Special Report on Diseases of the Horse Part 33

_Treatment._--Stallions which manifest a tendency to varicocele should wear suspensory bags when they are exercised. Piles may often be reduced by astringent washes--tea made from white-oak bark or a saturated solution of alum. The bowels should be kept loose with bran mashes and the animal kept quiet in the stable. When varicose veins exist superficially and threaten to produce inconvenience, they may be ligated above and below and thus obliterated. Sometimes absorption may be induced by constant bandages.

AIR IN VEINS, OR AIR EMBOLISM.

It was formerly supposed that the entrance of air into a vein at the time of the infliction of a wound or in blood-letting was extremely dangerous and very often produced sudden death by interfering with the circulation of the blood through the heart and lungs. Danger from air embolism is exceedingly doubtful, unless great quant.i.ties were forced into a large vein by artificial means.

PURPURA HEMORRHAGICA.

Purpura hemorrhagica usually occurs as a sequel to debilitating diseases, such as strangles, influenza, etc. It may, however, arise in the absence of any previous disease in badly ventilated stables, among poorly fed horses, and in animals subject to exhausting work and extreme temperatures. The disease is probably due to some as yet undiscovered infectious principle. Its gravity does not depend so much upon the amount of blood extravasated as it does upon the disturbance or diminished action of the vasomotor centers.

_Symptoms._--This disease becomes manifested by the occurrence of sudden swellings on various parts of the body, on the head or lips, limbs, abdomen, etc. These swellings may be diffused or very markedly circ.u.mscribed, though in the advanced stages they cover large areas.

They pit on pressure and are but slightly painful to the touch. The limbs may swell to a very large size, the nostrils may become almost closed, and the head and throat may swell to the point of suffocation.

The swellings not infrequently disappear from one portion of the body and develop on another, or may recede from the surface and invade the intestinal mucous membrane. The mucous lining of the nostrils and mouth show more or less dark-red or purple spots. There may be a discharge of blood-colored serum from the nostrils; the tongue may be swollen so as to prevent eating or closing of the jaws. In the most intense cases, within from twenty-four to forty-eight hours b.l.o.o.d.y serum may exude through the skin over the swollen parts, and finally large gangrenous sloughs may form. The temperature is never very high, the pulse is frequent and compressible, and becomes feebler as the animal loses strength. A cough is usually present. The urine is scanty and high colored, and when the intestines are much affected a b.l.o.o.d.y diarrhea may set in, with colicky pains. Some of the internal organs become implicated in the disease, the lungs may become edematous, extravasation may occur in the intestinal ca.n.a.l, or effusion of serum into the cavity of the chest or abdomen; occasionally the brain becomes affected. A few cases run a mild course and recovery may commence in three or four days; generally, however, the outlook is unfavorable. In severe cases septic poisoning is liable to occur, which soon brings the case to a fatal issue.

_Pathology._--On section we find the capillaries dilated, the connective tissue filled with a coagulable or coagulated lymph, and frequently we may discover gangrenous spots beneath the skin or involving the skin.

The lymphatic glands are swollen and inflamed. Extensive extravasations of blood may be found embedded between the coats of the intestines, or excessive effusion into the substance of the lungs.

_Treatment._--Diffusible stimulants and tonics should be given from the start. Carbonate of ammonia, 1 dram, fluid extract of red cinchona bark, 2 drams, and tincture of ginger half an ounce, with half a pint of water; thin gruel or milk should be given every four or six hours. But especial care should be exercised to avoid injury by drenching. If the horse has difficulty in getting the head up and swallowing, smaller doses must be given with a small hard-rubber syringe. Sulphate of iron in 1-dram doses may be dissolved in water and given every six hours.

Chlorate of pota.s.sium, in 2-ounce doses, may be given every eight or twelve hours. Colloidal silver may be administered intravenously in doses of from 5 to 12 grains. Was.h.i.+ngs with lead and alum water are useful and may be repeated several times each day. If the swellings are very great, they may be incised freely and the resulting wounds should be washed at least twice daily with a warm 3 per cent solution of carbolic acid or other good antiseptic. Tracheotomy may be necessary.

Complications, when they arise, must be treated with proper circ.u.mspection.

DISEASES OF THE LYMPHATIC SYSTEM.

The lymphatic, or absorbent, system is connected with the blood-vascular system, and consists of a series of tubes which absorb and convey to the blood certain fluids. These tubes lead to lymphatic glands, through which the fluids pa.s.s to reach the right lymphatic vein and thoracic duct, both of which enter the venous system near the heart. Through the excessively thin walls of the capillaries the fluid part of the blood transudes to nourish the tissues outside the capillaries; at the same time fluid pa.s.ses from the tissues into the blood. The fluid, after it pa.s.ses into the tissues, const.i.tutes the lymph, and acts like a stream irrigating the tissue elements. Much of the surplus of this lymph pa.s.ses into the lymph vessels, which in their commencement can hardly be treated as independent structures, since their walls are so closely joined with the tissues through which they pa.s.s, being nothing more than s.p.a.ces in the connective tissue until they reach the larger lymph vessels, which finally empty into lymph glands. These lymph glands are structures so placed that the lymph flowing toward the larger trunks pa.s.ses through them, undergoing a sort of filtration. From the fact of this arrangement lymph glands are subject to inflammatory diseases in the vicinity of diseased structures, because infective material being conveyed in the lymph stream lodges in the glands and produces irritation.

LOCAL INFLAMMATION AND ABSCESS OF LYMPHATIC GLANDS.

Acute inflammation of the lymph glands usually occurs in connection with some inflammatory process in the region from which its lymph is gathered. Several or all of the glands in a cl.u.s.ter may become affected, as in strangles, nasal catarrh, or nasal gleet, diseased or ulcerated teeth, the lymph glands between the branches of the lower jaw almost invariably become affected, which may lead to suppuration or induration.

Similar results obtain in other portions of the body; in pneumonia the bronchial glands become affected; in pharyngitis the postpharyngeal glands lying above the trachea become affected, etc.

_Symptoms._--The glands swell and become painful to the touch, the connective tissue surrounding them becomes involved, suppuration usually takes place, and one or more abscesses form. If the inflammation is of a milder type, resolution may take place and the swelling recede, the exudative material being absorbed, and the gland restored without the occurrence of suppuration. In the limbs a whole chain of the glands along the lymphatic vessels may become affected, as in farcy, phlebitis, or septic poisoning.

_Treatment._--Fomentation with hot water and the application of camphorated soap liniment or camphorated oil may produce a revulsive action and prevent suppuration. If there is any indication of abscess forming, poultices of linseed meal and bran made into a paste with hot water should be applied, or a mild blistering ointment rubbed in over the swollen gland. As soon as fluctuation can be felt a free opening must be made for the escape of the contained pus. The wound may subsequently be washed out with a solution of chlorid of zinc, 5 grains to the ounce of water, three times a day.

LYMPHANGITIS.

Specific inflammation of the lymphatic structures usually affects the hind legs; very seldom a fore leg. This disease is very sudden in its attack, exceedingly painful, accompanied by a high temperature and great general disturbance.

_Causes._--Horses of lymphatic or sluggish temperament are predisposed to this affection. It usually attacks well-fed animals, and in such cases may be due to an excess of nutritive elements in the blood. Sudden changes in work or in the habits of the animal may induce an attack.

_Symptoms._--It is usually ushered in by a chill, rise in temperature, and some uneasiness; in a very short time this is followed by lameness in one leg and swelling on the inside of the thigh. The swelling gradually surrounds the whole limb and continues on downward until it reaches the foot. The limb is excessively tender to the touch, the animal perspires, the breathing is accelerated, pulse hard and quick, and the temperature may reach 106 F. The bowels early become very constipated and urine scanty. The symptoms usually are on the increase for about two days, then they remain stationary for the same length of time; the fever then abates; the swelling recedes and becomes less painful. It is very seldom, though, that all the swelling leaves the leg; generally it leaves some permanent enlargement, and the animal becomes subject to recurrent attacks. Occasionally the inguinal lymphatic glands (in the groin) undergo suppuration, and pyemia may supervene and prove fatal. In severe cases the limb becomes denuded of hair in patches, and the skin remains indurated with a fibrous growth, which is known by the name of elephantiasis.

_Treatment._--The parts should be bathed freely and frequently with water as hot as the hand can bear and then fomented with vinegar and water, equal parts, to which add 2 ounces of nitrate of pota.s.sium for each gallon. This should be applied frequently, after the hot water, for the first day. Afterwards the leg may be dried with a woolen cloth and bathed with camphorated soap liniment. Internally administer artificial Carlsbad salts in 2 to 4 ounce doses three times daily. Feed lightly and give complete rest. This treatment, if inst.i.tuted early in the attack, very frequently brings about a remarkable change within 24 hours.

DISEASES OF THE EYE.

BY JAMES LAW, F. R. C. V. S.,

_Formerly Professor of Veterinary Science, etc., Cornell University_.

We can scarcely overestimate the value of sound eyes in the horse, and hence all diseases and injuries which seriously interfere with vision are matters of extreme gravity and apprehension, for should they prove permanent they invariably depreciate the selling price to a considerable extent. A blind horse is always dangerous in the saddle or in single harness, and he is scarcely less so when, with partially impaired vision, he sees things imperfectly, in a distorted form or in a wrong place, and when he s.h.i.+es or avoids objects which are commonplace or familiar. When we add to this that certain diseases of the eyes, like recurring inflammation (moon blindness), are habitually transmitted from parent to offspring, we can realize still more fully the importance of these maladies. Again, as a mere matter of beauty, a sound, full, clear, intelligent eye is something which must always add a high value to our equine friends and servants.

STRUCTURE OF THE EYE.

(Pl. XXII.)

THE EYEBALL.

A full description of the structure of the eye is incompatible with our prescribed limits, and yet a short description is absolutely essential to the clear understanding of what is to follow.

The horse's eye is a spheroidal body, flattened behind, and with its posterior four-fifths inclosed by an opaque, white, strong fibrous membrane (the sclerotic), on the inner side of which is laid a more delicate, friable membrane, consisting mainly of blood vessels and pigment cells (the choroid), which in its turn is lined by the extremely delicate and sensitive expansion of the nerve of sight (the retina). The anterior fifth of the globe of the eye bulges forward from what would have been the direct line of the sclerotic, and thus forms a segment of a much smaller sphere than is inclosed by the sclerotic. Its walls, too, have in health a perfect translucency, from which it has derived the name of transparent cornea. This transparent coat is composed, in the main, of fibers with lymph inters.p.a.ces, and it is to the condition of these and their condensation and compression that the translucency is largely due. This may be shown by compressing with the fingers the eye of an ox which has just been killed, when the clear transparent cornea will suddenly become clouded over with a whitish-blue opacity, and this will remain until the compression is interrupted. The interior of the eye contains three transparent media for the refraction of the rays of light on their way from the cornea to the visual nerve. Of these media the anterior one (aqueous humor) is liquid, the posterior (vitreous humor) is semisolid, and the intermediate one (crystalline lens) is solid. The s.p.a.ce occupied by the aqueous humor corresponds nearly to the portion of the eye covered by the transparent cornea. It is, however, divided into two chambers, anterior and posterior, by the iris, a contractile curtain with a hole in the center (the pupil), and which may be looked on as in some sense a projection inward of the vascular and pigmentary coat from its anterior margin at the point where the sclerotic or opaque outer coat becomes continuous with the cornea or transparent one. This iris, or curtain, besides its abundance of blood vessels and pigment, possesses two sets of muscular fibers, one set radiating from the margin of the pupil to the outer border of the curtain at its attachment to the sclerotic and choroid, and the other encircling the pupil in the manner of a ring. The action of the two sets is necessarily antagonistic, the radiating fibers dilating the pupil and exposing the interior of the eye to view, while the circular fibers contract this opening and shut out the rays of light. The form of the pupil in the horse is ovoid, with its longest diameter from side to side, and its upper border is fringed by several minute, black bodies (corpora nigra) projecting forward and serving to some extent the purpose of eyebrows in arresting and absorbing the excess of rays of light which fall upon the eye from above. These pigmentary projections in front of the upper border of the pupil are often mistaken for the products of disease or injury in place of the normal and beneficent protectors of the nerve of sight which they are. Like all other parts, they may become the seat of disease, but so long as they and the iris retain their clear, dark, aspect, without any tints of brown or yellow, they may be held to be healthy.

The vitreous or semisolid refracting medium occupies the posterior part of the eye--the part corresponding to the sclerotic, choroid, and retina--and has a consistency corresponding to that of the white of an egg, and a power of refraction of the light rays correspondingly greater than the aqueous humor.

The third or solid refracting medium is a biconvex lens, with its convexity greatest on its posterior surface, which is lodged in a depression in the vitreous humor, while its anterior surface corresponds to the opening of the pupil. It is inclosed in a membranous covering (capsule) and is maintained in position by a membrane (suspensory ligament) which extends from the margin of the lens outward to the sclerotic at the point of junction of the choroid and iris. This ligament is, in its turn, furnished with radiating, muscular fibers, which change the form or position of the lens so as to adapt it to see with equal clearness objects at a distance or close by.

Another point which strikes the observer of the horse's eye is that in the darkness a bright, bluish tinge is reflected from the widely dilated pupil. This is owing to a comparative absence of pigment in the choroid coat inside the upper part of the eyeball, and enables the animal to see and advance with security in darkness where the human eye would be of little use. The lower part of the cavity of the horse's eye, into which the dazzling rays fall from the sky, is furnished with an intensely black lining, by which the rays penetrating the inner nervous layer are instantly absorbed.

MUSCLES OF THE EYE.

These consist of four straight muscles, two oblique, and one retractor.

The straight muscles pa.s.s from the depth of the orbit forward on the inner, outer, upper, and lower sides of the eyeball, and are fixed to the anterior portion of the fibrous (sclerotic) coat, so that in contracting singly they respectively turn the eye inward, outward, upward, and downward. When all act together they draw the eyeball deeply into its socket. The retractor muscle also consists of four muscular slips, repeating the straight muscles on a smaller scale, but as they are only attached on the back part of the eyeball they are less adapted to roll the eye than to draw it down into its socket. The two oblique muscles rotate the eye on its own axis, the upper one turning its outer surface upward and inward, and the lower one turning it downward and inward.

THE HAW (THE WINKING CARTILAGE, OR CARTILAGO NICt.i.tANS).

This is a structure which, like the retractor muscle, is not found in the eye of man, but it serves in the lower animals to a.s.sist in removing foreign bodies from the front of the eyeball. It consists, in the horse, of a cartilage of irregular form, thickened inferiorly and posteriorly where it is intimately connected with the muscles of the eyeball and the fatty material around them, and expanded and flattened anteriorly where its upper surface is concave, and, as it were, molded on the lower and inner surface of the eyeball. Externally it is covered by the mucous membrane which lines the eyelids and extends over the front of the eye.

In the ordinary restful state of the eye the edge of this cartilage should just appear as a thin fold of membrane at the inner angle of the eye, but when the eyeball is drawn deeply into the orbit the cartilage is pushed forward, outward, and upward over it until the entire globe may be hidden from sight. This protrusion of the cartilage so as to cover the eye may be induced in the healthy eye by pressing the finger and thumb on the upper and lower lids, so as to cause retraction of the eyeball into the socket. When foreign bodies, such as sand, dust, and chaff, or other irritants, have fallen on the eyeball or eyelids it is similarly projected to push them off, their expulsion being further favored by a profuse flow of tears.

[Ill.u.s.tration: PLATE XXII.

DIAGRAMMATIC VERTICAL SECTION THROUGH HORSE'S EYE.]

This is seen, to a lesser extent, in all painful inflammations of the eye, and to a very marked degree in lockjaw, when the spasm of the muscles of the eyeball draws the latter deeply into the orbit and projects forward the ma.s.ses of fat and the cartilage. The brutal practice of cutting off this apparatus whenever it is projected necessitates this explanation, which it is hoped may save to many a faithful servant a most valuable appendage. That the cartilage and membrane may become the seat of disease is undeniable, but so long as its edge is thin and even and its surface smooth and regular the mere fact of its projection over a portion or the whole of the eyeball is no evidence of disease in its substance, nor any warrant for its removal.

It is usually but the evidence of the presence of some pain in another part of the eye, which the suffering animal endeavors to a.s.suage by the use of this beneficent provision. For the diseases of the cartilage itself, see "Encephaloid cancer."

LACRIMAL APPARATUS.