls they block up
the air-passages ; they also cause spasm of the bronchial
tubes. Thus, they seriously impede respiration, which is
always remarkably laboured in this disease. It will be ob-
served, however, on autopsy, that little exudation into the
air-passages has taken place, and that, though the mucous
membrane is purple, it has not undergone such an amount
of change as @ priori might have been anticipated. This is
attributable to the fact that the irritant is a living one,
capable of altering its position, and simply occupying its na-
tural habitat. When the lungs of an animal which has been
affected with this disorder, but has recovered, are examined,
it will be found that the worms have become encysted, and
have undergone calcareous degeneration, forming nodular
calcareous deposits in the lungs. The average duration
of an attack is two or three weeks.
Treatment.—Though we are not assured of all the phases in the
life history of Strongylus micrurus, we know that when ova are
expelled from the lungs on to pastures they undergo changes which
are dependent upon warmth and moisture in some way or other, and
result in the assumption by the immature parasite of the state in
which it is fit to gain entry into the alimentary canal with food or
water. It remains for some little time in the prime vie, and then
becomes comparatively inaccessible.
Prevention, therefore, consists in housing all severely
affected animals, and destruction of bedding materials and
other matters on which the discharges from the patients
fall ; as also of the affected parts after post-mortem exami-
nations ; removal of all the slightly diseased to high and dry
pastures, giving them a judicious supply of water not
liable to be contaminated, and rock salt; feeding them
liberally with strengthening diet and administering doses
of iron tonics which are anthelmintic. With regard to
the housed animals they must be treated with stimulant
tonics and carefully nursed. Williams has seen excellent
results from administration of prussic acid, which allays
bronchial irritation and destroys the worms, but most
authorities seem to prefer more energetic treatment with
a view to actual expulsion of the parasites. Thus, tur-
pentine is much lauded, since it is excreted to a certain
extent through the bronchial mucous membrane, and is
340 BOVINE PATHOLOGY.
supposed to render their habitat uncomfortable to the para-
sites. Fumigations with chlorine, carbolic acid (coal-tar
smoke), and sulphurous anhydride, are supposed to kill the
entozoa. They certainly cause such an amount of coughing
as leads to expulsion of a very considerable number, but
it is highly probable that parasites can stand a more severe
dose of these agents than the calves can. Therefore,
though these means should be tried they must not supplant
the stimulant tonic treatment above suggested. The
usual method of fumigation is to collect the patients into
a loose box with closed doors and windows. In this the
gas is generated as long as the operator is able to bear it,
then the apparatus is removed, and the patients left
exposed tothe gas for about a quarter of an hour accord-
ing to their state and the judgment of the veterinary
surgeon. The liberation of chlorine 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.! Finally, we must insist on the avoid-
ance of pastures notorious for generating hoose ; especially
must caution farmers against keeping animals on them in
the later summer months, when the disease is acquired and
manifests itself towards the latter part of autumn. As
has been so frequently urged by Dr. Cosnoxp, parasitic
disorders of this kind are of national importance, and,
therefore, should be taken cognizance of by the govern-
ment with a view to prevention. Failing this, energetic
well directed action on the part of our agricultural societies
could materially reduce the prevalence of these formidable
diseases. Agents used in the treatment of husk are some-
times administered through the nostrils. Of course, this has
no advantage over the method of oral adminstration. It is
possible that beneficial effects may result from diffusion of
such an agent as turpentine over the nasal mucous mem-
1 Messrs. Penhale, Hutton, Parsons, and other practitioners have applied
the system of intra-tracheal injection to this disease with marked benefit.
Penhale uses an Arnold’s intra-tracheal syringe, and introduces the needle
into the cervical portion of the trachea about half way down, without regard
to an inter-annular space. He injects slowly Ol. Tereb., 3ij; Acid. Carbol.,
mxx; Chlorof., 38s. The animal appears to suffer no inconvenience beyond
a slight cough.
THE RESPIRATORY APPARATUS. 341
brane, whereby it can impregnate thoroughly the inspiredair.
Italso will give rise to violent efforts at expulsion by sneezing.
Putmonary Conazstrion occasionally occurs in the ox
under an acute form, as a result of over-driving and over-
work, when it is manifested by extreme dyspncea, pro-
fuse cold perspirations, coldness of the extremities, and
extreme rapidity of the pulse, which is scarcely perceptible,
also frequent respirations, and, sometimes, a mucous
discharge from the nostrils intermingled with blood. The
patient occupies the recumbent position, coughs frequently,
and has a wild haggard look.
On post-mortem examination the lungs are found to be enlarged, of
a dark red colour, and increased specific gravity. The cavities of the
heart are gorged with black blood, which also flows from a section of
the lung substance. The bronchial tubes are filled with frothy, often
sanguineous mucus. This state is liable to be complicated by rup-
ture of the vessels and extravasation of blood. This is termed
PutmonaRy APOPLEXY, and very seriously increases the complexity
of the case, for the blood thus thrown out does not readily become
absorbed, and permanently interferes with the function of a part of
the lung varying according to the amount extravasated.
Subacute pulmonary congestion may be seen in the later
stages of blood diseases and anzemic conditions, being one
of the metastatic congestions due to deficient nerve force
most liable to bring about the death of the patient. Thus,
it is not infrequent, and is denoted by the above-men-
tioned symptoms manifested less urgently and appearing
slowly. In all such cases stimulants are required ; they
act in two principal ways, by rousing the weakened heart
to increased vigour of contraction and by stimulating the
nervous structure of the lungs, whereby the tone of the
vessels is resumed and the congestion overcome. Measures
must be taken to diffuse the blood which is abnormally
heaped up in the lungs by such means as hand-rubbing,
hay bandaging or stimulating the extremities. Stimu-
lants, too, may be applied to the sides, and the patient
clothed and nursed with care. Tonic agents may subse-
quently be called for.
Hawortysis is Bleeding from the Lungs. The flow of
‘blood may be somewhat profuse, and vary in colour. It
is intermingled with mucus, and takes place from the nose
342 BOVINE PATHOLOGY.
and mouth. It results from acute pulmonary congestion,
from laceration of the lung substance, or from specific
disorders, such as give rise to ulceration in the lungs (as
phthisis) or as cause subacute congestion of those organs.
The amount of blood which thus escapes is not often
considerable and the flow will cease spontaneously, but
sometimes cold applications to the sides and administration
of hzmostatics are indicated.
Pyrumonitis—Inflammatory Pneumonia (Inflammation of
the Lungs)—varies in its nature at the commencement of
an attack according to the parts primarily involved. Thus
we find three forms described :
I. Crupous or lobar, due to blood disease, is preceded
by acute congestion, which is followed by accumulations,
mainly in the air-cells, of lymphy deposit intermingled
with leucocytes, proliferating epithelial cells, and extrava-
sated red corpuscles. Thus, the lung over a considerable
part of its extent is rendered firm, and is found granular
and somewhat mottled on section. This condition is red
hepatization. It is succeeded by more marked prolifera-
tion of the epithelial cells and increased escape of leu-
cocytes, and thus the air-cells becomes blocked up with
young cells, which subsequently undergo fatty degenera-
tion; this is grey hepatization. Softening of the
deposits may occur as a secondary process. The inter-
lobular areolar tissue is the seat of lymphy deposit, and
constitutes yellowish bands extending across the cut
_ surface of the lung.
II. Broncho-pneumonia—Lobular or Catarrhal Inflam-
mation of the Lungs—results from extension of bronchitis
into the pulmonary vesicles. Sometimes it depends upon
reflux of inflammatory products; in other cases it is
determined by the perversion of function which is
brought about by diminished supply of air. The air-
cells become blocked up with the inflammatory products
of mucous membrane; the inflamed parts of the lung
therefore undergo one form of grey consolidation. It
leads to congestion, collapse, and emphysema. As a
result of the inflammation, a serous effusion takes place
THE RESPIRATORY APPARATUS. 343
into the interlobular tissue, so that in an acute case the
lungs have a sodden appearance.
III. Interstitial pneumonia or lung induration is a
chronic form consisting in hyperplasia of the interlobular
areolar tissue, due to persistence of disease in this struc-
ture after the more acute attack in the other lung elements
has subsided. It results in diminution in size of the air-
vesicles which undergo atrophy, in great firmness of lung
tissue, and extensive emphysema. Sometimes it is an
effect of broncho-pneumonia, in other cases of pleuritis.
There can be no doubt that each of these forms of pneu-
monia occurs in the ox. The crowpous or exudative form
in pleuro-pneumonia zymotica, in which its exudative and
‘lobar characters are well marked and the mottled state of
the section is very evident. The catarrhal form follows
exposure, alternations of temperature, and other like causes
to those which originate bronchitis. Recent experiments,
however, lead to the conclusions that no amount of
exposure, pure and simple, suffices to cause pneumonia,
and that attacks of inflammation of the lungs are gene-
rally mycoses, 7.e. due to fungi. Sometimes it depends
on the entry of acrid medicines and solid particles into the
lungs, as seen when the protective influence of laryngeal
sensibility is interfered with, as in parturient apoplexy, or
when the pneumogastrics have been injured. Besides the
ordinary signs of fever we find that there is a suppressed
cough, and the animal generally lies, but sometimes stands
with the muzzle protruded. The extremities are of variable
temperature until the latter stages, when they are persist-
ently cold. The pulseis frequent, and afterwards becomes
rapid, small,and weak. The breathing is accompanied by
a grunt, and is even, short, and quick. Ausculation shows
at first crepitus, but the vesicular murmur is soon lost ;
percussion gives a dull sound. As the disease progresses
suppuration or gangrene may supervene. The former
result is rare, except when due to specific disorder, as the
impactment of emboli in the blood-vessels. It is indi-
cated by rapidly increasing debility, a peculiar resonance
of the cough, and the cavernous réle. Also a purulent
344 BOVINE PATHOLOGY,
discharge passes up from the lungs and sometimes this
contains the débris of the disorganised tissue. When gan-
grene takes place, there is a rapid sinking of the patient,
sudden fall of temperature, coldness of the extremities, and
a very foetid condition of the breath, as also of the nasal
discharge, and the pulse runs down. In cases of lung dis-
ease we generally find that pressure of the enlarged organs
on the posterior vena cava causes congestion of the liver, as
denoted by yellowness of the visible mucous membranes.
It has also been noted that in the dry stage of inflammation
respiration is interfered with, but that when exudation
takes place, the patient experiences sudden relief.
Treatment.—The prospects of cure depend very consider-
ably on the extent of the disease, for if the two lungs be in-
volved the blood will remain unoxygenated, and also be over-
‘loaded with impurities. Bleeding is admissible under these
circumstances. Itis most likely to produce a prompt cessa-
tion of the inflammatory process, and also to a certain extent
removes impurities from the system. It is only to be
adopted in the earliest stage of the disease. Later, and in
conjunction with this, we must administer aconite and other
sedatives, while we endeavour to excite the kidneys and
skin to increased action by saline febrifuges and ether. The
bowels should be relaxed by enemas. Externally stimulants
must be freely applied to the sides and along the course of
the trachea, the limbs must be hand-rubbed, bandaged, and
stimulated. Pure air must be freely allowed, but the animal
kept warmly clothed. When active febrile symptoms have
subsided and secondary lung changes are taking place, our
main reliance must be upon diffusible stimulants and some-
times vegetable tonics. This is especially necessary when
there is a tendency to suppuration and gangrene. We are
not prepared to reject the plan of active stimulation of the
body surface in pneumonitis; though some practitioners
carry it to excess, its beneficial effects in some cases of this
nature will have been evident to all experienced cattle
pathologists. We are inclined to attribute the benefit
rather to reflex than to direct action.
The animal after recovery is liable to permanent changes
of the lungs, which will not interfere with its adaptation
for various uses. These changes are not so prejudicial to
fitness for duties as they would be in the horse.
THE RESPIRATORY APPARATUS. 845
Interstitial pneumonia has been described by some
authors under the heading emphysema. The latter state
is one of its results. Besides the causes already mentioned
it may be due to the constant presence of effete matter
in the blood. The large amount of areolar tissue of the
lungs of the ox must be considered a predisposing cause.
The symptoms manifested by an animal suffering from
this form of pneumonia are obscure. The patient is
manifestly unwell, and there is increasing anemia. The
skin is yellow and scurfy, and the bowels are irritable.
Auscultation shows absence or diminution of the vesicular
murmur in the diseased and increase in the healthy parts,
but percussion does not give definite results. Finally, the
anzmia proves fatal, and after death the lungs are found
firm, pale, and markedly emphysematous. The right side
of the heart is hypertrophied. Cases of this kind are
chronic and unsatisfactory. Stimulant tonics and good
feeding with careful nursing are about the only means at
our disposal. The absorbent action of iodide of potassium
may be tried.
The effects of entry of non-respirable gases into the
lungs or of the passage of fluid matters in considerable
quantity down the trachea are, primarily, asphyxia, but if
the animal be able to rally from this the catarrhal form of
pneumonia supervenes (‘ Veterinarian,’ vol. xiv, p. 257).
Sometimes Hchinococcus cysts are found in the lungs.
They may be present in considerable number without our
attention having been drawn to any sign of ill health in
the host. The cysts are formed by the areolar tissue,
condensed and altered by the presence of the parasite
and enclosing it on every side. They may be deeply
embedded in the substance of the organ or projecting on
the surface, and sometimes are in the stage of calcareous
degeneration. Wounds of the Lungs are not so frequent,
for these organs are very elastic. An interesting case of a
“Cyst in the lung,” due probably to the passage of a
foreign body from the stomach, is given by Mr. Gerrard, of
Romford (‘Veterinary Journal,’ vol. iv, p.163). A laceration
of this organ leads to hemoptysis, but repair somewhat
346 BOVINE PATHOLOGY.
readily takes place. The most frequent cause of laceration
is fracture of a rib with the extremities forced inwards.
“ Tic.’ Under this name has been described “ wind
sucking” of the ox. It has been observed in France,
and is due to indigestion.
The pleura of the ox differs from that of the horse,
mainly in the fact that the lower part of the posterior
mediastinum is as stout as any other part of the median
septum of the chest. Hence an accumulation of fluid may
take place in one pleural sac only, a state of affairs not
often seen in the horse. .
Puievritis, Prevrisy.— Inflammation of the pleura
results from exposure, especially when east winds are
prevalent; it then assumes an enzootic, or even epizootic
character. Italso occurs as a complication of pneumonia,
and a result of fractures of the ribs and other injuries.
It has been seen ina case of passage of a sharp agent from
the stomach, which gained exit from the body through the
thoracic walls. Itis in some cases of a rheumatic character.
It may be circumscribed or diffused, unilateral or double.
Symptoms.—Besides the general signs of fever, the
pulse is small, quick, frequent, and hard. The respirations
are peculiar, being principally abdominal ; the inspiratory
efforts being cautious, and the expirations prolonged.
The patient usually stands with an anxious expression.
A sharp, suppressed, painful cough is present. Pain is
manifested on pressure between the intercostal spaces by
the animal flinching and giving a grunt. Auscultation
detects the friction sound in addition to the ordinary
respiratory murmurs. A sudden subsidence of the acute-
ness of the symptoms denotes when effusion into the pleural
sac has taken place (HyprorHorax). _Then the pulse
becomes soft, but is still frequent and small. The breath-
ing is laboured, with prolonged expiration, the thorax is
enlarged, for the ribs are separated from each other to the
greatest degree possible. Less pain is manifested on pres-
sure of the sides, and the animal feeds freely. There have
been noted a peculiar flapping of the notrils, protrusion of
the muzzle, and an anxious expression. Dropsical swellings
THE RESPIRATORY APPARATUS. 847
appear, and the patient becomes very weak, and death
from asthenia results. Accumulation of fluid in the chest
rarely occurs except as a result of previous inflamma-
tory action. The most valuable indications of its presence
are afforded by auscultation and percussion. The latter
test gives a dull sound as high as the fluid has risen in
the chest; the former an absence of all sound below the
same. line.
Results——Resolution frequently follows proper treat-
ment, and the deposits become reabsorbed. If the
disease has existed for some time some of the deposits
will have become organised uniting the pulmonary with
the costal pleura. Often we find that the pleura of a healthy
animal is opaque in patches, or has slight stringy lymph
bands connected with it, as a result of a previous attack
of pleurisy. Death may take place in the earliest stage
from fever, or in the later stage after prolonged disease
from collapse of the lungs, in consequence of pressure
from effusion, or it may be the culmination of progressive
debility.
Autopsy.—At first a congested condition of the pleura,
causing reddening and dryness, either diffused, localised,
or in patches ; later, opacity and lymph deposits, in various
stages of organisation, investing the pleural surface,
uniting the parietal and visceral layers of the membrane,
hanging as shreds in the effused lymph, or sepa-
rated as flocculi, which float in the effused serum, which
varies in quantity (sometimes amounting to several gal-
lons), colour (straw coloured or red), and turbidity,
Occasionally pus is found in the pleural sac, when the
condition is known as Empyrema (but this, when it does
occur, is generally due to a ruptured abscess of the lungs,
for instance). The pleura may, in very acute cases, be
gangrenous, its lymphy deposit dark and wanting in con-
sistency, and of an offensive odour. In hydrothorax the
lung or lungs are small, firm, and somewhat congested.
Treatment.—That suggested for broncho-pneumonia
may be adopted, with the following modifications :—
Bleeding is not called for; laxative agents may be freely
848 BOVINE PATHOLOGY.
administered, for there is no such tendency to diarrhea,
as is sometimes seen in pneumonia. External stimulation
must be resorted to under the form of mustard applica-
tions to the sides, or prolonged fomentation with hot water.
In the hydrothoracic stage nitre must be freely given in the
drinking-water. Digitalis is specially indicated as a seda-
tive agent, which materially promotes absorption. Iodide
of potassium and other resolvents are useful. The de-
position of false membranes, however, prevents absorption,
and the constantly increasing accumulation of fluid
threatens lung collapse. Under these circumstances
Paracentesis thoracis or Thoracentesis—“ tapping of the
Fig. 65.—Thoracentesis. Primary incision, with the skin drawn to one
side. (Armatage.)
chest”’—must be resorted to. This is performed as in
the horse; the sixth or seventh intercostal space, just
behind the point of the elbow, is chosen. A small trocar
and canula areused. The skin is drawn forwards (Fig. 65),
so that the external wound may not correspond with the
THE RESPIRATORY APPARATUS. 849
puncture into the chest. It is pierced by means of a scalpel.
The trocar is then inserted through the thoracic wall at about
the centre of the lower third, near the anterior margin of
the rib. Directly the wall is punctured the canula is pushed
farther in, and the trocar withdrawn (Fig. 64). It is not
considered advisable to thoroughly empty the chest, and thus
suddenly and completely remove from the lung all the pres-
sure exerted by the fluid. Again, a rush inwards of air must
not be allowed. If a free flow of fluid does not occur, or
suddenly ceases, it may be due to lymph plugging the
tube; this must be removed with a probe. In all cases
where empyema is diagnosed this operation must be
resorted to. It may require to be repeated two or three
times, and cases have been known to recover under this
treatment. Prognosis, however, is decidedly unfavorable.
PNEUMOTHORAX is accumulation of gas in the pleural sac,
due either to injury of the lung or a wound communicating
with the exterior. If the opening be closed the air will be-
come absorbed.
PLEURO-PNEUMONIA sPORADICA.—We find that frequently
pneumonia and pleurisy are concomitant, the disease ori-
ginating either in the lungs or the pleura. The symptoms,
pathological changes, and methods of treatment which are
most beneficial are compounded of those of pleurisy and
pneumonitis, and do not here need recapitulation. The
case seems most like one of pleurisy in some instances, of
pneumonitis in others. The most important question for
consideration, with regard to this disorder, is in what
respects it is to be distinguished from the epizootic pleuro-
pneumonia. This is a matter of much importance,
especially to veterinary inspectors. The existence of
this sporadic disease has been denied, but most
unwarrantably.
Causes.—It cannot be attributed to contagion, but
results from exposure to cold, and other influences hable
to generate inflammation of the respiratory organs ; seldom
runs through a herd; several animals, similarly exposed,
may become simultaneously affected, but removal of the
cause leads to cessation of fresh cases ; is most prevalent in
350 BOVINE PATHOLOGY.
inclement seasons, and is not usually found associated with
the introduction of a fresh lot of beasts on to a farm, nor
with exposure in fairs and markets.
Symptoms.—Acute febrile signs are present, the attack
is sudden, runs its course rapidly, and frequently termi-
nates in resolution. We seldom find one lung more
affected than the other, and the phases of the disease in
the different parts of the lung are uniform.
Post-mortem appearances show the lung disease as
rather of the catarrhal than the croupous form. Both
lungs are generally uniformly involved. The section
presents a marked appearance, but not the variety of
colour seen in the other form—the yellow bands are not
so evident. With the exception of the intercostals the
muscular system presents no special change.
The diaphragm of the ox is very upright. The
muscular fibres gain attachment in a bipenniform manner
to a tendon running from above downwards centrally,
to just above foramen sinistrum. This arrangement is
very special.
Roprurs or raz DiaPHRAGM is sometimes seen in the ox ;
it is generally complicated with hernia. In some cases
it seems to be rather congenital deficiency than true
rupture,
THE URINE AND URINARY APPARATUS, 851
CHAPTER VI.—DISEASES OF THE URINE AND
URINARY APPARATUS.
We find that in the ox the kidneys are lobulated,
since they retain the division into parts observable in the
foetus; they are large, and present well-marked papille
c.
iy
Fig. 66.—Kidney of the ox. A. Right: supero-external surface. B. Left:
infero-internal surface. C. Left: showing calyces. (After Chauveau.)
and calycine divisions of the pelvis. The bladder is
thoroughly invested by peritoneum, and is of considerable
size. The curve in the penis of the male interferes with
the passage of the catheter. Also the urethral passage is
small and situated deeply in the substance of the penis.
352 BOVINE PATHOLOGY.
In the female a small mucous pouch, which opens back-
wards, may be found on the floor of the vulva, just behind
the termination of the urethra. In passing the catheter
some care must be taken to avoid this cul-de-sac. The
urine of the ox is alkaline, of a light yellow colour, having
a specific gravity of 1032 to 1040. Boussingault estimates
the average amount passed at 7:2 kgrs. in twenty-four
hours, and his analyses show that as compared with the
urine of the horse that of the ox contains more water, hip-
purate of potash (16°5—4°7), sulphate of potash and chlo-
ride of sodium, and much less urea (18°5—31), and scarcely
any carbonate of lime (0°6—10°8). Fromthe prepuce of the
male hang downwards long hairs in a tuft of a considerable
size. The urine flows in small straight stream while the
animal stands still. The cow postures herself for expulsion
of urine, and evacuates forcibly and in large stream.
Disorders of the urinary system naturally divide into
those of the secretory organ and the product of the
secretory process, on the one hand ; of the urinary passages
and the accumulation and evacuation, on the other.
Section 1.—ABNORMALITIES oF THE Urine.
The production of fluid may be excessive or the reverse,
may be perverted, or matters may be abnormally added.
DiaBeres siMpLEex, v. Insiripus.—Profuse urination is
dependent on excess of water in the blood (hydremia),
or on the presence in that fluid of some diuretic principle.
Thus, it is sometimes opserved as a crisis of fevers, and
is nature’s means of removal of impurities from the
blood. The total daily product of urine is in excess of the
normal, but its specific gravity is decreased, and there
is a deficiency of colour. Tho patient is very thirsty,
and some fever may be present. The bowels are torpid,
the appetite depraved, and the visible mucous membranes
very pale. Anzmia is present, and may increase to even
a fatal degree. This can hardly be considered a disease,
but rather a symptom of unsatisfactory composition of the
blood. It must not be too hastily checked, but the
THE URINE AND URINARY APPARATUS. 353
animal allowed a free supply of food and drinking water,
and nursed, care being taken to change the diet. Later,
doses of iodide of potassium will be found beneficial.
Special care should be taken that the skin be kept healthy,
and the bowels may be aroused into activity by a laxative
dose. Tonics may be required in the later stage. The
adminstration of laxatives is especially called for, since
food containing excess of moisture, or impure, or rank,
is liable to cause diabetes. Autopsy shows signs of anaemia.
This condition is rare.
Non-szcretion or Urine seriously affects the blood,
giving rise to the condition know as uremia. It is seen
experimentally after excision of both kidneys, also to a
less degree in inflammation of these organs, especially
when both are involved. Then the impurities: in the
blood prove actually poisonous, though the liver and skin
endeavour, to a certain extent, to perform the duties of
the kidneys in addition to their own labours. This also
is but a symptom of disease, and must be treated with the
state upon which it depends. Sometimes there is defi-
cient secretion of urine, as in fever, and that which is
passed is of high specific gravity in consequence of the
large amount of extractives it contains. A similar state,
but of a chronic character, is due to deficient supply of
water for drinking purposes when the patient has been fed
on dry food. This certainly predisposes to calculous disor-
ders of the urinary passages. It is seen in draught beasts
in-dry countries, or when animals are turned out on upland
pastures in hot, dry weather. Parkes estimates the amount
of water necessary for a working ox on dry food at t=8
gallons per diem.
Hamarvria.—Occurrence of blood in the wrine depends
upon injuries, acute congestion, or ulceration of the
kidneys or urinary passages. Sometimes also upon exces-
sive, indiscriminate, administration of diuretics or ingestion
of acrid plants. Straining, leaping on each other, and
falling into ditches are the most frequent cause of injury.
This is an accompaniment of some forms of blood disease,
and is often symptomatic of the presence of calculi,
23
354 BOVINE PATHOLOGY.
Symptoms.—The urine contains blood in a coagulated
condition. There is pain on pressure of the loins, the
animal stands “in a heap ” with the back arched, moves
with difficulty, and with a stiff staggering gait. There is
frequent passage of a small amount of urine. The
patient stands, and suffers from a variable amount of
sympathetic fever. Sometimes this is associated with
injuries caused at the same time. In one case clots
became fixed in the urethra and interfered with the flow
of urine, causing the symptoms of retention of urine.
Rectal exploration should be made in all cases of this
kind to determine whether any injury of the vertebre is
present, in which case there is likely also to be paralysis.
In the female, also, examination should be made per
vulvam.
Treatment.—Generally consists in the endeavour to cure .
the injury upon which this depends, but where the flow is
very rapid cold enemas and cold-water applications to the
loins, and such hemostatic agents as sulphuric acid and
the acetate of lead may be given. Demulcent drinks are
a useful adjunct to more active measures. The diet
throughout the attack, and for some time after, should be
laxative ; small doses of oil will be beneficial.
ALBUMINURIA is treated of at some length by Armatage.
He tell us it is due to disordered digestion and excretion
of imperfectly elaborated albumen by the kidneys. That
it results from irregular feeding and bad management,
and from diseases of the nervous and digestive systems. ~
Symptoms.—A. great desire to stretch at full length,
constipation, stiffness, and straddling gait. Respiration
acclerated, urine thick, mucilaginous, and dark coloured.
We are also told that this fluid may not exhibit the
ordinary reactions of albumen, “but white precipitates
are obtained with nearly all the following :—Tincture of
galls, solution of bichloride of mercury, alcohel ; solution
of subnitrate of mercury, flesh colour; solution of ferro-
cyanide of potassium, acidulated with acetic acid, gives a
white precipitate after being heated.”’ Paralysis and coma
result. Armatage considers this the same as Bright’s
THE URINARY APPARATUS, 355
disease in man, but it has not the chronic character of
that disorder, the kidneys are not found in a state of
granular degeneration after death, and the urine has not
been shown to contain disorganised renal substance and
casts of the tubuli uriniferi. The analogy between the
two diseases can hardly be considered to be established,
but we must consider albuminuria of the ox a symptom of
defective assimilation. It must, therefore, be treated by
a cathartic dose, liberal administration of readily digestible
food, and vegetable tonics. Measures must not be taken
to check the activity of the kidneys.
Section 2.—Disrases or THE KiIpney.
Nepraritis—Inflammation of the Kidney—is not a fre-
quent disease of cattle. It is seen in working oxen, for
these are most liable to exposure when heated and to
strains. In the horse this disease may generally be
traced to excessive administration of diuretic agents to
improve condition, but sometimes to over-weighting and
want of harmony between the movements of an awkward
rider and those of the horse. These influences do not
operate on the ox to such an extent, though the former
may be to him an occasional cause of this disease. In-
juries of various kinds and extension of inflammation from
neighbouring parts sometimes give rise to nephritis.
Symptoms.—Besides the general febrile signs we find
that if both kidneys be affected no urine is passed; if
only one, a diminished supply of urine of a thick viscid
character, containing much albumen, and perhaps blood
and pus. This is frequently passed in small quantities, and .
afterwards the patient continues to make ineffectual at-
tempts to urinate; passing the catheter or manual explora-
tion per rectum or vaginam shows that the bladder is
empty. There are generally obvious signs of colicky pain.
The patient stands, and moves stiffly and with a straddling
painful gait. The back is arched, and acute pain is mani-
fested on pressure of the loins. In the latter stages
uremic complications set in, denoted by double pulse,
356 BOVINE PATHOLOGY.
considerably increased fever, urinous sweats, foetid evacu-
ations of feces, and paralysis. In some cases the
diagnosis of this disorder will be found very difficult.
On post-mortem examination, one or both kidneys are
found disorganised, enlarged, and reddened. Lymphy
deposits occur in parts of the organ, and sometimes sup-
purative changes which lead to formation of abscesses.
Gangrene of these organs is seldom seen. In chronic
cases, cystic disease due to accumulation of fluid in the
Malpighian corpuscles, with .blocking of their tubes and
atrophy, are present.. Hypertrophy of these corpuscles
may often be observed in the undiseased kidney.
Treatment.—Bleeding is indicated as exerting a seda-
tive influence and removing a considerable amount of
effete matter from the blood. The bowels and skin should
be aroused to activity to relieve the kidneys, Aconite
may be required as a febrifuge. Warm water to the
loins or the application of a fresh sheep skin to the
same part is decidedly beneficial, and warm enemas aré
useful as fomentations. Digitalis applied as a decoc-
tion to the skin is recommended by Williams as a means
of exciting the secretion of urine when uremic intoxica-
tion sets in. When pain is excessive, doses of opium
must be given. Thoughout the attack cantharides, tur-
pentine, and other stimulants which act on the miGanyes
must not be applied to the surface.
ABSCESS OF THE Kipney is denoted by passage of a con-
siderable amount of pus with the urine. It most often
depends on calculus. Little can be done in such cases
except to support the strength of the patient. This
condition may be secondary, due to emboli or to’ specific
blood diseases.
Renat Catcutvs of the ox is not infrequent. Generally
there are several of these concretions situated in the
calyces of the pelvis. They are irregular in form, aré
dense and laminated. ‘‘ And as they increase in size cause
absorption of the medullary structure of the kidney, and
to a certain extent interfere with the function of the organ.”
(Morton). They vary considerably in size and in their
THE URINARY APPARATUS. 357
effects on the animal. Sometimes they cause no notice-
able symptoms; in other cases there are signs of sup-
purative nephritis, but of a chronic character. The
uncertainty of diagnosis and the deeply-seated position of
the concretion are impediments to remedial measures.
Stimulants freely administered, and opiates when there is
much pain, may be tried. ‘The value of the so-called
lithontriptics, hydrochloric acid, for example, in such cases
is probably nil. These calculi must be considered to
result from an excess of salines or deficiency of water in
the urine; probably a portion of inspissated mucus forms
the nucleus. Cases of free incision through the side and
‘removal of calculus from the kidney through the wound
have, I believe, been known, but there are many objec-
tions to this bold operation. It is better, if possible,
to fatten the patient for the butcher.
Parasites have been observed in the kidney of the ox,
but are less frequent than in the horse.
EwcepHatorp Cancer of the kidney. Professor Walley
records a case in the ‘ Veterinary Journal,’ vol. ii, 1878,
p- 9. It was associated with similar tumours in the omen-
- tum, and nothing was known of the history of the case.
Section 8.—ABNORMALITIES oF THE Urinary Passaces.
Sometimes a small calculus passes from the kidney into
the ureter and there becomes impacted, either on account
of its size or of spasm of the tube. Then severe colicky
pains take place, with straining, stamping the feet, lashing
the tail, and perhaps looking round at the side, until re-
laxation supervenes and the concretion passes on into the
bladder. Occasionally diagnosis in such cases is possible
from exploration per anuwm, when the stone may be re-
moved by incision through the wall of the bowel. ‘This
operation is seldom called for. Sometimes the calculus
becomes fixed at the opening into the bladder, when
dilatation of the ureter and of the pelvis of the kidney
will result from accumulation of urine behind the obstruc-
tion. In these cases full doses of opium are indicated
858 BOVINE PATHOLOGY.
when pain is excessive ; it acts as an anodyne and relaxes
spasm of muscular fibres.
The bladder is subject to several serious disorders.
Of these the most important are associated with either
retention, incontinence, strangury, and dysury—symptoms
of disorder mostly dependent on several causes.
Rerention or Urine must be distinguished from Ischury.
In the latter case no urine is secreted, as may be seen in
nephritis. Retention is non-passage, attributable either to
obstruction or to want of expelling power. We are fre-
quently told by cowmen that the patient has not passed
any water for some time; this must be interpreted as “ has
not been seen to urinate,” it generally is a false alarm.
The retention may be due to loss of power of the bladder,
depending on nervous lesions, as in apoplectic cases; to
spasm of the neck of the organ, with or without inflamma-
tion; blocking up of the urethral passage by calculi or
lymph ; the pressure of a hardened mass of feeces in the rec-
tum may have this effect. The secretion of urine continues,
the longer, therefore, this state remains the more urgent
the symptoms ; but in cases due to nervous lesions accumu-
lation may take place to a sufficient extent to rupture the
bladder without any appreciable signs of discomfort.
Under other circumstances the animal is very uneasy,
lashes the tail about, shifts the hind limbs, and sometimes
rises and lies down again frequently. He repeatedly en-
deavours to micturate, and perhaps looks round at the
flank. There is always an anxious expression of counte-
nance. Exploration per rectum et vaginam discloses
the distended state of the bladder, and also ascertains
whether any cause exists in either of these parts to account
for the obstruction. Sometimes simple pressure on the
organ will rouse it to action, a point of great importance
in the male, in whom this accident most frequently occurs,
for the sigmoid flexure of the penis of this animal com-
plicates the passing of the catheter, which is the next
measure which suggests itself. The same form of catheter
is used for both male and female in cattle practice. It is
a metal tube, about 24 inches long, and with a calibre of
THE URINARY APPARATUS. 859.
about } inch, somewhat curved, blind at one rounded
extremity, but perforated at its sides just within this, open
at the other (see fig. 77, p. 413). The operator, standing on
the right (“near’’) side of the cow, passes the left hand, with
the index finger over the rounded end of the tube, into the
vulva, and thus introduces this end into the urethral opening
on the floor of the canal, avoiding the cul-de-sac placed
just behind the orifice. When the instrument enters the
bladder a rush of urine takes place. This easy operation
must be performed whenever a cow remains recumbent for
an unusual length of time. In the male the course of the
urethra must be traced to its extreme posterior part, and
an incision made into it behind the ischial arch. Through
Fig. 67.—Passing the Catheter in the ox. (Armatage.)
this the catheter may be passed. The animal will not
require to be cast; indeed, this would not be satisfactory
in the highly distended state of the bladder. The wound
may be closed with a suture if it does not seem that
evacuation will require to be repeated. The method of
prepubic puncture has been suggested, and might well be
performed in the ox if the symptoms be very urgent.
InconTINENCE oF Urine (diwresis).—Constant dribbling
of urine may result either from relaxation cf the urethral
canal at its commencement (the contact of whose walls is
now deemed the true physiological means of preventing
360 _ BOVINE PATHOLOGY.
the escape of the accumulating urine), or from irritability
of the bladder, as in certain disorders of its lining mem-
brane or a cystic calculus ; also where the urine is abnor-
mally acrid and laden with irritating material; thus, we
have noticed its presence in hematuria. Sometimes it
may be deemed advisable to inject demulcents into the
bladder. A free exhibition of fluids will dilute the urine
and render it less acrid. In all cases the cause must be
removed. Cowie records a case in a cow due to laceration
of the urethra, probably sub coiti.
_ Dysurta is pain in expulsion of urine, seen in inflam-
mation of the urethral canal, presence of cystic calculus,
and some other cases.
SrRANGURY, as seen in spasm or inflammation of the neck
of the bladder, is painful passage of urine guttatim.
Cystrris, inflammation of the bladder, is very rare,
though it may arise from several different causes, such as
excessive use of certain diuretics, cantharides more espe-
cially, injuries, and extension of inflammation from neigh-
bouring parts. It is also said to be attributable to .
acrimony of the urine. The inflammation may involve
part or the whole of the organ. The neck is most fre-
quently the seat of the circumscribed form, probably as a
result of spasm. The lining membrane may become
involved in catarrhal diseases of the urethra. When the
greater part of the organ is affected examination per
rectum detects heat and pain on pressure of the bladder.
There is retention of urine, which, when evacuated, is found
to be bloody, albuminous, and thick, with a considerable
quantity of mucus. Colicky pains, looking round at the
flank, and uneasiness are present, spasmodic contractions of
the cremaster (in the bull), and acute febrile signs.
Results —Those enumerated are resolution, death from
exhaustion, rupture of the bladder, and uremia. With
regard to the latter, it must be a direct result of destruction
of the vesical epithelium, for under normal conditions this
1s a very decided impediment to reabsorption of urine.
T'reatment.—When possible, injection of mucilaginous
THE URINARY APPARATUS. 361
substances into the bladder, after drawing off its contents
with the catheter; also free administration of water and
mucilaginous drinks, warm-water applications to the
abdomen; warm sedative injections, as infusion of
poppies ; sedative and febrifuge agents, which are not
excreted by the kidneys. Of course. careful nursing is
required.
Spasm or THE Neck or tHE Biapper is not frequent in
the ox, but some cases have been recorded.
Roprore or tHE BrappeEr results from over-distension.
It is denoted by sudden cessation of the acute signs of reten-
tion, and especially collapse of the organ, as felt per rectum,
without any passage of the urine externally. Uremic
symptoms occur and bring about death, which may take
place from collapse or the bursting of the viscus. When
there is retention of urine, throwing the animal for
operation may cause this accident. Sometimes it has
occurred when the animal fell in dying. The state of the
peritoneum ought to inform us whether such has been the
case or the flooding of the abdomen with urine took place
earlier. This lesion is, of course, fatal.
INVERSION oF 1HE BLappER is seen in the female animal,
and is due to violent parturient throes. Amatage has seen it
follow the administration of irritant medicines. Youatt
quotes a case where the wall of the vagina rup-
tured, and the bladder was herniated through it. The
practitioner in attendance punctured this, and the urine
escaped. Ina true case of inversion (prolapsus vesice)
the organ appears as a red tumour, projecting from the
floor of the vulva, and having urine constantly trickling
from it. Thus, the urine constantly drops from the
urino-generative opening, and excoriates the surrounding
parts. In such a case it is advisable to slaughter the
patient, for the accident is extremely liable to recur,
After straining pains have ceased the organ may be re-
turned. Little difficulty is generally experienced in
accomplishing this, because of the large size of the
urethral canal in the female. In a case of rupture of the
wall of the vulva, with hernia of the bladder, the latter
362 BOVINE PATHOLOGY.
organ having been returned, the opening may be closed
by suture.
A Prrvious Conprrion or THE Uracuus is sometimes
seen in calves. This passage, which in the foetus extends
from the peculiarly elongated bladder at the umbilicus to
the allantois, becomes, under normal circumstances,
plugged with lymph, which undergoes organisation and.
degeneration when the bladder recedes from the umbilicus.
In scrofulous subjects, especially, this process does not
occur properly ; the lymph thrown out only becomes im-
perfectly organised, loosens from its position, and there
is a constant dribbling of urine through the umbilicus.
We have known a case in which a plug of lymph which
had receded into the bladder became fixed, and thus
opposed the exit of urine per urethram. Straining led
to prolapsus recti, and necessitated slaughter. In these
cases a ligature around the umbilicus must be resorted to,
or sutures may be inserted. The abnormal condition is
liable to disappear with development, for this condition is
of greatest frequency in animals born prematurely.
CatcuLus In tHE Brapper.—Cystic or vesical calculus
depends upon excess of salines in the blood or upon
retention of urine. It is most frequent in the male, for
in him the urethral passage is much smaller than that
of the female, and is often attributable to a considerable
quality of special salines in the food or water, such as
the presence of many phosphates, as in oil-cake and
turnips. Sometimes renal calculi travel along the ureter,
and entering the bladder form the nuclei of larger con-
cretions, for cystic calculi are almost invariably laminated
and concentrically arranged around some nucleus or other.
They may attain a considerable size without giving rise
to much inconvenience, or may cause special symptoms.
Sabulous matter is sedimentary deposit from the urine
in the bladder ; it is largely passed off by the urine, but
accumulates in the viscus in considerable quantity, or
the deposit may assume a crystalline form known as
“gravel.” This also is partially expelled with the urine,
but frequently becomes embedded in the mucous mem-
THE URINARY APPARATUS. 363
brane, and gives rise to irritability of the bladder and
incontinence of urine. Firstenburg gives the following
composition as an average analysis of urinary calculi of
the ox :—Carbonate of lime, 84°8 ; carbonate of magnesia,
10:0; carbonate of iron, 0°6; organic matter, 1:6; water
and loss, 1'6; silicic acid, inconstant. The presence of
calculus in the bladder sometimes gives rise to hematuria ;
generally, however, no alteration is observable in the
character of the urine further than a somewhat copious
sediment. In all cases there is a straddling movement with
the hind limbs and stiffness about the loins. Sometimes
the stone becomes fixed in the urethral passage, whereby
it interferes with the expulsion of the urine, and the
signs of retention are present and urgent. This con-
dition takes place in the male, and the urethra becomes
distended with urine to the obstruction. It may result
in rupture of the urethral passage, a condition which may
also arise from injury (see ‘ Veterinarian,’ vol. xxi, p. 204).
Exploration per rectum is often useful in cases of cystic
calculus. The bladder may be found distended with urine,
as in spasm of its neck, but the calculus is perceptible, and
sometimes may be removed by pressure, whereupon a rapid
flow of urine results. In these cases, too, there is not gene-
rally complete retention, but the flow, at first free, suddenly
ceases, and the animal lashes its tail, grinds its teeth, moves
the hind feet, and makes violent expulsive efforts, which
only tend to fix the obstructing agent more firmly in the
passage. Surgical methods are resorted to for the relief
of this condition. Lithontriptic or “ slow dissolving medi-
cinal agents” have been found wanting; stimulants are
only palliative. There are three forms of operation.
Lithecstasy—Dilatation of the Urethra—is especially
resorted to in the female. It consists in the frequent dis-
tension of a bladder-introduced into the urethral passage,
leading to dilatation to such an extent that the stone may
pass. It is seldom resorted to in veterinary practice.
Inthotrity consists in crushing the stone, whereby, being
reduced to the state of gravel, it.can be expelled through
the urethra. The instruments by means of which this is
864 BOVINE PATHOLOGY.
done are large screw forceps curved and toothed at the
end. They are passed through the urethra of the patient
(from the perineal incision in the male), and the stone,
having been grasped, is broken by a few turns of the
screw handle. This operation is said to be facilitated
by frequent injection of a weak solution of hydrochloric
acid. |
Inthotomy— Cutting for the stone”’—consists in in-
cisions through the urethral walls, whereby the passage
is rendered large enough for extraction of the stone.
The presence of calculus having been confirmed by intro-
duction of a sound through the vulva and urethra of the
female, or through an incision made down on the urethra
at the ischial arch in the male, and so into the bladder,
the walls of the passage are incised obliquely upwards
and outwards (whereby the artery of the bulb is avoided)
by a concealed bistoury and the stone withdrawn with for-
ceps. Subsequently in the male, the wound requires to
be closed by means of sutures after the bladder has been
thoroughly washed out. This wound will gradually close,
but the bowels must be kept in a slightly relaxed state.
These operations, however, are seldom performed on the
‘ox; we have not, therefore, given minutely such details
as the practitioner will derive from works upon the sur-
gery of the horse. The bladder of the ox is much more
thoroughly invested by peritoneum than that of the
horse, and extends somewhat further forwards into the
abdominal cavity; thus, it might, in cases of emergency,
be punctured through the walls of the abdomen in front
of the symphysis ; again, it has been suggested to evacuate
the contents of the organ by incision from the rectum.
These formidable operations are seldom required.
Tumours in THE Briappzr are sometimes found post
mortem in cases of incontinence of urine. They are very
rare, and seem to be of an epitheliomatous nature.!
1 Mr. H. King Shaw exhibited at the meeting of the Central Veterinary
Society, November, 1880, a most interesting case of vesicular polypus from a
cow. The principal tumour was pedunculated and of considerable size, and
two others were just commencing to grow. The specimen, without any
history, had been obtained from a slaughter-house.
THE URINARY APPARATUS. 3865
CatcuLus or tHe Urerara is not uncommon in the ox,
but is generally a small vesical stone on its way to the
exterior. It has been stopped either by spasm of the
urethra or by the curvatures of the passage through the
penis, and gives rise to retention of urine of an obsti-
nate character. The symptoms are urgent, and must be
relieved by incision either longitudinally or obliquely
across the direction of the passage. The patient must not
be cast for the operation. There will be little difficulty in
determining the seat of obstruction, for the urethral
canal is distended to the same point.
Stricture or tHE Urerara may be organic or functional.
In the former case there is thickening of the lining mem-
brane of the canal,in the latter spasm of the accele-
rator urine muscle. These give rise to more or less
complete impediment to the passage of urine. They are
seldom seen in cattle.
PrepuriaL Catcutus generally assumes the form of
calcareous deposit around the hairs hanging in a tuft
from the prepuce. These deposits are mainly phosphatic,
and depend upon excess of salts in the food. The slow
and unenergetic expulsion of urine predisposes to their
formation. They must be removed by excision of the
hairs, around which they sometimes accumulate to such
a degree as to cause obstruction to the flow of urine.
Modification of diet so as to avoid excess of salines, also
free supply of water and other solvents, must be looked
upon as prophylactics against calculous diseases.
366 BOVINE PATHOLOGY,
CHAPTER VII.—DISEASES OF THE ORGANS
OF SPECIAL SENSE.
Section 1.—ABNORMALITIES of THE SKIN.
Tue skin of the ox is remarkable for its thickness, and
in some parts it is very loose, as where it forms the
“ dewlap.” In other respects it somewhat closely resembles
that of other quadrupeds. Under healthy conditions it is
soft, elastic, and pliable, and the coat lies evenly and
smoothly. The animal or its fellows apply sharp rasping
friction to the surface of the integument by means of the
rough tongue with its horny epithelium. Ordinarily: the
skin is loose and flexible, but when the animal is in a
state of ill health it becomes dry, harsh, and tightly
bound to the tissues beneath it. This state is known as
“* hidebound,” and is not a disease. It is generally accom-
panied by a “staring coat,” due to erection of the hairs
in consequence of the minute muscular bundle of each
hair-follicle contracting in a spasmodic manner, as a result
of perversion of nervous energy. This is one of the general
signs of ill health to which we have had occasion fre-
quently to allude. It especially accompanies the rigors
which are indicative of the invasion of a febrile attack.
The disorders of the skin are divisible in the following
manner, primarily, into-two classes :
( Inflammatory—Eczema, Psoriasis, Impetigo, Erythema,
Ecthyma, Herpes, Urticaria, Pemphigus, Furunculus.
Hypertrophic —Nevus, Warts, Elephantiasis (Sclero-
Non-PaRasitIO{ derma), Dermo-pilous cysts, Pityriasis, Keratoid.
Atrophie—Alopecia.
| Fentionat Blond sweat, Emphysema, Edema, Pru-
Animal—Phthiriasis, Gstriasis, Acariasis.
on Vegetable—Tinea: var. (1) tonsurans, (2) favosa.
tn examining the list of skin diseases affecting the
THE SKIN. 867
horse we are enabled to trace the majority of them to
improper or neglected grooming and exposure of various
kinds, either local or general. These influences seldom
affect the ox, and his skin is less delicate than that of the
horse ; hence it is less liable to disorder. Nevertheless,
as may be seen from the above list the diseases of the
skin of the ox are numerous, and deserving of careful
attention.
Subsection 1,—Non-parasitic Diseases.
Inflammatory, Non-parasitic Disorders may be
included under the term Dermatitis. Of these, Hry-
thema is the most simple. It consists of a diffused
redness of a portion of the superficial layer of the
dermis, which gradually blends with the healthy skin.
It is characterised by disappearance of colour on pres-
sure, but its hasty recurrence. Other signs of inflam-
mation are little marked. It leads to vesication, effusion,
and sometimes ulceration. It depends upon slight
irritation long continued, as friction, dirt, mild irri-
tants (as urine in cases of incontinency), and in some
cases is attributable to intrinsic causes, such as indiges-
tion and ingestion of acrid matters. Treatment is seldom
required for simple, though a laxative dose is beneficial in
severe cases; also lead lotion may be applied locally.
This disease sometimes tends to a chronic character,
as when it consists in ulcerations of a sluggish nature,
of which the most important are those the seat of which
isthe teats. Thisis described as ERYTHEMA MAMMILLARUM,
sore teats, or chronic erythema, and occurs especially in
newly-calved animals, though not infrequent under other
circumstances. In some cows the skin is very delicate,
and this disorder is particularly liable to develop, and is
difficult to cure. They are constantly affected while the
calf roughly manipulates the organ, and the ulcers assume a
very sluggish character. The calf should be removed and
fed by hand, the milk daily drawn off by means of a milk
syphon, and refrigerant lotion should be applied to the
368 BOVINE PATHOLOGY.
affected part; a laxative dose also may be administered.
Sometimes the disorder does not lead to ulceration, but
in other cases even the gland tissue becomes involved,
and when the heat and pain in the parts is considerable,
the precautions suggested for acute mammitis must be
tried. Farmers usually keep elder ointment about them
for cases of this kind, but the ordinary Glycerinum Acidi
Carbolici will prove most useful when the calf has been
removed, for it will also keep away the flies.
Eczema is the vesicular stage of dermatitis, and, there-
fore, is generally preceded by erythema. The surface of
the skin presents a number of vesicles, while a somewhat
acrid fluid exudes upon it, and the hairs fall off. The
process is accompanied by a considerable amount of itch-
ing, and the friction with which the patient endeavours
to relieve this renders the parts raw and bloody. The
vesicular eruption is recurrent, and thus the case lasts for
some time; it is liable to lead to cracks in the skin or to
resolution. In the latter case the secretion dries, and
protects the inflamed parts. When this disease becomes
chronic it leads to thickening of the skin, due to a horny
change of the epidermis and induration of the dermis
which is traversed by elongated sluggish ulcers. This
Armatage describes as Psoriasis, and he says: “ The
parts where this disease is located are the legs chiefly,
one, two, or all of which may be affected. We have seen
cattle of all ages turned upon clay pastures, and those in
which lime abounds, suffering repeatedly from the com-
bined irritation of these substances with wet and cold, as
well as severe lameness, to the great detriment of con-
dition, health, and even sloughing of hoofs.” He sug-
gests prolonged fomentations, followed by poultices,
a laxative dose, and clean quarters; also doses of Liquor
Arsenicalis in long-standing cases. Simple erythema
almost always depends upon improper diet, and is asso-
ciated with special changes of surrounding influences. In
treatment of it the food must be changed, a cathartic dose
given, and weak carbolic solutions may be applied locally.
Herres.—When the vesicles of eczema are arranged in
THE SKIN. 869
a gradually increasing circle they are sometimes described
as non-contagious ringworm or herpes. This disease is
subacute; several rings may be present, and it is difficult
to account for their form. When the vesicles burst their
discharge forms a scab. No special methods of treatment
are necessary. Herpes is not frequent in cattle.
Iuretico—Pustular Dermatitis—results from the power-
ful irritant action of certain plants, especially upon the
delicate skin of calves. It has also been traced to special
acrid plants growing in pastures, and has been found to
most often affect animals with white legs and muzzles,
which parts it usually involves. A crop of pustules forms,
and by the bursting and aggregation of these a yellowish
scab is formed, which is persistent, and remarkably dis-
figures the animal when it involves the muffle, as it is
apt to do. Change of pasture, and nitrate of zinc or of
mercury ointment, applied to the parts, will generally
effect a cure. A cathartic dose will remove the irritant
if it has been ingested, from the alimentary canal, for
undoubtedly some of these cases are due to disorder of
the digestive tracts, though others depend upon direct
irritation of the affected parts.
Urticarta—Nettle-rash—Surfeit—is characterised by
the sudden appearance of patches of elastic prominences
of the skin, which are in a constant state of itchiness,
and disappear almost as rapidly as they came. Several
forms have been described, according to the size of the
swellings and their heat. The most usual form is urti-
caria tuberosa. This is sometimes very dangerous, since
it may affect the structures of the muzzle and interfere with
respiration and ingestion of food. It is vulgarly termed
“ stinge,’ “blain,” or “ singe,” probably on account of
the manifest tingling sensation to which it gives rise, and
which renders the animal very uneasy. The causes of this
disorder are a high surrounding temperature, a rich pas-
ture (especially after a run on poor land), also certain
constituents of food, and errors in dieting. Manifestly a
purgative is indicated in these cases, salines being pre-
ferable to others, and sedative agents may be applied
870 BOVINE PATHOLOGY.
to the surface of the skin. Some authorities trace thie
disorder to defective action of excretory organs, notably
the kidneys. In cases of “ stinge”’ tracheotomy may be
necessary. Urticaria is essentially a serous effusion.
Ectuyma or Acne is the formation of discrete (or sepa-
rate) abscesses, of various sizes, in skin substance, a
sebaceous gland being generally involved. These burst
externally, producing a brownish scab. ‘‘ They may be
frequently seen if carefully sought for upon those parts of
cattle covered by thin skin and few hairs, as upon the
udder, and about the vulva, inside the thighs, &c.”
Constitutional symptoms are seldom present; the dis-
order seems to depend upon local influences. When the
pus has become evacuated the pustules heal with facility.
Fourvncvtus is intense localised dermatitis, involving
the subcutaneous areolar tissue, and leading to death of
a portion of structure, which is expelled as the “ core” of
the boil. The inflammation runs high, and requires to
be determined to suppuration by poultices and fomenta-
tions, and, after bursting, the usual treatment of abscess.
Carbuncle differs from boil in the large amount of
tissue which dies, and requires to be removed by slough-
ing. It is generally due to specific influences, as in cases
of anthrax. It constitutes a serious drain on the system ;
hence removal of the dead parts with the knife, anti-
septic dressings, and (internally) stimulant tonics are
indicated.
Pempuicus.—Mr. Isaac Seaman, of Saffron Walden,
gives a good case of this disease, as affecting a three-
year-old bullock (see ‘ Veterinarian,’ vol. xxv, p. 262).
There was diffused inflammation of the skin. with effusion
of serum, “ which elevated the cuticle in places, forming
bullz or bladders, varying in size from a small nut to a
fowl’s egg. In other places a thin transparent fluid was drop-
ping from the hair, and in some places in quite a stream.”
The mucous membranes also seemed involved, and consti-
tutional symptoms ran very high. The case terminated
successfully after about a week, but the hair was appa-
rently lost from several parts of the body. This disease is
THE §KIN. 871
sometimes enzootic; often it assumes a chronic character,
and in some instances the effused fluid is intermingled
with blood or pus. It depends upon irritation of the
alimentary canal, and must be treated by evacuation of
the contents of the blebs, and subsequent dressings with
glycerin or oxide-of-zinc ointment. A cathartic should
also be administed.
Hypertrophic Disorders of the Skin are sometimes
seen in the ox. Of these, one of the most remarkable is
KERATOID CHANGE or THE Eprpermis. Hypertrophy of the
cuticle results from continued slight friction or from
gradual increase in size of a subcutaneous accumulation
of fluid with a tendency to burst.’ Thus, in every case, it
must be considered to be an effort to strengthen the skin,
and the better to adapt it to new conditions. A most
remarkable case of this disease has just come under our
notice. A beast has a tumour, of a globular form, 56
inches in circumference, in front of the knee, this contains
pus, and the skin investing it has a flocculent epidermis
of stringy horn.
Prryrisis is that scurfy condition of the skin which
not infrequently affects cattle without any other indica-
tions of disorder than some local irritation. The scurf
has a peculiar branny character, whence the name of the
disease. It occurs most frequently in young animals, and
is associated with mal-nutrition, whether from imperfect
supply of food or from deficiency of nutritive materials in
it. A change of diet to richer food, and. the inunction of
the surface with some sedative must be adopted.
Navus is hypertrophy of the superficial layer of the
dermis, constituting a slight swelling composed of blood-
vessels often having an erectile character. It is rare in the
lower animals, but a congenital case is given by Mr. L.
Barker, in the ‘ Vet. Jour.,’ vol. iv, p. 255. In this intermit-
tent free hemorrhage took place, and materially reduced the
strength of the animal, but a cure was ultimately effected.
1 Walley has described (‘ Veterinary Journal, xiii, p. 63) an interesting
case of universal dermatitis with scleroderma in a two-years’-old shorthorn
bull, due to lice apparently; almost all the skin had undergone the change
known as molluscum keratoma or keloid. :
872 BOVINE PATHOLOGY.
These tumours are liable to injury,and may, whensmall or of
moderate size, be removed by the knife or by cauterisation.
Derrmopitous Cysts are involutions of the integument.
They are occasionally found in various parts of the body,
and sometimes so deeply placed in viscera, such as the
testis, that the difficulty in attributing them to growth
from the skin has compelled pathologists to consider them
specimens of “ fetus in fetd.’? Generally a small fistu-
lous opening from the cyst discharges a fluid consisting
of watery matter and epithelial débris on to the surface
of the body, and a few long hairs may protrude through
the opening. The discharge is sometimes offensive ;
then the cyst may be removed by means of the knife
(see ‘ Edinburgh Veterinary Review,’ vol. v, p. 598).
ExepHantiasis—hypertrophy of the subcutaneous areolar
tissue, with increase in its density—is very rare in the
ox. Under this heading has been described a specimen
of skin disease of the calf, in the Museum of the Royal
Veterinary College. The skin in this animal is in plates like
that of the rhinoceros, but ona smaller scale. This seems
a case of the disease described in man as Scleroderma.
Warts — “angle berries”? —verruce — are epidermic
growths primarily, but subsequently the true skin becomes
involved and hypertrophied, and thus are produced on the
surface of the. body tumours of various sizes, confluent or
distinct. These, when subjected to friction, ulcerate, and
thus ugly fungus-like masses, in a raw condition, project
from the surface. They are most unsightly, and bleed on
the slightest pressure; are principally seen about the
genital apertures, eyelids, lips, and teats. We are not
assured of the cause of these growths, but in the majority
of cases dirt seems to be the exciting influence. Irrita-
tion of any kind may give rise to these circumscribed
dermal hypertrophies. A most singular case, reported by
Youatt, indicates their constitutional origin in some cases :
“ At uncertain intervals, from six to nine or ten months,
a cow suddenly lost flesh, her coat stared, she would
scarcely eat, and at length rumination was entirely sus-
pended; then would appear, and nearly all over her, and
THE SKIN. 373
particularly about the udder and in the mouth and on the
eyelids, a thick crop of warts, varying from the size of a
millet seed to twice that bulk. In a fortnight they were
gone.” We have already had occasion to notice warty
growths as they are sometimes found in the cesophagus. :
When developed on the udder and teats they prove very un-
satisfactory, for they make the animal troublesome to milk.
Treatment.—Where these growths prove unsightly or detrimental
they must be surgically removed either with the knife and actual
cautery, or by means of ligature. They are generally pedunculated,
so that the latter can be applied with facility. Some prefer to
destroy by the application of caustic agents, but this is a slow process.
Atrophic Diseases.—Atorzcia or Derination—bald-
ness of the skin—sometimes results from disease. Occasion-
ally calves are born in this state (see ‘ Vet. Jour.,’ vol. x,
p. 302). Itis hopelessto endeavour to cure this in congenital
cases, but when it is attributed to disease mild repeated
stimulation, especially with cantharides, may promote re-
newal of hair. In man it is sometimes due to parasites.
Functional Disorders.—Cpema, v. Anasarca, is not a
rare affection of cattle, in which there is dropsy of the sub-
cutaneous tissues of the lower parts of the body. It may
depend upon inflammation of the skin, but far more fre-
quently is due to constitutional disorder, as anemia, and
hydremia. It accompanies dropsical affections of other
serous cavities. Cadéac, of Toulouse, describes anasarca
of the ox, which seems to be of frequent occurrence espe-
cially in the centre of France, and is sometimes described as
elephantiasis, by other pathologists as angioténic fever. It
is a malady characterised by congestion of the skin and
mucous membranes and by dropsy of the subcutaneous cel-
lular tissue often followed by induration or gangrene of the
affected parts. It begins as cedema and results frequently
in sclerosis and sloughing. It varies in severity, appears in
adults, and is most frequent in hot countries. The affection
is constitutional (‘ Revue Vétérinaire,’ 1884).
Treatment of this state comprises tonic means and sedative diuretics,
such, especially, as digitalis. Careful nursing and local friction by
means of hand-rubbing of the affected parts will tend to promote
absorption. This disease is not so frequent in the ox as in the horse.
TimpHysema igs escape of gas into the subcutaneous
374 BOVINE PATHOLOGY.
areolar tissue, dependent upon decomposition of the blood
or of structural elements, or some profound changes in
the blood of the part due to nervous influence, sometimes
also to entry of air either through an external wound or
a tear in lung substance. This is most often seen in
black-quarter ; sometimes the foetus, on birth, is found to
be in an emphysematous condition. In these cases there
is a peculiar crackling beneath the epidermis when pressure
is brought to bear upon the part. The gas is at liberty to
escape if incisions or punctures are made through the skin ;
in addition, the surface should be manipulated freely.
Sometimes the patient will require a stimulant dose.
Bioopy Sweat, as occurring in oxen, has been dealt
with by Count Ercolani, the celebrated Italian veterinary .
professor ; his conclusions are given in volume iii of the
‘ Edinburgh Veterinary Review,’ page 567.
-. Prurrrus—Neurosis (Law) consists in itchiness of the skin
without any appreciable structural change. It is not rare
in cattle, and causes a considerable degree of restlessness,
so that the animal applies friction to the affected part until
it becomes raw. Such cases are generally attributable to
excessively high feeding and want of exercise. They must
be treated with saline cathartics and sedative applications.
The effects of colour on diseases of the skin are sometimes marked.
White portions of the skin seem to be more liable to disease than
those which contain pigment. In certain forms of vegetable poison-
ing sloughing of only the white portions of the skin is seen, and in
cases of some forms of impetigo it has been stated that the white por-
tions of the skin especially are involved. There is related a peculiar
case, illustrating the effects of colour, in the ‘ Veterinarian,’ 1834,
p. 97 :—A white cow, with some black spots on various parts of the
ody, suffered from acute fever, with a peculiar hardness of the skin.
Shortly, the cuticle, and with it the hairs, separated from the dermis,
except where theskin was black; the coloured spots remained quitesoft
and healthy. The hair gradually grew again, except on the shoulders.
Sub-section 2.—Parasitic Disorders of the Skin.
Some of these are attributable to Dermatozoa (animal
parasites, or Hctozoa), others to Dermatophyta. The former
are most important, the latter are acquiring fresh interest
as we become more acquainted with the vegetable forms
which give rise to disease.
THE SKIN. 875
Animal Parasitic Diseases of the Skin of Cattle.
Mance—Acariasis—is a contagious disorder due to the
presence and ravages of those Arachnidan or spider-like
parasites generally known as the Acarus bovis, which
comprises two forms (according to Gerlach), Dermato-
dectes bovis and Symobiotes bovis. Of these, the former is
most frequent, the latter being rare. Mange of the ox
is, therefore, due to Dermatodectes, which lives on the
surface of the epidermis, but gives rise to much irritation
by biting. Its most frequent seat is on the withers and
the root of the tail, but this preference is not very marked.
From the parts primarily affected the disease extends, and
passes through its various stages, during the more acute
of which there is intense itching. Circumscribed nodular
Fia. 68.—Mange insects (Acarus bovis). (Dobson.)
projections (papules) first appear; these become vesicles
and burst, giving exit to a watery fluid, which soon dries on
376 BOVINE PATHOLOGY.
the surface, forming crusts, which are liable to be succeeded
by ulceration. The hair falls off, or a few hairs persist and
project from the crusts. In chronic cases there is but little
irritation, but the skin is thickened, devoid of sensibility,
dry, harsh, and corrugated. Thus, it will be observed,
no special symptoms indicate mange; it passes through
several stages—papular, vesicular, &c. Diagnosis must de-
pend, in the first place, upon detection of the parasites; also,
secondly, upon accurate tracing to an origin by contagion.
The latter must be, for we cannot allow that animals so
high in the scale as Acari can appear spontaneously. The
spontaneous origination of the disorder was once uni-
versally allowed, but this depended upon confusion of
mange with some of the simple non-parasitic diseases
already described, or non-recognition of the presence of
parasites. This disease, in regularity of eruption, phases,
persistency, and contagiousness, resembles some of the
eruptive disorders of the system. Analogy leads us to
anticipate that the latter will, with improved means of in-
vestigation, be traced to parasitic forms of some kind or
other. This lesson learned from mange is a remarkable one.
When the disease is unchecked it exhibits urgency pro-
portioned to the seasons or the surrounding temperature.
Thus, it seems to be dormant in the winter, but in warm
weather and places is almost intolerable. The disease is
not truly transmissible to the attendants and to animals
of other species, for the parasites cause inconvenience for
a time but do not propagate in their new abode. The
Acari can be detected on the hairs and surface of the
epidermis, and can be seen with the naked eye as minute
white points moving about somewhat rapidly when the
patient stands in the full glare of the sun. Gerlach, who
is one of the leading authorities on this subject, suggests
for detection of Dermatodectes the removal of some of the
scales from the surface and placing them on the human
arm, with the under part uppermost, for an hour or more.
The Acari pass to the arm and there cause eruption, and
when the vesicles form they may be punctured with a needle
and the parasite obtained. Subsequently the arm sbould
THE SKIN. 377
be rubbed with oil of turpentine or some oatmeal, as a
precaution against any increase of the parasites; though
this is hardly necessary, it is as well not to reject the
precaution. Acariasis is not frequent in the ox, but is
most prevalent in badly kept dirty herds, and is generally
associated with debility, which is traceable to the irritation
by the parasite being a constant source of worry. The
Acarus is the sole cause, and we cannot generate it by
any combination of ordinary causes. Nevertheless, it may
be that the skin of the weak animal forms a more congenial
nidus for the Acarus than that of an animal in good
health, and thus weakness becomes a predisposing cause.
In the treatment of mange our efforts must be directed
to the destruction of the parasites. Also it is necessary to
remember that after this has been accomplished the ova may
remain intact and undergo development in due course.
Two conditions lead to obstinacy of this disease (not so
marked in the ox as in some other animals)—the concealed
state of the parasites and the powers of resistance of the
ova. We must break down and remove the scales, and
generally must repeat our dressings at intervals, to de-
stroy the young Acari as they appear from the ova. The
removal of the epidermic débris may be best accomplished
by friction with a weak alkaline solution, as ordinary soft
soap and water. Subsequently, the solution of liver of
sulphur, tar, and turpentine liniment, arsenical wash,
solution of bichloride of mercury, or other anti-parasitics,
may be applied with care; stavesacre or tobacco infusion
are also used for this purpose, and many prefer sulphur
ointment, or even simple unguents, which prevent access of
air to the Acari and thus suffocate them. When making
use of poisonous applications we must remember that
they are liable to become absorbed or to be ingested,
from animals licking themselves or one another. Another
practical inference is to frequently change the dressing in
any particular case, for the Acari seem to become tolerant
of some of the agents, which do not cause their death,
but simply their departure. The desirability of adop-
tion of constitutional treatment is debated, but the
378 BOVINE PATHOLOGY.
value of tonics, especially arsenic, cannot be questioned.
In this disease, isolation must be enforced, all clothing
and appliances from the affected animal either destroyed
or thoroughly purified.
Symbiotes bovis infests the region of the tail, is rare,
and must be treated like Dermatodectes.
Patuirimsis—* Lousiness ’?—is very common in cattle,
especially in marked cases of debility, whether due to
disease or to want of food and shelter (as in animals half-
starved in a straw yard); the lice abound, and cause
pruritus, and materially retard growth and development
of the stock. They prove troublesome to the auscultator
who has not remarked their presence. Several different
forms are described, as Hematopinus vitult (which
specially affects the calf), and Ham. eurysternus, ani et
vulve, found on the cow, the former on the shoulders,
the latter in the positions which its name indicates. Also,
there isa form of Trichodectes present in some cases. For
the removal of these pests dressings with tobacco water and
stavesacre infusion are recommended. These require to be
several times repeated, well rubbed in, and theanimal should
be subsequently thoroughly washed. Measures should be
taken to prevent their passage to man or other animals.
For a severe case of dermatitis and scleroderma from lice
consult the ‘ Veterinary Journal,’ vol. xiii, p. 63.
Cisrriasis (‘‘ Warbles”’).—Cistrus bovis, the gad-fly of
the ox, assumes its imago or perfect form at about the end
of summer; it then attacks cattle, puncturing their skin
by means of an ovipositor, and placing in the subcutaneous
tissue a drop of acrid fluid with an ovum. There results
an abscess of small size with a larva situated in it. A
small opening extends from the surface to the abscess
cavity ; against this the respiratory orifice of the grub is
placed, and he feeds upon the pus of the abscess. At
length the abscess bursts (according to Youatt, always
between the hours of six and eight in the morning), and
the larva falls to the ground and becomes a chrysalis, if
it escapes its numerous enemies, notably birds, who con-
sider it a sweet morsel. This occurs in about June or
THE SKIN, 879
July ; at the end of six weeks, under favorable conditions,
the full-blown dipterous insect escapes from its shell,
copulates, and the females deposit their eggs and then
die. The beast is much afraid of the fly, and rushes
towards water in a high state of excitement, with tail
erected and quivering. The pain results from the acrid
substance inserted with the egg. Mr. D. M. Storrar re-
lates a case in which he attributed paralysis to a number
of these warbles in their usual position on the loins on
each side of the spine. Sometimes they are very numerous
and give rise to fever, but more frequently do no harm,
except to the hides. Young animals and those in an
exuberant state of good health are generally chosen by
the fly, for in them the skin is soft and penetrable. The
Cistrus must be removed from the warble, which is
nature’s method of cure, and may be easily brought
about by pressure; the results of its presence will then
be gradually obliterated. Care should be taken to destroy
the Cistrus (“ maggot” or “bot”’), Water is a very
effectual protective means, and cattle, when attacked, will
charge into it with great force.
The Tsetze fly, described by Livingstone, is more formi-
dable. It is seen in South and Hast Africa, and is capable
of poisoning cattle by its sting, or, as some suppose, by
its conveying anthrax germs. Its technical name is
Glossina morsitans. Turpentine ointment is said to be
useful when applied for its bites. Maggots of the ordinary
fly are sometimes to be seen on neglected wounds of cattle.
Some forms of ticks (Ixodides) are sometimes seen on cattle.
Vegetable Parasitic Diseases of the skin of Cattle :
Tinex—* Ringworm.”
Tinga ravosa is due to the fungus Achorion Schénleinit,
which originates from a spore which has gained entry
into a hair-follicle. It perforates the epidermic struc-
tures so that its spores may be found in the hairs as
well as in the main portion of the cuticle; from the
opening of the hair-follicle the fungus projects and forms
a yellowish cup-like crust, with a hair projecting from its
380 BOVINE PATHOLOGY.
centre. A number of these aggregated produce a honey-
comb-like mass, whence the disease is known as “ Honey-
comb Ringworm.” It does not originate in the ox, but
-is transmissible to this animal with some facility. Mice .
and rats suffer from it, especially the former, for they
become much debilitated and their heads covered with
crust, in the form of an immense tumour, which causes
absorption of the facial bones by pressure. Pulverising
of the crust disseminates the spores, whence the disorder
is infectious, but certain conditions of the skin, as seen in
young or debilitated animals, seem especially favorable to
its growth.
Treatment.—Remove the crusts and destroy them ; thus,
an ulcer caused by absorption of the superficial layer of
the dermis will be exposed. Remove all affected hairs
and dress with nitrate-of-mercury ointment, nitrate of
silver, vinegar of cantharides, or, preferably, dilute sul-
phurous acid. Many kinds of animals suffer from this
disease, and true favus crusts have been grown from
spores on the acid cut surface of an apple.
TINEA TONSURANS is Caused by another and more simple
fungus—Tricophyton tonsurans. Its constituents are
smaller than those of Favus, and it does not project as
cups on the surface, simply invading the epidermal struc-
tures and constituting a fine powder on the epidermis.
It affects young animals, especially when exposed to
damp, and with dirty skins, and is readily transmissible
from ox to ox, or to man and other animals. It attains.
a greater luxuriance of growth in the ox than in man,
and the disease, when first received by man from the ox,
Fid. 69.—Hair, with the spores of Trichophyton tonsurans. (After Harley
and Brown.)
is so luxuriant that it has been described as specifically
distinct.
THE FOOT. 881
Symptoms.—Circular patches in various parts of the
body, characterised by the absence of the hair, the pre-
sence of vesice near the outer margin, and a scurfy
condition of the central parts; here and there in the ring
may be seen a dry looking hair, of a greyish colour,
somewhat twisted at the root, or the stump of a hair
which has broken off. Mégnin considers the true Tinea of
the ox distinct from that of the horse, and terms it
T’. decalvans or T. depilens. This he finds to be generally
nearly three times the size of T. tonsurans, to give rise
to more formidable symptoms when communicated to the
horse by inoculation, and to induce a different condition
of the affected hairs. In calves, the disease affects the
eyes, ears, neck, withers, and limbs. These cases must
be treated with the same applications as suggested for
T. favosa.
Section 2.—Diszases or THE Foor.
The foot of the ox, in a zoological sense, comprises
the structures from the knee and hock (inclusive) down-
wards in the fore and hind limbs. Custom sanctions the
application of the term foot to the inferior part of each ex-
tremity from the fetlock-jomt downwards. From a
pathological point of view it matters little which view
we adopt. Suffice it to say that the knee of the ox
is remarkable for the peculiar manner in which it is
bent inwards in consequence of the obliquity upwards
and outwards of the inferior articulatory surface of the
radius, whence the proverbial term “ Calf-kneed.”’ That .
the ulna meets the carpal bones, os pisiforme (Trapezium)
is less developed than in the horse, that the trapezoid
and magnum are fused into a single bone, and no true tra-
pezium is. present. The metacarpus consists of a rudi-
mentary splint bone on the outer side, and of two fully
developed metacarpals blended together along the central
line, separating inferiorly, each division bearing three
pastern bones and a navicular, resembling moieties of the
corresponding bones in the horse. The two diverg-
882 BOVINE PATHOLOGY.
ing digits are connected together by certain interdigital
ligaments, and each bears a hoof resembling half the hoof
of the horse. Finally, behind the fetlocks are two rudi-
mentary claws, each with a contained bone, the os pedis
of a rudimentary digit. Thus, to sum up, the foot of the
ox consists of two functional digits united together
superiorly, which together represent the compound func-
tional digit of the horse, and two very rudimentary digits,
of which the outer has a splint bone, a hoof, and a pedal
bone, but the inner has no splint bone. In the hind
limb the arrangement of the bones is much the same, but
there are no distinct splint bones, and the hock consists of
a well-developed astragalus, which forms a well-marked
hinge-joint below, with a bone compounded of the large
cuneiform and the cuboid, and is freely movable on os
calcis, which has a long, rather slight process. The
cuneiforme medium is only of moderate size, and the
cuneiforme parvum is very small. The joint between the
upper and lower row of tarsal bones renders the hock
capable of a great degree of flexion. Diseases of the
foot in the ox are very rare, especially in this country,
for—Ist, its conformation is such as to render it less
liable to injury, as being more simple than that of the
horse; 2nd, the ox is seldom used for draught purposes,
and never for conveying heavy weights for great dis-
tances along hard roads, nor for excessively rapid progres-
sion on the racecourse ; 3rd, but few cattle are shod.
Foun, Loo, Low.—This term is applied, somewhat indefi-
nitely, to the formation of abscess in the foot and resulting
disorganisation of structure. This may be attributed either
to common causes or specific influences. The latter are
scrofulous and perhaps rheumatic conditions. Scrofulous
arthritis not unfrequently affects the bones and joints of
the foot, causing such disease of them as of other parts
of the skeleton. This disease may be caused by the
presence of foreign bodies fixed between the claws, giving
rise to inflammation, by overgrowth of the hoof-horn on
the inner side, by various kinds of injuries, and, among
others, certain sprains of the pastern, pedal joints, &c.
THE FOOT, 383
It most frequently affects the hind feet, and is most
prevalent on low marshy lands, such as promote over-
growth and excessive malformation of the hoof. It is in
many respects similar to the non-contagious form of foot-
rot of sheep, and somewhat resembles quittor of the horse.
The extreme cases of non-specific foot-rot and foul which we
see occasionally are due to neglect, whereby inflammation
extends to the joints of the foot and leads to acute arthritic
disorder. Thus, the pathological conditions of this disease
are, at first, the existence of inflammation in the interdigital
substance, which may be partially removed by sloughing,
then the presence of pus beneath the hoof-horn, boring
and forming simple sinuses ; also later, arthritis and ostitis,
leading to increased suppuration and the formation of
sinuses, which extend outwards and burst on the surface.
The patient is very lame, and the digits are separated
from one another in a remarkable manner. Considerable
sympathetic fever is generally present in such advanced
cases, and the animal materially loses condition, suc-
cumbing to the pain of the disorder in a very rapid
manner. ‘This entails considerable loss upon the owner,
and necessitates energetic treatment, which must consist
of removal of the patient to a thoroughly clean quiet
place, careful washing of the foot, removal of any ragged
horn and overgrowth, also of any part of the hoof which
is underrun by the pus, poulticing for removal of the
pain and to arouse a healthy process, also a cathartic dose.
Subsequently, carbolic dressings, or mild astringents may
be applied, but such powerful caustic agents as were
once used are not required. Neither is the prolonged
interdigital friction, which was considered beneficial, and
was usually applied by means of a tarrope. The diseased
foot will require to be dressed and to be protected by
means of a bandage. The mode of elevation of the foot
usually adopted has been already mentioned (see page 74).
Bleeding from the coronet, whereby much blood may
be removed, is recommended by Youatt and others, but its
effects are not likely to produce much benefit in this sub-
acute disorder, and it is preferable not to bleed too near
884 BOVINE PATHOLOGY.
inflamed parts. In long-standing cases, with considerable
disorganisation of bones and joints, amputation may be
Fie. 70.—Method of applying dressings between hoofs. (Armatage.)
performed, for the patient will thrive better after removal
of the diseased organ, and the case cannot otherwise be
cured. Hither one digit may be removed at the pas-
tern, or both may be simultaneously amputated at the
fetlock, or through the metacarpal region.
The operation is performed by casting the animal and
freeing the diseased limb. A tourniquet, consisting of a
band passing round the centre of the metacarpal region,
with pads on the inner side, tightened by passage of a
bar through it and twisting, is used to restrain hemor-
rhage. This must be brought into use just before the
operation is commenced. Hither disarticulation or ampu-
tation through the bone is then performed with the fol-
lowing precautions: to leave a good flap or flaps of skin
to cover the exposed surface, and to ligature all the larger
arteries. Then the wound is closed by approximation of
the flaps, and maintained by sutures, the ends of the arterial
ligatures being allowed to hang free. The stump must be
protected with tow and a bandage. The operation may pre-
ferably be performed with antiseptic precautions. The
animal will favour the limb thus operated upon, and will
be able to make shift with the others, and may be pro-
vided with such a wooden leg as described by Mr. Litt,
of Shrewsbury, in ‘ Veterinary Journal,’ vol. iv, p. 241.
This operation has become thoroughly established in vete-
rinary practice.
With regard to the diagnosis of this disease, it is said to
be sometimes confounded with foot-and-mouth disease.
The latter, when neglected, degenerates into “‘ foul” of an
THE FOOT. 885
aggravated character ; it seems probable that at this stage
all virulence is lost. The treatment of “foul” in scro-
fulous animals is, of course, only palliative.
Laminitis, “ Founder.”—Inflammation of the sensitive
structure of the foot is not frequent in cattle, but some-
times results, especially in very heavy and highly-fed
animals, from over-driving. It is also somewhat often
seen in working oxen. The simplicity of the foot of the
ox renders this a comparatively unimportant affection.
It may cause removal of the hoofs, but they will grow again.
The patientis better able to remain recumbent and to remove
the weight from an affected digit than is the horse. This
disease may be treated by a cathartic dose, rest, cold-water
applications, and, if necessary, sedatives.
Loss of a Hoof may arise from other causes than foul
and laminitis, as when the foot becomes caught by the
landing stage during unshipping, and under certain other
emergencies of travel. If time be allowed a fairly perfect
new hoof will be produced, until when the animal cleverly
utilises the companion claw for purposes of progression.
Sore Fazer result from excessive wear of the hoof from
travelling along hard roads. These must be dressed with
tar or put in a poultice, and the animals rested. On this
matter Youatt says: ‘“ There is not a farmer that has not
had cows in his dairy that have lost for a time full half
of their milk on account of the pain which tender and dis-
eased feet have occasioned; the grazier sometimes loses the
advantage of three or four months’ feeding from the same
cause, and in London dairies tender feet are often a most
serious ailment, and compel the milkman to part with some
of his best cows, and that in a very indifferent condition.”
This liability to sore feet necessitates the shoeing of
working oxen, which consists in affixing thin plates of
iron to the soles of the hoofs by three nails to each.
These nails are small, and require considerable care in
driving, on account of the thinness of the hoofs. The
animal is liable to prove restless while being shod, and
thus pricks may occur. In France the shoe in common
use covers the whole of the ground surface, and from its
25
886 BOVINE PATHOLOGY.
inner edge towards the toe a very long clip projects
which is turned down from the anterior edge of the hoof
over the outer surface of the wall (vide Asselin’s Vete-
rinary Diagrams).
Overcrowra or Hory, though nota disease, occasionally
requires attention from the veterinarian, since it may give
rise to foul and other diseases. It is seen in animals con-
stantly housed, and so deprived of the attrition which
naturally maintains the proper length of the hoof, and the
remedy consists in regulated application of the rasp and
drawing-knife.
Pricks AND OTHER Prenerratina Wounps oF THE Foor
must be treated in such a manner as to give free exit to
all discharges, by removal of horn, so as to form a depend-
ing orifice ; and carbolic dressings ; however, cases of this
kind are not so important in the ox as in the horse, for
the pus readily bores its way to the coronet, and gains
exit in consequence of the comparatively loose union of
the laminated surfaces, whereas in the horse there is a
tendency to form secondary sinuses. Youatt lays stress
on this difference.
Monstrous conpiTion or THE Foor.—The development
of extra digits in the ox is of very rare occurrence, but
we have before us an instance in which the inner rudi-
mentary digit was fully developed, and bore a hoof about
three quarters as large as those of the two functional
digits. A case was mentioned before the Société
Centrale de Médecine Vétérinaire of an ox with a cloven
condition of one hind limb, extending up to the tarsus.!
InrerpicitaL Fisromata are sometimes seen; as they
increase in size they cause lameness, tension of the inter-
digital ligament, and may ultimately lead to foul. They
should be removed with the knife.
Unceration of THE Huzt, of a sluggish character, either
associated with foul or as a distinct affection, sometimes
proves obstinate to treatment. It develops luxuriant
papilla, assuming a fungoid character, or may form an
1 We have just received the hind limb of a calf with a well-developed digit,
consisting of a metatarsal, the full number of phalanges, and a fairly
formed hoof, curling upwards from the inner side cf the hock.
THE EAR AND EYE, 387
irregular, hard, callous mass. In either case cauterisa-—
tion is called for. This condition results from long-con-
tinued exposure to cold and dirt. Youatt compares it to
grease in the horse, but is not very successful in esta-
blishing the comparison.
Szction 8.—Disrases or THE Har.
The ear of the ox presents no special anatomical or
physiological features of import to us at present, nor is it
frequently involved in diseased action. The external ear
may be lacerated, and must then be treated on conservative
principles. The skin investing it is also liable to be in-
volved in skin diseases; and Youatt mentions the occur-
rence of fungous granulations springing up within the ear.
Orirts is a formidable affection, not frequently recognised,
but liable to be confounded with disease of the brain,
because of the violence exerted by the animal, since this
is a very painful disease. We have before us a case in
which extensive abscess had formed in the bone, but the
true nature of the disease was discovered only after death.
The principal symptoms, besides those of fever, are carry-
ing the head to one side and heat and redness of the ex-
ternal parts. If this state is diagnosed nathing can be
done more than powerful stimulation around the root of the
ear, and the administration of febrifuges and cathartics.
Section 4.—Diszases or THE Hye anp its APPENDAGES.
Sub-section 1.—Abnormalities of the Ocular Appendages.
The orbit of the ox has its external opening laterally
placed, giving a considerable backward range of sight—a
feature observable in all ruminants. This margin is formed
only of three bones, the squamous temporal being excluded
by the peculiar bifurcation of the posterior portion of the
malar. In other respects the orbit essentially resembles
that of the horse, and the accessory organs of vision are
888 BOVINE PATHOLOGY.
very similar, except that the retractor muscle is even more
powerful, and the lachrymal and Meibomian glands are
very well developed, as also is the Harderian gland, which
is situated inside the cartilago-nictitans, and secretes a lu-
bricating fluid. The ductus ad nasum does not extend so
far down asthe anterior naris. We have already noted the
frequent presence of bony twmours on the margin of the orbit.
Fractures of this part are not rare as a result of various
kinds of injuries ; either a small portion of bone is chipped
off the edge, or the orbital frontal process may be entirely
fractured. Loose portions of bone must be removed
artificially, or will slough out, and the attachments of the
eyelid may be interfered with, or depression of the frag-
ments may exert pressure on the contents of the orbit.
A highly vascular encephaloid or medullary sarcomatous
growth sometimes commences at the back of the orbit, and
grows rapidly, pressing on the optic nerve, and forcing
the eyeball to one side. It appears at the surface as a
highly vascular mass, and is termed Funcus Hamaropzs.
It produces complete loss of sight, and must be treated by
extirpation of the contents of the orbit, and subsequent
application of the actual cautery, to restrain hemorrhage
and destroy the last vestiges of the cancerous mass. The
patient should then be fattened for slaughter. This is
perhaps the most frequent cancerous growth in the ox.
Lacerations or THE Hyzrtips must be treated on the
‘principle of not removing any part which can possibly be
saved. Youatt tells us that “the eyelids are more subject
to disease in the ox than in any other domestic animal,”
and mentions Sronranzous Empuysema of the organs to be
cured by puncture; and also (Hipema, which is a sign of
general debility, or may be a sign of the existence of some
irritant in the eye. Sometimes cases of this kind lead to
chronic thickening.
Warty Growrus are sometimes seen on the eyelids, and
must be snipped off, and their roots touched with caustic.
Finally, the largely developed Meibomian glands may
become inflamed or their ducts blocked up, and a small
abscess results, When this bursts or is opened the parts
THE EYE, 889
regain their normal condition. We are not aware that
inversion and eversion of the eyelids have ever been seen
in the ox. We have found records of a few cases of
Ptosis, dropping of the upper eyelid, but have no evi-
dence as to the occurrence of disease in the lachrymal
apparatus.
Tumours OF THE CARUNCULA LACHRYMALIS AND CARTILAGO-
NICTITANS sometimes attain a considerable size. They
result from chronic irritation or conjunctivitis, and must
be removed by means of the scissors, the animal having
been cast and the cartilage fixed. The latter must be as
little injured as possible in the operation. Sometimes
caustic applications will suffice to destroy these tumours,
but generally it is found necessary to operate.
Sub-section 2.—Diseases of the Eyeball.
The eyeball is somewhat flatter in the ox than in the
horse, the cornea more convex, and the tapetum lucidum
has a golden-green colour, bluish near the margin, and a
fibrous structure.
Consuncrivitis—Simple Ophthalmia—results from in-
juries, and especially from the entry of foreign matters
into the eye. It is denoted by profuse lachrymation, the
tears trickling down the cheek, thickening of the eyelids,
intolerance of light, redness of the conjunctiva, and
generally some opacity of the cornea through extension
of irritation, due to general causes, as exposure to cold, or
to acrid vapours ; both eyes may be thus affected (but this
seems to be very rare). Anexamination must be made for
the detection of foreign bodies, the lids being separated by
the finger and thumb, and each everted in turn. The
rapid movement of the haw over the eye renders this ex-
amination a little more complicated than it otherwise would
be. The cause having been removed the irritation may be
overcome by fomentations and dressings with solution of the
subacetate of lead, and the eye or eyes should be protected
from the light. This disease is generally complicated with
keratitis or corneitis, in which the cells which are collected
390 BOVINE PATHOLOGY.
together to form the cornea proliferate freely and cause
opacity.
Opaciry of THE Cornza also depends upon uutritive
conditions, and sometimes upon pressure, due to swelling
of the contents of the eyeball. Under these circumstances
it is temporary, and disappears with its cause, but when
it results from blows or other injuries, and sometimes after
ophthalmia, it may be permanent. When a slight bluish
imperfect opacity it is termed nebula, if more circum-
scribed, perfect, and with well-defined outlines, it is termed
albugo. These conditions are incurable; they may become
less marked with time, and the process of diminution in
size may be accelerated by the application of caustic
agents, such as nitrate of silver. Cartwright describes it
in some cases, as due to plethora and the pendent position
of the head (‘Edinburgh Veterinary Review,’ vol. v, |
p. 22); but it probably is more frequently dependent on
defective nutrition.
StapHyLoma is either a tumour on the cornea or pro-
trusion of the lining membrane of the aqueous chamber
with its contents through an ulceration of the cornea.
Such ulcerations result from debility, especially that due
Fig@. 71.—Staphyloma, (Armatage.)
to defective assimilation of tissue formers, or occasionally,
perhaps, from ophthalmic corneitis. The projection is
opaque and generally irregular on the surface, and in the
ulcerative form there is a tendency to evacuation of the
contents of the aqueous chamber. Ulcerations of the
cornea and tumours on it may be touched with nitrate of
THE EYE. 391
silver. Special attention must be directed to improve-
ment of the condition of the animal. Repair may be
established, even after the aqueous humour has escaped.
Congenital hairy tumours have been seen on the sclerotic.
The most recent case on record is that in the ‘ Veterinary
Journal,’ vol. xxi, p. 235, in which the growth was suc-
cessfully removed under cocaine without throwing the
animal. Development shows us that the conjunctiva is
but a modified portion of the external investment of the
body ; this is a teratological proof of the same fact.
‘Woem 1n tue Eyez is sometimes seen in the ox (see ‘Veteri-
narian,’ vol. i, p. 77). The parasite is a Nematode (either
Filaria lachrymalis, F. papillosa, or Strongylus armatus),
and occupies the anterior chamber, where it excites irri-
tation, and thus produces corneitis and some degree of
conjunctivitis. We have no instance of this occurring in
this country, but perhaps it might be seen more often in
India. Incision at the supero-external part of the cornea,
with careful avoidance of pressure on the eyeball, causing
the aqueous humour to squirt out, carrying the worm with
it, should be tried as in similar cases in the horse.
Lymphy deposits in the Aqueous Chambers result from
inflammation of the eye, especially the rheumatic form,
and they may cause adhesion of the iris to the lens
capsule. They are generally only temporary, and soon
disappear. When small and attached to the anterior part
of the lens capsule they may be mistaken for cataract,
unless care be exercised. Inthe ‘ Veterinarian,’ vol. xxv,
p- 3, Mr. Cartwright relates a case of lymphy deposit,
which he attributed to inflammation of the iris. No
treatment is required—simply time for absorption.
Srzciric og Prrtopic OpsrHatmia, also described as
Retinitis, is not so frequent in the ox as in the horse.!
It is probably rheumatic, since it is periodical, and under-
goes metastatic passage from one eye to the other, It
especially affects the deeper structures, causing disorgani-
sation of the retina, a breaking up of the hyaloid mem-
brane, opacity of the lens, an orange colour of the iris, and
1 Many cattle pathologists deny that this disorder occurs in the ox. The
balance of opinion seems to fuvour the view advanced in the text.
3892 BOVINE PATHOLOGY.
its attachment to the capsule of the lens (both conditions
due to lymph extravasation), a jagged condition of its free
margin, and paralysis of its muscular structure, deposits
of lymph in the aqueous chamber, opacity of the cornea
of a temporary character, and constitutional irritability.
The symptoms are those of common ophthalmia of a severe
character, but on examination, the deeper structures of the
eye will be found to be the parts principally involved, and
those which are visible will be found altered more or less,
as above described. The attack is generally sudden, and
only one eye affected at atime. This disease leads to ca-
taract, atrophy, and thorough disorganisation of the eyeball.
Treatment.—The same as for simple ophthalmia, and in
addition constitutional remedies, such as colchicum and
iodide of potassium. Is seldom amenable to treatment.
Animals thus affected, should be prepared for the butcher,
and should not be used for breeding purposes, for the
disease is certainly hereditary.
Cararact.—Opacity of the lens, or of its capsule, or of
both these structures, may be circumscribed or diffused,
in the latter case it causes complete blindness. It is
caused by rheumatic ophthalmia, and sometimes by blows.
In the latter case it is a fracture of the lens, and is
generally a stellate opacity. -
Treatment in the lower animals is not likely to prove
beneficial.
Amavrosis—Paralysis of the Retina—is denoted by per-
manent dilatation of the pupil (except when the iris is
influenced by sympathy with the other eye) and by a
greenish and transparent condition of the posterior part
of the eye. The primary lesion may be in the cranium
as when a tumour presses on the optic nerve, along the
extracranial portion of the nerve as injury or com-
pression, or in the retina as in cases of depositions of
lymph in it as a result of inflammation. It also some-
times depends upon debility and excessive loss of blood.
It is not frequent in the ox. When due to compression
or structural change, nothing can be done which will
be likely to effect a cure. That form due to debility is
THE EY2. 893
only temporary. When the eye cannot be any longer
used as an organ of vision the retina atrophies. This
is to be seen in cases of cataract. (‘ Veterinarian,’ vol. iii,
p- 141.)
Section 5.—DisEases or tHe OrGan or Taste.
We have already dealt with the abnormalities of the
tongue (Chap. IV, Section 1). Perversion of Gustation is .
generally present in cases of depraved appetite,
894 BOVINE PATHOLOGY.
CHAPTER VIII.—DISEASES OF THE NERVOUS
SYSTEM.
TnE nervous system of the ox is not very highly
developed as a whole, though, perhaps, the sympathetic
portion somewhat exceeds the average. The brain is more
rounded and tilted upwards anteriorly than that of the
horse ; it has not such a numerous and complex state of
the convolutions. The spinal cord, and cerebral, spinal,
and sympathetic nerves present no special differences in the
two animals.
Szcrion 1.—TuHEe CrEREBRO-SPINAL SYSTEM,
The brain seems to be especially affected by inflam-
mation, apoplexy, and those ill-ascertained conditions
known as epilepsy.
Purentis—Inflammation of the Brain—preferably may be
called EncrrHA.itis, since we cannot diagnose inflammation
of the brain or Crresritis, in which simply the cere-
brum is involved, from that diseased action of an inflam-
matory nature which involves both brain and membranes,
Aitkin, as quoted by Williams, gives the following
features of distinction between cerebral and meningeal
disease. The former is characterised by loss of some
proper nerve function from the first, not at all by high
exaggeration of function nor vascular excitement, and
paralysis, anesthesia, loss of volition, are its distinctives.
In the latter, loss of nerve force takes place only some
time after the attack commenced; it is generally pre-
ceded by exaggeration of function and much vascular
excitement and local disturbance. Also spasms, pain,
THE NERVOUS SYSTEM. 895
and delirium, are present. Sometimes abscess in the
brain occurs.
The disease usually described as phrenitis is primarily
congestive, subsequently inflammatory. It is vulgarly
known as “ Phrensy,” and is highly acute. The exag-
geration of cerebral functions and of vascular excitement
are very marked. Perhaps the shortness of the neck of
the ox proves a predisposing cause to this and apoplectic
conditions against which even the complex Rete Mirabile
at the base of the brain is not always an efficient preven-
tive. Encephalitis is not of rare occurrence, and is espe-
cially prevalent in hot countries and hot seasons, and more
particularly affects working oxen, those exposed in pastures,
and plethoric males.
It is found that the disease also is less prevalent now
than formerly, perhaps due to less frequent over-driving
and greater care of animals. Fortunately, too, bull-
baiting, which would tend in this direction, is under
the ban of public opinion. Sometimes injury is the
cause.
The congestive stage is denoted by a highly injected
condition of the conjunctival membrane, together with a
condition of stupor, during which the pulse is slow,
respirations infrequent, there is a tendency to somnolence,
and the patient is “ foolish.” Soon general febrile sym-
ptoms and the true phrenitic signs are developed. A
wild and staring condition of the eyes, bellowing, and —
charging at all available objects. This is the stage of
delirium. When the disease is more advanced, convul-
sions are present, and there is a gradual tendency to loss
of power as denoted by frequent falling. The patient is
throughout the delirious stage all but unapproachable ;
the pulse is full and bounding, the respirations are not
usually accelerated, but sometimes slower than usual.
There is a want of method in the fury of a phrenitic ox
not discernible in that of a rabid one. Later, paralysis
sets in, and is succeeded by death. :
Treatment.—The beast having been secured and con-
- fined by the horns, blood may be abstracted to consider-
896 BOVINE PATHOLOGY.
able amount, which will materially tend to relieve the
cerebral and meningeal congestion ; also, cold water may
be constantly applied to the head, and, when possible, a
cathartic dose administered. Sometimes croton can be
given where more bulky remedial agents are rejected,
and the subcutaneous injection of sedative (not narcotic)
agents, such as hydrocyanic acid, may be tried, and the
tincture of aconite may be administered if possible.
Diagnosis.—This disease may be confounded with certain
abdominal disorders, especially impaction of the omasum.
It may be distinguished by its greater acuteness of the
symptoms, the presence of acute febrile conditions, and
the history of the case.
Prognosis, on account of the difficulty in managing
the patient, is unfavorable, since we are not even able
to adopt proper measures of nursing.
Post-mortem examination shows a highly congested
condition of the membranes and of the brain substance, as
denoted by unusual distinctness of the puncta vasculosa ;
also, sometimes the brain is softened, and there is fluid
in considerable quantity in the arachnoid and subarach-
noid spaces. Should the animal recover, there is a
liability to recurrence, so that altogether, when this
affection is present, the best treatment is to destroy the
patient and utilise the carcase.
Hritersy—Megrims or Staggers—is only a symptom of
disorder, as shown by the varied appearances seen post
mortem. Sometimes it is seen in diseases of an ordinary cha-
racter, a8 anemia, and certain other forms of blood disease.
Thus, it is mostly prevalent among young and debilitated
animals. Sometimes on autopsy a spiculum of bone is found
penetrating the brain, im other cases there are scrofulous
or other deposits, and, again, there may be induration of
the white matter, with a marbled or rosy colour of the
grey, and adhesions of the membranes to the surface
(Watson). How far these apply to the conditions in the
ox we are not in a position to state, but certainly we find
epilepsy associated with irregular blood supply. ‘We
have in this malady another illustration of the fact that,
THE NERVOUS SYSTEM, 897
when the controlling influence of the cerebrum is sus-
pended, the peculiar functions of the spinal marrow are
exercised, not only in a disorderly, but also in an un-
usually energetic manner” (Watson). Thus, the symptoms
of an epileptic fit are, after a premonitory dulness, a
sudden loss of brain power, as denoted by the animal
-staggering and falling, and remaining for a shorter or
longer time in a state of unconsciousness. Convulsive
movements of the limbs, which are outstretched and
shivering, of the respiratory and ocular muscles, and
of those of mastication, are very marked. There is bel-
lowing, frothing at the mouth, and involuntary passage of
feeces and urine. Finally, the convulsions cease and the
animal rises, and shortly seems again in a healthy state.
Treatment must be palliative, and directed to the production of
blood in greater quantity and of a better quality, and also to ensur-
ing its regular supply to the head. In young stock this diseased
condition is most frequently seen. Since, in the majority of cases,
there is a deficient supply of blood to the head, bleeding must not be
performed. Walley advocates supporting the cow on the sternum
and giving chloroform, nitrite of amyl,or bromide of ethyl, during
the convulsions. A cathartic will prove useful in removing any
irritant from the alimentary canal. As soon as possible animals
which have once suffered in this way should be sent to the butcher.
Cases of epilepsy in the ox are rare; Walley describes gastric vertigo
in cattle, catalepsy in the cow, epileptoid convulsions in cattle after
long sea voyages or associated with rheumatism.
ApopLexy is the reverse condition, in so far as blood
supply goes, to that which is observed in most cases of
epilepsy, being attributable to an over-distension of the
encephalic vessels with blood, and a giving way of their
walls, thus undue pressure is exerted upon the brain by
extravasated blood. Similar symptoms also may be seen
when sudden pressure results from bursting of a pus
accumulation, and other influences similar in their nature.
Plethora is the most fruitful predisposing cause. The
conditions of life of the ox especially tend to render him
plethoric, and when he is over-driven or excited during
hot weather apoplexy is apt to occur,
Symptoms.—Some slight dulness may at first be present,
but generally the animal is noticed to fall suddenly, with
complete loss of sensibility, consciousness, and power of
898 BOVINE PATHOLOGY.
voluntary movement ; the eyes in an amaurotic condition ;
the breathing slow, stertorous, laboured; the surface of
the body covered with cold sweat. Often the convulsive
movements, rolling of the eyes, and sudden falling may
lead to diagnosis of epilepsy, but this will soon be with-
drawn, as the case remains in the same condition, or lapses
into the quiescent form, or rapidly terminates in death.
This results from extension of the pressure to the medulla
oblongata, and interference with its functions. It will
be observed that the symptoms vary somewhat, according
to the seat of the extravasated blood. This condition is
sometimes seen in association with fracture of the cranium
and with rupture of the blood-vessels such as may also
arise from other forms of external injury.
Treatment consists in free bleeding and administration
of a laxative, but is seldom effectual, and the disease is
apt to recur.
Dropsy or THE Brain: Hyprocer#aLus—is the accumula-
tion of serous fluid in the cranium, either between or
below the membranes of the brain, or else dropsy of the
ventricles. The latter condition is said to sometimes occur
in adults, but it certainly is very rare. Youatt tells us
the symptoms mostly resemble those of apoplexy, but are
gradually developed. The former state occurs in the
foetus, and causes enormous enlargement of the head and
impediment to parturition. The practitioner, when called
in, finds the head partly in the generative passage, either
the muzzle or forehead projecting with the fore limbs. The
enormous cranium is yielding, but must be diminished in
bulk by tapping with a trocar and long canula, or by
opening with the knife. To give room the fore feet should
be secured with ropes and returned into the uterine cavity.
When the cranium collapses the calf will readily be
expelled, of course dead. The loss is not to be lamented,
as it would have done no good, the animal remaining
weakly and unthrifty for a short time, and then dying.
Youatt gives an interesting case, in which puncture was
tried, but tetanus supervened and the animal died. He
also mentions that the disease may appear in weakly ani-
THE NERVOUS SYSTEM. 899
mals after birth. In these cases we shall find the cranial
bones thin and widespread, and large numbers of stellate
Wormian bones placed between them, in the endeavour to
ae SS
—
i
eat
; yy, Mh I ‘py
a
CESSES ——
RSS SS SS] S—————_
rT
——— ZZ
QE EDIE
gg ee A
SSS
Fig. 72.—Congenital hydrocephalus, causing difficult parturition. (Simonds).
400 BOVINE PATHOLOGY.
close up the large cavity, but not sufficient to replace a
great part of the membranous walls. The brain is im-
perfectly developed. Sometimes we find only the floor of
the cranium present, its bony walls being entirely absent,
and the margins of the imperfect walls regularly
rounded off.
Parasites occasionally grow in the brain. These are
the same hydatids as are seen in the brain of sheep, giving
rise to “turnsick.”” They are known as Cenuri cerebrales,
are the larval form of the Tenia ceenurus, seen in its
adult state in the dog. ‘They affect various parts of the
PK:
Fie. 73.—Canurus cerebralis. Fia. 74.—Canurus cerebralis.
(After Cobbold). (a) In sitd. (After Cobbold).
brain, generally the cerebral hemispheres. The embryo
which has escaped from the ovum of the tapeworm bores
its way through the tissues and enters a blood-vessel. It
is carried in the round of the circulation to the brain, and
there locates itself. It increases in size, and generally is
large before it causes any appreciable symptoms, which
are those due to circumscribed deficiency of a portion of
the brain, or some forms of pressure on the surface, viz.
constantly moving round and round in the same direction,
and generally towards the side on which pressure is made.
The disease is most prevalent in young animals, and in
THE NERVOUS SYSTEM. 401
some seasons than others ; it is also somewhat rare in this
country.
Post-mortem examination having proved the presence of the parasite,
this must not be thrown away carelessly, but destroyed or preserved
as a specimen, for it is of interest. Trephining may be experi-
mentally tried, for in calves the sinuses are very small, and so
sometimes a yielding of the bone over the hydatid may be perceived.
With regard to the direction of turning and other interesting phy-
siological deductions from this disease, as seen in the sheep, the
‘Journal of Anatomy and Physiology,’ 1879-80, may be consulted
with benefit. :
The occurrence of bony tumours in the cranium is
noticed under the heading ‘“ Exostoses.” It will be
remembered that the cases of ‘ ossified brain” recorded
are of this nature.
We know but little of the derangements of the brain of
a less striking nature than those hitherto described which,
perhaps, occur in the ox. Cadéac and Malet, of Toulouse,
in ‘ Revue Vét.,’ ix, 9, describes a most interesting case
of anomalous condition of the brain of an ox due to irregular
arrangement of the convolutions. But we must remember
that the conditions of life of this animal are not such as to
call for any high exercise of cerebral functions, nor are
cattle, as a rule, subjected to such close scrutiny as
suffices to detect slight indications of brain disorder.
This organ is very liable to disease in association with
deranged conditions of the digestive apparatus, and a
disease of this kind has been described as Stomach staggers,
but really is a case of functional brain disease due to con-
gestion. We are familiar with the drowsy sensation
which results from a fulness of the stomach ; the same is
sometimes exaggerated in cattle, giving rise to Coma,
which is denoted by dulness and a torpid condition, with .
sleepiness and a tendency to fall down, especially when
the head is elevated. The respirations are deep and slow,
the pulse full and slow, and the pupil dilated. This is
the state also induced by narcotic poisons ; it is then
termed Narcosis. It must be treated by bleeding, stimu-
lants, and a full cathartic dose.
Delirium is a condition of perverted cerebral functions
seen in some diseases, such as encephalitis and some forms
26
402 BOVINE PATHOLOGY.
of blood disorder, and it also results from the action
of certain poisons. There is a wild look of the eye,
excitement and sometimes fury, with violent struggling
and discharge of frothy saliva from the mouth.
Diszases or THE Spinat Corp have not been diagnosed
with thorough accuracy, though Cruzel gives a long
account of myelitis, which, he says, is very rare in the
ox. Associated with this important nervous centre are
two remarkable conditions which, having been described
as distinct diseases, must be rather looked upon much in the
same light as coma and delirium, they being symptoms
which may be dependent upon any of several pathological
states. Thus, Teranus or Locxkep Jaw may be caused by
electric stimulation of a motor nerve or the spinal cord, or
by the introduction of strychnia into the system, or by
certain conditions of nerves associated with a wound, or,
we believe, as a result of the action of cold and other
influences. It is simply an excitation of the spinal cord,
causing it to throw so many impressions into the motor
nerves so closely following one another that tonic spasm
results. It may be diffused or circumscribed. In the
latter case simply the source of motor-nerve force to the
muscles of the head may be affected then the jaws are
fixed and the retractor muscle draws the eyeball back
into the orbit and so causes persistent protrusion of
cartilago-nictitans. Thisis known as trismus. Again, we
may find only the muscles of one side of the body affected
(pleurosthotonos), or those above the spine (opisthotonos),
or those below (emprosthotonos). In other cases we find
a combination of these conditions. The disease is de-
scribed as Trawmatic when due to wounds, and Idiopathic
when no wound can be found to which it may be attri-
buted. It must not be supposed that it is only the
motor portion of the cord which is affected, for there are
indications that hyperasthesia is present often to a
marked degree, thus, excitation of the patient is apt to
give rise to exaggeration of the spasm, and quietude is by
far the most important feature of treatment.
Symptoms.—A gradually increasing difficulty is evi-
THE NERVOUS SYSTEM. 403
dently found in separating the jaws, and in performance of
the voluntary movements in general. The disinclination
to feed is the first matter which directs attention to the
case, but there is no concomitant fever. There is a
straddling gait, due to inflexibility of the hind limbs.
Attention is directed to the mouth to determine the cause
of refusal of food, and it is found that by this time the
jaws are locked. Usually there is a flow of saliva of a
foetid character from the mouth when the lips are separated.
Soon the appearance of the patient becomes characteristic ;
there is a marked condition of the muscles, due to rigi-
dity, the tail is slightly straightened, the haw protruded,
and the animal moves “ all of one piece.” If the haw be
not protruded it will do so when the head is raised. The
muzzle is extended forwards, and there is obstinate con-
stipation. The animal sometimes tries to feed, and
succeeds in sucking up a small quantity of fluid ; he some-
times falls and continues in the recumbent position, but
as often stands persistently. Respiration is materially
interfered with by the contraction of the inspiratory
muscles, but the diaphragm for a long time retains its
activity. That the sympathetic system is involved is
inferred from the state of the bowels; in some cases this
may be primary, and the disease of the cord secondary.
As a general rule, the reverse is the case. Sometimes
the disease proves rapidly fatal, and causes death on the
second or third day ; if the patient lives to the sixth day
some hopes of cure may be held out, but the prog-
nosis is never very favorable, for we are working very
much in the dark in treating tetanus. In some cases it
is directly traceable to a wound either in the suppurative
or cicatrising stage, when it is supposed that some nerve-
fibre is entangled in the scar or otherwise disordered. Of
these wounds the most frequent are surface-grazes, those
produced in castration, and pricks in shoeing. Owing to
the frequency of the latter, it is said to be most prevalent
in working oxen. The idiopathic forms are attributable
to exposure to cold and sudden changes of temperature,
especially when the skin is heated. Thus, it is some-
404 BOVINE PATHOLOGY,
times seen in newly-born animals as Trismus nascentium.
It is also attributed to over-driving (when it may depend
on soreness of the feet) and the presence of irritants in
the alimentary canal. The latter, besides (probably)
causing the disease, increase its intensity, as is proved by
the beneficial effects of catharsis. To induce this extremely
large doses of powerful drastics are given, and it is wonder-
ful with what impunity. Once trismus has set in adminis-
tration of medicinesin the ordinary way is difficult, but croton
oil may be placed on the tongue. Other agents may be
given per rectum, but the best method is subcutaneous
injection. Thus, morphia may be administered, or prussic
acid, or a trial may be made of the nitrite ofamyl. Chloro-
form inhaled is found to relax spasm temporarily, and the
same effect follows its administration per rectum; it
exerts no permanent influence. In these cases quiet
must be substituted even for ordinary nursing measures.
The patient must be placed in a dark and hushed place,
and left there with a free supply of gruel available and a
good bed, The wound to which the attack is attributed |
may be treated by sedative applications and poulticed.
Moller has shown (see ‘ Veterinarian,’ 1880) that tetanus
cannot be produced by transfusion of blood from a
tetanic to a healthy animal; it, therefore, is not specific,
as some suppose. No definite post-mortem lesions have
been observed, but in many cases there are congestion
of the spinal cord and its membranes, softening of the
cord, and accumulation of fluid between the membranes.
An interesting feature of this disease is the height to
which the internal temperature may rise. Some of the
highest readings on record in the human being were
taken from acute cases of this disorder.
Paratysis—Palsy—is also a symptomatic condition
referable to many different causes, and varying much in
its characters. It is loss of voluntary motor power in a
few or many of the muscles of the body, and generally
is accompanied by a similar condition, anzsthesia, loss
of sensory power. This union of the two conditions is
the result of the proximity of the sensory and motorial
THE NERVOUS SYSTEM, 405
tracts, both in the majority of nerves and in the spinal
cord. The degree of palsy may vary from that of a
single muscle to total paralysis. When the whole of one
side of the body is affected, it is termed hemiplegia,
when both hind limbs, paraplegia. In the other cases,
simply “ paralysis.” It may result from pressure on, or
disease of the medulla oblongata, pressure on the
spinal cord on the same side as the loss of power
between the origin of the roots of the nerves and the
brain, or on the nerves of supply to the affected part.
Section of these structures or diseased action has the
same effect. The loss of power does not generally occur
suddenly, though it may do so, but where the limbs are
affected there is a staggering gait, and a tendency to cross
the hind legs. The most prevalent form in the ox is
paraplegia. It is most frequent in old animals, especially
those turned out on damp low pastures and during severe
weather. All hardships tend to the occurrence of cases
of this kind in the herd. Sometimes we find that
the pressure on the nerves or cord is due to fracture ;
in this case the paraplegia occurs suddenly after a fall
or some other form of injury, and the animal retains
sensibility and motor power in all parts anterior to the
fracture, and loses them posteriorly, but it must be
remembered that reflex movements may occur, though
they are not frequent. In the horse, intermittent para-
lysis of the hind limbs has been found to be due to
plugging of the iliac arteries with lymph; such cases
have not been noticed in the ox, but cases of paraplegia
in pregnant animals are sometimes seen, in which the
paralysis disappears after parturition ; in them there may
be pressure on the posterior aorta, or the iliacs more
particularly, interfering with blood supply. Tumours of
various kinds may be observed post-mortem, or even
during life, in such positions as to press upon the nerves
of the affected part. Sometimes paralysis is due to the
action of poisonous agents; of these cases, lead palsy is
- the most remarkable.
Treatment.—All attention must be paid to the comfort
406 BOVINE PATHOLOGY.
of the animal, which must have a good bed and be
frequently turned to avoid bed-sores, which are very
liable to occur under an aggravated form in these patients.
When the case is attributable to debility, we may expect
success in restoring the patient, but, as a rule, these are
protracted and doubtful cases. When fracture of the
Spine exists, or we surmise that tumours compress the
nerves and cannot be removed, we must anticipate a
prolonged course of treatment, loss of condition, and
want of success. It is better, therefore, to at once
have the patient destroyed. When the pressure is due
to inflammatory deposits, we may expect these to become
absorbed in time, and the process of removal will perhaps
be accelerated by the use of such agents as the iodide of
iron, which is at once deobstruent and tonic; also by the
external application of biniodide-of-mercury ointment. The
food should always be as nutritious as the digestive appa-
ratus is able to bear, and also of a laxative nature. The
urine may require to be removed frequently by means of the
catheter. Lastly, treatment of chronic cases by strychnia in
two-grain doses, gradually increasing and continued for some
time, may lead to return of nerve force to a portion of
the spinal cord, which has had its powers reduced by
some influence. Hand-rubbing of the affected parts, and
mild stimulation and clothing, are useful adjuncts. The
muscles of the paralysed part decrease in size, and some-
times degenerate into masses of fibrous tissue; this is
an advanced stage. The muscles less affected are found
in the stage of fatty degeneration. This is well seen in
cases of progressive lipomatous paralysis, such as is
noticed in the ‘ Veterinarian’ for 1880. We have often
observed this in our dissection of monstrosities, in which
the nerve centres have been destroyed after due develop-
ment of the muscles, or in which muscles and nerves
have developed independently of nerve centres. It seems
that as long as they are involuntary the skeletal muscles
develop without the aid of nerve centres, but when they
become striated, unless used they degenerate, and they
THE NERVOUS SYSTEM. 407
can scarcely come into use except under the influence of
the cerebro-spinal nerve centres.
ADYNAMIA NERVOSA GENERALIS (Armatage) is that
nervous debility which affects some cows during the later
stages of pregnancy, which has been confounded with
parturient apoplexy, but which is only indicated by a
want of ability to rise, a tendency to coldness of the
Fie. 75.—The natural position of rest as retained in adynamia. (Armatage.)
surface, and a weakness of the pulse, with some torpidity
of the bowels, otherwise the animal remains apparently in
good health. It has been attributed to pressure of the
uterus containing the foetus on the posterior aorta, pre-
venting the proper supply of blood to the hind extremities,
and in some instances this seems to be the case, but it
often persists after parturition, therefore it must be due
also to other causes. Of these, the demands of the fcetus
on the nutritive material of the blood is considered to be
one of the principal. Sometimes it is treated successfully
by suddenly frightening the animal, but it is better to
keep the bowels open by means of enemas and the
surface of the body warm, and support the strength of
the animal until it has entirely recovered from the effects
of utero-gestation. Small doses of strychnia have been
408 BOVINE PATHOLOGY.
recommended, and stimulant applications along the length
of the back are of decided benefit. Gerrard, of Romford
(whose death has been a special misfortune to bovine
pathology), describes, in the ‘ Veterinary Journal,’ xii,
p- 390, cases of what he considers cerebro-spinal meningitis
in the cow which occurs some days after calving, the
patient being free from coma and standing persistently to
the last; the bowels not obstinately constipated as in
apoplexy but slightly deranged, and occasionally even
foetid diarrhcea is present. The urine and lacteal secre-
tion are uninterfered with, sensation and voluntary power
areretained. The condition is chronic and inflammatory,
terminates suddenly in from three to six days from
apoplexy, or gradual recovery occurs. It seems in some
way connected with the condition of lactation. Effusion
and extravasation of serum and blood on the meninges and
spinal cord are found on autopsy.
Cuorra—Stringhalt.—Cases of this nature charac-
terised by clonic muscular spasms have been described,
as in the ‘ Veterinarian,’ vol. xv, p. 71, and ‘ Edinburgh
Veterinary Review,’ vol. iv, p. 237. In the latter instance
a number of animals were affected, and this was attri-
buted to the practice of giving them burnt ale with their
food.
Parrurrent AropLexy— milk fever,” “ dropping after
calving”’—is a disease peculiar to the cow, generally
occurring after calving, and within three days of that
event, most frequent after easy accomplishment of birth,
in good milkers, and in old animals seldom before the
third calf, perhaps most often seen after the fifth; very
liable to recurrence in animals which have once suffered
from it when the time for parturition again comes round.
It is noticed most frequently in warm weather, and in
animals which are in a plethoric state at the time of par-
turition. The disease is mentioned as also taking place
in some cases before birth, and some say even several
weeks after that event; but this is very doubtful, and, at
any rate, quite exceptional,
Symptoms.—The cow, some time after parturition, generally about
THE NERVOUS SYSTEM. 409
four hours, becomes restless, raises the hind feet alternately, breathes
rather quickly, is unwilling to move, and staggers during pro-
gression. There is cessation of appetite and rumination, a staring
condition of the eye and—a sign of great significance—the supply of
milk suddenly fails. Shortly, in about twenty-four hours after par-
turition, the animal falls, the hind limbs giving way, and remains on
the ground, generally after several ineffectual attempts torise. Then,
it is found that the eyes are protruding and bloodshot, and insen-
sible to the touch; in fact, there is a general loss of sensation and
power of voluntary motion. The pulse is now full, soft, and fre-
quently slow, but subsequently it becomes faster, smaller, and finally
- imperceptible. The respiratory efforts are slow and infrequent, and,
after a little time, stertorous. The visible mucous membranes are
purple in colour, and the head and horns are hot. The animal is
delirious, and dashes the head about with extreme violence, or becomes
comatose, and lies with the head flexed round on the shoulder.
Amaurosis sets in, and there are twitchings of the muscles of the
Fie. 76,—Puerperal (Parturient) apoplexy in the Cow (Armatage).
eyelids. The udder remains soft and flaccid, or sometimes becomes
hard and small. All power of swallowing is lost, the bowels do not
act, and the urine is retained. Tympany also is present. Usually
the coma becomes more profound, and the signs of vitality less
marked, until the patient dies; but in other cases the functions of
the internal organs commence to be more satisfactorily performed ;
the bowels act, the pulse becomes perceptible, and the respirations
more frequent, and gradually the patient recovers. Even after the
animal is far advanced towards convalescence relapse may take place,
and we have seen cases in which the slow recovery was seriously
interfered with, the sloughing of large patches of skin—bed-sores, in
fact—resulting from a want of attention to frequent turning and
protection from the acridity of urine while the animal was recumbent.
To these lesions an animal recovering from this disease seems parti-
cularly liable, probably in consequence of interference with the
nervous supply of the superficial parts.
1 This is by some considered due to special tonic spasm of the cervical
muscles.
410 BOVINE PATHOLOGY.
Post-mortem examination.—The blood dark in colour
and distending the veins; petechis of various serous
membranes ; congestion of the brain and spinal cord, with
apoplectic clots on various parts.
Pathology—Gamgee and other authorities on this
subject consider that there is present in the blood a
specific element. The congested condition of the veins
in general and the dark colour of the blood, together
with the ecchymosis of the serous membranes observed
post mortem, seem to support this view until we con-
sider that the blood must contain many impurities, as
a result of defective action of all the excretory organs.
Probably those cases in which the disease has been
communicated were septic peritonitis, a disease frequently
mistaken for that in question. Another argument ad-
vanced is, that the disease sometimes assumes an enzootic
form, but this is probably attributable to uniformity
of surroundings and mismanagement of a number of
pregnant cows. The “anatomical theory” is that this
disease is due to the arrangement of the arteries at
the base of the brain, as a rete mirabile, rendering the
cow liable to apoplexy, especially when the supply of
blood to the pregnant uterus is cut off, and there is
no compensatory determination to the mammary gland.
That the arrangement of the arteries has little to do
with the matter is shown by the fact of the spinal
cord, as well as the brain, being the seat of extrava-
sations. Some attribute the disease to accumulation
of milk-producing elements in the blood, giving rise
to fever and, practically, blood poisoning; to sudden
overloading of the system with blood, causing nervous
disorder ; to thrombosis or blood-clotting post partum ;
to encephalic anzemia (eclampsia). After a very careful
consideration of the various theories on the subject,
Fleming (‘Veterinary Obstetrics,’ p. 668) adopts the
latter view, as suggested by Franck, and he considers
the view of Professor Barlow, one of the ablest of
British cattle pathologists, as “ most far-fetched.” He
hardly treats this view, which is supported by Pro-
THE NERVOUS SYSTEM. 411
fessor Williams, with proper respect. These professors
considered the disease a disorder of the sympathetic
nervous system. Many considerations tend to render
this view most probable. In the ox, and especially
the milch cow, this system is most highly developed.
Alimentation, lactation, and utero-gestation, are under its
direct control, and its influence is especially appreciable
in the various secretory processes. At parturition, when
the act is rapidly accomplished, undoubtedly a large
excess of blood is thrown upon the system; the effects
are the same as when a flux of long standing is suddenly
stopped —either some excretory organ exerts its powers of
vicarious action, or there is sudden increase in blood
pressure, and congestions and apoplectic lesions take place.
Normally, the mammary gland becomes very active, and
removes the excess of nutritive blood constituents, while
watery matters and salines are also removed by the
other excretory organs. If any influences lead to imper-
fection of this safety-valve action congestions and apo-
plexy take place. That the functions presided over by
the sympathetic gangliated cord are not duly performed
is evident in parturient apoplexy. The sudden loss of
milk, retention of urine, torpidity of the bowels, and loss
of power of deglutition, are proofs of this. But the next
question is as to what has brought about this disorder?
We must answer this by saying that the violent throes
which were necessary for the rapid expulsion of the fotus
depended on excessively violent nervous efforts, which so
exhausted the sympathetic system as not to admit of its
recovery until apoplectic mischief has been done by the
method above described. With the present state of phy-
siological knowledge of the sympathetic nervous system
we are not in a position to reason the matter out more
closely, but it is evident that this view is worthy of atten-
tion, and some pathologists will find it hard to believe
that apoplexy is due to anemic conditions of a part which
is found congested after death. The occurrence of coma,
delirium, and convulsions is thoroughly explicable, as due
to congestion of the brain and spinal cord. The disten-
412 BOVINE PATHOLOGY.
sion of the blood-vessels seen post mortem and the purple
colour of the visible mucous membranes throughout the
attack show that extreme fulness of vessels is present in
these cases, and also a loss of tone of their muscular
structure. Several other theories as to the nature of the
disease might be given, but it is not necessary. Williams’
idea, “that the particular congestion of the brain and its
meninges is determined by the state of mental excitement
which is always present at this period, an argument borne
out by the fact that the removal of the offspring from the
mother is a fruitful cause of the so-called milk fever,” is
feasible, but such an exciting cause is not absolutely
essential, and the brain is not the only part of the body
which is congested and presents blood extravasations.
Treatment.—Prophylactic consists in ensuring a healthy
state of the constitution towards the time of parturition by
allowing a little exercise and adopting other means to
avoid plethora. Some authorities even suggest cathartic
doses and bleeding with this object.
Curative.—In the earliest stages the abstraction of blood
is decidedly beneficial, and a large cathartic dose must be
administered. This latter measure should always be
adopted whatever the stage of the disorder, for one of
the most important indications is to get the bowels to act,
and it is really wonderful what large doses of purgatives
may remain in the alimentary canal without producing
any effect, for the great distension of the blood-vessels
prevents their absorption. Usually a combination of
salines with aloes isrecommended. In no disease is more
careful and assiduous nursing required. The animal must
be supported by bundles of straw, and covered with cloths,
the udder stripped regularly, and friction applied all over
the surface of the body. Cold water or ice may be
applied to the forehead, which may tend to rouse the
tonicity of the cranial arteries, which may thereby overcome
the passive congestion, but a more important means is
the frequent administration of small doses of diffusible
stimulants, which, we believe, tend to rouse the sympa-
thetic system into activity, and to diffuse some of that
THE NERVOUS SYSTEM. 418
nerve force now heaped up in the cerebro-spinal centres,
as manifested by delirium and convulsive efforts. It is
usual to apply a stimulant or a sheep-skin along the course
of the spine. Hnemas should be frequently given, and
the urine drawn off with the catheter. All agents
Fia. 77.—Catheter.
administered internally should be given by means of the
stomach-pump, as deglutition is impaired and fluids are
apt to fall down the trachea, and to cause the death by
mechanical bronchitis of an animal which otherwise might
have recovered. Also introduction of the tube into the
stomach will tend to relieve tympany. A very good plan
is to insert the trochar and canula, and to administer the
stimulant doses through the opening. Any change for
the better must not cause relaxation in our efforts, but the
animal must not be allowed to feed on anything but easily
digestible laxative food, or strictly for some time kept on
a gruel diet.
Results.—We have already alluded to the liability of this
disorder to recur. Resolution takes place more frequently
in some parts of the country than in others, and thus the
fatality has been variously estimated. Paraplegia is one of
the most unsatisfactory results, dependent upon pressure on
or disorganisation of the cord. Such cases are occasionally
treated successfully by means of tonics, strychnia, and
absorbent agents, and blisters over the course of the spine.
Sometimes, as the deposit is gradually removed, they
undergo spontaneous cure. Where there are no signs of
amendment after a short treatment, the animal should be
slaughtered, and, if in a fit state, used as food. Whether
the carcase of an animal which has been destroyed while
suffering from milk fever is fit for food is much debated.
It has nothing specific about it, but the blood is so laden
with impurities that we must condemn such meat as bad,
414 BOVINE PATHOLOGY.
though we cannot say that it will cause disease in animals
which consume it.
Cases of Partwrient Fever, ordinary fever observed
after parturition, which present no special features of
treatment, must not be confused with parturient apoplexy ;
and the latter disease must be carefully distinguished
from septic peritonitis, adynamia, and simple metritis.
MANIA PUERPERALIS is a disease which is occasionally
seen a few days after parturition, characterised by extreme
excitement, constant champing of the jaws, with gnawing
of the surrounding objects, especially the animal’s own
fore legs. These symptoms are somewhat similar to those
of rabies, but contagion cannot be traced, there is the
special relation to parturition, and the attack generally
lasts only a short time and yields to the action of opiates.
It is attributed to dyspepsia, exposure, and to removal of
the calf from the cow. Cases are recorded in the ‘ Vete-
rinary Journal,’ vol. ii, p. 17, and vol. ix, p. 18. Mr.
Storrar, of Chester, prefers to consider this disease as a
form of epilepsy.
With regard to the Nerves, we can only state that
Nevroromy has been performed in the ox as in the horse,
the anterior plantar nerves being divided as well as the
lateral. The operation is so seldom performed that we
need merely allude to it here as having been resorted to
successfully.
In the third volume of the ‘ Edinburgh Veterinary
Review,’ p. 503, is a case of suppose division of the
pneumogastric nerve in bleeding. Vomition, cough, and
atrophy of the left lung resulted.
Section 2.
Diseases of the Sympathetic nervous system in the ox
do not seem to have been recognised, except in so far as
has been already mentioned. (See Parturient Apoplexy.)
DISEASES OF THE SKELETON, 415
CHAPTER IX.—DISEASES OF THE SKELETON.
Tue Skeleton of the ox is heavy and comparatively
simple. The skull is large, for the face has to accommo-
date the huge grinding teeth. It also is peculiarly bent
upon the cranium. The frontals especially are well
developed, occupying the whole of the upper part of the
cranium, prolonged on each side as a horn core and per-
meated throughout by sinuses, which contain heated air,
and lessen the weight of the head. The cervical vertebra
areshort and stout, and ligamentum nuche is well developed,
but special in its character, having a layer of it on each
side lying externally to complexus major. ‘The lumbar
region is composed of stout bones with long non-articulatory
transverse processes. The shoulder-girdle consists of a
scapula, with the coracoid appended to it as a process. The
clavicle is only represented by a white fibrous band.
The humerus has a single groove at its supero-anterior
part, and the ulna is prolonged to the knee. The pelvic
girdle is principally remarkable for the large size of the
ischium, which (with its symphysis) inclines peculiarly
upwards posteriorly. Consequently the sacro-sciatic liga-
ment is small. The most important feature of the hip-
joint is the absence of the pubio-femoral ligament; the
femur, therefore, has freer movement than that of the
horse, its trochanter major is not so much divided, and
there is no third trochanter. The fibula, in all but very
old animals, is ligamentous throughout, except where it
is situated below the outer side of the tibia, and assists in
the formation of the tarsus by articulating with os calcis.
Other peculiarities have been already mentioned (as at
416 BOVINE PATHOLOGY.
pp. 827 and 834, &c.). Diseases of the skeleton in the ox
are not so frequent as in the horse, but yet are not un-
common.
Szcrion 1.—ABNORMALITIES oF THE Osszous SYSTEM.
Osritis.—Inflammation of Bone—results from injury
or from specific influences, especially the scrofulous
Fig. 78.—Skeleton of the ox. (Dobson.)
diathesis. Abscess is the most frequent result. Also,
since the inflammation causes condensation of bone tissue,
the supply of nutriment to the articular surfaces is cut off,
and caries with arthritis ensues. Pain is very marked in
these cases, and swelling is but slight and very gradual.
The death of bone is termed necrosis, and the portion
removed is a sequestrwm. When a bone is diseased at
the bottom of a wound, or when an abscess from a bone
has burst externally, the most important indication is to
remove all dead parts, otherwise an ichorous discharge
persists, sinuses extend in various directions, and the
DISEASHS OF THE SKELETON. 417
affected part undergoes extensive disorganisation. When
a number of fragments of bone are separated in a com-
minuted fracture these act as foreign bodies, and necrose
through defective blood supply. When this is the case
the larger portions may be surgically removed, and when-
ever a small amount of necrosis is present hydrochloric acid
dressings will prove useful by breaking up the bony
structure. One of the most frequent seats of necrosis is
the pastern bones in cases of foul. In cases of ostitis
poultices should be applied, and the parts freely fomented
and as thoroughly rested as possible. Besides a laxative
dose no constitutional treatment is generally required.
Prriosiris AND INFLAMMATION oF THE OvreR Lamina oF
A Bonz result from injury and, occasionally, from rheu-
matism, The membrane becomes thickened, and some-
times much congested, and an exudation of lymph beneath
it occurs, which becomes converted into bone. ‘The pro-
cess is painful, and sometimes requires to be relieved by
pertosteotomy. This operation does not seem to have
been used in cattle practice. A case of diffused meta-
tarsal periostitis, by Professor Walley, may be read in the
‘Veterinary Journal,’ 1880, vol. i, 126. It was a com.
plication of arthritis of the hock and fetlock, and led to
encasement of the upper three fourths of the metatarsus
by a bony layer. Chronic cases of ostitis and periostitis
are sometimes benefited by a blister.
Exostosis—Bony Growth from Bone—results in most
cases from periostitis. In the first place it is simply
lymphy material thrown out, but later earthy matter is de-
posited in it, and this in process of time becomes converted
into true bone. Callus thrown out round a fracture has
much the same nature, but is specially arranged in relation
to the injured bone. The most remarkable growths of this
nature seen in the ox are those dense outgrowths from the
petrous temporal bone which extend into the cranial
cavity and cause absorption of the brain ; they attain an
immense size and weight, and become closely moulded
against the cranial walls in such a way that often they
present a lobulated appearance, and have ramifying grooves
27
418 BOVINE PATHOLOGY.
upon their surface for blood-vessels. Hence, they have
been mistakenly described as “ ossified brains.” Strange
to say, such cases are seen in animals in good condition
brought for slaughter, no special signs of disorder having
been noticed in connection with them. Bony growths are
not infrequent, too, around the margin of the orbit, depen-
dent on periostitis, the result of injury. They sometimes
attain such a size as to require to be removed with a saw.
Sometimes they bend inwards and exert pressure on the
eyeball, and they are always rather liable to injury, which
causes ulceration. Small or large bony tumours are some-
times found on the ribs, extending into the thorax. Once
exostoses have assumed the true bony character, unless
surgically removed, they will remain as part of the body
whatever treatment may be adopted. The application of
blisters will promote absorption of any surrounding deposit.
Cases of this kind seldom require treatment.
Osteophytes, or bony growths, result from ossification of
exudates or of fibrous tissue. They are distinguished
from exostoses by not being attached to bone.
Fracitiras ossivm is a condition in which, through ex-
cess of earthy matter, produced either by too great removal
of animal constituents (as seen in old age, and as a result
of inflammation), or, less frequently, by excessive earthy
deposit, the bones readily break. Under this heading
must be recorded the disease known as Cachewia ossifraga
malacia, which was especially noticed in the ‘ Edinburgh
Veterinary Review,’ vol. iii, pp. 16, 75, and 228, and also
treated of in the ‘ American Veterinary Journal,’ May, 1852.
It is vulgarly known as “‘ Cripple’ or “ Stiffness,” and is
enzootic in certain situations, and affects especially milch
cows. Itis attributed to the non-assimilation of phosphatic
material, or its excessive removal from the system in milk.
A deficiency of phosphates in the soil and of salts in general
in the drinking water is considered the main cause, and
over-stocking land is likely to give rise to it.
Symptoms.—Indigestion, with progressive debility, stiff-
ness of gait, and staggering. Later, inability to rise, swell-
ing of the bones, especially atthe joints, and paralysis,
THE SKELETON. 419
These cases are long and tedious, and require to be treated
by change to full and highly nutritious diet, a mild
laxative to empty the alimentary canal, and subsequently
mineral tonics.
Post-mortem examination shows ligaments torn away
from their attachments, bones enlarged, friable, and pre-
senting outgrowths. Fractures also are generally present.
This disease is similar in many of its characters to “ Osteo-
porosis”’ as seen in the horse, but differs in the presence
of friable tumours and in the considerable alteration in
shape which the bones undergo. Whether these are the
same disease is a matter of importance, for Osteoporosis has
been described as affecting the ox by Professor Williams,
who says, ‘‘ Cattle reared on bad, ill-drained land, poorly
kept in the winter, grazed on sterile upland pastures
during dry summers, or otherwise ill-used, are liable to be
affected with it.’ This matter must be settled by micro-
scopical examination of the bones.
Racuitis—Rickets—is an imperfection of bones seen in
young animals, and essentially dependent on the non-
deposition of sufficient earthy matter in the ossifying tissue,
which therefore yields to the superincumbent weight.
This depends on imperfect nutritive supply or mal-assi-
milation, and is not infrequently associated with the
scrofulous diathesis. As seen in calves it is characterised
by enlargement of the joints, a bent condition of the
limbs, especially below the knee and the hock. Also, it
is almost invariably accompanied by indigestion and
diarrhcea. It is first manifested when the animal is a few
weeks old, and can be sometimes traced to imperfect
supply of milk; in other cases it may be associated with
lesions of the nervous system.
Treatment.—Careful nursing, nutritious and digestible
diet, cod-liver oil and lime water, mineral and vegetable
tonics. The medicinal agents should be given in milk. The
bent portions of the limb may be supported by properly
applied splints on the convex surfaces. As the animal
grows older the bones will become hardened, but will
remain deformed.
420 BOVINE PATHOLOGY.
A degneration of the gastrocnemii tendons has been
seen in young cattle.
Fractures—solutions of continuity of the hard struc-
tures of the body—are simple, compound, or comminuted.
A fracture is simple when there is a breaking into two
parts; when several fragments are formed it is commi-
nuted ; and it is compound when there is a communication
with the surface through a wound and sometimes pro-
trusion of a portion of bone. When one of the long
bones of the extremity is the seat (they are the most
frequent) the fracture may be longitudinal, transverse, or
oblique. The latter are the easiest to set, but the most |
difficult to retain in position, and their sharp ends are apt
to pierce the skin and to convert a simple fracture into a
compound one, which is not at all satisfactory, since ex-
posure to the air excites suppuration, and materially
delays repair. ‘Transverse fractures are difficult to set,
but easy to retain in position ; longitudinal are least liable
to displacement. When the bone is in a comminuted
condition, it requires to throw off all portions of which
the nutritive supply is cut off, and to unite together the
remaining fragments. Reunion of a fractured bone results
from the calcification and subsequent ossification of lymph,
which is thrown out around the fracture and forms the
interior callus, a plug inside the bone; the intervening
situated between the fractured surfaces, and the ensheath-
img around the parts, binding them together. The callus
after a time almost disappears, and but little trace of the
fracture of the bone is visible. Rest is essential to the
proper performance of these processes, otherwise simply a
lymphy bond of union between the fragments may be
formed, constituting the condition known as “ false joint.”
Certain minor details of the process of repair have not
been touched upon, such as the rounding off of sharp
projections and the establishment of cancellated and
compact tissues continuous with one another.
Symptoms of Fractuwre—The principal symptoms are
deformities and pain of the part, interference with its
function, crepitation when on manipulation the extremities
THE SKELETON. 421
are rubbed together. Soon swelling sets in and renders
diagnosis obscure.
Treatment comprises restoration of the fragments to their natural
position, and maintaining them there in a state of rest until union
has been completed.. This takes over a month, so that such cases
are rather serious ones to take in hand. “Setting the bone,” can
best be effected by extension and counter-extension, but the details
must vary with the part affected. Retention may be accomplished
by bandages, compresses, or splints; the latter are made of leather,
gutta percha (warmed in hot water), or some other soft yielding
substance, and must not be bound on too closely, but allowance made
for the swelling which will ensue. These are retained in position by
a starch bandage, which gives even pressure; depressions below the
splints must be padded in such a way as to secure this. A pitch-
plete is useful in some cases where splints and bandages cannot
e applied. To secure as much rest as possible the patient should
be housed and allowed a good bed and regular laxative diet. Of
particular fractures we may specify—
Fracture of the Horns.—It is often seen, especially in
young animals which have been fighting. Thehorncore may
be fractured transversely without injury of the horn; the
latter then will act as splints. When both core and horn
have been broken off, hemorrhage will be profuse and must
be restrained by pressure, or, if necessary, by the actual
cautery. The opening extending into the frontal sinuses
must then be covered with a tarred cloth, which must not be
bound on too closely or it may give rise to exostotic growth
from the exposed bone as in a case before us, where the
tumour measures about two feet ten inches in longitudinal
circumference, and weighs about five pounds. Anything of
this kind must be removed with asaw. An imperfect horny
covering will, in due time, invest the exposed extremity.
Fracture of the Metacarpal or Metatarsal Bone,
when compound or comminuted, may be treated by
amputation, performed as recommended for foul. Olver,
of Tamworth, had a most interesting case of compound
fracture of the metatarsal bone of the near hind leg,
which he set with plaster of Paris. The whole lower
third of the metatarsal bone sloughed away and was
replaced in due course; about eighteen months after,
the animal was slaughtered and made a capital carcase
(‘ Veterinary Journal,’ vol. xi, p. 49).
Fracture of the Os Innominatum may be through the
422 BOVINE PATHOLOGY.
acetabulum, when, if the animal is at all in condition, it
should be killed for the butcher. The same rule applies
to fractures of the more serious kind involving joints, or
penetrating cavities in any part of the body. Animals rush-
ing through doors, over landing stages, or through gates
which shut on them, are liable to fracture of the antero-
inferior spinous process of the ilium; this never unites,
but a false joint forms, and the animal remains perma-
nently deformed, “ ragged ” or “ hipped,”’ as it is termed.
Fractures of the Ribs may lead to passage of the frag-
ments inwards and laceration of the lung or to pleurisy.
Fractures of the Cranium are seldom seen in cattle, and
not likely to compress the brain, for the plates of bone of
the cranium are separated almost everywhere by the
frontal sinuses, so that the outer gives way without the
inner.
Experience among Indian cattle shows that spiral
fracture of the humerus and fracture of the neck of the
femur are frequent in that country.
Fractures of young animals unite more readily than
those of the adult; in them we occasionally see cases
of partial fracture, fracture with bending, or greenstick
fracture, and apparent fracture may be due simply to
separation of epiphyses, especially those of the olecranon
and of the summit of the process of os calcis. In such
cases there is flexure of the limb at the hock or the
elbow, generally a hard tumour above the joints of these
parts, and a thickened condition of the muscles higher
up. In treatment the limbs must be forcibly kept
straightened for a considerable time, and an attempt must
be made to bring the separated parts in apposition, and
maintain them there. Such cases are troublesome.
As in other lower animals, the difficulty in treatment
of fractures in the ox consists in our inability to keep the
patient quite quiet and at rest. Again, we cannot satis-
factorily use slings for him as we would for the horse
for they too much compress the abdominal viscera and
interfere with digestion. Still, we do not require
such accurate and perfect union in the ox as in the
THE SKELETON. 423
horse. Altogether treatment of the majority of cases is
indicated.
Szotion 2.—Insorms anp Diszases or Ligaments AND
Musotzs.
Spratn is rupture of some of the fibres of a ligament or
tendon. When all give way simultaneously we have to
do with complete rupture of a white fibrous band, thus,
these conditions so often described separately are simply
one and the same, but the latter is an exaggeration of the
former. Reparative inflammation is set up and thus the
parts become hard, swollen, hot and painful, and there is
a want of free movement of the tendon. Over-tension
of some kind is the cause of this state, as when an
animal progressing rapidly steps in a deep hole, catches
its foot in any place, or bears its weight improperly on
the limb. Of course the tendons of the limbs are most
frequently the seat of thislesion. Generally some amount
of thickening remains after recovery.
Treatment comprises thorough rest, not only by keep-
ing the patient quiet, but sometimes by placing the limb in
a favorable posture. In the early stages warm water
may be used to relax the parts and lessen pain, but
when possible, cold water may be continuously applied,
whereby tendency to excessive deposit will be prevented ;
and also there will be a certain amount of local anzsthesia
produced ; unless the application be continuous, it may as
well be left alone. When all heat has subsided in the
part it will be advisable to complete the repair by the
stimulating action of a blister or even of the actual
cautery.
Sprain of the Fetlock Joint is perhaps the most frequent
lesion of this nature. It depends upon excessive diver-
gence of the digits, and here mainly falls the stress of all
the weight thrown upon the limb. This form of injury
is most frequent in working oxen, and presents nothing
special in its course and treatment except that it is liable
424, BOVINE PATHOLOGY.
to be accompanied by arthritis and to result in false
anchylosis of the joint. The sheaths of the tendons
about this part always undergo thickening in such cases,
Sometimes the inflammation runs so high as to give rise
to considerable systemic disorder, so that a cathartic
and febrifuge agents must be administered. Overgrowth
of the hoofs, by giving rise to abnormal direction of
tension, predisposes to this injury.
Sprain of Ligamentum Teres of the Hip is seen in the
ox, for he has no pubio-femoral ligament to strengthen
. the union of the head of the femur with the acetabulum.
Armatage gives the following symptoms :—Flexion of the
affected limb during rest and drooping of the haunch of
that side. Inability to raise the thigh and advance the
leg, so that the hoof is dragged along the ground. Great
pain on movement of the limb, absence of external in-
dications, and in chronic cases, wasting of the quarter,
with a clicking noise during progression, The most
frequent cause of this is beasts “mounting” on one
another, but blows may also give rise to it. Abscess
in the hip-joint may. result. These cases are not rare,
and prove severe and protracted, and seriously interfere
with condition. The ordinary treatment for sprain must
be tried; in chronic cases a seton may prove useful.
Above all things thorough rest must be secured; this
ligament has been found ruptured.
A case of Ruptured Suspensory Ligament may be read in
the ‘ Veterinarian,’ vol. xvi, p. 254. This ligament divides
inferiorly into four in the ox and assists the perforatus
to form its sheaths for perforans.
The muscular system of the ox is less liable to injury
and disorder than that of the horse, since the tendons
are seldom subject to excessive strain, and the animal is
not compelled. to undergo excessive muscular exertion.
Yet, as a result of over-feeding, the muscles degenerate,
undergoing fatty change, and are liable to give way
under the influence of a comparatively slight degree of
force. Of this nature is the Rupture of serratus magnus,
THE SKELETON. 425
which gives rise to excessive and sudden lameness when
heavy fat cattle are made to travel any distance.
Displacement of the Abductor femoris has been described
by some authors. It gives rise to hip lameness, with
a dragging of the limb and imperfect flexion. Incision
through the investing fascia is necessary to free the
muscle. It is seen in working cattle and in mountainous
districts.
In muscles certain parasites take up their abode. Of
these the most important are the Trichina and Cysticerci.
These have, in this country, only been found in the ox
as a result of experimental investigation. It is certain
that the Oysticercus bovis frequently occurs in the flesh of
cattle in India and other warm climates. Certain psoro-
sperms, very low organisms belonging to the Gregarinida,
have been found in the flesh of oxen. These have been
described as cattle-plague bodies — “ Miescher’s” or
“ Rainey’s” bodies—are detectable under high powers, and
have no clinical importance. They are found in healthy
as well as diseased animals.
Sometimes wounds lay oPEN SYNOVIAL TENDINOUS SHEATHS.
The lining membrane exposed to the air becomes
thickened and discharges largely, manifesting all the
signs of acute inflammation. The continuous application
of cold water seems to be the best means which can be
adopted.
Szction 8.—ABNORMALITIES OF THE JOINTS.
The various affections of the joints are not so frequent
in the ox as in the horse. We may enumerate the
following :
Agraritis—Inflammation of a Joint—generally depends
upon rheumatism or scrofula, or arsenical-fume poisoning,
but sometimes is simple and due to ostitis, or punctured
wounds or bruises. The specific affections have been
already noticed and compared. Traumatic arthritis causes
ulceration of the extremities of the bones, which produces
ulceration of the articular surfaces, with sometimes loose
426 BOVINE PATHOLOGY.
portions of bone; also a distended condition of the joint
cavity, with the ordinary focal signs of inflammation, the
swelling being particularly hard. Fever is apt to run
high, and when the diseased joint is in one of the limbs
lameness is intense. The discharge through the puncture
is at first profuse; subsequently it becomes flocculent, and
sometimes sanguineous.
Results. —Of these anchylosis is the most frequent unto-
ward condition; to it all these cases tend. It is nature’s
method of cure of the disorganised joint by establishing
bony connection between its constituent portions, and thus
entirely obliterating its cavity.
The best treatment in such cases is to secure as much
rest of the parts as possible, and to endeavour to close the
wound before inflammation is excited in the joint. This
may sometimes be done by adhesives or sutures. When
admissible, of course the wound must be thoroughly
cleansed. Later cold water must be applied continuously,
which will allow only enough inflammatory action for re-
parative purposes. More recently the application of a
smart blister around the joint has been found to be very
successful, since it serves to limit motion and close up
the wound by the swelling it causes. Severe constitu. |
tional irritation may occur in these cases. Hven where
anchylosis has resulted the patient will probably be able
to get sufficient food to fatten himself; thus, we may deem
a cure of this nature fairly satisfactory in the ox, whereas
it would prove useless in the horse. Remarkable cases of
arthritis are those seen in “ copper-smoke disease.”
The Stifle-joint is very liable to injury from blows,
bruises, and other traumatic influences. The affected
limb is raised from the ground, and there are fluctuating
swellings, due to accumulations of synovia in the joints.
Weight on the limb causes extreme pain, and the animal
will not lie down, or when recumbent can scarcely rise.
Sometimes these cases last a very long time.
Hyprors ArricuLorum—Dropsy of Joints—results either
from inflammation, or as a result of constitutional or local
THE SKELETON. 427
debility. It is seen most frequently in young animals when
it is due to the latter causes. It is not frequent in
cattle. However, Guttard finds this disorder often in
oxen and cows in his practice, which is in a hilly country.
He treats them with bichromate of potass ointment (4 to
30) to one side of the swelling only at one time, the other
side being similarly treated in fifteen days (‘La Presse
Vétérinaire ’).
Treatment.—Subdue any inflammation present, then
paint with tincture of iodine, or apply friction and give
tonics.
Sxvovitis—Inflammation of a Synovial Membrane— "
occurs whenever it is exposed to the air, as in open joint,
bursa, or sheath, and is a complication of tendinous inflam-
mations. It leads tothe throwing out of lymph and adhe-
sions, which impede free movements of tendons in the case
of sheaths and burse. The membrane undergoes the
various stages of congestion, with dryness, thickening
from interstitial effusion, and lymphy exudation ; and there
is considerable pain, and fever runs high.
Treatment comprises active antiphlogistic means. The
most important point is to prevent extension of inflamma-
tion to the neighbouring cartilages.
Other diseased conditions of the structure of the skeleton
are of minor importance, and will present no difficulties to
the scientific practitioner.
RELAXATION OF THE Pztvic Sympuysis has been seen in
cows after parturition. _
Distocations oR Luxations are misplacements of joint
surfaces, to allow of which some of the retaining ligaments
have given way. This leads to deformity, interference
with function, and subsequently to changes of the articular
surfaces in the direction of an adaptation of the parts to
their new situations. Thus, cartilage is removed, promi-
nences are levelled, and new depressions are formed, and
condensed bony tissue to a certain extent replaces the
articular cartilage (eburnation), and receives a polish.
These displacements depend upon some irregular action of
428 BOVINE PATHOLOGY.
muscles or force applied to the surface; they are most
frequent in young animals with delicate ligaments and
only partially developed articular surfaces.
Fia. 79.—Dislocation of the patella. (Armatage.)
Treatment comprises reduction of the dislocation, reten-
tion of the parts in their natural position, and artificial
Fia. 80.—Means for preventing recurrence of dislocation of the patella.
(Armatage.)
strengthening of parts. Hip-joint and patella dislocation
are the forms of this lesion most frequently seen in cattle
practice. The former lesion is seldom unaccompanied by
fracture of the acetabulum.
Dislocation of the Patella is the most frequent luxation
THE SKELETON. 429
in cattle, and is almost always outwards, so that the bone
may sometimes be distinguished as a hard tumour outside
of its normal position. The limb is drawn and maintained
forcibly backwards in a manner which cannot be mistaken.
Reduction must be attempted by drawing the limb for-
wards by a hobble round the fetlock, with a rope attached
to it, and connected with a band passed round the neck,
at the same time pressure inwards is brought to bear on
the displaced bone, which will probably easily slip back
into its position. The limb should be kept forwards by
tying the hobble rope to the neck band, and a blister may
be applied over the stifle to excite effusion as a means of
retention, for sometimes this dislocation is recurrent, and
the patella, constantly passing out of and into position,
causes absorption of the outer ridge of the femur, and still
further aggravates the case, and renders it incurable.
The immediate causes are slipping of the limb backwards,
as into a ditch, and want of tone of the surrounding
muscles. It is said to be most frequent in mountainous
districts.
430 BOVINE PATHOLOGY.
CHAPTER X.—WOUNDS AND OTHER SURGICAL
CONDITIONS.
Secrion 1.
Wovnps are solutions of the continuity of the superficial
soft parts of the animal body, extending more or less deeply
into other structures. They generally result from violence
or other form of injury applied from without, and vary
with the nature of the cause. Thus:
Incised Wounds are cleanly cut with straight edges, a
tendency to bleed profusely, and to heal readily. They
are simple separations of parts of a tissue from one another,
and hence can be’ sometimes repaired by simply bringing
the parts again into apposition.
Punctured Wounds result from forcible contact with
some penetrating instrument, which may break and leave
a portion of its substance in the depths of the wound.
The body, in the course of its entry, either cleanly cuts its
way or lacerates the tissues through which it passes; in
the latter case healing is least readily brought about, but
this is not of much importance, for such wounds must heal
at the bottom first, and if union prematurely occur near
the surface accumulation of liquid products may give rise
to inconvenience and retard the healing process, It is
principally in wounds of this kind that we find serous
cavities and joints penetrated ; serious complications being
not of rare occurrence. 1
Lacerated Wounds result from bluntness of the injuring
body and moderate force, whereby the tissues are torn,
their elasticity exceeded, and destruction of material along
the course of the instrument brought about. There is
seldom much hemorrhage in these cases, but the ragged
ends of the tissue require to be removed by sloughing, and
WOUNDS 431
the retraction of the parts generally leaves a large exposed
surface. .
Contused Wounds are those in which, besides a cut, con-
siderable bruising of surrounding parts results from in-
jury with a blunt instrument, or contact with a hard, irre-
gular surface. The bruise renders the case much more
complex than it otherwise would be, for, besides simple
repair of the cut, much tissue must be removed or re-
stored. A similar condition without the cut is termed a
contusion, and is less serious, as reparative changes take
place most readily without access of the air. The blood
thrown out in this latter case forms a hematoma or blood
tumour. The clot which is formed does not undergo
organisation, at any rate as a rule, but becomes slowly
absorbed.
Poisoned Wounds show a tendency to gangrenous
results, and heal very badly; they are not frequent in
cattle.
Gunshot Wounds require no detailed notice from us.
The methods by which repair is brought about are as fol-
lows :—Repair by growth, where no reparative processes
are set up, but the injury has not been sufficient to dis-
arrange the relations between the cells, so in process of
time the space left is filled up ; primary union, where the
parts, being brought together at once after the wound,
become united without any mark of injury being left; the
two surfaces are so grafted together that the necessary in-
fluences of neighbouring tissues may be exerted between
them ; primary adhesion occurs when two exposed surfaces
are brought together some little time after the injury, and
maintained in apposition, union being the result of the ad-
hesive influence of lymphy material on each surface ;
repair by granulation is the most frequent method ; in this
the exposed surface, after hemorrhage has ceased, seems
to be covered, with a glaze, which is the adhesive material,
simply thrown-out by the blood-vessels; this becomes
covered with little, highly vascular, minute projections,
resembling papilla in their figure; also pus is formed at
about this time. The wound is gradually closed by the
432 BOVINE PATHOLOGY.
growth and aggregation of successive crops of these pro-
cesses, which are termed granulations; they consist of
granulation tissue, which is at first composed solely of
leucocytes, either united by soft fibrous intercellular
substance, or aggregated longitudinally around certain
capillary loops, which are shooting into the new tissue
from the blood-vessels of the nearest uninjured part. Asa
fresh outpouring of leucocytes occurs those nearest the
surface escape as pus, and those deeply situated become
new tissue. The skin surrounding the wound is stretched
over it to the utmost extent of its yielding, and the part of
the surface still uncovered is closed in by a growth of epi-
thelial cells, which takes place from the nearest cutis, or
sometimes from some generating centres in the granula-
tion tissue on the surface of the wound. This process of
completing repair is termed cicatrisation. Union by
granulation is slow, taxes the strength, and its newly- -
formed tissue is liable to become the seat of degenerations.
Sometimes healing under a scab takes place; it is granu-
lation without access of the air, whereby all the leucocytic
material can be utilised for granulation, and none is lost
as pus. The scab is formed by the discharges of the
wound, which have dried and entangled other matters with
them to form a hard layer.
Adhesion of Granulations may be brought about by
binding together of two granulating surfaces, whereby
organic continuity is induced.
In the treatment of wounds the first indication is to
check hemorrhage, if present. This may be arterial or
venous. When not very profuse it will not require special
measures, but sometimes it persists long enough to debili-
tate the patient, and even produce syncope. Arterial
hemorrhage depends upon the nature of the incision or
wound of the artery. When an artery is completely
divided it retracts into its sheath, and also contracts, and
thus impediment to hemorrhage is brought about, except
when the vessel is a large one. Partial division may be
longitudinal or transverse ; in the latter case the hemor-
rhage will be greater, for the wound gapes. Persistent
WOUNDS, 433
hemorrhage results from oblique imperfect division of
the arterial coats. Arterial hemorrhage differs from
venous, in that the blood is pumped out in jerks and of a
bright scarlet colour, and the flow is promptly lessened by
pressure on the course of the artery of supply to the injured
part. Venous hemorrhage depends upon wounds of various
kinds, but these are less important in their effects than
those of arteries, on account of the smaller pressure in the
veins, whence haemorrhage is less difficult to control, and
also the blood which escapes being impure, its loss is less
felt by the system.
When an artery has been partially divided complete
division generally suffices to check hemorrhage. In
other cases pressure will prove useful. This is applied
along the course of the artery between the heart and the
seat of injury; torsion also is a very useful means, as it
places the coats of the vessel on the stretch in a spiral
manner, until they give way, and the jagged edges thus
produced recoil, and plug up the orifice of the vessel (see
figs. 35, 36, p. 240). Ingatures must sometimes be tried,
and tied with sufficient force to rupture the middle and inner
coats of the artery, for these retracting will lessen the lia-
bility to secondary hemorrhage when the ligature separates.
Application of the Actual Cautery to a bleeding wound
is a rough but effectual method, and in our patients, less
under supervision than human beings, is specially called
for when it is necessary to leave the patient to himself
after the operation. Hemostatic agents administered in-
ternally (such as tannic and gallic acids) are seldom re-
quired. Styptics, as the chloride of iron and various
caustics, are sometimes very useful. Cold water is, per-
haps, the best of these agents. Venous hemorrhage may
be generally restrained by pressure over the wound, or
by compression of the veins of supply. Usually it ceases
spontaneously.
Bleeding having been checked all foreign bodies must
be removed. This is a matter of difficulty in some cases
of punctured. wound, and it must be remembered that not
only bodies actually foreign, but pieces of dead tissue
28
434, BOVINE PATHOLOGY.
and loose bone must be removed, or they will retard healing.
Any extravasated blood should also be extracted. All this
must be done by gentle fomentation of the part, with
slight manipulation, lest hemorrhage recur. Next, nature’s
- processes must be assisted as much as possible, and in the
first place it must be our aim as often as we can to pro-
mote primary union; even if this be brought about only
to a slight extent the duration of healing may be mate-
rially lessened.
The edges of the wound must be brought together by
means of Sururzs. Of these there are several kinds.
Figure-of-eight Suture—Formed by passing a pinthrough
the two edges of the wound, and winding thread round
each end in turn.
Fig. 81.—Pin, or figure-of-eight Fia. 82.—Interrupted suture.
suture. (Dobson.) (Dobson.)
Interrupted.—Stitches passed at intervals through the
edges of the wound, and each tied separately.
Uninterrupted.—Suture material passed successively and
continuously several times through the edges of the
wound alternately.
Quilled are semi-cylindrical pieces of wood, resting by
their flat surfaces against the edges of the wound, which
they keep level and prevent from tearing. They are
retained by the thread sutures.
WOUNDS. A435
Catgut, metal, or thread are used for these sutures; of
them the first is best in almost every respect, as it causes
but little, if any, irritation, and will, in course of time,
become absorbed. It is also very strong, but may some-
times require to be replaced by the metal when great
strain is put on the sutures. In large wounds the many-
tailed bandage is a useful means of retaining the parts in
apposition with one another.
Of the methods adopted to promote healing of wounds,
and to ward off ill consequences, the most remarkable is the
system of antiseptic surgery, sometimes called “ Lis-
terism.”” This consists in somewhat elaborate methods for
avoidance of contamination of wounds by atmospheric
germs, which prove irritants, and, as such, promote sup-
puration. They also are the cause of gangrene. Wound
dressing on this system is accomplished under a spray of
carbolic acid and water, which is also diffused through the
atmosphere while the operations are being performed.
Drainage tubes of decalcified bone or of carbolised lint are
so arranged as to allow “the drainage of decomposable
fluids from the wound without admitting the entrance to
it of unfiltered air.” Certainly this method has materially
reduced mortality in human surgery, but the refinements
of method and constant supervision necessary render it
seldom admissible in cattle practice. We, therefore, have
to resort to the simpler means of antiseptic lotions and
stimulants, especially those of carbolic acid, which keep
off flies, allay pain and suppuration and promote granu-
lation. Solutions of corrosive sublimate have largely
supplanted carbolic dressings in human surgery since
Listerism was first introduced. Sampson Gamgee preaches
the gospel of cleanliness as opposed to antisepticism in
wound treatment.
All our measures of treatment must tend to assist
nature, and especially to keep the affected parts in a state
of rest. Unless we can accomplish the latter object the
granulations will become irritable, and the discharge from
them of an ichorous character.
Sir William Fergusson, in the treatment of simple
436 BOVINE PATHOLOGY.
wounds, preferred cold-water dressings, and their value
has been often noted in veterinary practice. Reparation
is brought about by salutary inflammation, and unless this
be interfered with no treatment will be required. When,
however, motion between the surfaces occurs there is a
tendency to excessive irritation, which must be restrained.
Again, we must observe that, in some cases, stimulating
treatment will be required, either in consequence of general
or local debility. Thus, judgment must be exercised in
the treatment of every wound. A punctured wound run-
ning obliquely to the surface may, by a bold slit, be con-
verted into an incised wound much more formidable in
appearance, but which will heal in half the time. In a
contused wound blood will often require to be freed from the
tissue spaces into which it had escaped. Few matters in sur-
gery require more judgment than the treatment of wounds.
In the ox suppuration does not so readily occur as in
the horse, and the pus, when formed, is of a special odour,
and not of uniform consistence. Incised wounds are not
frequent in this animal, but punctures from the horns of
companions are both frequent and formidable. Lacerated
wounds, too, are often seen, but the thick skin of the ox
acts as a preventive against these.
Of the resulis of wounds we may say that gangrene,
pyemia, and tetanus are rare, and sympathetic fever
seldom runs high. Punctured wounds of the abdomen
may lead to rupture or to injury of the bowels, as already
described. A wound of the same nature extending into
the chest leads to the easily repaired laceration of the
lung and to pleuritis, with considerable embarrassment of
respiration, but seldom proves fatal.
Chronic wounds, fistule, and the various kinds of ulcer,
have been already described at length.
Section 2.—Tumoours.
Swellings of a circumscribed character due to abnormal
accumulation of tissue materials are described under this
name. ‘They may be situated on the surface of the body,
or more deeply, and are primarily divisible into malignant
and non-malignant.
TUMOURS. 437
Sub-section 1.—Malignant Tumours.
The former essentially depend upon constitutional con-
ditions and exhibit a tendency to infective distribution.
They are specific in their character, and are commonly
known as Cancers or Carcinomata. We have had
occasion already to notice the cachexia which results
from constitutional impregnation with cancerous matter,
and have shown how cancer may be generated by a
process of grafting, so that local developments may be
either the cause or result of constitutional conditions.
This local manifestation either assumes the character of
an infiltration or more frequently of a tumour. The latter
is less dangerous to the system than the former; its
virulent cells are confined and are less liable to invade
important organs; also the case may be palliated by
removal of the masses of specific cells. The cachexia
remains in a scarcely manifest state throughout the stage
of generation of the tumours, and according as the latter
have a soft or a hard character is the rapidity of systemic
complication ; when the swelling begins to soften the
infective processes are in their greatest activity. Carcino-
mata are of several kinds:
Fie. 83.—Scirrhous growth from mammary gland. x 200. (After Harley
and Brown.)
Scrrruus, dense, hard, generally lobulated, consisting ©
438 BOVINE PATHOLOGY.
of groups of cancer-cells embedded in a fibrous stroma,
which is very plentiful. These are of slow development.
Coto, gelatinous, adhesive, generally amber yellow
and soft, consisting usually of but little stroma and a great
number of cells. The cells separate somewhat freely,
leaving the areolar network behind.
Mepvuttary Sarcoma or EwcepHatorp, a lobulated mass
of brain-like substance, the skin investing which presents
very much enlarged veins, consisting of a more or less
plentiful stroma with cells in its loculi.
It will be seen that each of these forms of cancer con-
sists of cells in stroma. The cells are of a special
character. They vary very much in form and in their degree
of nucleation, but are all endowed with a high degree of
vital activity, which seems specially exaggerated in the
direction of reproduction. Thus, new cells are rapidly
produced within the older ones, and another sign of
activity is the tendency to migrate; softening of the
cancer masses leads to ulceration, for the superficial
layers of the body become invaded and softened, and thus
a large ulcer may be present, the distinctive characteristic
of which is the fact that its surface is largely composed
of cancer-cells. The discharge is of an ichorous or
special character and consists of specific cells ; the danger
of cancer lies in this, that it consists of special highly
vital tissue, which grows more rapidly than other tissues,
and constantly increases in size, involving neighbouring
parts; thus, it extends to the surface and produces an
ulcer, which does not tend to heal, and it involves all
tissues. Finally, its constituents. are conveyed by the
lymphatics through the lymph glands, where a similar
diseased process results, and thus the blood constantly
receives supplies of the specific cells. We must not be
understood to imply that there is any special appearance
of cancer-cells by which they may be at once determined;
their specificity consists in their origin and effects; they
are frequently quite similar to normal tissue elements.
The cancerous nature of a tumour may generally be
determined by examination of a section of it, or of some
TUMOURS, 439
“cancer juice” scraped from its surface. The manner of
extension and any infective indications will confirm the
diagnosis. These tumours exhibit all variations in size
and form as well as in consistence.
Causes.—These growths are due to hereditary influence
and have been originated by inoculation. The latter
process is attended with much difficulty and cannot be a
frequent occurrence in nature; we must, therefore, con-
sider hereditary tendency to be the predisposition, and we
find that mechanical and other injuries prove excitants.
Under these circumstances we cannot be surprised that ma-
lignant tumours are less frequent in the lower animals than
in man. Besides the above enumerated forms of cancer two
other kinds are to be included under this heading ; they
are less malignant than the others, and sometimes seem
to be simply local.
EpirHetioma consists of freely proliferating epithelial
cells embedded in a fibrous stroma. The cells present
must not be considered truly of an epithelial nature, but
rather mimic the cells of the tissue in which the tumour
grows, either the skin or mucous membrane.
MeELanosis, sometimes called “ black cancer,” is some-
what similar, bat its cells resemble those of the Mal-
pighian layer of the skin which contain pigment in the
granular form. They differ from them, however, in their
high reproductive activity and in their tendency to in-
filtrate other tissues. Thus, melanotic infiltrations of
various organs sometimes are seen, but they are very rare
in the ox, in which animal, however, tumours of this black
cancerous material occur, and often are of very considerable
size. They differ from those of the horse in having a less
marked tendency to spread, and also in not having a pre-
ference for the anal and coccygeal parts of the body.
Treatment of cancerous tumours is not satisfactory.
The constitutional tendency remains except in a local
case taken very early; also there is a great liability to
recurrence. Excision is the only means of relief, and
all the morbid material must be removed. Cases of this
disease are not frequent in the ox but some are on record.
440 BOVINE PATHOLOGY.
The question may arise as to the propriety of use of the
flesh of a cancerous animal for food; if the patient
presents marked constitutional changes the carcase ought
to be at once condemned. But we have no proof of
cancer of the lower animals being communicable to man,
and it is highly improbable that a disease which can
scarcely be communicated by inoculation to another animal
of the same species would be produced by ingestion of
the flesh as food. Thus, the use of such flesh must be
sanctioned, but we must remember that this may possibly
be a source of human disease, and should make this a
matter for testing by observations and experiments.
Next in importance to the true cancers must be placed
the SarcomaTa—tumours composed of embryonic tissue.
They are generally described as cancer, but are dis-
tinguishable from it by the nature of their elements.
These vary considerably in their characters, but in all
cases they present the distinctive features of new and
imperfectly formed tissue. This generalised nature often
makes them seem malignant, for they may grow in
tissues of different kinds, and are frequently seated in
the lymphatic system. They tend to recur, for since
they are similar in nature to the parts in which they are
found, the generating tissue cannot be completely re-
moved ; they are not frequent in the ox.
Sub-section 2.—Non-malignant or Innocent Tumours.
Orpinary Simpte Tumoursare hypertrophies of the tissues
of the body, and hence are of several kinds, solid or cystic.
Soup: Epidermic or Hpithelial Tumours, such as ordi-
nary warts (for which see p. 872) on the skin and in the ceso-
phagus. These are hypertrophies of the skin or of mucous
membrane, the whole thickness of tissue being involved.
Fibromata consist of the ordinary elements of areolar
tissue ; sometimes they are highly vascular. Of these,
the principal are the subcutaneous fibromata, polypi (as
of the pharynx, nasal chamber, or vagina), and fibrous
TUMOURS. 441
tumours on the knees, which often attain a very con-
siderable size as a result of pressure. 1
_ Lipomata—tatty tumours—may result from hypertro-
phy of adipose tissue in almost any part of the body;
the most important are those in the appendices epiploice,
which may have such long peduncles as to enable them to
become twisted round the bowel, producing strangulation.
Enchondromata—cartilaginous tumours—are not often
seen in the ox, they generally grow from pre-existing
cartilage,
Exostoses and Osseous Tumours, in general, are the result
of ossification of an inflammatory deposit, whether in
connection with or separate from a bone. Osteophytes
are bony tumours, generally of loose texture. Exostoses
are treated more in detail elsewhere (see p. 417).
Calcareous Tumours are inflammatory exudates, in which
earthy matter has been deposited, or, not infrequently, the
result of calcareous degeneration of hydatids.
Lymphomata have been already alluded to (see p. 248).
There are other forms of solid tumours, but they are of
little importance to us at present.
Cystic Tumours are not simple hypertrophies, but
result from the formation of cavities filled with fluid,
their walls being more or less dense. They comprise :—
Hematomata—blood-containing cysts—generally the
result of injury, and sometimes having a false aneurismal
character. .
Serous Abscesses, due to injury, which has caused the for-
mation of a space by rupture of areolar fibres and condensa-
tion of thesurrounding connective tissue to form the wall of.
a cavity containing serum. These are most frequently seen,
in front of the knee.. They are most prevalent in bulls.
Fra. 84.—Suction Trocar, used in exploring fluctuating tumours. The
blunt end of the instrument consists of a compressible india-rubber ball, :
(From Erichsen’s ‘ Surgery.’)
443 BOVINE PATHOLOGY.
Bursal enlargements. —Dropsies of burse may be due to
excessive accumulation of synovia, or to sprain of the tendon
belonging to the bursa, or simply the manifestation of a
general tendency to effusion in consequence of debility.
Hydatids.—These are larval tapeworms, sometimes en-
closed in a fibrous investment formed by condensation of
the areolar tissue of the part in which they are situated.
Dermopilous cysts have been described among skin
diseases (p. 372).
We find no record of cyst- heaving and dentigerous
cysts having been observed in cattle practice.
Fie 85.—Pneumatic Aspirator, used for the removal of the contents of
fuctuating tumours without admission of air,
Clinically, tumours are of minor importance in com-
parative pathology. Their diagnosis comprises determi-
nation of their nature. It must be first decided whether
the swelling is solid or contains liquid. Certain of the
cancers, especially of the medullary form, may seem to
contain fluid. Generally the grooved exploring needle
or the suction trocar (fig. 84) may be used, and the
material brought out with it will often give us a clue
to the nature of the case. Signs of malignancy must
be sought for, especially the diseased condition of lym-
phatic glands. There seems to be in some animals
a tendency to hypertrophy of certain tissues, hence,
not infrequently, a number of fibrous or osseous tumours
appear, simultaneously however, which contrasts with the
TUMOURS. AAS
consecutive growth in cases of malignance; also the
growths all occupy one kind of tissue. Some swellings
depend on inflammations, and must be considered exu-
dates in a more or less altered condition. Our guide in
determining the nature of these, and distinguishing them
from hypertrophies, must be their origination with an
inflammatory attack, also their course to a standstill
or decrease when inflammation ceases. The position of
the growth and its physical characters will generally
enable the practitioner to determine with considerable
accuracy its composition and importance; sometimes
growths prove troublesome by their tendency to block
up passages either by pressure or by plugging; again,
they may interfere with nutritive supply by pressure
on vessels (though generally they grow so as to avoid
this); often they cause ulceration of the investing
skin by pressure, and are thus transformed into obstinate
ulcers or irregular bloody projecting masses of a highly
irritable character, and with a tendency to bleed pro-
fusely; sometimes, by their size, form, and position,
they are serious eyesores. In growth, they may become
pedunculated or wide at the base.
Treatment consists in their removal with the knife or
hot iron, or by some other cauterising agent, or their
destruction through defective nutritive supply from pres-
sure of a ligature round the base. In cases of cystic
tumour other measures must be tried before recourse is
had to surgical removal. Generally evacuation of the
contents is indicated, the exceptions being hematomata,
synovial cysts, and recent serous abscesses. In them
inflammation must be set up to lead to consolidation, or
absorbent agents, as the biniodide of mercury, must be
freely applied; pressure also is highly valuable as a
means of promoting absorption. Surgical removal of a
tumour of any considerable size necessitates casting the
animal, The skin must be boldly divided, and all the
mass removed, the process of dissection being more or
less careful according to the proximity or otherwise of
important organs. Carbolic spray may be used during
cA.
444 BOVINE PATHOLOGY.
the operation, and, if deemed advisable, the part may be
placed in a state of anesthesia or the patient put unde:
chloroform. All arteries should be tied with catgut
thread, and bleeding may be reduced as much as possible
by a free supply of cold water, sponging, and some-
times pressure along the course of the artery of supply.
Finally, sutures may be inserted, and the animal allowed
to rise. Bony tumours must be removed with a saw or
bone forceps. After-treatment is that required for ordi-
nary wounds of some size. In these operations no skin
must be removed unless it is diseased, however loose it
may seem; after removal of the tumour it will soon adapt
itself to the parts beneath.
Caustics, when used for the destruction of tumours,
generally require to be several times repeated. The best
for this purpose are those which penetrate deeply and
cause considerable destruction of tissue, such as the
mineral acids. Occasionally destruction is brought about
by placing masses of caustic in the centre of the tumour,
which lead to destructive changes of the surrounding
mass. The red-hot iron is one of the most effectual
caustics; with it a projecting mass of tumour may be
amputated without danger from hemorrhage. Acetic
Fra. 87.—Beach’s Ecraseur.
TUMOURS. AA
acid has been recommended: in cancers, as having a
special influence in causing swelling and destruction of
the cells. (The galvanic cautery is used in human prac-
tice.) The écraseur is a useful instrument for removal
of tumours. Ligatures around the pedicles of tumours
may be of thread or horsehair ; they must not be too
large, and must be sufficiently tight to exert firm pres-
sure ; an elastic ring may be used instead, and is very
effectual.
446 BOVINE PATHOLOGY.
CHAPTER XI.—_THE GENERATIVE ORGANS.
Section 1.—Drszases or THE Matz Orcans or GENERA-
TION.
Tux testes of the bull are well developed, and elongated
from above downwards. The vesicule seminales are
glandular, and Cowper’s glands are absent, but the most
remarkable structure as compared with that of the horse is
the penis, which is very long and narrow, having a firm
external investment surrounding it, and a well-developed
band in the centre of the corpus cavernosum. Just behind
the scrotum the organ presents an S-shaped flexure, to the
posterior convexity of which are attached the retractor
muscles. The glans penis is fine and tapering; to the
sheath, at about opposite the umbilicus, run the retractor
muscles from behind, and circular fibres from in front
extend through the prepuce and are known as the pro-
tractors. A tuft of hair hangs down from the opening of
the prepuce. Asin the case of the horse, early castration
prevents many of the generative disorders to which the
ox would otherwise be liable, while it also checks pug-
nacity and so lessens the frequency of injury. The
castrated male is more docile, forms better beef, and often
a larger body than the uncastrated; the change induced
by the operation is, therefore, in every respect, beneficial.
The operation of Casrration is performed by removal of
the generative glands, and various methods of performance
of this have been suggested. In India “ mulling ”
is the popular method. It is described by Mr. Richard
Poyser in the ‘ Veterinary Journal’ (1875) as orchithlasis,
and depends upon breaking down the structures of the sper-
THE MALE GENERATIVE ORGANS. 44:7
matic cord by a special manipulative process. In this
country a simple method termed “‘lashing”’ used to be very
Fig. 88.—External generative organs of a bull dissected. 1 and 2. Muscles
of prepuce. 3. Scrotum, dartos muscle; above it the spermatic cord.
4. Anterior curvature of penis. 5. Retractor muscles of penis.
6. Superficial abdominal veins. (Chauveau.)
Fi@. 89.—Urethral canal of the ox a. Bladder. b. Straight portions of
canal. c. Curvatures. d. Retractor muscles. (Armatage.)
prevalent ; it consisted of tying a piece of cord so tightly
44,8 BOVINE PATHOLOGY.
round the root of the scrotum that this organ with its
contents underwent mortification, and in due course of
time sloughed off, or was removed with the knife.
Quite recently a modification of this process has been
suggested and tried in France with some success; this
is the compression of the root of the scrotum by means
of an elastic band, considerably too small. This method
has the advantage of the pressure being even, and con-
stantly varying with the diminution in size of the root.
Generally the process of removal with the hot iron is adopted.
The patient is thrown, the skin rendered tense over one
testicle with the hand, and an incision made boldly in as
far as the tunica vaginalis testis; the sperm gland is then
drawn out, the iron clamp placed on the cord, and the ope-
ration completed by division of the cord by means of a
red-hot iron. Sometimes the scrotum is opened with the
hot iron, it being urged that this entirely checks any ten-
dency to union of the external wound by first intention,
whereby the pus from the seared end of the cord is apt
to become pent up. Subsequently the parts should be
examined occasionally, to see that this closure does not
take place too early, and also to break down any adhesion
between the spermatic cord and the external wound.
After the testis has been freed the cord may be scraped
through with a knife having a jagged edge, or the posterior
part having been freely divided, the anterior may be
scraped through. This method has the advantage of being
quick, surgical, and not liable to be followed by hemor-
rhage or other complications; also not infrequently the
varts heal, even without suppuration.
The method of ligature consists in tying either the whole
cord or only the spermatic artery in the anterior part, and
then removing the testis. Itis said that tetanus is rather
apt to follow this form of the operation, also there is a lia-
bility to secondary hemorrhage when the ligature separates,
_ Torsion, either of the whole cord, or simply of
the spermatic artery, until it gives way, is not liable to
be followed by hemorrhage, and is preferred by some
practitioners; it certainly is very effectual. In France |
THE MALE GENERATIVE ORGANS. : 449
torsion without incision into the scrotum is performed in
a special manner, and leads to atrophy of the testes. The
barbarous operation of tearing out the testicle used to be
followed, but is not much resorted to now. It is said
especially to predispose to pelvic hernia, and the cord is
apt to tear off too short, and thus give rise to inconve-
nience and disorder. The removal of the testis, after it
has been exposed, by means of the écraseur, is easy,
quick, and effectual, and ‘the use of this instrument is
regarded with considerable favour in the present day.
Fia. 90.—Castrating Clamps.
_ Removal with the Olamps, and by the Covered Operation
are seldom resorted to now, the latter, as already noticed,
being required in cases of inguinal and scrotal herniz,
such as require the operation for radical cure (see p. 299).
Animals are chosen to undergo castration when they
are two or three months old, before the glands have mani-
fested their generative activity. If it be performed later
there is greater liability to untoward complications, and
it is said the meat is not so good. Indeed, it is not at
all advisable to delay the operation, for the extra develop-
ment is not an advantage, as in the horse. Sometimes,
but rarely, we require to operate upon an older animal,
then the scraping method is still very good, but castration
with the hot iron is generally preferred. Greater liability
to complications is seen in old animals than in young.
Of these the principal are hernia, hemorrhage, tetanus,
and peritonitis, and adhesions of the testis to the scrotum.
In the primary incision care must be taken lest a small:
portion of bowel in the scrotum be divided. All animals
29
450 BOVINE PATHOLOGY.
should be carefully examined, to ensure the absence of
hernia, before castration is commenced. Hemorrhage
may be treated by cold-water applications, or by taking
up the artery and applying a ligature. Adhesions must
be broken down, and not allowed to interfere with the
operation. Finally, if flies be troublesome, the parts may
be dressed with Oleum Terebin. Camph., but animals should
be castrated as much as possible when no flies are about.
The slight movements of the animals in pasture, and green
food, will do them good. Sometimes it is deemed advisable
to perform the operation with the patient standing. He
is placed in the end stall of an ordinary cowshed and
fastened by a chain around the neck (“sealed ”’) on the
right hand side of the stall against the wall. A man,
with a pair of “bull dogs” in the nose, draws the head
to the left side, and a man may hold the horns. One or
two men press the bull against the wall, one of them
stands at the flank and with the left knee half flexed and
pushed under prevents the animal lying down or crouching
inconyeniently, he also holds the tail. The operator stands
behind and to the left. Both testicles are held at once
and each first incision made into the gland. The ligature
or clamp is used (‘ Veterinary Journal,’ vol. xiii, p. 76).
Emasculation of the ox is less frequently performed by
the veterinary practitioner than of the horse. It is
generally placed in the hands of empirical operators,
who sometimes, by practice, attain considerable dexterity,
but are not competent to meet the emergencies which
may arise, and require prompt action. It is thus not
infrequent to find the operation omitted from works on
diseases and treatment of cattle, but we have thought it
advisable to give the above réswmé of methods.
Orcuitis—inflammation of the testicle—may result
from injury or excessive copulation. The former is the
most frequent cause. There is considerable pain and
heat in the diseased part, the dense investment of which
does not freely admit of swelling, and fever may run high.
Atrophy and suppuration have been noted as consequences ;
in either case there is apt to be loss of generative power,
THE MALE GENERATIVE ORGANS. 451
or the animal will become an irregular stock getter.
Measures adapted to control local inflammation, together
with febrifuges, will generally restore the animal to health.
Sometimes the inflammation is of a scrofulous character,
leading to deposits of a specific nature in the testis ;
this is the state known as Tupercunar Sarcocrtz. The
animal should not then be again utilised for breeding
purposes, but early castration may check the progress of
the disease.
SaRcoce.z is enlargement of the testis; it may be can-
cerous, or non-specific, but a scrofulous form is most
frequent. The spermatic cord is liable to certain morbid
conditions of its various components. Aneurisms and vari-
cose veins are sometimes present, giving rise to swelling,
not necessarily of a painful character. These conditions *
are generally associated under the name varicocele.
In a specimen before us, Sterinity was attributable to
fatty deposits around the structures of the cord. It may be
due also to morbid changes in the seminiferous passages
blocking them up; and in other cases is attributable to
nervous disorder, due to over-excitement of the sexual
apparatus. In such cases high feeding, regular exercise,
and tonics should be tried, and the animal prevented from
the exercise of the generative functions for some time.
This derangement is especially liable to occur in young
bulls allowed too early to exercise their procreative powers.
Sometimes on incision into the scrotum in castration
a considerable amount of fluid escapes. This dropsy of
the vaginal cavity is HyproceLz ; itis nct frequent in the
ox, and seldom of much importance.
The penis is liable to injury sub coité, which interferes
with its protraction or retraction, The rapid perform-
ance of the act in cattle rather predisposes to this.
Generally the parts are restored to their healthy state
after a short period of inability; but deposits may give
rise to permanent deformity. Some remarkable defor-
mities of the male organ in the bull have been recorded ;
thus Kirtlan Smith mentions a case (‘ Veterinary Journal,’
xiii, p. 206), in which there was an offshoot, five inches
452 BOVINE PATHOLOGY.
long, passing at right angles from the penis beneath the
skin of the belly, through this the animal micturated into
the subcutaneous tissue, giving rise to severe inflammation
and extensive sloughing.
Such injuries predispose to Cancer of the organ, which
is occasionally seen in cattle. Cases of this kind are
given in the ‘Veterinarian,’ vol. xii, p. 51, and the
‘Veterinary Record,’ vol. iii, p. 282, They may neces-
sitate amputation of the glans or of a still larger portion of
the organ. This is performed by casting the animal,
drawing out the penis, passing a sound along the urethral
passage, and retaining it in position by a ligature tightly
compressing the organ posteriorly to the seat of amputa-
tion. A circular incision must then be made on to the
- sound all round, and the ligature be left on for a day or
two, the sound also remaining in position to keep open the
urethral passage.
Puymosis is inability to protrude the penis, due generally
to contraction of the anterior part of the prepuce or to
disease of the glans. It may also result from excessive
accumulation of smegma. It is associated with certain
chronic inflammations of the sheath which result from
irritating discharges, in some of which there is extensive
ulceration of the surrounding parts. Usually there is an
impediment to the passage of urine, which trickles on to
the surrounding parts, and increases the extent of the
disease, which at first has an erythematous character.
Phymosis is less apt to occur in the ox than the horse,
because of the mobility of the prepuce in the former
animal, the pointed condition of the glans, and the great
freedom of movement of the penis. It requires to be treated
by fomentations to cleanse the parts, and manipulative
protrusion of the penis, which can generally be accomplished
after prolonged fomentation. Failing this, an incision may
be made into the sheath. If any morbid growths are on the
glans, they must be removed with the knife. The sur-
rounding parts will require to be protected with glycerine,
vaseline, or lard.
CatcuLus or rau UngraraL Passage depends upon the
THE MALK GENERATIVE ORGANS. 458
entry of a small stone from the bladder, its impactment,
and an impediment to the free flow of urine. Sometimes
the obstruction is complete, in other cases only partial.
In the latter, strangury is the most prominent sign, and
the symptoms are less urgent. In the former there is no
passage of urine, the urethral canal is distended to the
seat of calculus, and the over-distended bladder tends to
burst ; this occurs and causes death in some cases. In one
the membranous portion of the urethra pave way, and
infiltration of urine into the surrounding tissues took
place and resulted in uremia. The stone generally becomes
fixed against the flexure of the penis, and the presence of
this, as well as the smallness of the canal, is the cause of
the greater frequence of this disorder in the ox than the
horse; also it is attributable to the fact that the food of
the former contains often an excessive amount of phos-
phates, which are liable to form deposits, especially around
the prepuce and the hairs hanging down from it, on which
the excess of phosphates in the urine forms stalagmitic
threads. The slow expulsion of the urine is one cause of
this. Accumulations of inspissated secretion around the
urethral orifice also sometimes impede the escape of
urine. Hairs thus covered may be cut off, and the ac-
cumulated calcareous matter and sebaceous material must
be removed from around the glans. In cases of urethral
calculus, relief must be afforded by incision on to the
stone and its removal, when a great rush of urine will
take place through the wound. This incision must be
made longitudinally and sufficiently long to allow of the
free exit of the stone. The animal may be kept standing,
but the hind legs fastened together. In the distended
state of the bladder it is not always advisable to cast
him. The escape of urine will be followed by cessation
of violent signs of over-distension of the bladder. The
wound should be closed with sutures. Urethral calculi
are not often seen in the female.’
GonorrHoea, vulgarly termed “ Bull Burnt,” is a dis-
' I have a record of but one such ease; it is by Mr. Matthew Hedley, of
the Irish Veterinary Department,
454 BOVINE PATHOLOGY.
ease of the glans penis and sheath of the bull, associated
with a certain amount of disorder of the lining membrane
of the urethra. When the latter is much affected, there
is a profuse discharge of thick mucus, and evident pain
on passage of urine is observable in every case, but is
sometimes very extreme. The patient stamps, moans,
lashes the tail, and evacuates the urine in jets rather
than in full stream. A certain amount of fever is present.
The prepuce may be primarily or secondarily affected ;
it is swollen, hot, and tender, and becomes ulcerated
internally, and abscesses may form in it, and sinuses
extend into the substance of the penis. The inflamma-
tion of the urethra is attributable to excessive venery,
and is most frequently seen in highly fed animals. When
neglected the disease terminates in fungous growths,
which may necessitate amputation of the penis. It is
certain that if bulls thus affected be allowed to copulate
they give rise to a similar disease of the lining mem-
brane of the vagina and the vulva. Thus, it has been
supposed that this discharge has a specific character
resembling that of the syphilitic gonorrhea of man.
There is grave doubt with regard to the nature of some
cases of gonorrhea, but certainly that form seen in this
country is not specific. The ulceration of the vulvo-
vaginal membrane is due to acridity of the discharges
(see Leucorrhcea). Though considerable sexual excitement
is manifested by both male and female animals affected
by this disorder they must not be indulged, since this
only aggravates the case. Walley suggests the value of
castration in treatment as preventing functional turges-
cence of the diseased parts.
Treatment comprises thorough cleansing of the affected
parts, for which purpose the bull generally requires to be
cast, opening of abscesses and slitting up of sinuses;
touching long-standing ulcers with nitrate of silver and
the reduction of fungous growths with more powerful
caustics, such as the butter of antimony; a dressing of
Glycerinum Acidi Carbolici to be applied all over the
diseased surface to allay irritability and promote healing,
4A SH Sc
POR TUS aN 0 oii,
surrounded by ls membranes
THE FEMALE GENERATIVE ORGANS, 455
The parts must be dressed every second or third day,
according to the state of the case, but the animal need
not be cast each time. Cases of this kind will thus not
prove so protracted as they are generally considered to be.
Ureruritis—simple inflammation of the urethra—un-
complicated by the above disorder is very rare. When
a case occurs, it must be treated with anodyne fomenta-
tions and injections. The most distressing symptoms
arise from spasm of the accelerator muscle during passage
of the urine.
Section 2.—Disraszs or THE FemALE GENERATIVE ORGANS.
The uterus of the cow differs from that of the mare in
d
Aw)
5 a lA
NK \ \ vine ol
‘\ \\ ‘ Ny!
NW y \\I }
\
\\
Fie. 91. Female generative organs. a. Body of uterus. 2. Its external os.
: ec. Its horns. : d. Fallopian tubes. e. Ovaries. f. Broad ligaments.
g. Bladder. %. Meatus urinarius externus. i. Cavity of vagina. (After
Simonds.)
the fact that its horns, situated at the free margins of the
broad ligaments, are twisted upwards, so that their con-
cavity is inferiorly placed. Also, in the pregnant animal,
456 BOVINE PATHOLOGY.
the increased vascularity of the mucous membrane is con- -
fined to certain spots, the uterine cotyledons, for rumi-.
nants have the placenta formed by a number of cotyledons;
the walls of the vagina contain rudimentary tubes, canals
of Gaertner ; the labia are thick, and from the inferior —
commissure hangs a tuft of hair. The pelvis of the cow
is so arranged that the expulsion of the foetus is more
tardy than in the mare. The ischium is very large and
expanded, and forms a very considerable part of the pelvic
wall, the sacro-sciatic ligament being correspondingly
shortened. The posterior part of the ischial junction
forms, with the remainder of the symphysis, an oblique
angle superiorly, and thus the pelvic outlet is dimi-
nished in size, and placed above the general level of the
floor of the cavity. The pelvic passage of the cow is
long.
The ovaries of the cow are smaller than those of the
mare ; they are liable to only two forms of disorder.
Dropsy or THE OVARIES is seen in old animals, and
especially in those which have not been impregnated. It
is due to the continued and unrelieved distension of the
Graafian vesicles, which enlarge so slowly that the fibrous
coat of the ovary is still able to protect them from burst-
ing. This condition is denoted by constant cestrum,
which does not seem to be relieved by copulation. It can
only be treated by removal of the organs. Mr. Gartside
Mayor relates (‘ Veterinary Journal,’ vol. xv, p. 234) a
case of extreme ovarian dropsy in a three-year-old heifer
(primipara) which produced acute symptoms of collapse
immediately after parturition. The right ovary con-
tained 15 to 20 gallons of fluid and was attached to the
intestines by false membranes, recent and also of some
standing.
ATROPHY OF THE OvARIES is associated with hermaphro-
ditic malformations of the generative apparatus, and with
malignant disease, either of the organs themselves or the
generative passages. It is not described as a distinct
disease, This condition can hardly be diagnosed. Only
THE FEMALE GENERATIVE ORGANS, 457
one ovary may be in this state, then the animal will be
in a condition to breed. °
Ovaridromy—Removat or tHe Ovarres—Spayinc—Cas-
TRATION OF Cows—is an operation of which the value, from
an economical point of view, has been much debated. The
following arguments have been advanced in its favour:
1. The milk is produced continuously, and in increased
quantity, and of better quality after the operation. This
is not, however, by any means generally admitted.
2. The animals are not subject to the periodical incon-
venience of cestrum.
3. They are not so liable to disease, especially the
numerous and complex disorders of the generative
apparatus.
4, They fatten more readily and attain a greater weight
than other cows.
5. By spaying beasts of doubtful value for breeding
purposes the race will be gradually improved.
Nevertheless the operation has not been generally
adopted, for some of the above-mentioned arguments
are of a doubtful character. The animals operated upon
are not so generally useful, tend too much, in some
cases, to the laying on of fat, and altogether are not so
profitable as the uncastrated females.
Spaying sometimes requires to be performed as a
curative means. An incision is made in the flank in
the usual manner. The hand is introduced and feels for
the ovaries, which are drawn out through the wound and
excised by means of the jagged-edged knife, or removed
with the écraseur. Only one incision is generally neces-
sary, for both ovaries can be reached through it. This
may preferably be made on the left side. After the
operation has been completed, the wound being closed
in the usual way, the patient must be kept quiet and
fed on nourishing food, and the bowels kept open.
Untoward results seldom follow this operation. Removal
of the ovaries through the vaginal walls has been tried
with success.
458 BOVINE PATHOLOGY.
Menstruation of the cow is associated with the escape
of the ova from the ovaries, being accompanied by that con-
dition of excitation known as Histrum, or Heat. “ Kahleis,
Fuchs, Spinola, Numan, and others, have observed evident
sanguine emissions in the cow, and have also noted that
Fia@. 92.—Maternal and foetal cotyledons (“ burrs”) of the cow. A. Pedicle of
the maternal cotyledon. B. Maternal cotyledon. ©. Feetal cotyledon.
D. Placental villi. &. Chorion. (From Fleming’s‘ Veterinary Obstetrics.’)
the discharge occurs regularly at intervals of nineteen or
twenty days, when the animal is not giving milk or in calf.
The hemorrhagic flow appears two or three days after the
commencement of the ‘rutting,’ and when this is most
intense’? (Fleming). Thus, we have the opinions of the
leading observers on the subject summarised by the author
of the excellent work on ‘ Veterinary Obstetrics.’ It
THE FEMALE GENERATIVE ORGANS. 459
generally commences when the animal is about twelve
months old, and occurs with fair regularity every month
or three weeks during the “‘ rutting ” season, the duration
of each period being but short. Whether or not impregna-
tion takes place, a proliferation of the uterine epithelium
occurs. When this is thrown off it is intermingled with
a small amount of blood. Sometimes the discharge has
not a sanguineous character. The estral products may
be retained, as in cases of impervious neck of the
uterus or imperforate hymen. They then accumulate, and
give rise to symptoms resembling those of dropsy of the
uterus. Again, they may be very profuse, and contain
much blood, as in a case related by Mr. Macgillivray, of
Banff (‘ Veterinary Journal,’ vol. iv, p. 186). In others
they are suppressed, and then the ordinary signs of cestrum
are usually, but not always, absent. Such cases of sup-
pression must be distinguished from those of retention,
the latter being by far the more serious condition.
Suppression is due to debilitating constitutional dis-
orders, and must be looked upon as a symptom of disease.
With retention it is generally included under the heading
AMENORRHG@A.
Sreritiry is not at all infrequent in heifers, especially
well-bred animals. It is generally associated with fre-
quent cestrum, but sometimes there is an absence of
sexual desire. It may depend upon imperviousness of any
of the generative passages, such as results from inflam-
mation of them, scrofulous disease, or morbid growths ;
it is, therefore, one of the symptoms of scirrhous os
uteri, impervious hymen, and congenital malformation
of the generative organs, as seen in hermaphrodites.
Again, the excessively fattened condition may cause
sterility.
Free Martins are born twins with bull calves, and have
the external form of the female, but are reputed to be
sterile. John Hunter, whose great mind neglected no
source of information, made this popular opinion a matter
of inquiry. He found that the apparently female calf is
460 BOVINE PATHOLOGY.
often hermaphroditic, but all free martins are not to be
considered sterile, as many prove fertile.
Precocrry is sometimes remarkably shown in bovine
animals. Sanson, in his ‘ Traité de Zootechnie,’ mentions
a heifer which became pregnant at the age of seven and
a half months, and developed a calf without interference
with its own natural evolution of the framework of the
body. Abadie relates a case where a heifer, covered at
four and a half months of age by a bull of six months
old, produced, when thirteen months old, a healthy female
calf which she supported with milk for six weeks. Some
extraordinary cases of bovine precocity are on record in
veterinary periodical literature. Perhaps one of the most
remarkable is by Carter, of Bradford (‘ Veterinary Journal,’
xvii, p. 87), of a three-parts bred Alderney heifer which
gave birth to a calf when she was only a week over one
year old.
The progress of utero-gestation is associated with a
higher development of the structures of the uterine wall,
whereby they are adapted for the supply of oxygen and
nutritive materials to the foetus. These changes, being in
the direction of higher development, increase the liability
to disease. Sometimes Fatsz Lazour-parns occur before
the usual period, tending to produce abortion, and due to
such influences as disturb the relations between the mother
and the foetus. Thus, falls and injuries separate some of
the cotyledons, and stimulate the muscular walls of the
uterus to contract. Any colicky pains dependent upon
the pregnant condition of the uterus, but not succeeded by
expulsion of the foetus, must be classed under this head-
ing. Some authorities also include those which produce
untimely expulsion. The difference is one of degree,
not of kind; therefore these uterine spasms, whenever
they take place prematurely, should be carefully watched,
and, if they seem likely to produce ill effects, must be
controlled by opium or some other antispasmodic. At
the same time all irritant food-stuffs which may have
been the cause by reflex action, must in future be
avoided.
THE FEMALE GENERATIVE ORGANS. 461
The Srans or Preanancy are, sometimes a cessation
of cestrum and a considerable improvement in condition
together with a want of inclination for the bull. The
abdomen enlarges and becomes pendulous, and the
mamme increase in size, as also does the mucous mem-
brane of the vulva and vagina and its secretion is
increased. About the fifth month the fetus may be
detected by manipulation of the right side ; the wall of
the abdomen in front of the stifle being suddenly raised
with the hand, the foetus im uteré will fall back again
and be felt. About this time, too, careful examination
will detect foetal movements, and later these can be per-
ceived without manipulation. Exploration per rectum or
per vaginam is sometimes resorted to as a means of con-
firming the diagnosis, and it is said that the beats of the
foetal heart may be detected by auscultation in front of
the symphysis pubis.
ABORTION occurs very frequently, due to the nature of
the food and other influences. It must be distinguished
artificially from premature birth in which the foetus is
able to live for a longer or shorter time after expulsion.
Fleming estimates all cases as abortions which take place
thirty-five days before the normal period of from nine to
ten months. He quotes the valuable observations of
Earl Spencer, that no calf can be born alive before the
220th nor after the 318th day, and that it is im-
possible to rear those born before the 242nd day.’ This
accident is termed slinking or slipping the calf, and is
sometimes sporadic, often epizootic or enzootic. It varies
in importance with the stage of pregnancy in which it
occurs. Thus, in early stages it may cause no apparent
inconvenience, later it is accompanied by some fever, a
yellowish-red discharge from the vagina, and a consider-
able amount of uneasiness, and still later, there are all
1 Sanson’s observations, based on the Grignon records, show that in 20
per cent. of the cows only was gestation below the supposed mean é.e. 270
days; in not one was it exactly 270 days; age seems to exercise no influence
in this respect. The period ranges from 243 to 307 days (a range of 64).
Cagny considers that special cows have their own terms of gestation fixed
within very small limits. ;
462 BOVINE PATHOLOGY.
the ordinary signs of parturition. Itis liable to bé brought
on by too frequently taking the bull, by various kinds of
injuries, by injudicious use of cathartics for pregnant
animals, by violent coughing (Williams), by drinking
impure water, by cows “ mounting” one another, by bad
or excessive feeding, or the presence of fungi, such as
ergot or ustilago (rust) on the food, and by excessive
exposure to cold. It often results from debility. It gene-
rally takes place in pregnant animals affected with blood
disease, especially tuberculosis affecting the genital organs,
is common in cases of hernia, and may be due to nervous
influence. Owing to the latter condition, if one cow
abort, many others in the same shed will do so too. By
some, however, these enzootics of abortion are attributed
to the influence of certain prevalent bacterian organisms
which are developed in the foetal membranes and on the
vaginal mucous surface, and ordinarily cause a breaking
down of the foetal coverings. Consequently, if some of
the latter be left about it may prove most prejudicial, and
rigid separation of animals which have aborted from those
which are pregnant should be attended to in all cases.
Williams refuses to accept the view of abortion being due
to the entrance of a micro-organism into the vagina of a
pregnant animal; he considers the spread of abortion a
result of influence upon imagination, or upon the blood,
through the sense of smell. It is remarked that enzootics
of abortion occur most frequently in seasons favorable to
the development of fungi. Sometimes abortion leads to
flooding. But the most important ill effect is the loss to
the owner, for not only is the calf dead but also the regular
secretion of milk may be seriously interfered with. The
great losses entailed on the agricultural public by the
frequency of abortion among cows renders its prevention
a matter of much and urgent importance.
Treatment.—After an abortion, an animal should be
nursed and carefully watched. Sometimes stimulant
tonics are requisite. If the foetal membranes are not
passed investing the foetus they should be removed as
THE FEMALE GENERATIVE ORGANS. 463
soon as possible. Special care must be taken to isolate
all affected animals (preferably all calving cows), and since
the irregularity is very liable to recur when pregnancy
again advances to the stage when the accident happened,
it is often better to fatten the cow for sale. Dr. Salmon
advocates disinfection of all places where abortion has
occurred, and of the clothes, &c., of the men in charge.
We may conclude that any cause seriously altering the
constitutional conditions of a pregnant animal may bring
about abortion ; some of these influences also directly
cause death of the fostus, others do not do so. When the
foetus is dead it is not to be regretted that abortion takes
place. The occurrence of the false labour pains must be
met by antispasmodics.
Premature Birra depends upon influences similar to
those which give rise to abortion. We note it here as
necessitating special care in the rearing of the calf. The
small animal thus prematurely brought into the world is
deficient in heat-producing power, and also in strength,
but in due time may progress as well as if the full
period of gestation had been completed. In many cases
the wtero-gestation is remarkably prolonged; in one
recorded it amounted to fifty-two weeks, this was most
remarkable ; it is not usually found that the calf is excep-
tionally large in these cases. The number of animals
born at one time from the same cow is sometimes very
extraordinary. The most extreme case was one in which
fifteen embryos were found in the uterus. Cases have
been known of animals producing five calves at a birth
and all of them living.
SUPERF@TATION is the pau of a second ovum
after the embryo from another has undergone a certain
degree of development and is still in the uterus. It -
sometimes is observed in the cow.
Exrra-vurerine Concrrtion—development of the foetus
in situations other than the cavity of the womb—is an
extraordinary phenomenon of which some cases in the
cow are recorded. It is rare, and seems in this animal
464 ._. BOVINE PATHOLOGY.
only to assume the abdominal form. Exploration per
vaginam vel rectum discloses no fcetus, though the
abdomen has become enlarged and the other signs of
utero-gestation have appeared in due course, and even
there are indications of approaching parturition. The
foetus is found in the peritoneal sac, embedded in fibri-
nous material, and often in a very advanced stage of deve-
lopment, the neighbouring parts of the mother taking
upon themselves the nutritive functions of the uterine
walls. A record of the maternal pseudo-placenta from
anatomical and histological points of view of a case of
this kind is a desideratum.
The Oxsarean Operation may be tried in these cases, as
being the only chance of relief, for if the foetus be re-
tained, it may give rise to septic disease of the mother.
Occasionally it undergoes calcification. It must be noted
that in these cases the position of the foetus may be
determined, and it may even be removed without inci-
sion into the peritoneal sac. Nature sometimes adopts
this method, and throws off the decomposed foetus in the
pus of an abscess. The animal having been cast on the
left side and the right leg loosened and drawn backwards,
an incision is then to be made with the usual precautions,
ag in ruminotomy but about one foot in length. The
intestines having been drawn to one side, an incision
must be made through the uterine walls or into the
tumour in which the foetus is embedded, and the latter is
taken out and the umbilical cord ligatured and divided.
The membranes are then to be removed, and the uterine
walls to be closed with catgut sutures, the outer wall
being closed in the usual way. ‘This operation is very
formidable, but may succeed if properly performed with
due antiseptic precautions. It must be had recourse to,
when necessary, before the patient’s strength begins to .
flag, and may even be the means of saving both calf
and mother. It is also indicated when some deformity
of the cow or calf absolutely prevents expulsion in the
usual way. _
The ordinary signs of parturition are swelling and
THE FEMALE GENERATIVE ORGANS. 465
occurrence of milk in the mammary gland, discharge of
thick mucus from the vulval opening with swelling of
the labia and relaxation of the pelvic ligaments. Then
the animal separates from the herd and manifests signs
of discomfort. The os uteri enlarges and gradually there
flows a watery fluid, liquor allantoides. The animal may
assume the recumbent position or remain standing. For
some time labour-pains will have been observed; they
gradually increase in severity and frequency. The amnion
is next seen protruding as a bladder containing fluid
(‘water bladder”) from the opening. Soon the fore feet
of the young animal appear, and then the head resting on
the fore legs ; finally, it is entirely expelled and falls slowly
_ to the ground, the umbilical cord being often ruptured in
the fall. The process of parturition generally occupies up-
wards of an hour; its duration varies with the constitution
ofthe cow. When more than one calf is present, the second
may be retained some time after the expulsion of the first,
and the third after the second. The chorion may not be
expelled for several hours, or even days, as its cotyledonary
union with the uterine mucous membrane iscomplex. The
process of removal is termed “ Oleansing,” and the pro-
duct the “ After-birth.” In case of Rerenrion oF THE
Fora, Memsranes it is advisable to remove them, for
sometimes they decompose in the cavity of the uterus
and give rise to septic disorder of the system. It seems
probable that their retention is due to entanglement as a
result of uterine contractions, but it also is attributable
to want of the necessary efforts in consequence of debility.
In natural cases a slight recurrence of pains brings about
their expulsion through the os uteri, which is still un-
relaxed, and when these do not seem to be very effectual
traction may be applied on the protruding portion of
the cord, the efforts coinciding to the pains. A more
effectual grasp of the protruding parts will be obtained
by rolling them round a piece of stick. Regularly applied
traction will often succeed in removing them, but some-
times it is necessary to introduce the greased hand into
the uterus and separate each cotyledon from its attachment
30
466 BOVINE PATHOLOGY.
by a special peeling process. This measure should not be
resorted to until all chance of natural expulsion has passed.
Too forcible separation may give rise to hemorrbage.
Sometimes retention is seen after abortion, then, if left
alone, the membranes will pass off in due time. When
the foetal appendages. commence to undergo decomposition
there is a foetid discharge from the vulva, and typhoid
symptoms may be manifested.
ArrER-PAINS sometimes are present in cases of reten-
tion of the foetal membranes, of injury to the womb, and
even of the presence of an irritant in the intestines.
When birth has been completed the uterus tends to con-
tract, is checked in this to a certain extent during
passage of the membranes, but subsequently succeeds in
its efforts, and thereby tends to prevent hemorrhage, and
to return to something like its state before pregnancy.
Sometimes after-pains indicate incipient uterine inflamma-
tion, but they generally yield to an antispasmodic dose.
We have on record one case of PLacENTA PREVIA, in which
a cotyledon was situated over os uteri.’
HemMorrHAGE PER vuLvamM is of two kinds, wterine and
vaginal or vulval. In either case it may depend upon
injury either from the foetus or from the instruments used
in extracting it. It is indicated by a constant trickling
of either arterial or venous blood from the external
opening, together with restlessness and increasing debility
of the patient. When the womb is affected the flow is
profuse, the passage painful, and the blood, when ex-
pelled, is clotted. The usual symptoms of hemorrhage
are present. The practitioner will generally find that the
application of cold water continuously to the loins, or cold
intra-uterine injections will excite contraction and check
hemorrhage, but sometimes it is necessary to make use
of the ordinary hemostatic measures. In the later
stages stimulants are. required. Uterine hamorrhage is
1 Mr. Macgillivray (‘Veterinary Journal, vol. xii, p. 178) records another
where speedy delivery took place and saved the life of both mother and
offspring. He mentions his observation of the occasional occurrence of
expulsion of the whole foetal placenta before delivery in the cow as in other
females.
THE FEMALE GENERATIVE ORGANS. 467
generally termed ‘‘ bloody flux.”? There may be slight
hemorrhage before parturition, Ante-partum Bleeding,
due to the sudden separation of the foetus from the
maternal membranes or to injury; it often is not of
importance, but sometimes it indicates that the footus is
dead. After birth bleeding may take place from the
cut end of the cord; it does not last long and is un-
important. The peculiar depravity of appetite of cows
in-calf leads them to devour all sorts of extraordinary
things; the foetal membranes will often thus be transferred
to the rumen.
When called in to a case of calving, the practitioner
will find that he has to do with a case of normal PREsEN-
TATION or abnormal. In the normal form the owner has
generally adopted such measures as his experience sug-
gests. Sometimes his anxiety has led him into appre-
hension when the birth is simply prolonged. In this
the foetus is in its proper position, but in consequence
of imperfection of the throes is not expelled. In such
cases a stimulant may lead to the desired effect, or, in
more extreme instances, the careful administration of
ergot of rye may be tried. The latter agent should never
be given unless there is no impediment in the passages
and the os uteri is relaxed. Often mechanical assistance
is required. The passages of the generative organs, and
the os uteri especially, having been found, lubricated, and
relaxed, the hand is passed into the uterine cavity. It is
thus enabled to determine with a certain degree of accuracy
the nature of the contents and their position. The parts
of the foetus are very slippery, the fluids are passed in
considerable quantities, and the room for working is con-
fined, hence the extraction of the foetus is not so easy as
it seems. Looped cords, forceps, hooks, crutches, and
other instruments, are required to assist in parturitions,
and the number of appliances now used is very considerable.
In all these cases the main aim must be to support the
strength of the patient and to restore or keep the calf in
its natural position and then to overcome every impediment,
It is important never to lose control over any part which
468
BOVINE PATHOLOGY.
has once presented itself. A cord round the lower jaw and
one round each fore foot will be very useful for this purpose.
aed
4
Fia. 93.—Normal presentation.
Foetus enclosed in membranes. (After
Simonds),
Farse or ABNORMAL PRESENTATIONS may be:
a. Head presented and one jfoot.—Secure the foot
and head; introduce the hand with the slipping noose of
THE FEMALE GENERATIVE ORGANS. 469
a rope and feel the flexed other fore limb; trace it down-
wards to the fetlock and slip the noose on to the foot,
x
A
Tee
—
wk.
in
X
Fie. 94.— Abnormal presentation (6).
(After Simonds.)
then push the foetus forwards while traction is brought
to bear through the rope on the flexed limb
b. Head presented without the feet. —Secure the
470 BOVINE PATHOLOGY.
lower jaw, then press the head back into the uterus,
find the fore legs, and secure and draw them upwards,
he
Ay
==
a
yz.
g =
J
Fa. 95.—Abnormal presentation (c).
(After Simonds.)
c. Head turned backwards, Jeet presented.—Feel for
the head, and, if possible, fix a rope on the lower jaw and
also one round each of the feet, or a hook may be fixed
THE FEMALE GENERATIVE ORGANS, 471
in the eye. Then if pressure be applied to the chest,
forcing the foctus deeper into the womb, by traction
Syn >
lf
Dee
Fia, 96.—Abnormal presentation (e).
(After Simonds.)
of its cords the head may be brought into position.
When the head is out of reach embryotomy must be
performed,
472 BOVINE PATHOLOGY.
d. Head turned backwards, and only side of neck pre-
sented.—Proceed as much as possible as in ¢.
Fie. 97.—Abnormal presentation (/).
(After Simonds.)
e. Nape of neck against os uteri and one fore leg pro-
jecting.—Secure the other foot and continue as in ¢.
THE FEMALE GENERATIVE ORGANS, 473
J. Fetus on its back, nape of neck presented.—
Pass a rope round the jaw and one around each fetlock,
F1@. 98.— Abnormal presentation (2).
(After Simonds.)
bring the two latter round to the same side of the head ;
support the withers with the hand. Then apply pressure
474, BOVINE PATHOLOGY.
in a rotatory manner from below, while an assistant pulls
the ropeson the limbs. A gradual change to the ordinary
lia, 99.—Alnormal presentation (7).
(After Simonds.)
position may take place, otherwise forward pressure must be
applied, and an attempt made to deliver the calf as it is.
g. Weetus on its back, hind feet presented.—Extract
in position.
THE FEMALE GENERATIVE ORGANS. A4N5
h, Foetus on its back, hind feet inclined forwards.—
Endeavour to press the calf downwards and forwards, and
then flex the hocks and obtain position (g). If this be
not successful, amputate at the hip.
t. Hind feet protruded. Remove in this position.
j. Breech presentation; hind feet projecting downwards
and forwards.—A case of great difficulty, there being no
room for operations. By means of a special instrument a
cord is passed round each thigh, the body of the foetus is
then pushed forwards by means of the crutch, and the loop
passed down to the fetlocks ; then, the pressure being still
made, the feet are drawn by flexure of the hocks and other
joints into the passage and removal is affected.
Certain other presentations have been noted, but the
above are the principal. Besides these may be men-
tioned some of a special character, due to diseases and
irregularities of the calf.
HyprocrPHALvs CONGENITALIS has been already noted (see
p. 397), as also ascrrus of the foetus at time of parturition.
Each must be treated by the process of tapping. In the
latter case, the simplest method will be found to be direct
puncture by means of a concealed knife carried in the
hand into the uterus. In the former, the operation is
performed by means of a perforator, the head being held
in position by a hook fixed in the eye, but this is not always
necessary. Occasionally the foetus is enormously enlarged
by disease, either general emphysema, or the condition
known as polysarca or cedema congenitalis. Hmphysema
generally results from decomposition of a dead foetus,
from which the gas must be removed by incisions.
Polysarca is an enlarged fatty condition of the foetus
not often seen; edema or anasarca causes premature
birth in most cases; when found at parturition it may
give rise to difficulty both in the act and in diagnosis,
the bladder-like skin feeling very unlike that of a footus.
Fleming recommends tapping in these cases.
Irregularities of the foetus comprise the various forms
of monstrosir1es, of which the principal seen in the cow
are as follows:
BOVINE PATHOLOGY.
476
1. Anidians.—Rounded masses of living matter, con-
Congenital ascites, causing difficult parturition.
Fic. 100.
(After Simonds.)
THE FEMALE GENERATIVE ORGANS, 477
sisting of bones, muscles, vessels, &c., sustained by an
umbilical cord.
2. Oelosomians.—Abdominal walls deficient, bowels
loose in amniotic cavity.
Fra. 101.—A special torm of hydro- Fi@. 102.—Harelip. Schistoce-
cephalus of the calf. (From Flem- phalus fissilabrus. (From Flem-
ing’s ‘ Veterinary Obstetrics.’) ing’s ‘Veterinary Obstetrics.’)
8. LHctopia cordis (see Heart).
4, Harelip or cleft-palate forms; the separation usually
extends through the whole face.
5. Campylorrhachides.—Twisted condition of the spine,
so that often all four feet project forwards.
6. Dicephalians, or double-headed animals. The
division may simply comprise the faces or there may be
two distinct skulls.
7. Hermaphrodites with a confused mixture of male and
female organs, or external generative organs of the male
and internal of the female, or vice versa.
8. Megalomelus perissodactylus.—Before us is a speci-
men in which the rudimentary metatarsal bears a distinct
digit, as is sometimes the case in the horse.
9. Schistomelus.—In a case recorded, the hind limb
was cleft up to the hock.
478 BOVINE PATHOLOGY.
10. Twin calves, united more or less intimately.
11. Polymelians, many-limbed forms.
We have mentioned some of the above forms more on
account of their curious characters than of their practical
importance in parturition. These peculiar creatures used
to be termed Lusus Nature, but recently the study of
them, Teratology, has been remarkably advanced by the
experimental method, and it has been shown that they
are not “freaks,” but produced according to definite
laws. Thus they may depend upon pressure as preventing
the development of any part, upon amputation performed
by a twist of the umbilical cord, upon budding of the
ovum, or upon exaggerated or arrested development. The
various kinds which occur in domesticated animals are
treated of at length by Fleming in his ‘ Obstetrics,’ where
he fills a great blank which long existed in English
veterinary literature. Monstrosities are of very frequent
occurrence in the cow, and cases of double or even triple
calf, twisted spine, dicephalus, and polymelianism may
give rise to difficult parturition and necessitate adjustment,
and often embryotomy. Some monsters are unable to live
independently of the parent, others are unable to stand
the pressure exerted upon them in expulsion, as those with
ectopia cordis. Many live and are much appreciated by
itinerant showmen. Sometimes it is most astonishing
what peculiar bodies can be expelled without much
trouble.
Whenever the foetus cannot be removed by ordinary
traction, embryotomy must be tried. It consists in the
reduction of the size of the foetus by removal of parts, which
are separated with a special concealed knife (Fig. 103), or
by means of a curved pointed blade which has a ring for its
handle (Fig. 105), and thus may be fixed on the middle
finger and carried in the hollow of the hand into the uterus.
Operations with these knives are limited by the small
space in the pregnant uterus, and by the cramped state of
the arms of the operator from the pressure exerted upon
them, particularly during the uterine throes. Sometimes
the chain saw (Fig. 106), will be found useful. The fore
THE PUMALE GENERATIVE ORGANS. 479
limbs are the parts most frequently removed in this way.
An incision is made through the skin from as high up as
possible longitudinally downwards as far as the fetlock,
ci
ite >
| We By
Whe
: A
Fra. 103.— Common
Embryotomy Knife.
Fie. 106.—Chain Saw, with removable handles, for embryotomy.
where a circular division of the skin is made. The
subcutaneous areolar tissue is then divided as much as
possible, first with the knife, then with the fingers. The
limb is then removed by a forcible steady pull, its muscular
attachments to the trunk giving way. The skin can sub-
sequently be used for traction, a rope being fixed to it, and
also, in some cases of embryotomy, serves to protect sharp
480 BOVINE PATHOLOGY.
bony edges. Care must be taken with the embryotomy
knife, as with other instruments, lest injury of the uterine
walls result from a false stroke or a slip. This operation
is generally performed when the cow is in the recumbent
position, and she may be supported by occasional doses
of stimulants. It must be resorted to only when other
means fail, the foetus being too large for the passage or
inaccessible otherwise. It is generally best to sacrifice
the life of the foetus to save that of the mother. In all
obstetric operations great care must be exercised to avoid
injury of the uterine walls; the feet when moved, must be
taken into the hand and then gently drawn round. Again,
it is always necessary to carefully examine the contents
of the uterus. The two legs projecting with the head,
may be not such as are most convenient for easy removal,
as seen in cases of curved spine and many-limbed animals.
Again, the projecting feet may belong to distinct animals.
Twins.—The presence of two calves in the uterus being
so frequent, we should always after removal of one look
for a second. They generally lie in reverse positions ; one
being presented in the ordinary way, the other with its
hind legs first. Twins are usually small, and therefore
do not cause much difficulty in expulsion. They are apt
to become fixed together in the genital passages. In such
cases, the state of affairs having been clearly ascertained,
the fore legs of the normally presented calf are to be secured
with ropes, and, these being kept tight, the other calf is
forced back into the uterus. The first can then be
removed in the usual way, and the ‘second will generally
follow.
Diseases of the foctal membranes are not very fre-
quent, but some few are on record.
Cases of Dropsy or tHE AMNION—-HypRramMNios—are
some-what often seen in the cow, they give rise to undue
distension, which may lead to abortion, or to over-dis-
tension of the uterine walls with corresponding inertia.
The accumulated fluid is described as sometimes resem-
bling Vitreous Humour in its characters. The causes of
this condition are ill-ascertained, and its diagnosis from
THE FEMALE GENERATIVE ORGANS. 481
Hydrops Uteri is not frequently possible. Thus, as in that
disorder, the accumulated fluid must be evacuated through
the os uteri. In the ‘ Veterinary Journal,’ vol. iii, October,
is recorded a case of firm union of the foetus, membranes,
and uterine walls, probably resulting from endometritis.!
Hare patts—AaacroPines—are occasionally seen in the
liquor amnii. This fluid consists largely of the products of
excretory action of the skin; the aggregation of the hairs
results from the regular movements of the membrane
which are known to take place in the living animal.
The cause of difficult parturition often resides in the
cow. The passages in a normal state may be too small
for the calf, as when a small cow has been put to a very
large bull, or the parts may not have sufficiently relaxed.
Tn the latter case enough time may not have been allowed
for relaxation of the os to take place, then the practitioner
must wait and mark the progress of the case. Often
there is some actual impediment present. Thus, there
may have been fracture of the os innominatum, with a
considerable deposition of callus, or some exostosis or
other tumour pressing upon the genital passages. Such
cases are most formidable and generally necessitate opera-
tive interference.
There may be TUMOURS IN THE GENITAL PASSAGES; such
growths in the vagina are of a fibromatous, lipomatous, or
serous cystic character. They must be incised if cystic,
and removed by ligament or the écraseur otherwise. They
are often appreciable only on manual exploration. Of
course the progress of parturition is gravely affected both
by the position and size of such growths. Another cause
preventing expulsion of the foetus is IMPERFORATE VAGINA,
due either to congenital malformation or to inflammation
of that passage. This may be complete or partial. In
the former case there is retention of the products of
cestrum, and sooner or later severe straining sets in. The
state of the parts can be detected on exploration, and the
animal generally has not been known to take the bull.
1M. Aché, of Laroque (‘ Revue Vétérinaire, vol. ix, No. 4), records a
case of twin gestation with hydramnios, treated successfully by production.
of abortion,
ol
482 BOVINE PATHOLOGY.
In the latter, impregnation may occur, and the excessive
diminution in size of the vaginal passage not be detected
until the time of parturition, when it may be necessary even
to perform the Cesarian section. In the ‘ Edinburgh
Veterinary Journal,’ vol. ii, p. 283, is given a case in
which a band extended across the os uteri, probably the
result of inflammation of the parts. It required to be
divided before parturition could be effected. The os uteri
may be affected with spasm, but this is not very fre-
quent; rigid occlusion of the orifice is more frequently
due to sTRIcTuRE, in which the muscular walls undergo
various changes, as the fibrous, and especially the carti-
laginous. Then labour pains occur in due course, but do
not result in expulsion of the foetus, and on exploration
the hard and firmly constricted condition of the os is
determined. This state seems sometimes to be hereditary,
it may also result from injury. The fingers and thumb
of the hand in the vagina having been approximated, an
attempt is to be made to insert the hand as a wedge
through the opening; this will seldom be accomplished.
The instrument suggested for lithecstasy might be
tried, or incisions made through the cervix in various
directions by means of the concealed bistoury. In cases
which resist these means the Cesarian operation must be
tried or the patient slaughtered. Sometimes the os is
unyielding and incapable of relaxation in consequence of
disease of a cancerous or scrofulous nature. These “ Sorr
Srricrures ” of Macgillivray require to be treated by inci-
sion, an operation known as vaginal hysterotomy. This may
give rise to much hemorrhage, but will not usually do so.
When the narrowing of the os is due to spasm, there are
generally powerful uterine contractions, and the parts are
regular, tender, and somewhat yielding. Antispasmodics
may be had recourse to or even the abstraction of blood,
manual dilatation, or the lithecstasy apparatus may be
tried. Usually the spasm will relax in time. Warm-
water vaginal injections are indicated.
An IMPERVIOUS sTaTE OF Os Ureri has been observed,
probably it is due to the throwing out of false membranes
THE FEMALE GENERATIVE ORGANS. 483
as aresult of inflammation. In the virgin animal it gives
rise to uterine dropsy from retention of fluid; in the
pregnant cow there is generally a small opening through
which impregnation has taken place. This must be
treated by incision and dilatation.
Persistent HymMen is sometimes a cause of impeded
parturition in the cow. It is found to be a fibrous band
extending across the vulvo-vaginal passage, just above the
meatus urinarius. This must be divided, and then no
further difficulty in expulsion will be experienced.
Torsion or tHE Neck or tHE Wows, or of the anterior
part of the vagina, is rather common in the cow, pro-
bably on account of the special position of the cornua,
which tend to “ heel over” where the extra weight of «
foetus is in one of them. This constitutes the predispos-
ing cause, but blows, falls, and injuries of other kinds,
are the most frequent exciting influences. The twisting
may be complete, incomplete, or double.
Symptoms.—Labour-pains in due course, but not tead-
ing to protrusion of the amnion; violent abdominal
spasms; extreme indications of abdominal pain. The
hand introduced into the vagina meets an impediment,
and recognises the twist in the spiral arrangement of the
walls at the anterior part. If these conditions be not
relieved remission of the labour-pains occurs, and death
ultimately results from asthenia. The direction of torsion
may be determined by the way in which the back of
the hand introduced into the twist inclines; when to the
left, it is a case of left torsion and vice versd.
Prognosis in such cases is unfavorable, but not abso-
lutely hopeless. They generally necessitate some severe
operation. Rolling the cow in a direction opposite to
that of the twist, the uterus with the foetus in it being
as much as possible retained in position by means of the
hand introduced through the os has been tried. Sometimes
the strain on the hand is found to increase, then the body
must be turned in the opposite direction. When relief has
taken place, there is generally an escape of liquor amnii.
Failing this means the Czsarian operation must be per.
484, BOVINE PATHOLOGY.
formed. Sometimes a slight torsion may be counteracted
by manipulative means per vaginam, any protruding por-
tion of the foetus being grasped and rotated. In other
cases abdominal section with manual restoration of the
uterus to its position has been tried with success, bat the
operation is difficult. Cagny shows that torsio uteri is a
frequent cause of abnormal retention of the foetus. If
the torsion be complete, the foetus undergoes mummifica-
tion or its envelopes calcareous degeneration ; if the torsion
be incomplete, septicemia is liable to occur. Trasbot
considers abnormal retention as specially frequent in cows
constantly kept in stalls.
Dizatation or Os Urert. —Post-partum the os in due
time contracts, but sometimes this is not so. This is
generally associated with imperfect contraction of the main
portion of the uterus. It indicates a want of tone, and
may be generally overcome by cold-water applications.
The Imprrrect Post-partum Contraction or THE UTERUS
may be associated with hemorrhage, for diminution in the
volume of the organ normally suffices to prevent bleeding
from the slightly lacerated cotyledons. In such a case it
may be treated by cold-water injections either into the
uterus or the rectum. But when unassociated with such
a complication, it may be overcome by administration of
stimulants, or even small doses of ergot of rye.
When Ivervia or tHE Urertns Watts takes place in
the pregnant animal, it is apt to lead to a want of re-
sponse to the ordinary indications for expulsion of the
foetus, and therefore to prolonged retention. Then the
young animal may continue to grow, and thus become
large enough to cause some difficulty in expulsion, or it
may die, and either decompose and cause septic disorder
of the cow, or, if the os uteri prevent access of air, it is
apt to undergo dry gangrene and mummify.
Sometimes the decomposed foetal remains are expelled
gradually as a discharge per vulvam ; in one case alluded
to by Youatt, expulsion took place per anum, the caecum
and uterus having contracted adhesions and become con-
nected by a fistula. The tincture of the ergot of rye is a
most valuable excitant of the walls of the uterus to con-
THE FEMALE GENERATIVE ORGANS. 485
traction. In cases of prolonged parturition, the uterus
may lose its power and remain in a relaxed state with the
foetus still in its cavity and labour-pains ceased. In such
a case as this, when the passages are clear, the use of
ergot is indicated.
Furor ursrinus.—Sometimes cows remain as it were
in a constant state of cestrum, always ready to receive
attentions from the bull, in a highly excitable condition,
and often with a slight discharge trickling constantly
from the lower part of the urino-generative aperture.
The vaginal mucous membrane is congested. These
animals are termed “ bullers,” and the furor is not always
to be associated with uterine disorders. Thus, it isa sign
of dropsy of the ovaries, of inflammation of the vulvo-
vaginal membranes, and often of the presence of tumours
in the generative passages. It is most frequently at-
tributable to scrofulous disease of the uterine walls, or
some other chronic inflammatory action in the uterus.
Hyprors vrert.—Though many cases of retention of
cestral products have undoubtedly been mistaken for true
dropsy, some instances of the latter state are recorded.
These occur in animals supposed to be pregnant ; but when
distension of the uterus has taken place, the os opens and
there is a spontaneous evacuation of a watery, or more fre-
quently a semi-purulent or sanguineous, fluid. This gives
relief, and is succeeded by a gradual reaccumulation and a
recurrence of the false pregnancy. Trying for the foetus in
the usual manner is ineffectual in these cases, and there
are several signs of this not being true pregnancy. The
pent-up fluid should be evacuated as soon as the disease has
been diagnosed. Then the uterus should be washed out
frequently by syringing it with a weak solution of carbolic
acid or chloride of lime. In the meanwhile the patient
should be well fed and nursed, for the disease results from
debility, injuries, and slight inflammation. Tonic agents
(especially mineral) will prove beneficial.
INFLAMMATION oF THE Urzrus may be of three kinds,
according as the external, middle, or internal coat is the
main seat of disease.
Enpomerriris.—Inflammation of the mucous membrane
486 BOVINE PATHOLOGY,
of the uterus results from injuries during parturition,
and occasionally perhaps from abortion, or exposure
when the animal is heated. It is not very frequent
nor urgent, but during its course there may be false
pains, and usually the products of inflammatory action
accumulate in the cavity and so cause distension. Thus
this disorder leads to dropsy of the uterus, but sometimes
the products pass off as a continuous discharge. In some
cases the lining membrane is much disorganised by
ulceration, there is then frequent straining and rapid
loss of flesh. In cases of protracted labour the discharges
from the generative passages become acrid and may cause
endometritis by retention. This acridity is proved by the
ecthymatous disease which so frequently affects the arms
of veterinary obstetrists, and which is fully described by
Professor Gamgee in the ‘ Edinburgh Veterinary Review,”
vol. i, p. 23, where a beautiful illustration of the affected
arm of the professor is also given. Endometritis must be
treated by antiseptic injections and careful nursing.
When it occurs during pregnancy, separation of the fotal
membranes from the lining of the uterus will cause
death of the fcetus in some cases. Inflammation of the
muscular coat of the uterus without the other layers being
affected is seldom or never seen.
Merro-Perironitis oR Purrreral Perironitis (Barlow).—
We have already alluded to septicaemia in general, and
noted that it especially occurs in connection with partu-
rition and its accidents. The substance of the womb
being inflamed, the peritoneum generally is involved, and
the diseased action spreads remarkably rapidly, and in-
volves a considerable extent of surface. Cases of this
kind used to be confounded with true parturient apoplexy,
but are now diagnosed with certainty since the symptoms
differ in many important particulars. Thus together with
the general signs of disorder succeeded by those of fever,
there is found a peculiarly hard quick pulse, which also
is frequent. The respirations as the disease progresses
becomes quickened, frequent, and often thoracic, There
is straining and the passage of a chocolate-coloured fluid
through the vulval opening, and the lining membrane of
THE FEMALE GENERATIVE ORGANS. 487
this part is of a dark-purple colour, the labia being small,
contracted, and oodematous. The cessation of secretion of
milk is generally sudden and the udder becomes soft and
flaccid: In the later stages the pulse becomes very rapid
and imperceptible, the rumen distended with gas, the
patient comatose. There are usually signs of abdominal
pain of rather an acate character. The prostration of
strength is rapid and the animal dies from asthenia.
On post-mortem examination, the cavity of the uterus is
found to be small and to contain chocolate-coloured fluid.
The diminution in size results from the thickening of the
walls of the organ as a result of deposits. Blood extra-
vasations are to be seen beneath the peritoneum which
exhibits the various marks of inflammation. The veins of
the uterus contain dark blood in a coagulated state and
ecchymoses are visible on many of the serous membranes,
and sometimes on the inner surface of the labia. Ecchy-
moses have been noted in the cranial membranes.
Causes.—Such cases supervene on retention of the
after-birth or of the foetus. Wounds received during
assistance in parturition, especially in protracted cases,
prolapsus, inversion of the uterus, also exposure during
or after parturition, or over-driving also cause them, ple-
thoric animals being predisposed. It usually manifests its
first symptoms from a half to three days after parturition.
Results.—Most frequently runs a rapid course and ends
in death from blood poisoning. Occasionally very rapid
resolution occurs, and sometimes the attack degenerates into
a chronic endometritis tending to flooding, leucorrhcea, and
dropsical accumulations in the womb.
Treatment.—The system of the patient must be sus-
tained by stimulant tonics, especially the tinctures of the
vegetable bitters, and nourishing soft diet must be sup-
plied to her for sometimes the appetite remains after
the commencement of the attack. All debilitating in-
fluences must be avoided, and it is questionable whether
administration of cathartics is beneficial. However, we
deem this advisable, for it is an advantage to keep those
important excretory organs, the bowels, in free action ; the
488 BOVINE PATHOLOGY.
influence of the cathartic is derivative, and the peritonitis
is not so diffused as in idiopathic cases of that disorder.
Local treatment comprises the administration of belladonna
or other anodyne enemas and of carbolic intra-uteriné injec-
tions. All endeavours must be made to remove decom-
posing membranes or the remains of a foetus, but the prac-
titioner must be most careful not to injure his arms or hands
with foetal bones, nor to work in such cases with an exposed
wound on the parts brought into contact with the decom-
posing material. The hands may be advantageously lubri-
cated with carbolised soft soap. Neglect of these pre-
cautions has proved fatal to some country practitioners.
Lacerations or THE Uvertns Watts result from ex-
cessively powerful throes in difficult cases of parturition,
from wounds either by the foot of the foetus or by instru-
ments during delivery, from efforts of the fostus, and
sometimes as a direct result of other forms of injury.
These lacerations may be partial or complete, and espe-
cially occur to the womb when it has been previously
diseased. In some cases of metritis abscesses form in
the thickness of the coats, and in time burst into the cavity
of the uterus, leaving behind them spaces, which become
fistulous in consequence of the constant entry of the acrid
uterine discharges. Thus Ursrine Fistvta is established.
The symptoms are those indicative of endometritis, and
are usually slight. Sometimes we have a true fistulous
communication, between the uterus and the intestines for
instance. We can only treat such cases as suggested for
endometritis. Perfect or complete laceration is Rupture
or tug Urervs, which may occur either before parturition,
during labour, or after delivery. When it takes place
before or during parturition it generally results in the
falling of the foetus into the abdominal cavity. A
remarkable form of this lesion is noticed by Fleming, after
Count Ercolani of Bologna, in which transverse rupture of
the uterus (either the body or one cornu) results in the
hanging of the anterior separated part of the organ as a
foetus-containing cyst, supported by the broad ligament
below the lumbar region. The development of the foetus
THE FEMALE GENERATIVE ORGANS. 489
continues; probably the rupture is gradual. It has not
been observed in this country. Rupture is often seen in
the everted uterus, but the organ may be returned and.
the case recover. It is generally considered unneces-
sary to insert sutures in such cases. The reparative
powers of the uterus seem very extraordinary, for the
organ contracts after evacuation of its contents, and thus
the edges of any wound are kept close together and in a
condition favorable to rapid healing. Protrusion of the
small intestines through the rupture (which generally is
at one side of the anterior part of the organ) is some-
‘times seen. The symptoms of rupture of the womb are
those indicative of collapse; sometimes there is a flow of
blood or sanguineous fluid through the vulva, but this
symptom may be absent. When the foetus has fallen in the
abdominal cavity there will be sudden alteration in the
shape of the abdomen and in the position of the fcetus.
In such cases all that can be done is to. perform the
-Ceesarian operation as early as possible; in others all our
efforts must be directed to supporting the strength of
the patient aud counteracting untoward results.
i
r
]
er
Fiq@. 107.—Portion of chorion with placentule. Cow. 1. Chorion, 2. Pla-
centule. (From Fleming’s ‘ Veterinary Obstetrics.’)
My
ti
Protarsus VEL Inversio vreri— Falling of the read
or calf-bed ”—the turning inside-out of the uterus—may
490 BOVINE PATHOLOGY.
be complete or incomplete. In the latter case the cornua
are generally not involved, but even they may be par-
Z
Al
PF
A
Z
A
g
A
ZA
x
%
Fie. 108.—Cotyledon of a cow’s uterus. aa. Surface of fvetal chorion.
bd. Blood-vessels of foetal chorion. ec. Surface of uterine mucous
membranes, dd. Blood-vessels of the same. /. Secretion from utricular
glands. (From Fleming’s ‘ Veterinary Obstetrics.’)
tially inverted. The uterus with its mucous surface and
maternal cotyledons protrudes through the vulval opening
and hangs downwards for a distance varying with the
severity of the case. It generally becomes strangulated
by the action of the sphincter vulve or the narrowness
of the passage, and thus tends to increase largely in size
in consequence of infiltration of serum into its substance
and accumulation of blood in its vessels. It generally
is somewhat lacerated as a result of exposure to external
injury, and even tearing up by the patient (or by pigs
or dogs); sometimes rupture of its walls has taken place.
To allow the inversion, the broad ligaments have generally
become lacerated and the vagina may be involved with
the uterus. The patient strains constantly, and thus tends
to aggravate the case. This accident occurs at or shortly
after parturition, and may result from excessive spasmodic
contraction of the uterine walls, non-contraction of os
uteri post-partum, or adhesion of the foetal membranes
to the walls of the uterus, and it is especially frequent in
animals in a state of debility.
THE FEMALE GENERATIVE ORGANS, 491
Treatment comprises restoration of the organ, its
retention, and the counteraction of the ill consequences
of the accident. Restoration may be effected either from
the neck or from the fundus, or by both these methods
combined. As a preliminary measure the surface of the
womb must be cleansed from all foreign bodies, especially
also from adhering portions of the fostal membranes. The
animal must be placed with the hind part of the body
raised and kept in that position, which is important not
only as a means of facilitating return of the part but
also of retention. The protruding organ must be sup-
ported by a towel held on each side during the process
of cleansing and return. In the latter effort the fist
must be closed and applied to the fundus of the organ
which must be pressed inwards at the intervals between
the throes and prevented from return during their efforts,
which must be prevented as much as possible by distrac-
tion of the patient’s attention and pressure on the loins.
While the pressure is brought to bear on the fundus an
endeavour must be made to gradually return the neck, for
a combination of the two methods is decidedly the most
’ satisfactory. When the protruded uterus is very much
swollen, it may be reduced in size by cold-water applica-
tions and by pressure evenly applied from the fundus
towards the neck. This may be best accomplished by an
Esmarch’s bandage, which also assists in the return of
the organ, but it may be effected by fixing a carbolised
cloth around the protruding organ and manipulating in a
manner which may be learned rather from observation
than description. The fist with the fundus must be
passed in so far as not to cause great increase in the
expulsive efforts, and must be kept in position for some
time. Of retentive means the most important are dis-
tension of the uterus with some bland mucilaginous fluid,
with an antispasmodic dissolved in it; the use of a
special retentive appliance termed a pessary. These are of
various kinds, but the most readily available and simple
of allis an ordinary glass bottle. The concavity on the
floor of this fits well against the os uteri, and its neck
493 BOVINE PATHOLOGY.
may be fixed at the vulval aperture to the truss or
sutures, The narrowness of the neck allows urine to
pass freely, and its rounded edges and smooth surface render
it very unlikely to cause irritation (see ‘ Veterinarian,’
1880, p. 296). In cases where it is found impossible other-
wise to return the organ, it has been suggested to place
the animal on its back and elevate the hind quarters by
means of pulleys. When the spasms are excessive large
doses of opium are beneficial to allay this undue straining.
On return of the womb it has been suggested to place
metallic sutures through the os uteri, but these may prove
a source of irritation, therefore the application of a truss
(such as Gowing’s, shown in the accompanying figure 109)
is suggested. Trusses for this purpose are of various kinds,
and some are valuable as being composed of a simple
rope specially arranged (see Fig. 110). For a description of
these we must consult Fleming’s ‘ Obstetrics.” Sometimes
it is deemed advisable to apply a truss in every case after
parturition; this preventive means should certainly be taken
with all debilitated animals and those which have previously
suffered from prolapsus. Standing on a floor slanting
—_——.
Fie. 109.—Gowing’s Truss for prolapsus uteri. (After Simonds.)
forwards is always a useful precaution after parturition.
Some practitioners insert sutures through the labia instead
THE FEMALE GENERATIVE ORGANS. 498
of using the truss; the quilled suture is the best, and
tho ligatures must be stout, so as not to readily tear
Fi@. 110.—The loop of Delwart’s Truss. (From Fleming’s ‘ Veterinary Ob-
stetrics.’)
away ; a good hold also must be taken. All measures failing
to effect the return of the protrnding organ, it may be
amputated. This operation, Amputation of the Uterus,
has often been successfully performed The neck being
constricted by an ordinary ligature, the greater part of
the organ may be removed with the knife or with the
heated iron, or the method of caustic clamp or elastic
ligature may be tried, and the use of the écraseur has
been suggested for this purpose. The patient will require
to be cast in the usual way and the operation be performed
under chloroform.
Prognosis in cases of prolapsus uteri must be considered
favorable. In many cases the recovery is so perfect as to
make the animal useful for breeding purposes afterwards,
but such animals should always be carefully watched during
parturition and the truss applied directly the foetus has
passed. Death may take place through shock on ampu-
tation, or from mortification of the protruded organ.
An animal which has once been thus affected, can be
returned to the vendor, according to the law of some
countries.
INVERSION OF THE Vagina is a frequent accompaniment
of prolapsus uteri, and cannot be said to render the case
more complicated. Sometimes it is seen as a distinct
lesion ; then there is a red tumour hanging from the vulval
opening which presents no cotyledons, has an opening at
its fundus, and at its lower part may be seen the orifice
of the urethra. It is not difficult to return this after
cleansing, but the accident is very liable to recur, there-
494 BOVINE PATHOLOGY.
fore the truss or sutures through the labia must be used.
This lesion is sometimes chronic; the lining membrane of
the organ becomes indurated. In such cases, since return-
ing is only effectual for a short time, amputation has been
tried with success, the operation being performed with
the hot iron or with the knife, the edges of the wounds
being united by sutures; this measure is seldom
necessary. The prolapsus results from prolonged reten-
tion of the foetus in the vulvo-vaginal canal and dryness
of the passages. It is apt to give rise to dysuria from
pressure on the urethral orifice.
Inversion or THE BuappER has been already mentioned
(see p. 361). We allude to it here to prevent the everted
organ being mistaken for apolypus. Its position is diag-
nostic, as also its form.
Hernia urert on HysreroceLe is rare in the cow on
account of the large size of the organ. We have already
alluded (p. 299) to the cases in which it is seen in front
of the pubis. Such seldom interfere with parturition.
Tumours In THE Urerus.—Fibromata either highly vas-
cular or lowly organised, hence either soft or hard, and
generally pedunculated, have been found in the uterus of
the cow, attached to almost every part of it in the various
cases. When near the os, these may prevent parturition
by becoming fixed in the cervix, and the same may be
said of those from any part of the cavity, provided the
peduncle be sufficiently long. In such cases the tumour
must be returned into the uterine cavity so that extraction
of the foetus may be possible. Afterwards an attempt
must be made to remove the growth by means of the
écraseur or ligature, the latter being most generally avail-
able. We have no record of malignant tumours in the
uterus, but in some cases the external os uteri is affected
by disease apparently of the nature of true cancer.
MaLrormations or tHe Urerus are seen in hermaphro-
dite heifers, which are generally sterile.!
1 Repiquet finds rather frequently an imperfect septum arranged in the
vagina of the cow, evidently congenital. It does not always interfere with
conception and parturition (Revue Vétérinaire,’ x, 8).
YH FEMALE GENERATIVE ORGANS. 495
Ruervre or THE VAGINA OR VULVA is somewhat frequent
in parturition. It also is sometimes due to introduction
of sticks and other rough instruments by boys and
labourers, who seem to consider this an excellent joke.
Some hemorrhage will take place through the external
opening, and later, a discharge of a muco-purulent cha-
racter will appear. Manual exploration of the parts will
disclose the lesion. Cases of this kind do not seem to
be attributable to the penis of the bull. During birth
a foot of the foetus may be forced into the rectum and
protrude through the anus, or pass into the areolar tissue
around the vulva. The throes being powerful, more or
less laceration occurs, and thus in some cases the peri-
neum may be entirely lacerated and the anus and vulval
opening become continuous with one another. This lesion
is seldom seen in the cow. When the foot protrudes
through the anus it must be returned as soon as possible,
and the calf removed through its normal passage. There
is after this great liability to Recro-vaginaL Fisruta,
which must be avoided as much as possible by keeping
the contents of the rectum soft, whereby they can pass
easily, and by adopting dressings calculated to promote
speedy healing of the orifice.
Vusico-VaginaL Fisruza is not frequent. It causes in-
continence of urine, and the fistula can hardly be got to
heal because of the constant passage of the urine. A
rupture of the vagina may be far enough ‘orwards to
admit of protrusion of the intestines and to be compli-
cated with peritonitis. Injuries, and especially bruises
during parturition, are rather liable to cause blood
tumours, Hematomata, in the erectile tissue of the bulb
of the vagina.
Levcorru@a —“‘ The Whites.”? — Vacinitis sometimes
results from injury, but generally subsides rapidly, and is
represented by a chronic form of inflammation of the
lining membrane of the vulva and vagina, which in some
cases is ulcerated, in others simply thickened, and some-
times is the seat of scrofulous deposit. It may be more
or less extremely diseased. The discharge varies in
496 BOVINE PATHOLOGY.
amount and in consistence, also in constancy of flow. It
may be quite white and profuse, or purulent or sangui-
neous. Also the constitution is variably affected ; there
may be considerable fever or scarcely any. Generally the
patient exhibits constant sexual desire, but seldom becomes
pregnant, and if it does is liable to abort. There
usually are the general signs of unthriftiness.
Causes.— Gonorrhoea of the bull, debility, and the scro-
fulous diathesis are the principal.
Treatment.—Tonics, nutritious diet, avoidance of sexual
intercourse, and stimulant astringent applications after
thorough cleansing. In cases of ulceration, the applica-
tion of nitrate of silver. These cases sometimes prove
very obstinate. A crupous form of vagnitis has been
described.
Appenpum 1.—Tue Lactirerous APPARATUS.
The mammary gland of the cow is largely developed,
having been much increased in size by artificial selection.
It consists of four distinct quarters, each with a teat,
and sometimes two rudimentary teats, imperforated, are
Fra. 111,—Some of the smallest lobules of tho lacteal land of
woman, x 70. (After Langer.) . ae
THE FEMALE GENERATIVE ORGANS, 497
situated behind those which are more fully developed.
The most frequent malformation is the Apsencr or Impure
FORATED STATE OF THE TraTs, and in animals thus formed,
after impregnation the gland enlarges, and in proper
time produces milk, but this cannot gain exit ; it remains
in the milk channels, and gives rise to mammitis. Some-
times an incision at the extremity of the teat will open
the partially developed duct, when the milk must be drawn
off regularly with a syphon. Usually an abscess forms,
and the curdled and decomposed milk is thrown off in the
pus. Such animals should not be bred from, as there is
some risk, and this, like other vices of conformation, may
be transmitted to the progeny.
Mamurtis— Garget ’—“ Downfall of the Udder ”?—
inflammation of the mammary gland—is frequent in the
cow, as might have been expected from the facts that this
animal is used as a milk-producing machine, and has its
lactiferous apparatus very largely developed. This dis-
ease is of the highest importance as affecting the yield of
milk rather than the life of the animal.’ It may be par-
tial or complete, for the quarters of the gland are sepa-
rated from each other by dense fibrous septa, so that,
practically, there are four glands, and inflammation may
rage in one or more quarters without the rest being
affected. It may be acute or chronic, and most frequently
is seen in young cattle, especially primiparz (those with
the first calf), kept in a plethoric state; but Hdgar con-
siders these cases as simply acute hypereemia with subcu-
taneous effusion. Sometimes it commences directly after
calving, but in other cases only comes on some short time
after. Exposure to cold when heated, injuries of various
kinds, obstructions to the flow of milk, eczema epizootica,
and other specific disorders, may be enumerated as causes ;
in some cases it seems traceable to metastasis from the
lungs, since its appearance is associated with sudden
1 Edgar estimates the pecuniary loss in value of milk from a first-class
milch cow at £4 10s. per annum per lost quarter of the gland. This writer
speaks of three forms, erysipelatous, interstitial, and catarrhal. He urges the
distinctive diagnosis between mammitis and mammary codema, in which latter
disease there is no pain, and the milk is not altered but simply diminished,
32
498 BOVINE PATHOLOGY.
disappearance of pneumonitis, and one form is contagious
(quod vide). It has been observed to be most frequent
in hot summers. Among the most common causes must
be included imperfect removal of the milk (‘ Hefting”’),
and allowing the animal to remain too long without milk-
ing, to ensure a full and tempting bag at the time of sale.
Symptoms.—Fever runs high, and the affected gland
is swollen, hot, painful, and hard to the touch. The
skin investing it is reddened, and there is generally lame-
ness of one hind limb. ‘The milk is markedly decreased
and is curdled, and often intermingled with blood, or
simply a thin serous fluid is removed when efforts are
made to milk the animal. The inflammatory action may
originate in the substance of the gland, or extend from
the openings of the teats into the ducts. As the disease
progresses resolution may be gradually brought about
with subsidence of acute symptoms. Suppuration is of
frequent occurrence, and is denoted by softness of some
part of the gland, which pits on pressure. The abscesses
sometimes involve a very considerable part of the gland
substance, forming sinuses and fistulae extending from
the milk sinuses to the surface. In more acute cases
gangrene takes place, and the mortified portions of gland
become cold, pasty to the feel, and are removed by slough-
ing; at the same time the constitutional symptoms have
a markedly asthenic character. When the inflammation is
less acute induration is apt to occur, constituting the so-
called “ scirrhous” condition of one or more quarters of
the udder. In either of these cases, suppuration, gangrene,
or induration, the quarter is lost.
In the purchase of a cow the state of the udder, the
perfection of all its quarters, must be specially looked to.
We have already alluded (p. 190) to a form of septic mam-
mitis, which has been described, and admitted that it is just
possible that there is a diphtheritic form of the disorder,
in which the milk may prove the vehicle of contagion, but
we have no positive evidence on this point.
Treatment of this disorder comprises constitutional and
local antiphlogistic means. A cathartic dose should be
THE FEMALE GENERATIVE ORGANS, 499
administered, and the animal allowed nitre in the drink-
ing water. Aconite will counteract the systemic excite-
ment, and in some cases it is thought advisable to bleed.
This measure will prove beneficial when the inflammation
runs very high, threatening gangrene, otherwise it may
be omitted. The superficial abdominal or milk vein used
to be preferred for this operation; it is remarkably
developed in the cow, and takes a course from behind for-
wards to the internal thoracic veins. This local abstraction
can have no more beneficial effect than general bleeding.
The vessels the milk vein receives from the udder are
very small, for the greater part of the blood from this
Fid. 112.—Means of supporting
the udder in mammitis. (Arma-
tage.)
Fig. 113.—Injection of fluids
into the mammary gland,
(Armatage.)
gland passes into the femoral veins indirectly through the
subpubic. Local treatment comprises removal of all the
milk at regular intervals, either by milking, by use of the
teat syphon, or by allowing the calf free access. Some-
times the cow will not allow the calf to suck at the dis-
eased quarters. Next foment freely, and afterwards
apply a poultice containing belladonna to the whole gland,
supporting it and the weight of the organ by a wide
bandage passed over the loins. As soon as suppuration
has taken place, and the abscess is perceptible, it must be
opened with a lancet, or an irregular wound will result
500 BOVINE PATHOLOGY. -
from its bursting, and the pus will burrow extensively
and cause disorganisation. By early puncture a part of
the quarter may be preserved. Subsequently the abscess
cavity should be dressed with tincture of myrrh or carbolic
ointment. In cases of gangrene the strength of the patient
must be supported by means of stimulant tonics, and the
mortified parts excised, or if they have sloughed away, the
wounds must be dressed with solution of chloride of lime
or of carbolic acid. In those cases where the disease
assumes a chronic character, and there is a tendency to
induration, we must endeavour to break down the masses
of curdled milk in the gland by alkaline injections
through the teats, and constant attention to milking ; and
we must endeavour to promote the removal of exuded
fibrinous matter in early cases by stimulating applications,
as soon as all active inflammation has subsided; later,
by iodine ointments and iodide of potassium administered
internally. Throughout cases of mammitis the use of
food materials containing large quantities of milk-forming
elements should be avoided.’ In the early stages the calf
may be allowed the milk, but when this becomes mingled
with inflammatory products, and especially when gangrene
sets in, this fluid must be thrown away. During cestrum
and the first production of milk a congested condition of
the mammary gland has been observed. This is the
early stage of true mammitis, but the supervention of
inflammation may often be prevented by the timely with-
drawal of milk and fomentation. Mammitis is very seldom
seen in “ dried cows” (‘ drapes ’’).
Sore Txrats — HryrHema Mammittarum—has been
already mentioned (see “ Diseases of the Skin,” p. 349).
Tumours on the Teats——Warty growths are sometimes
1 Edgar has given the treatment of mammitis specially careful consideration.
He advocates nursing in full elaboration of detail, careful mulsion every two
hours (after removal of milk from the sound quarters) to express altered
milk and deposits, thorough fomentation, belladonna and glycerine applica-
tions, poultices or similar emollients to the loins. Internally he gives
cathartics, belladonna, and soda (to correct dyspepsia). He strongly objects
to use of the milk syphon and suspender, also to bleeding in this disease.
Catarrhal mammitis be treats throughout with tonics, He anticipates benefit
from intra-mammary injections of atropine.
THE FEMALE GENERATIVE ORGANS. 501
seen on the teats ; they interfere with milking, and are
liable to injury, but can be easily removed with the knife,
or by means of ligatures.
OsstRUCTIONS IN THE TgaTSs are not rare; in milking
the animal they can be felt as nodules along the course
of the duct, and the flow will be more or less impeded.
These are either masses of curdled milk, small tumours
attached by pedicles to the mucous membrane, or Lac-
TEAL CatcuLt. These impediments to free flow tend to
produce mammitis, and must, therefore, beremoved. This
is not always an easy matter, but, when not extracted, they
may be returnable to the galactophorous sinuses, where
they will often remain without causing inconvenience.
InriamMation oF THE Lining Memprane or tHE Duct
occurring as a complication of mammitis, sometimes results
in srRictuRE of the passage. This may be relieved by
frequent passage of probes or syphons of gradually
increasing size.
Relazation is seen as a result of the practice of allowing
over-accumulation of milk. It gives rise to Lactorru@a.
The mechanism by which the milk is retained in the galac-
tophores is variously described as an elastic ring or a
sphincter of muscular fibre. The fact that the cow can
retain the milk if an attempt be made to remove it by a
stranger seems to support the latter opinion. When this
muscular substance is disordered a free flow takes place. To
palliate this the sphincter’ has been artificially replaced by
an elastic band which compresses the teat enough to close
its passage but not to strangulate it. This is removed
at milking time, and seems to answer in many cases.
Lactorrhcea sometimes results from inattention and want
of milking after removal of a calf (‘ Edinburgh Veterinary
Review,’ vol. iii, p. 190). —
Apprnpum 2,—MuLK anp irs DisorDERs.
The milk of the cow has a specific gravity averaging
1030, and contains less fatty matter, albumen, and sugar
502 BOVINE PATHOLOGY,
than that of the human female, but considerably more
casein and salines. It varies very much in quality and
quantity with the nature of the diet. Is tested by means
of a special form of the hydrometer, termed the lacto-
meter, and algo by microscopical examination. We need
not enter into details of this, but simply remark that
though under healthy conditions the variations in quality
and quantity of this fluid are rather extensive, they are
more so as a result of disease.
Agalactia is the non-production of milk in consequence
either of atrophy of the mammary gland, which results
from inflammation, or of debility of the system in general.
In the former case it is incurable, in the latter, by
judicious feeding with highly nutritious diet, the flow of
milk may be restored. The value of galactagogues is not
quite a matter of certainty. It is said by some that
agalactia takes place in two or three years after spaying
has been performed, but others assert that this is only a
Fie. 114.—Section of the Fie. 115.—A. Lobule of mamma filled with
cow’s teat. aa. Principal milk, 2B. Milk globules. C. Colostrum.
lactiferous ducts. 6. Lac- a. Cell with visible nucleus, 3. Cells from
tiferous sinus. ce. Acini. which the nucleus has disappeared. (From
dd. Dartoid tissue of the Colin, ‘Physiologie des animaux domes-
teat. e. Orifice of the tiques.’)
teat. (From Colin, “Physi-
ologie des animaux do-
mestiques.’’)
very exceptional condition, the secretion of milk being
constant and lasting for a long time. Aged cows dry up, and
aloss of milk is the first symptom in many important
diseases.
THE FEMALE GENERATIVE ORGANS, 503
Hypergalactia, or prolonged lactation, is not so frequent
and is often seen in very good milkers. It is hardly a
diseased state, but it constitutes a great strain on the
system.
CHANGES IN THE QUALITY oF THE MILK are—(1) due to
excess or deficiency of natural components. Thus, some
milk gives scarcely any cream, while in other cases the
secretion is scanty, but very rich. Bluish watery milk is
given sometimes in normal quantity by debilitated animals.
These and other similar conditions are dependent on feed-
ing, and other points of management. The nature of the
food very frequently affects the flavour of the butter
Sometimes it is found that the milk gives little
butter, and at other times is not valuable for cheese.
(2) Admiature of foreign matters, as blood, pus, specific
discharges, bacteria, &c. These result from specific or
ordinary inflammation; in the former case the milk may
prove the vehicle of contagion to man and other animals.
In foot-and-mouth disease, and other specific disorders,
the calf if left with the dam may become affected with
a virulent form of the disease. Medicinal agents adminis-
tered to the cow pass off in the milk and may seriously
affect the calf or children fed on this fluid. It has been
proposed to thus prepare medicines in a palatable and
bland form for human use at the expense of the cow, but
this method has not been generally adopted.
Fie. 116.——Milk or Teat Syphon.
Apprnpumu 3.—Diszaszs or very Youne ANIMALS.
The young animal on birth is sometimes found asphyxi-
ated. No respiratory efforts are made; the “ necessity
for breathing ” does not produce the usual effect. Artificial
respiration may be tried or douching with cold water,
504 BOVINE PATHOLOGY,
Umbilical Hemorrhage may result from breaking off of
the cord too close to the abdomen. The usual styptic
measures may be tried, and if possible, a ligature put on.
Perviousness of the Urachus, Gastro-enteritis, and Hernie
of young animals have been already described. Also we
have alluded to the accumulations of meconium, which give
rise to constipation and general abdominal disorder, and
result either from excessive accumulation, or from the
young animal being deprived of the colostrum, its natural
cathartic.
INFLAMMATION OF THE UmBiLicaL Corp—OmPHALITIS—is
especially seen in the progeny of scrofulous animals, and
may result from any ordinary irritating influence ; the ten-
dency calves have to suck the remains of the umbilical cord
especially gives rise to this. The scrofulous cases are very
obstinate, but ordinary ones soon suppurate, and there is a
tendency of the pus to pass up the cord and cause sinuses.
These must be opened, the young animal removed from
among other calves, and the inflamed part fomented
and protected from injury, after opening it must be
dressed with the glycerine or oil of carbolic acid. No
special measure is necessary in the treatment, but a long
and severe case of this disorder may considerably retard
the development of the calf.
Cipema or THE Umpiticus also results from calves suck-
ing one another. It must not be mistaken for umbilical
hernia. A bandage may be put on to protect the part.
Fro. 117.-- Parturition forceps.
NOTES ON THE BIBLIOGRAPHY OF CATTLE
PATHOLOGY IN THE ENGLISH LANGUAGE.
Fora long time after some scientific knowledge had been brought
to bear on the subject of the diseases of the horse, the treatment of
other domesticated animals remained in the hands of the most
ignorant of empirics, who, under the name of ‘“ Cow leeches,” weie
called in to attend such cases as proved beyond the experience of
the owner. The vilest and most complicated of nostrums were
administered by these worthies, and it seems that it was generally
considered to be safer for the farmer to trust to his simple know-
ledge of disease and the prescriptions handed down to him by
his ancestors, than to expend money on medicinal treatment with
little prospect of receiving its value, and considerable likelihood of
detriment to his stock. Hence, we find that accounts of the diseases
of the ox are, with those of other animals, treated of in works on
Husbandry, such as Marxuam’s Way to Wealth and Country Farmer,
and we need scarcely say that the language used and the notions
expressed in these works were markedly different from those
sanctioned by science. Before 1825, some books were produced
specially touching upon the management and diseases of cattle, of
these we may mention:
.Mascall on “ Cattle ” (1680).
Mills on “ Cattle” (1776).
Downing on “ Cattle” (1797).
Feron’s “ Farriery ” (1803).
Rowlin’s “ Cow Doctor ” (1804).
Boothby on “ Cattle” (1809).
Causer on “ Domestic Animals ” (1822).
Also the works of Lawrence, Tindall, Rydings, Peck, and Rydge,
and those of Clater and White, which, under much modified forms,
have remained to the present day; the latest edition of CLATER’s
Cattle Doctor by ARMATAGE being one of no little value, to which we
are indebted for many useful hints and illustrations. WHITE was
an author of much repute and merit, and his Veterinary Diction
and Cattle Medicine are still worth examination, especially the 1842
edition of the latter, which was brought out by Mr. W. C. SPOONER,
an eminent veterinary surgeon and accomplished writer. TopHam
produced a book specially on the Diseases of Cattle, and this period
of the evolution of the literature of cattle pathology led to such
monographs on special subjects, as PARKINSON on Parturient
Animals, SKELLET on the Breeding Cow, and BLURTON on Milking.
In 1798 was published JenneR’s remarkable work on Variola
‘accina.
spec cte the rise of veterinary science appeared books useful both
506 NOTES ON BIBLIOGRAPHY OF CATTLE PATHOLOGY.
for the owners of cattle and to the members of the young profession;
of these the one which most largely has influenced the progress of
cattle pathology is that excellent work, YouatT On Cattle, which
appeared in 1834, and may still be consulted with benefit in spite of
the vast strides of all branches of pathology since then. More
recently members of the veterinary profession have contributed
largely to the advancement of this branch of science, and our
leading authors have treated of the diseases of cattle generally with
those of our other patients, as in the works of Biaine, Dick,
GamcEE, and Wi.iiaMs, the Veterinary Surgery and Veterinary
Medicine of the last of these authors, and the work of GAMGEE on
Our Domestic Animals in Health and Disease, are those which we
suggest as most valuable to the student of cattle pathology in the
present day. For information on special subjects he cannot do
better than consult such works as those of FLemine on Animal
Plagues, Rabies and Hydrophobia, Veterinary Sanitary Science and
Police, and (especially) Veterinary Obstetrics, the publication of
which has rendered it less necessary for us to enter into prolonged
treatment of this section of bovine practice than has seemed right
to our predecessors in this branch of professional literature. Also
WaLuey’s Four Bovine Scourges is of special value and interest; it
is a marked gain to veterinary science. We must here also allude
to the small Pat useful papers by Morton and Srmonps, the former
on Caleulous Concretions and Toxicology, the latter on Pleuro-
pneumonia, Parturient Apoplexy, and so on. Also to that formidable
but interesting volume, GaMGEE on Cattle Plague. For our informa-
tion on the action of medicinal agents we are indebted to the works
of Morton, Tuson, and Fintay Dun; and we have derived much
valuable matter from Dr. CoBBoLp’s Parasites, and The Parasites
of our Domesticated Animals, as well as from notes on his course
of lectures at the Royal Veterinary College, which we, as a stu-
dent, had the privilege of taking. A few works on cattle have been
recently produced in America, of these we need only allude to Pro-
FESSOR JAMES Law’s Farmer’s Veterinary Adviser, as in many points
original and always worth reading. Dogson On the Ox, through
which we have been fortunate enough to obtain many of our illus-
trations, is addressed to the farmer as well as the practitioner, and
is therefore hardly sufficient fo: the requirements of the profession
in the present day. It has proved of considerable use to students
and practitioners, and we can conscientiously allude to it as a
simple, interesting, and practical work. With those of Youatt,
Armatage, and Spooner, already alluded to, it has recently repre-
sented that portion of veterinary literature most directly dealing
with diseases of the ox. Not the least valuable portion of the
literature of my subject must be sought for in the columns of such
periodical publications as the Veterinarian, Veterinary Journal,
Edinburgh and American Veterinary Reviews, Veterinary Record,
Abstract of Proceedings of the Veterinary Medical Association, and
also the journals of the various agricultural societies.
(Since the issue of the first edition of this work, Hiux’s Bovine
Medicine and Surgery has been added to the list of English books
on cattle pathology ; and to the list of periodicals containing valuable
matter bearing on this branch of science must be added the Journal
of Comparative Medicine and Surgery published in America, and the
Journal of Veterinary Science in India, both published quarterly.]
INDEX.
PAGE
Abdomen. . « « . 67
—dropsy of . . . 319
Abductor femoris, dislocation of 425
Abnormal presentations . . 468
Abomastis . ee é - 285
Abomasum . . . . 268
— impaction of. . . . 286
—rupture of . . . . 286
Abortion . . z . . 461
Abrus é . . F « 205
Abscess . 3 . . 27
—ofkidney . - . . 356
— serous . . . ‘* . 441
Absence of teats 7 . . 497
Acariasis . i yh)
Accumulation of sweconiuns 312, 504
Acne. - ee, - . 370
Aconite . < < . 211
Actinomycosis . . : . 136
Active congestion . - 85
— hemorrhage. A , - 87
Acute disease . a ‘ . 40
— inflammation. - 35
Administration of chlor for "5
— of drenches . i: 76
— of medicines. 76
Adrenals 244
Adynamia nervosa 407
Aigagropiles 281
— in liquor amnii
Afterbirth. .
Afterpains. 7
Agalactia . .
Age in relation to disease 7
Air . . . .
— expired. .
Albugo .
oR ep HE ne RO wD
ie
a
e
Pr
oo
~w
wo
Albuminuria. x . 854
Alimentary canal. 67, 245
Alopecia 5 z
Alvitis . . m . 278
Amaurosis. . . « 392
Amenorrhea. ‘ 459
American splenic fever
Amnion, dropsy of . 480
Amputation of a foot.
— of the penis .
— of the uterus
— of the vagina
Amyloid . .
Anal fistula.
Anemia . .
Anesthetics .
Anasarca . .
Aneurism . .
‘« Angle berries ”
Anidians .
Animal parasites of skin
— vaccination .
Anorexia
Ante-partum pleeding
Anthracoid affections.
Anthrax . .
Antidotes . .
Antiphlogistics .
Antiseptic surgery
— system .
Antitympanies .
Anus, false «
— impervious .
Aphtha 3
—epizootica .
—genitalium .
— infectious .
Apnea . .
Apoplexy . .
— intestinal .
—parturient .
—puerperal .
— pulmonary .
— splenic . .
‘poehaases of the eye, diseases
of
Application of boiling water
.
.
.
.
°
*
PAGE
- 384
- 452
- 493
- 494
- 20
. 312
16, 96
- 44
. 873, 475
Pr
- 238
. 372
- 475
» 875
- 170
- 67
« 467
- 174
- 174
85, 86
. 49
« 435
« 435
- 85
298, 311
. 312
- 254
- 153
- 173
. 173
9, 16
. 897
- ll
- 408
- 408
» 841
- 181
. 887
- 88
Aqueous chamber, deposits in . 391
Arsenic . . - 215
Arteries . . . 238
— irregular’ ities of . . . 239
Arteriotomy 91
Arthritis. . . . » 425
508
Arthritis, rheumatic .
—scrofulous .
Ascites, 7
— congenital .
Asphyxia . :
— neonatorum .
Asthenia
Asthenic inflamm: ition
Asthma . *
Astringents . .
Astringent poisons .
Atheroma . "
Atmosphere .
Atrophy .
— of the blood .
— of the heart.
— of the omasum
— of the ovaries
— of the skin .
— of the spleen
Auscultation .
Bacillus . ‘
Bacterium of anthrax
Baldness . *
Balls for cattle . .
Barbs , ‘ *
Bearers . 7 .
“« Bed-sores’”’ .
Bending of a bone .
Bile . ‘ .
Biliary calculi . .
Birth, premature.
“ Black cancer” .
“ Black leg” .
“Black quarter” .
Black water” .
Ce
Cr
Bladder, inflammation of .
— inversion of .
— rupture of
— spasm of the neck.
— tumour of . .
Blaine or blain . ‘
Blebs ‘
Bleeding from the lungs
— from the nostrils .
— ante-partum.
Blistering . .
Blood . -
— in urine
Bloodletting
—local .
Bloody flux
— sweat .
“Blown”
Bone, fibro-plastic degeneration
of ‘ ‘
- inflammation of .
ee ee ee ew tt lg
INDEX,
PAGE
- 109 | Bony tumours on orbit
» 129 |} Borborygma . .
. 819 | Bot . c . 3
. 475 | “Bound” . 7 ‘
9,16 | Bowels, diseases of .
. 503 | Brain, dropsy of .
. 16 | — inflammation of .
. 384 | — ossified. . .
. 8837 | — parasites in . :
85,.86 | Breeding “in and in”
. 214 | — special. . .
. 238 | Bronchitis. . .
59, 68 | — chronic . A
. 22 | —parasitic . .
- 96 | Broncho-pneumonia .
. 229 | Bulimia . . .
. 285 | “Bullers ” . .
. 456 | “Bull-burnt” . °
. 373 | Bull-dogs . .
. 243 | Bursal enlargements .
322, 324
Cachexia aquosa verminosa
185, 174,185 | — ossifraga malacia .
.174 | Cecum .
. 373 | Cesarean operation . 2
. 77 | Calcareous tumours .
. 250 | Calcification . .
. 219 | Calculus, cystic .
- 409 | — gastric . .
. 422 | —intestinal . .
. 317 | — lacteal .
. 817 | — pancreatic . .
- 463 | — preputial .. .
- 439 | —renal . . .
- 185 | — salivary .
. 185 | — uretal .. . 3
. 111 | — urethral 3 7
. 360 | Calf, diseases of é
861, 494 | Callous ulcer . .
. 861 | Callus. .
. 361 Campylorrhachides .
. 364 | Canal, alimentary .
183, 369 | Cancer . " .
. 33 | —Dlack . . .
- 341 | —ofkidney . 7
. 828 | — of penis 7 .
- 467 | —of tongue . é
- 88 | Capillary hemorrhage
- 93 | Capping horns. ..
. 853 | Carbuncle. ° te
89 | Carbuncular erysipelas
- 51 | Carbonic-acid poisoning
806, 467 | Carcinomata . 5
. 374 | Cardiac polypi . .
. 272 | Carditis . . .
Caries 7 .
- 1389 | —of molars . .
- 416 | Cartilago-nict?tana .
PAGE
- 388
. , 379
- 299
- 291
- 398
. 394
. 401
- 400
58, 133
« 335
- 336
- 337
« 342
+ 259
- 127
- 453
- 442
. 418
| 464
. 441
- 246
. 389
INDEX.
PAGE
Caruncula lachrymalis . - 389
Caseation . 7 . . 19
Castration fs : . 446
— of cows i ‘ o 457
Catalepsy . * . ‘ . 897
Cataplasmata . e . - 88
Cataract . ‘ . < . 392
Catarrh . - . ‘ . 828
— malignant . : . . 197
Cathartics : : . 803
Catheter, passing the P . 358
Cattle plague . . _ . 160
— bodies . * é ‘ . 166
Causes z . % . 61
—_ determining . . - 38
Cautery, castration by the . 448
Cavernous rfle . f ‘ . 323
Celosomians . a 2 ~A77
Cerebritis . 2 3 . 894
Cerebro-spinal system . « 394
Charbon . . . a . 174
— essential . . . . 181
— external A . i . 185
— symptomatic . - 185
Charbonous gangrene of lungs . 184
“ Chine felon” . « 5 . 109
Chloroform 7 . 44, 74
Choking . . . . . 258
Chorea . . * . . 408
Chronic disease . - - 40
— inflammation * . . 85
Cicatrisation . a - 432
Clamps, castration with . . 449
—vumbilical . i 5 . 296
Classification of poisons . - 204
— of skin diseases . . . 366
“(Qleansing” . . ° . 465
Cleft palate . * oe - 477
Climate . . . . . 59
* Clue bound” . . 3 - 282
“Clyers” . * . 129, 140
Congulable lymph o 6. 2
Coat staring . . . . 366
Celogomians . i ‘ 2477
Coitt, injuries sub. . . 451
Colchicum 7 . ‘ . 211
Cold abscesses—ulcer * - 382
Colic, flatulent . ‘ # . 292
— simple . . . . . 291
Collapse . . . . 45
Colloid . . . 3 18, 438
Colon ‘ . . - 290
lour, effects on skin diseases . 374
ae ee 17, 401
Complication . <
Concentric hyper trophy . . ; 228
Conception, extra-uterine . . 463
Confluent ulcer . . . 6 82
Conformation .
Congenital disease
— hairy tumour
— hydrocephalus
Congestion 5
— hepatic :
— pulmonary .
Conium . .
Conjunctivitis .
Conservative surgery
Constipation
Contagion 3
Continuity, solutions of
Contraction, a a fect,
uteri . .
Contused wounds .
* Copper smoke disease ”
Cord, spinal, diseases of
f
.
.
.
.
.
oO
.
.
.
509
PAGE
61
46, 255
. 387
- 399
35, 53
- 815
. 841
. 211
- 389
. 45
- 302
- 118
- 430
os
- 484
- 430
. 216
- 402
— umbilical, inflammation of . 504
Cornea, opacity of .
Corneitis . °
Corrosive poisons
Coryza . .
Cough.
Counter-irritants .
. 390
- 390
» 215
. 197
10, 65
.» 51
Covered operation of eee 449
Cow-pox . .
Cramp of tongue i
Cranium, fractures of
Crepitation 4 .
“Cripples” ‘
“Crochles” . .
Croup ‘ .
Geonpeus enteritis .
— pneumonia . s
Cud, dropping the .
Cumulative agents .
Cuticular cyst in parotid
“Cutting for the stone ”
Cyanosis . . .
Cystic calculus .
— tumours.
Cystitis .
Cystocele .
Cystic tongue
Cysts 7
— dermopilous
— hydatid .
.
.
.
.
e
.
.
e
Dead fetus .
Death . . .
Debility . . .
Deformity of penis .
Degeneration . .
— cretaceous, of heart
— fatty, of heart .
— of arteries .
— of bone, fibro-plastic
169
. » 253
» 422
324
418
109
192
311
342
248
204
250
364
- 237
- 362
. 441
« 360
» 294
» 253
- 250
872, 442
243, 345
« 475 |
15, 69
- 96
- 451
- 18
+ 229
« 229
» 238
- 139
er ee ee ee
510
INDEX.
PAGE PAGE
Degeneration of cesophagus 256, 258 | Dysorexia. . ~ 6 «6 OF
Delirium . : é , . 401 | Dyspnea . ‘ 7 : - 9
Delitescence . i . 84] Dysuria . . é , . 360
Demarcation, line of. . . 33
Depilation . . « «873 | Har, diseasesof. . . . 887
Depurants i “ ‘ . 84] Eburnation . 3 - 110
Derivatives . . 49, 85 | Eccentric hypertrophy of heart 228
Dermatitis 7 . . 867 | Echinococcus . . . 201, 345
—pustulosa. . . . 869 | — inliver. . z . 316
Dermatophyta . 2 7 . 879 | Ecraseur . is ‘ ‘ . 445
Dermatozoa .. . . 874 | Ecthyma . . . . 370, 476
Dermopilous cysts. . 372, 442 | Ectopia cordis . . 237, 477
Detection of foetus . . - 461 | Ectozoa . . . . 219
Determining causes . . - 38 {| Eczema . ‘ . . - 368
“Dew blown ” 2 . 272 | — contagiosa . ; . 153
Diabetes insipidus. . 116, 352 | — epizootica é . . 153
— mellitus . : 5 . 116 | Effusion » 24
Diagnosis . - 5 . 3 | Elastic band for castration « 448
Diaphragm, rupture of . - 350 | Elephantiasis . . . . 372
Diaphragmatic hernia . . 298 | Eliminatives . . . - 84
Diarrhea . ‘ é . . 304 | Eliminative poisons . : - 215
Dicephalians . . . . 477 | Emasculation . . . - 446
Diet . . . - 58 | Embolism . . fs . . 239
Difficult parturition . - : . 481 | Embryotomy . $ 5 . 478
Digestive system . . . 245 | Emphy-ema . . + 337, 373
Digitalis . . . +212 | —fetal . 3 . - 475
Dilatation of os uteri . - 484 | — infectuosum . * . - 185
— of esophagus s . - 256 | Emprosthotonos > . - 402
—ofureter . : ri . 857 | Empyema . 3 7 - 27, 347
—ofurethra . y 2 - 363 | Encephalitis . . . 394
Diphtheria 7 . . +192] Encephaloid . ° « 357, 438
Disease + 40,41 | Enchondromata : . + 441
Diseases, specific 3 - 116 | Endocarditis 7 . - 229
Disinfectants, internal ; . 85 | Endometritis . ‘ . - 485
Disinfection . . . 76,89 | Enemas . is » . 78
Dislocations. . 7 . 427 | Enlargements, bursal . « 442
— of the patella : . . 428 | Entangling . . . - 7
Displacement of abductor fe- Enteritis . a . - 309
moris . 7 a 7 . 425 | —croupous . . a . 311
Diuresis . . . : . 859 | Enterocele . . . - 294
Doses - 80 | Entozoa . . . . - 219
% Downfall of the udder » . 497 | Enzootics . ‘ * ‘ . 40
Draughts . . . . - 76 | Epidermal tumours . . « 440
Drenches . 4 ; « - 76 | Epidermis, keratoid change of . 371
Dressing feet . . . +» 74 | Epilepsy 7 : 396
Drink s . « 61 | Epileptoid convulsions . . 897
“ Dropping the cud ” . - 248 | Epiphyses, separation of . + 422
— after calving 7 F - 408 | Epiplocele F ‘ - 294
Dropsy F ‘ 22, 25, 53 | Epistaxis . ‘ 7 . . 829
— of abdomen . - 5 - 319 | Epithelial tumours ‘ . 440
—ofamnion . . ‘ - 480 | Epithelioma . . . - 439
— of brain ‘ . - 898 | Epizootics. S . . « 40
—ofjoints . . - 426 | —vesicular . . ‘ + 153
— of ovaries . . . 456 | Ergot . . . . - 208
— of pericardium. . - 235 | Erysipelas. . . . - 191
—ofuterus . . . - 485 | — carbuncular . . . « 185
Duct, milk, infection of . - 501 | Erythema. ‘ . . - 367
Dysentery + 4 + . 806 | —chronica . . .)) . 867
INDEX. 511
PAGE PAGE
Erythema, mammillarum . . 367 | Foetal membranes, diseases of . 480
Essential charbon . - - 181 | — removal of . . : - 466
Etiology . : . . . 2 | — retention of. . « 465
Evil, quarter. é - 185 | Feetid pus. Pe i ; - 29
Examinations, post- -mortem - 17 | Feetus,dead ‘ ‘ - 463
Exanthemata . . - 168 | — detection of . . : . 461
Excipients z * :. 88 | Fog sickness . é . 272, 282
Exciting causes - ‘ 3,61 | Fomentations é . 88
Excreta . . 3 - 12 | Foot. 3 fs . 381
Exomphalos ‘ . 295 | — and mouth Sicewen, ; . 153
Exostosis . ‘ é . 417, 441 | — monstrous condition of - 386
Extra-uterine conception . - 463 | Foreign bodies in reticulun . 281
Extravasation . : 7 - 80 | ——rumen . . * . 281
Exudation ‘ . . . 24 | Foul” : 3 . - 382
Eye . - . ‘ 7 . 387 | “Founder” . : : . 885
— worm in 7 ‘ ji . 891 | Fractures . . ‘ . 87, 420
Eyeball, diseases of . . 889 | — greenstick . i « 422
Eyelids, laceration of S . 888 | — of cranium . 7 i. - 422
— of horns a © 66 421
Feces . . - 66 | —of metacarpals . 5 - 421
“Falling of the read » . . 489 | — of os innominatuin ‘ - 421
Fake anus ‘ . 298, 311 | — of ribs. a @ » 422
— labour pains . . P - 460 | — partial. é fs - 422
— presentation. s . . 468 | Fragilitas ossium . fs . 418
Farcy . . 3 . 191,242 | Free martins . a : - 459
Favus je ‘ 2 . 879 | Friction sound . 7 E - 324
Fatty degeneration . . 19,229 | Fumigation : . . 340
— deposits in spermatic cord . 451 | Functional disorders . . 1, 38
— tumours zi 3 . . 441 | — disease of heart . : . 227
Feet, dressing of 7 . » 94 | — of skin. ‘ 3 . 373
—sore . is . . . 885 | Fungus hematodes . i . 388
Felon chine. ‘ 3 . 109 | Furor uterinus . . . » 485
—joint . 7 : - 109 | Furunculus . . . - 370
Female generative organs é . 455
Fetlock, sprain of : . 423 | Gad-fly . ji . 3 . 878
Fever ‘ - - 99 | Gall-bladder . ‘ ‘ - 317
_ inflammatory . . - 185 | Gangrene. - . . - 382
— parturient . . . . 414 | — of lungs . ‘i . 184
—relapsing . . 5 .- 200 | Gangrenous stomatitis é - 193
— Spanish . : . . 182 | “Garget” apr tas . «497
— splenic. . a 7 . 181 | Gasterocele ‘ . 7 - 294
— Texas . . . . 182 | Gastric vertigo. . . - 897
Fibrinous intestinal casts . . 810 | Gastro-enteritis. . 7 287, 504
Fibromata a ‘ fs . 440 | General symptoms . 462
— interdigital . ‘ . 886 | Generative system, female » 455
Fibro-plastic degeneration of — — male . . , « 446
bone . o ‘ . 189 | Genital aphtha . 5 . 187
Figure of eight suture. . 434 | Glanders . és ‘ . 191
Fistula. ‘ 9% * . 82 | “ Glanders”’ . ‘ . 197
—inano. 5 5 z . 312 | Glands, salivary . . « 248
— of rumen a ¥ . 282 | — vascular < . . « 244
— recto-vaginal ‘ ¥ . 495 | Gleet, nasal ‘ # ‘ » 330
— uterine. ‘ ‘ e . 488 | Gloss-anthrax . x * 188
— vesico-vaginal % % - 495 | Glossitis . ‘ ‘§ 2 251
Flatulence . . 67,292 | Gmelin’s test . ‘ z - 106
Fluke . «© + ~ « 97 | Gonorrhea . «© . . 452
Flux, nasal =. we 828 | “Grain-sick” © 6 1. 278
Fly, tsetze oe 379 | Granulations . . . 380,431
512 INDEX.
PAGE
“ Grapes”. x Z - 127,149 | Hernia ventral . «
Gravel + « . 862} Herpes . . .
Greenstick fracture . . . 422 | Hide bound. .
Gregariousness . ‘ A . 58 | History of cases .
Groove, esophageal . . . 265 | Hoast : 7 .
Grooved needle . . . 14 | Hobbles . ‘ .
Growths, warty . . . 872 | Honeycomb ringworm
Gunshot wounds . . 431 | Hoof, lossof . ‘
Gustation . 7 7 . 393 | Hoose : é
“Gut tie” ‘ . 299 | Horns, fractures of .
Guttural pouch, abscess of - 130 | —overgrowth of .
Hosts . . .
Hematics ; 7 . - 82 | Hoven’ . e .
Hematomata . . 235, 441,495 | Husk : : ‘
Hematuria 7 . . 853 | Hydatids . ° .
Hemo-albuminuria . -111 | Hydramnios . .
Hemoptysis . 5 ° . 341 | Hydrocele . ‘
Hemorrhage . - 80, 58,432 | Hydrocephalus . .
—capillary . i ‘ . 240 | — congenitalis . .
—from the liver . ‘ . 815 | Hydrophobia ,
—fromvulva . . . . 466 | Hydrops articulorum
— umbilical . c . » 504 | — pericardii ‘
Hemorrhagic infarction . - 87 | —uteri . ‘
Hemorrhoids . . - 804 | Hydrothorax i
Hair balls ‘ % a . 281 | Hymen, impervious .
— in liquor amnii_. . 481 | Hyovertebrotomy .
Hairy tumours, congenital . 381 | Hyperemia . 3
Hare-lip . A . : . 477 | Hypertrophy . 3
“ Hawks ” . - 183 | — of blood . 7
Head, methods of fixing . - 71 | — of heart . :
Healthy ulcer . . . - 81-| —of skin . .
Heart F 3 7 . . 225 | —ofspleen . .
— diseases of é 7 . 227 | Hypergalactia .
— misplacement of . . . 237 | Hysterocele
— pouched : ‘ * . 229 | Hysterotomy, vaginal
— rupture of . . . - 236
Heat . . . - 458 | Ichorous pus .
— of inflammation . - 24 | Icterus .
Heel, ulceration of . . - 386 | Idiopathic hemorrhage
sf Hefting” . . A . 498 | — inflammation :
Hemiplegia . . . - 445 | — pericarditis . :
Hepatic hernia . . . . 317 | — tetanus é %
Hepatirrhea . : . - 315 | Ileus : ‘
Hepatitis . . : . . 313 | Immediate contagion
Hepatisation . . . 842 | Impaction of abomasum
Hereditary influence ° - 50 | — bowels . . .
Hermaphrodites ‘ : - 477 | — omasum 3
Hernia . . 2 . 294 | —rumen. ‘ .
_— diaphragmatic é . . 298 | Imperforate vagina .
— hepatic . > ig - 817 | Impervious anus .
— inguinal . . . - 298 | — os uteri . .
— mesenteric . 2 . . 298 | —teats . . .
—ofrumen . . . . 282 | Impetigo. . ,
—pelvic . : . - + 299 | Incised wounds . é
— phrenic . . . - 298 | Incisors . .
— scrotal . . 3 + 298 | Incontinency of urine
—vumbilical . o 13s - 295 | Indigestion .
—uteri . * ; ‘ 299, 494 | Induration of mammar y gland .
ee we ew tM we ew
20
ee 6 we te tw ww
ee ey
oe Se we ee
PAGE
. 297
. 367
. 366
» 5
. 837
. 72
- 879
- 385
« 337
- 421
. 386
. 219
. 272
- 337
243, 442
- 480
. 451
- 398
- 899
. 199
.
. 235
» 485
. 346
« 483
- 333
- 95
- 228
- 871
- 248
- 503
» 494
+ 482
+ 293
- 118
- 286
. 292
» 282
. 278
- 481
. 312
- 482
- 498
- 469
» 400
+ 245
» 359
« 286
498
INDEX.
PAGE
Indurations of thyroid. - 244 | Kidney, abscess of .
— of tongue - 252 | — encephaloid of
Inertia of uterine walls - 484 | — inflammation of .
Infarction, hemorrhagic . - 87 | Koch’s bacillus . .
Infection . ‘ 7 60, 118
Infectious aphtha - 173 | Labour pains, false
Infiltration =, ‘ 20, 27 | Laburnum
Inflamed ulcer . ‘ ; - 381 | Lacerated wounds
Inflammation . 23, 35 | Lacerations of the cyelids .
— of the blood . - 99 | — of the uterus
— of the brain . + 894 | Lacteal calculi .
~— of the heart . ‘ : + 228 | Lactiferous apparatus
— of the pericardium - 231 | Lactorrhea . .
— of the spleen F . - 243 | Laminitis . . .
inflammatory fever . : - 185 | Lands, scouring .
—uleer . . : : - 81 | Laparotomy .
Infusoria . : ‘ : + 218 | Laryngitis’...
Inguinal hernia 3 . 298 | Laryngotomy . .
Inhalations ; - 79 | Larynx, fractures of .
Injection, hypodermic » + 79 | — tumours of .
—intravenous. . . + 79 | “ashing”? .
— subcutaneous . 5 - 79 | Latent period . 5
Inoculation . 2 - 46,118 | Landable pus . :
— for anthrax . 180 | Lead. :
— for cattle plague .. 165 | Leading a bull.
— for pleuro-pneumonia ie 150 | Legislative measures
Inspissated pus . . - 27
Interdigital fibromata
Interlobular emphysema 337
Interrupted suture . 434
Intermittent fever . z - 101
Interstitial pee ', 848, 345
Intestines . . 288
— malformations of . 312
— parasites in . : 5 - 312
— tumours of . . 312
— ruptures of . . - 311
Intestinal apoplexy . - 811
—casts . : . - 310
Intimate pathology ‘ , . 17
Intussusception : » 292
Invagination ‘i « 292
Inversion of bladder . - 494
—ofuterus . . . 489
—ofvagina . - 493
Irregularities of arteries . 239
Irritant poisons 6 . 204, 214
Irritation venteuse . 804
Ischuria . . « 858
Isdstion @ sel
Jaundice . = ri i - 105
“ Joint felon” : : - 109
Joints, dropsy of 4 ‘ - 426
— inflammation of 3 ~ 425
Keratitis . ° : . 390
Keratoid change of skin . . 871
Leucemia. i eS
Leucocythamia
Leucorrhea . “
Lice .
Ligamentum teres, sprain of
Ligature for castration
Lightning shock
Limbs, fixing of
Lipomata .
Lipomatous paralysis
Lips. . . .
Listerism . . .
Lithecstasy 7 -
Lithonlytics :
Lithotomy
Lithotrity. .
Liver, congestion ae.
— inflammation of
— ruptures of .
— softening of . .
Lobar oe
“ Locked jaw ”
Loo . 3 :
Loss of a hoof . ‘
Lousiness . ‘
Low. . < 5
Lumbago . s .
Lung disease . .
— induration of -
— inflammation of
—woundof . .
Lusus nature . «
.
83
513
PAGE
. 856
. 857
. 355
. 135
. 460
. 218
, 4
. 388
. 488
. 501
. 496
. 5OL
. 385
306
. 298
. 3380
. 832:
. 833
. 333
. 4417
123
29
. 218
. 47
- 104
- 495
. 378
» 424
. 448
102
71
441
406
. 245
435
363
oO
aS
364
. 363
. 815
. 813
. 815
. 316
. 842
« 402
. 882
» 885
. 378
. 882
. 109
- 141
. 842
» 845
» 478
514
Luxations . : .
Lymph adhesions.
—coagulable . .
— vaccine .
Lymphadenoma
Lymphatic system
Lymphoma : .
Lymphy deposit in
chamber . .
Maggots . . .
Male genital organs .
Malformations of heart
— of intestines . .
—of palate .
—ofuterus . ¥
Malignant catarrh
— sore-throat .
— tumours ‘
Mammary gland
Mammitis . Z
— from eczema .
— septic . .
Mange . .
Mania puerperalis .
Manipulation
Manual exploration .
Manyplies. .
“ Martins ”
“ Mawbound’”’
Meat, scrofulous
Mechanical congestion
Meconium, accumulations of, 312, 504
Mediate contagion .
Medicine . . .
Medullary sarcoma
Megalomelians .
Megrims . . .
Melanosis .
Membranes, fotal, diseases of
— — retention of is
Meningitis, tubercular
Menstruation .
Mensuration . .
Mercury . -
Mesenteric hernia
Metacarpal, fracture of the
Metastasis . ‘
Meteorisation
Metritis . é
Metro-peritonitis
Miescher’s bodies
Miliary tubercle
Milk. ‘
— changes of quality
—fever .
_ pathological .
— sickness .
INDEX.
PAGE PAGE
‘ . 427 | Misplacement of the heart - 237
7 + 25 | Molars. . . . . 246
‘ . 25 | Monstrosities . 475
5 . 170 | Monstrous condition of foot . 386
i . 243 | “ Moor-ill” 3 . i . 308
‘ . 242 | Morbid anatomy . 17, 69
. 243,441 | Mortification . < 32, 52
aqueous Mucous membranes . “ » 65
891 | —rale. ‘ : . 823
Muffle : . . s . 328
. . 879 | “ Muir-ill ” : 7 . . 111
. . 446 | “Mulling” 7 . . . 446
. . 287 | Multiparity . . . . 463
. 812 | Murrain . 153
. 255 | Muscles of mastication . 247
. 494 | — parasites in . * P . 425
. 197 | Myelitis . i s . 402
. 188 | Myo-carditis . : s . 228
ce . 487
. 496 | Nevus . 7 id : . 871
. 497 | Narcosis . . ‘ ‘ . 401
. 155 | Narcotics . . 209
. 190 | Narcotic poisons é . 209
. . 875 | Nasal polypus . . - . 329
. . 414 | — flux ‘ é . . . 330
7 . 827 | —gleet . : . . . 828
5 - 18 | Nausea . 7 . : . 67
. . 267 | Nebula. . 390
. . 459 | Neck of bladder, spasm of . 3861
. . 278 | — of womb, torsion of . 483
rn . 184 | Necremia. . ‘ . 16, 102
Fi 85 | Necrosis . . * . 383
Nephritis . . 855
? . 118 | Nerve, phrenic, division of . 414
7 . 82 | — sympathetic. 5 : - 414
z . 488 | Nerves . : 4 . 414
. . 477 | Nervous system. : 7 . 394
‘ . 896 | Nettle-rash . . A . 869
. 489 | Neurosis . . 7 7 . 374
. 480 | Neurotics . és ‘ 83, 204
< . 465 | Neurotomy s . 3 - 414
. 129 | Non-secretion of urine ‘ . 353
‘ . 458 | Nostrils, bleeding from . . 329
4 . 827 | Number ata birth . ‘ - 463
. 49 | Nursing . . « 46, 62, 75
- 298
. 421 | Obstruction in teats . 2 . BOL
. 84 | Gidema . é 5 2b, 373, 475
7 . 272 | —unbilical . . . 504
. . 485 | Cisophageal groove . . 266
‘ . 486 | Gisophagitis . « 256
. . 425 | Csophagotomy . - 263
. . 139 | Csophagus , . . » 255
. 69, 501 | — dilatation of : . 256
. 508 | — fibrous degeneration of . 256
- 408 | —ruptureof . . . - 257
. 29 | —stricture of . 3 . 256
- 141 | Cstral products, profu G3 » 459
INDEX. 515
PAGE PAGE
Gstral retained . ‘ . 459 | Parasites in nasal chambers . 330
— suppressed ‘ 5 . 459 | — in esophagus . 257
CGistriasis . . 3 . . 878 | —inrumen. é ‘ . 281
strum . . s ‘ . 458 | —vegetable . ‘ . 224
Omasitis . 284 | Parasitic diseases of the skin . 374
Omasum . 3 ‘ js . 267 | — bronchitis . 887
—atrophy of . a 5 . 285 | Parasitism, partial . 217
— impaction of . ‘ . 282 | Parasitismus . ‘ . 216
Omphalitis . 504 | Parotiditis . 250
Opacity of the cornea . 890 | Partial fracture - 422
Open synovial sheaths . 425 | Parturient apoplexy . - 408
Operations ‘ . 43 | — fever . 189, 414
Ophthalmia, periodic . 891 | — septicemia . : . 189
— simple. . . 889 | Parturition 5 “ . 464
— specific . : . . 891 | — difficult : ‘ . 481
Opisthotonos . . . 402 | Passages, urinary ij . 357
Opium. S - . 209 | Passing the catheter . ; . 858
Orchithlasis . 446 | —the probang. . 261
Orchitis . x . 450 | Passive congestion 35
Organic disease of the heart . 227 | — hemorrhage. . 37
Organs of special sense . 366 | Patella, dislocation of « 428
Orthopnea é 5 ‘ - 9 | Pathognomonic. 5
Osseophytes . , s . 418 | Pathological milk 29
Osseous tumours é . 447 | Pathology, intimate . - 7
Ossified brain . s . 401 | “ Paunching ” : . 279
Osteoporosis . 419 | Pelvic hernia . 299
Osteosarcoma, . 189 | — symphysis, relaxation of | 427
Ostitis . 416 | Pemphigus S . 370
Os uteri, dilatation of 484 | Penetrating wounds of foot . 386
— imperfect contraction of |. 484 | Penis, deformity of . - 451
— impervious . 482 | Percussion . - 326
Otitis 5 887 | Peforation of intestine . 311
. Ovaries, atrophy of . 456 | Pericardial dropsy . . 235
—dropsy of . . 7 456 | — rupture . » 235
Ovariotomy . 5 457 | Pericarditis e . 231
Overgrowth of horn . 386 | Period, latent . - . 123
Periosteotomy . 3 f . 417
Palate, malformations of . 255 | Periostitis. F a . 417
Palliatives ‘ 5 42 | Peripneumonia . . 141
Palpitation of the heart . 227 | Peritonitis 7 . . 318
Palsy ‘ 404 | — puerperal - 486
Pancreas, diseases of 3 818 | Persistent hymen . 482
“ Pantas ” . . is 808 | Perversion of gustation . 893
Panzootic . é . 40 | Pervious urachus . 862
Paps. ‘ ‘ . 250 | Petechia . é » BF
Paracentesis abdominis - . 820 | Pettenkofer’s test . 106
— thoracis : ‘ . 848 | Phagedenic ulcer . 82
Paralysis . 4 3 4 . 404 | Pharyngeal polypus . . 255
— of retina ° . 892 | Pharyngotomy . . 332
—oftongue . . . . 253 | Pharynx . . . 255
Paraplegia . . . 445 | Phlebitis . . . . 240
Parasites . ‘ ¥ . 216, 222 | Phlebotomy ‘ ‘ . 89
— in blood a ‘ . 201 | Phlegmon. - 28
— in brain - 2 ci . 400 | Phosphorus poisoning . 209
— in heart ‘: : . . 236 | Phrenic hernia . 3 ‘ . 298
— in intestines . . . . 812 | Phrenitis . 6 : s - 394
— in kidney . . . 857 | “Phrensy” . ® . . 895
—jinmuscles , sy ; . 425 Phthiriasis ’ ’ ’ . 378
516
Phthisis pulmonalis
— — verminalis
Phymosis é .
Pigmentation .
Piles. 3 .
Pityriasis .
Placenta praevia
Plenalvia .
Plethora . .
Pleurisy .
Pleuritis . i
Pleuro .
Pleuro- -pneumonia contagioss
— exudativa
— pathology of
— sporadica
— zymotica
Pleurosthotonos
Pneumonia
Pneumonitis .
Pneumothorax .
Poisoned wounds
Poisoning, carbonic anhydride
Poisons
se ew eo eh we we
eh lee eh ar id
Polymelians ° .
Polypus, cardiac % F
—nasal . : " .
— pharyngeal . . .
—vesicular . ‘ .
Polysarca . 2 . .
Poppy poisoning
Porcellaneous deposit
Post-mortem examination
“ Pouched heart ”
Poultices . .
Poverty of the blood.
Powders . .
Preputial calculus 7
Precocity . : 7 .
Predisposition . . .
Pregnancy . s .
— signs of : -
Preliminary treatment .
Premature birth .
Premonitory symptoms
— passing the .
Proctatresia . i
Profuse urination .
Profusion of cestral products
Prepubic puncture . .
Presentation, false. i
—true . . ‘ 7
Prevention ‘ ‘
Pricks . i .
Primary disease . :
Probang . ‘ ‘ .
— corkscrew ‘
— forceps : ‘
INDEX.
PAGE PAGE
. 126 | Prognosis . . - 14,68
. 887 | Progressive paralysis : - 406
. 452 | Prolapsus ani . . 5 . 801
. 20 | —recti . ° . 301
. 804 | — uteri a . 489
. 871 | — vesical . . 361
. 466 | Prolonged utero-gestation . . 463
. 278 | Prophylaxis . - 46
. 95 | Proritus . , - 874
. 846 | Prussic acid poisoning . 211
. 8346 | Psoriasis . ; . ‘5 . 367
. 141 | Ptosis ‘ . . ‘ . 389
. 141 | Ptyalism . é - 66, 249
. 141 | Puerperal apoplexy : . . 408
. 146 | — mania . : : é - 414
. 8349 | — peritonitis . . . . 486
. 141 | Pulmonary apoplexy . - 341
. 402 | — congestion . . 341
. 842 | Pulse $ , ‘ a 6, 62
. 342 | — venous. . . . - 62
. 849 | Puncture of rumen . 3 . 276
. 480 | Punctured wounds . . . 430
. 105 | Purgatives . . - 803
. 203 | Purpura heemorrhagica : . 115
. 477 | Purulent infiltration . ; - 27
235 | Pus . ‘ . 26, 29
329 | Puschima . $ . - 160
. 255 | Pustular dermatitis . é . 369
864 | Pyemia . - - 188
. 475 | Pylorus, stricture of . F . 286
210 | Pyrexia . - 99
110
88 | “ Quarter-evil” a . 185
229 | Quilled suture . * ‘ « 434
88
96 | Rabies . : é . 199
78 | Rachitis . . 419
365 Railway trucks, disinfection of. 89
460 | Rainey’s bodies. fi . 425
72 | Rale. : x * « 323
59 Ramollissement : . - 316
461 | Record of cases : : » 6
44 | Recto-vaginal fistula - 495
463 | Rectum, distension of ‘ - 812
4 | —ruptureof .. ‘ . 311
359 | Red water i - lil
468 | Relapsing fever . 200
- 467 | Relaxation of pelvic symphysis. 427
46, 75 | — of teats . BOL
. 886 | Renal calculus . : » 836
- 5 | Repair . e 3 - 431
. 261 | Resolution - ; . 384
- 262 | Respirations ‘8, C4, 321
- 262 ee organs . . 821
. 261 | Res is ; . 48
. 812 ar » 71
. 352 | Results of wounds . 436
. 459 Retention of foetal membranes - 465
INDEX. 517
PAGE PAGE
Retention of cestral products . 469 | Scirrhus . oe . « 437
— of urine . ‘ < . 858 | —oftongue . . . » 252
Reticulum 2 : . . 267 | Scleroderma . : . . 371
Retina, paralysis of . ‘ . 892 | Scour ‘ : . 288
Retinitis . s . ‘ . 891 | Scouring lands . $ . 806
Revulsives - . . 85 | Scraping, castration by . . 448
Rheumatism. é . 108 | Scrofula . 7 . . . 126
Rhonchus. . ‘ ‘ . 823 | Scrofulous meat : . 184
Ribs, fractures of. a . 422 | — tumours ‘i j . 129
Rickets . ‘i ‘ . 419 | Scrotal hernia . 2 . 298
Rinderpest ‘ é - 160 | Secondary disease s . 5
Ringing a bull . s . 72 | Sedative poisons ¥ weld,
Ringworm, contagious. . 8379 | Sedatives, local . s . 51, 86
—honeycomb .. *: . 880 | Segregation . s 76
—non-contagious . 7 . 369 | Senile ulcer . . 82
Ropes for throwing . . . 73 | Separation of epiphysis A » 422
Rot . . . - . 97 | Septic mammitis 7 . 190
“Rotten” beasts 5 . 8306 | Septicemia . . . 188, 189
Rumen. . ‘ ‘5 . 266 | —parturient . s ; . 189
Rumination . . . 269 | Sequestrum . . i . 33
Ruminotomy . . . 279 | Serous abscess . F ‘ . 441
Rupture of abomasum af . 286 | — extravasation i . 36
— bladder s : . . 861 | Serratus magnus, rupture of . 424
—diaphragm . ‘ ‘ . 350 | Setons : - 92
— gall-bladder . . . . 817 | “Setting” a bone . . 421
—heart . . . % - 2386 | Sex . . ‘ é 61
— intestines . . 7 . 811 | “ Shackling ” a - ‘ . 71
— liver s ‘ ‘ . 815 | Shock . . é . - 8
— esophagus . z ‘ . 257 | Shoeing . . : . 385
— pericardium . . . . 235 | Sibilus. F . . 323
— rectum 7 s . 811 | Sideline . ; F . 171
—rumen . . 7 . . 280 | Simple hypertrophy F . 21
— serratus magnus . . 424 | —uleer . . . > - 382
— spleen . ‘ . 243 | Singe ~ ‘ . 369
— suspensory ligament : . 424 | Sinus . . . . . 82
— urethra . : . 363 | Skeleton . 5 . . . 415
— uterus . ; ‘ . 488 | Skin. : . 5 is - 68
— vagina . ; : . 495 | — diseases of . ‘ . . 866
—veins . : ‘ . 241 | Skit. . i . . 288
—vulva . , . 495 | Slinging . : " . - ‘7
— white fibrous band : . 423 | “Slinking” acalf . . . 461
Rutting . s ‘ . 458 | Slipping a calf . r a . 461
. Sloughing : . . 33
Sabulous matter : . 862 | Smallpox in cattle : 7 . 169
Salivary calculi ° . 250 | Soft stricture, os uteri =. - 482
— glands. : ; j . 248 | Solutions of continuity . Oe
— — inflammation 0: . 249 | Sore feet . . 3 . . 885
Salutary inflammation 47 | —teate . 2 . 367, 500
Sanguineous extravasation 86 | — throat, malignant . . 183
Sanious pus. . 29 | Sounds, respiratory . a . 823
Sarcocele . . . 451 | Spanish fever . . ¢ . 182
—tubercular . : . 451 | Spasm of the bowels. - 291
Sarcomata a . « 488, 440 | — of neck of bladder J . 861
Scab, healing undera . . 482 | —ofosuteri . . . . 482
«Secanterers’”? . sy » . 808 Spay ing . . * . 457
Scarlatina ‘ 3 4 . 115 | Special breeding * * 47
Schistomelus . . 477 | — stimulant poisons . ‘ . 208
Scirrhous udder a ° 498 | Specific diseases . ‘ . 116
518 INDEX.
PAGE PAGE
Specific inflammation . . 84 | Supra-pharyngeal glenda, sup-
—ophthalmia . ‘i . 391 puration of , . 130
— pus , 5 . . 29 | Surfeit . ‘ * . 869
—uleer . : 3 . . 82 | Surgery, antiseptic : : » 435
“ Speed’ . . e . 185 | Surgical treatment . - 42
Sphacelus . . A . 82 | Suspensory Heese rupture of 424
Spina ventosa . . 189 | Sutures . ‘ ‘ - 434
Spinal cord, diseases of . 402 | Swelling . . . 2 - 24
Spirilla . éj - 201 | Sweat, bloody . é . 374
Spleen, hypertrophy of . . 243 | Sympathetic nervous system . 414
Splenic apoplexy i . . 181 | Symphysis, pelvic, relaxition of 427
— fever . . : . 181 | Symptomatic fever . : . 99
—— American 7 ‘ . 182 | Symptoms . : . . 38
Spongio-piline . . A . 89 | — general ‘ : : . 62
Sporadic diseases . : . 40 | —objective . - 3, 65
— pleuro-pneumonia . . 849 | — subjective 3, 65
Sprain. . . . . 423 | Synovial membranes, inflamma-
—offetlock . F 7 . 423 tion of . 427
— of ligament teres . . 424 | — sheaths, open 4 r » 425
Spray diffuser . : 7 . 44 | Synovitis . = . . » 427
“Staggers” . : 7 . 282 | Syphon, milk . : . - 503
Staggers . . 5 . . 896 | System, antiseptic . » 435
— stomach 7 : 2 . 284
“Stamping out” =. : . 150 | Tabes mesenterica . . . 127
Standing castration . : . 450 | Tapping the belly . : . 820
Staphyloma - « .890 | —chest . . . . . 848
Staring coat. 3 7 . 866 | Tartar emetic . 5 : . 83
Sterility of female . 459 | Taste 5 . . 893
—male . 5 : . 451 | “Tearing” process of castration 449
Stertor . ‘ . 10 | Teats, absence of « 407
Sthenic inflammation - . 84 | imperforate state of . 497
“ Stiffness ”’ . . 418 | — obstruction in . ‘ - 501
Stimulants . ‘ . 86,208 | —sore . 5 i . 867, 500
Stinge ‘ : . f . 869 Teeth is ‘ 3 . 246
Stomach-pump . é . . 81 | Temperature, surface a » il
— staggers é . 284, 401 | — internal ‘ 10, 64
Stomachs . : rm : . 266 | Teres, ligamentum, aprain of 424,
Stomatitis gangrenosa ‘ - 190 | Testicle, diseases of . j 450
—pustulosa . . 173 | Tetanus . ‘ 3: e « 402
Stone, cutting for the % . 864 | Texas fever x ‘ ‘ . 182
Strangles . s 5 . 191 | Thoracentesis . . 348
Strangury - . 860 | Thrombus 239
Stricture of cesophagus . 256 | — of veins ‘ . . 241
—ofosuteri . 3 s . 482 | Thrush in the mouth 254
— — soft ‘ . 482 | Thymus body . ; ‘ . 244
—of pylorus . a : . 286 | Thyroid — 3 244
—ofurethra . . . 865 | “Tic” ‘ ‘ 346
Stringhalt ‘ ‘ - 408 | Ticks . . 379
Strongylus micrurus 5 . 837 | Tinea favosa , 379
Strumous pus . ‘i ‘ . 29 | —tonsurans . 380
Strychnia * . . . 208 | Tines 7 . . 379
Subacute disease . . - 40 | Toleration . . 7 58
Succussion . : , . 827 | Tongue . . 250
Suction trocar . . - 441 | —cancerof , 140
Superfetation . . . - 463 | —crampof . : 253
Superpurgation % - 803 | — cysts of ‘ ‘ _ . 258
Suppression of cstral products - 459 | — induration of ‘ : . 252
Suppuration . + « 26, 52
— inflammation of , : . 25]
Tongue, paralysis of .
— scirrhus of . 7
— ulcers of ‘
Tonsils .
Torsions in castration
— of uterine neck
Toxic agents.
Trachea . é -
Tracheotomy .
Transfusion
Transmission of tubereulois
Traumatic hemorrhage
— inflammation
— pericarditis .
— tetanus 7 .
Treatment 3 '
—- of inflammation .
— of specific diseases
Trembles .
Trismus . « .
—nascentium . ‘
Trocar, suction . *
Truss, Delwart’s
— uterine i ‘
Tsetze fly . : .
Tubercle . ‘
— in man é
Tubercular meningitis
— sarcocele ‘
Tuberculosis .
Tuberculous ulcer
Tumours . .
—calcareous .
—cystic . i
—epidermic .
— epithelial
— hairy congenital .
— in genital passers
— innocent
— intestinal.
— laryngeal
— malignant
— non-malignant
— of veins
— ordinary simple
— osseous
— scrofulous
— uterine
— turnsick
Twins
Twist of the bowels i
Tympany . .
Typhoid ulcer
Udder, dropping of .
“Ulceration . .
— of the heel . @
Ulcers . . .
e
INDEX. 519
PAGE PAGE
. 253 | Ulcers of the tongue. s - 254
. 252 Umbilical cord, inflammation of 504
. 254 | — hemorrhage . « 504
. 254 | — hernia . 3 é » 295
. 448 | Umbilicus, edema of ‘ - 504
. 483 | Uninterrupted suture 4 « 434
. 116 | Urachus, cua . 362, 504
. 383 | Uremia - 108, 353
. 831 | Uretal calculus” z . 857
. 16 | Ureter, dilatation of . - . 857
. 182 Urethra, calculus of . . 865, 452
36 | — dilatation of. . ‘ . 863
. 84 | —rupture of . ‘ F . 363
. 231 | — stricture of . 7 . » . 865
- 402 Urethritis . 7. . 455
46,69 | Urinary passages. . 387
. 47 | Urination, profuse . . 859
. 123 | Urine ‘ : 67, 112, 851
- 141 | — blood in 7 C} 7 . 853
. 422 | — disorders of . 2 ot » 852
. 404 | —Zincontinence of . 7 . 859
. 441 | — non-secretion of . . 353
. 493 | — retention of . m : - 358
. 492 | Urticaria . 4 . - 115, 369
. 879 | Uterine dropsy . . . . 485
. 180 | — fistula . a . 488
. 188 | — furor ‘ 7 . 485
. 129 | — hemorrhage. . ‘: - 466
. 451 | — hernia . . F : + 494
. 126 | — inertia . : ‘ s . 484
. 186 | — inversion ‘ . 489
. 486 | — malformation . 494
. 441 | — prolapsus. @ ‘ . 489
364, 441 | — rupture . 488
. 440 | — tumours « 494
. 440 | Utero-gestation . 460
. 891 | —prolonged . 2 ‘ . 466
. 481 | Uterus, amputation of . 493
. 440 | — inflammation of ; » 485
. 312 | — laceration of a‘ 7 » 488
. 833
. 437 | Vaccination . ; ‘ « 47
. 440 | — animal. . . . 170
. 242 | Vaccine . - 7 . . 170
. 440 | Vaccinia . . « 3 . 169
. 441 | Vaccinoides . é - . 169
. 129 | Vagina, imperforate . : . 481
. 494 | Vaginal amputation . ; - 494
‘ . 400 | — hemorrhage - 466
: | ANT, 480 | — hysterotomy . . 482
293 | —imversion . 7 + 493 |
67, 272 | — rupture is ‘ ‘ . 495
. 136 | Vaginitis . a 8 : . 495
Varicella . . . - 169
497 | Varicocele : is . 242, 451
29 | Varicosity A ‘ ‘ « 241
386 | Variola ‘ . 169
. 81 | —ovina . . - 171
520
Vascular glands .
Vegetable parasites .
— of the skin . .
Vehicles . 7
Veins, tumours of
Venesection .
Venous pulse. .
Ventral hernia .
Verruce . 5
Vertigo . . .
Vesical calculus ‘
Vesico-vaginal fistula
Vesicular emphysema
— epizootic
—sound .
Vicarious activity .
Volvulus . ; .
Vomition . : .
Vulval rupture . .
Warbles . 7 .
Warts 7 .
Warty gr owths . .
INDEX.
PAGE ' PAGE
. . 243 , Water. 5 ‘: ‘ . 61
. 223, 224 | — boiling. ‘ ‘i . 81
< . 223 | “ Water bladder ae % . 465
88 | Weak ulcers Fi ‘ - 82
: . 242 | “Wens”. . . 129, 140
. 89 | “ Whites” é 7 ‘i . 495
‘ 63 | ‘White skit” . : : . 288
. 297 | Wind sucking . 3 ‘ . 346
, 372 | Womb, dropsy of . . . 485
* . 282 | — inflammation of . * . 485
: . 862 | — torsion of neck . . . 483
3 . 495 | “ Wood-evil” . ; ‘ . 808
‘ . 8837 | Worm intheeye . 7 . 391
‘ 153 | Wounds . < : - . 430
‘ . 824 | —of arteries . 5 ; . 239
z 49 | —oflungs . . p . 845
x . 293
- 67, one Yew, effects of . é * . 212
: : Yeo on pleuro-pneumonic lesions 146
3 378 Young animals, diseases of very 504
. . 872
. . 372 | Zymotic pleuro-pneumonia - 141
ADLARD AND 80N, PRINTERS, BARTHOLOMEW CLOSE, LONDON.
; Avcust, 1893
A
CLASSIFIED CATALOGUE
GENERAL LITERATURE
; | . , PAGE
BADMINTON LIBRARY (THE) - - : * * - ‘ > 9
BIOGRAPHY, PERSONAL MEMOIRS, ETC. - ‘ 2 f : 6
CHILDREN'S BOOKS - : - = ’ é Z é bs
CLASSICAL LITERATURE, TRANSLATION, ETC. - 3 oe : x4
COOKERY AND DOMESTIC MANAGEMENT .- : : , 5 ; =
‘EVOLUTION, ANTHROPOLOGY, ETC. : F 2 - faa he és
FICTION, HUMOUR, ETC. 2 : : . ; : 48 3
HISTORY, POLITICS, POLITY, AND POLITICAL MEMOIRS - ; : : sa
INDEX OF AUTHORS - : ’ ; : : ‘ . : :
LANGUAGE, HISTORY AND SCIENCE OF - : : 5 : : 1g.
MENTAL, MORAL, AND POLITICAL PHILOSOPHY - 3 : : : 13,
MISCELLANEOUS AND CRITICAL WORKS - ; : : 3. (Se -
POETRY AND THE DRAMA - : : : : - “hos ie
POLITICAL ECONOMY AND ECONOMICS - : : ‘ nt, “i <4
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SILVER LIBRARY (THE) = 2 ‘ . - : fe oS. we
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TRAVEL AND ADVENTURE - : : ‘ - 5 2 mE ap
WORKS OF REFERENCE -~— - . : - 1 a 20
LONDON
LONGMANS, GREEN, AND CO.
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INDEX OF AUTHORS.
Page _ Page
Abbott (Eselya) - + + 3, 14 | Halliwell- “Phitlipgs (JJ.O) - 4%, is Plato 2 se ee sa
— (T, K.) - - + 10|Harrison(Mary), - - - 23] Pole(W.) — yw ae cao CHS,
‘Acland (A. H. D) - ee 3|Hagrison (Jane E.)- - - 14| Pollock (W. H)- ee
Acton (Eliza) - — - - - 22|Harte (Bret) - - - - 17| Poole (W. H. and Mrs.) - 3
__ fEschylus > »« « « ag¢|Hartwig(G) - += = 48, ie Praeger(F) .= = a te
Allingham (W.) - - -~- 15| Hassall (A.) DoT 178) pratt (A. E,) eee we. Ve
Anstey (F.)- - - - 16 | Hearn (W. EB.) - - - 4,11] Prendergast (J. "P) - - <
Aristophanes - - - ~ 14| Heathcote (J. ML. &C. J. ) al Proctor (Richard A.) i; H
Aristotle- = - - - = 10 | Helmholtz a ) - - ca Raine (James)- —- aes
Apmsitong (E.) - - - 3 | Henry (W. - Ransome (Cyril) - : 7 ;
— i - Savage) - - 15 Hodgvon (hadworth H. \- - 11, 24 | Reader (E. E.) - - = 21
EJ.) - 6,15, 23 | Hooper (G.)_ - a oe 6| Rhoades (J.) -~ + + 14,16
‘Arnold { ir Edwin)- - + 9 315|Hopkins(E.P.) - - - to|Ribot(T) - - - °
Arnold (,) S Eee ee ee ae
Ashley (W. J. he - - 13|Howard (B. D.) eee 6 Richardson (Sir B. Ward) ‘ ae
aoe du Lys (Author of) - - 16 oe (William) - - - g| Rickaby (John) ese cS zs
: - - II ulla! ohn) - - - ® _ - - i
Bagehot (Walter) - - 6, 13, 23 | Hume it evi) - - - a Riley (f. W) - - - 16
Bagwell (R.) - - - - 3| Hunt (W.) cee qn eeyhs See Pe
Bain (Alexander) - - - rz | Hutchinson (Horac e G.)- - Ble a (A) - - = 8
Baker (James)- - - - 16|Huth (A. H.) - st re] Roget (John Lewi z
Baker (Sir S.W.) - -— - 7 | Hyne Cc. Cc) ee) ome oe es ee peter M pe) Ee i: 4
Ball (J. T.) - ee 3 | Ingelow ean) so » abe ah Romanes (G. J.) - SB
“Baring-Gould(S.) -- ° 23 Jefferies (Richard) - °° | Ronalds(A) = =~ o
Barrow (Sir J. Croker) - = - 15 | Jewsbury eae - - a Roosevelt (T.)- i 4
Beaconsfield (Earlof) - - 16,17} Johnson (J. & ip H.) - - oe Rossetti (M F Ee eh eke :
Beaufort (Duke of)- - = - 9 Jeraeieae th) ae IR aa H Be SEE Ce ah
Becker (Prof) - - - - 14|Jones(E.E weeks ae Ge ech A F. ee See 1 SS 2
Bell (Mrs. Hugh) - - - 18|Jordan(W. th a ah Sewak ny 5 ae
Bent J. Theodore) =< 7|Joyce (PW) = > eee os ee
Bjornsen (B.) - ? = = 15 | Justinian - - - - = # She: ran (M je 5 E i 16
Boase(C.W.)- - - - 4 ines (Nec eee «58 TT Shisres (L. iv esas > 9
cir: DD athemeetem. = “etl eeergaey. 2 5 a
“Boyd (A.K.H.) - + - 6,23] Kitchin (G. Ww.) ee ay Si ote iE Peay ses Sores ae
Brassey: (Lady) - ee 7 | Knight (E. F.) a ae 4 as 2 watth) oe 9
: ~ Bray (| and Mrs.) - - - 1r|Ladd(G.T.) - ar c eles caworth) ? Bs
Brenda’ - * + + 20] Lang (Andrew). 4, x0, 14, 5 17, 20, 24 | Southey (R.) , 2 lot a
Buckle (H. T.) - ee 3 | Lavisse .) ee adi eddin J. a Oe
Bull(T)- - - + + 22] Lear (HLL Sidney) > please te Pe: Oe oe
Burrows (Montags) === “g | Lecky (WE. HY 7 4 Misieet eee
ury(Viscount - - - og ee mae Nee sie oe 9
Bulageats a = 2 a8} pediem, a ts. ae cote. 2 LF
~——(Samuel)- - - - 23/Lewes(G.H.)- - - a eee Be Be ac 5
Campbell-Walker (A.) - — - 8|Leyton(F.) - - «- = oe eS Morse) Seat e 2
gCewie(thome) © o..-< galteectiGhs < oe eon tite 5 ivae
. Garde (W.D.) - . eee oo 3 | rofde (W. J) - 7 - 4 ‘Stevenson (Robert Louis) 16, 18, 21
Chesney (SirG) . | a een a} 8) oe 4 | Stock (St. George) - aa 6 me aS
‘Chetwynd (Sir G) - oe 8) Longman (F.W.) - — - = 1g Strong (HY oe ag
ele e) - + 1|Longmore (Sir T.) - -- : ce Gee) eee es 3
olmondele: -Pennell H.) - "i
Se y (H, ) ; " een nd John) - + 14 | Suffolk and Berkshire (Earl of Yo “Gs
_Clarke(R.F.)-) - - - 12|Lydekker(R.)- - 2 itz [Sully Games) co TERS
Clerke(AgnesM.) - - - 14/Lyttelton(R.H.) - = Tou Sutiner (Baron ven). oc) 28
Cucaes . « « olenemaiay « . 2. dlemeumee 2 Shee
“Clutterbuck (W. J.) soe 8| Macaulay (Lord) - =, a sy mes (J. E.) - ea ee aS
“Comyn (L. N.) - + + 17] Macfarren (Sir G. A.) - ae ge ee (Annie) - “Bis ae
Gonington John) = = = 34| Mackail GW.) eee 4 G) ‘+ 8
Cox (Harding) Mo ode: #e 9| Macleod (HI D>») : © Ty Picea (Archbishop) 2 8 12
Crake (A. D.) - s ‘ : 20 | Mabe iM.) 2 > - 13 | Tirebuck (W. 2 S 18
Tecignion Bishop)- - - 4 MicmiG ee oe Shey. 2 2. =
rea ) ee Cay 11| Marbot (Baron de) Be, cen oe 8 Te ee 0) pack 3
“Curzon (Hon.G.N.) - a 3 Manni, ¥;$ ve om Ho 6 | Trollope (Anthony) cote «she
Cutts(E.L.) - - + - 4| Matthews (Brander) eG e AUP bee Cd) a. 6
Dante - i eo 15 | Maunder (S.)_ - 17, 24 | Tyrrell (R. Y.)- si a : 4
Davidson (W. L) > ol lay33|Max Miller(R) - eas 20 2 nee (Francis P.) = = 7
_ Beane ors - + + + ‘1|May (SirT. Erskine) - - “ Witt (G. Ww) Beit gin ae 2a
Se Ne em we OF
Dosisdin .« = motive. 2 igs. oS é
. De Tocqueville (A.) fe 7 3 | Melville (G. J. Whyte) = - 20, 2r | Walford (Mrs.) - 7 - 7,18
~ Devas(C.S.) - + - + 13] Mendelssohn - Peron. aia ae Wallascheli(R) ost 8 2." ae
Dougall(L.) - - - - 17] Merivale (Dean) - o> iag) Walpole (Spencer) + = = 6
Dowell (S.) > ko Reo os ce SS
Doyle(A.Conan) . © > 3s/ Mill ohn Stuart) © 2 aa,32 | WatemClA ee
Falkener (E.) om oe: Oli Mine(Ga oe oe - -- 12, 13 | Watson (A. E. TY) eee 9
Fame. 8) . = > wlio: «= © gilWerags . 2 2,2 ™
Farrar (Archdeacon) - = - 13, 17| Monck (H. S.) - at} Weir (R) Ye es 9
Fitzpatrick (W.J.)- - - 3|Moore(E) "OS = aa! West\(C.)- ge |
Ford (H)- = = 3. 4a liNeeeee (®) oo Se a e 6 | Weyman (Stanley J.) ei 5H 18
Francis (Francis) - - - ol|Nesbit(E) - - . . 8| Whately (Archbishop) - - 12
Freeman (Edward A.) - - 3| Norton (C. L.) ] 2 PF 38h ~ oe
Froude James A) - - 4,6,817/O'Brien(W)- 2 2 2 oa Wheeler(B.1) > > >
Furneaux (W,) - q|Olipbent (Med os - aeeeneemeares 2D Dg
eee eS (Samuel Rawson) - 4]Osbourne(L) = - = | 8 Willen (Od a ee oe
ei moe Fee? Ad : eS ee ilkin a ee
ee: eee) = 2 A Mbeae =. e
Gordon (E.J.A.) - - + °3| Paul tHe es ee cae 18} Wilson (A,J.)- - - - 13
Graham (G.F.) - - - 13/Payn{James)- - - 13| Wishart(G:) - - - - 6
Graves(R.P.)- - - = 6| Payne-Gallwey (SirR.) - 1 | Meeoneate Ua Se,
ee Ry - + = 11| Pembroke (Earl of) : ae 5 Wondeate (wy. Bue ee) ee 8
eville = we O01
att = 3 4|Perring (SirP.) | - - - > 79
Haggard (H- Rides} = 17|Phillipps-Wolley (©) = = 9 alae an (Bishop Charles) 7
) - + 15{ Piatt (S. & J. J.) ; i es 6
e = 16 | Zeller (E.) - ms me 2
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