Treatment.—When a hernia is reducible—that is, can be pushed back into the abdomen—then, if it is of recent occurrence, it is advisable to maintain the natural position of the parts by bandaging and to allow the walls of the laceration to grow together. The bowels should be kept reasonably empty by avoiding the use of bulky feed, and the animal must be kept quiet.

The following method of bandaging is recommended by Bouley:

First prepare a bandage (must be of strong material), about 10 yards long and between 3 and 4 inches broad, and a flexible and solid piece of pasteboard adapted in size to the surface of the hernia. The protruding organ must then be replaced in the abdomen and maintained in that position during the application of the bandage. This being done, a layer of melted pitch and turpentine is quickly spread on the skin covering the seat of the hernia, so as to extend somewhat beyond that space. This adhesive layer is then covered with a layer of fine tow, then a new layer of pitch and turpentine is spread on the tow, and the piece of pasteboard is applied on the layer of pitch, its outer surface being covered with the same preparation. Lastly, the bandage, adhering to the piece of pasteboard, to the skin, and to the different turns which it makes around the body, is carefully applied so as to form an immovable, rigid, and solid bandage, which will retain the hernia long enough for the wound in the abdominal walls to heal permanently.

If the hernia is old and small it may be treated by injecting a strong solution of common salt about the edges of the tear. This causes swelling and inflammation, which, respectively, forces the protruded organ back and closes the opening. There is some risk attached to this method of treatment.

In small, old, ventral hernias the method of compressing and sloughing off the skin has been used successfully. If the hernia is large a radical operation will be necessary, and this is also true when the symptoms indicate that a hernia is strangulated. This operation is performed by cutting down on the hernia, restoring the organ to the abdominal cavity, and then closing the wound with two sets of stitches; the inner stitches, in the muscular wall, should be made with catgut and the outer stitches, in the skin, may be made with silk or silver wire. The strictest surgical cleanliness must be observed. Bleeding vessels should be tied. Then a compress composed of ten or twelve folds of cloth must be placed smoothly over the seat of injury and a bandage applied around the body, the two ends being fastened at the back. In the smaller kinds of hernia, nitric acid may sometimes be applied with success. This treatment should not be applied until the swelling and inflammation attending the appearance of the hernia have subsided; then, the contents of the hernia having been returned, the surface of skin corresponding to it is sponged over with a solution composed of 1 part of nitric acid to 2 of water. This treatment acts by exciting considerable inflammation, which has the effect of causing swelling, and thus frequently closing the hernial opening and preventing the contents of the sac from returning. A second application should not be made until the inflammation excited by the first has subsided. In what is termed spontaneous hernia it is useless to apply any kind of treatment.

UMBILICAL HERNIA.—The umbilicus, or navel, is the aperture through which the blood vessels pass from the mother to the fetus, and naturally the sides of this aperture ought to adhere or unite after birth. In very young animals, and sometimes in newborn calves, this aperture in the abdominal muscles remains open and a part of the bowel or a portion of the mesentery may slip through the opening, constituting what is called umbilical hernia. The wall of the sac is formed by the skin, which is covered on the inner surface by a layer of cellular tissue, and within this there is sometimes, but not always, a layer of peritoneum. The contents of the hernia may be formed by a part of the bowel, by a portion of the peritoneum, or may contain portions of both peritoneum and bowel. When the sac contains only the peritoneum it has a doughy feel, but when it is formed by a portion of the bowel it is more elastic on pressure.

Causes.—In the new-born animal the opening of the navel is generally large, and may sometimes give way to the pressure of the bowel on account of the weak and relaxed condition of the abdominal muscles. This defective and abnormal condition of the umbilicus is frequently hereditary. It may be occasioned by roughly pulling away the umbilical cord; through kicks or blows on the belly; through any severe straining by which the sides of the navel are stretched apart. We may mention in this connection that it is best in new-born calves to tie the umbilical cord tightly about 2 inches from the navel, and then to leave it alone, when in most cases it will drop off in a few days, leaving the navel closed.

Treatment.—It is well to bear in mind that many, and especially the smaller, umbilical hernias heal spontaneously; that is, nature effects a cure. As the animal gets older the abdominal muscles get stronger and possess more power of resistance to pressure, the bowels become larger and do not pass so readily through a small opening, so that from a combination of causes there is a gradual growing together or adhesion of the sides of the navel. In cases of umbilical hernia in which there are no indications that a spontaneous cure will take place, the calf should be laid on its back; immediately on this being done the hernia will often disappear into the abdomen. If it does not, its reduction may be brought about by gentle handling, endeavoring, if need be, to empty the organs forming the hernia before returning them into the abdomen. After the hernia has been returned, the hair should be clipped from the skin covering it and a compress composed of 10 or 12 folds of linen or cotton should be applied, first smearing the skin with pitch and then a bandage about 3 inches wide should be passed round the body so as to retain the compress in position. The lower part of the compress should be smeared with pitch, and also those portions of the bandage which pass over it, so as to keep it solid and prevent it from shifting. In some cases it will be found that the contents of the sac can not be returned into the abdomen, and this generally arises from the fact that some part of the contents of the sac has grown to or become adherent to the edges of the umbilical opening. In such a case the skin must be carefully laid open in the long direction, the adhesions of the protruding organs carefully separated from the umbilicus, and after the protruding parts have been returned into the abdomen, the sides of the umbilicus must be freshened if necessary by paring, and then the edges of the opening brought together by catgut stitches; the wound in the skin must then also be brought together by stitches. The wound must be carefully dressed every day and a bandage passed round the body so as to cover and protect the part operated on.

In small hernias nitric acid has been used successfully in the same manner as has been described in the treatment of ventral hernia. Sulphuric acid has also been used for a similar purpose, diluting it to the extent of 1 part of acid to 3 or 5 of water. In thin-skinned animals the weaker preparations ought to be preferred, and caution must be exercised in using such preparations so as not to destroy the tissues on which they are applied.

Another method of treatment is, after the contents of the sac have been returned into the abdomen, to tie a piece of strong waxed cord round the pendulous portion which formed the outer covering of the hernia. The string is apt to slacken after two or three days, when a new piece of cord should be applied above the first one. The constriction of the skin sets up inflammation, which generally extends to the umbilicus and causes the edges to adhere together, and by the time the portion of skin below the ligature has lost its vitality and dropped off, the umbilicus is closed and there is no danger of the abdominal organs protruding through it. This is what takes place when this method has a favorable result, though if the umbilicus does not become adherent and the skin sloughs, the bowels will protrude through the opening.

GUT-TIE (PERITONEAL HERNIA).—In peritoneal hernia of the ox a loop or knuckle of intestine enters from the abdomen into a rent in that part of the peritoneum which is situated at the margin of the hip bone or it passes under the remains of the spermatic cord, the end of which may be grown fast to the inner inguinal ring. The onward pressure of the bowel, as well as the occasional turning of the latter round the spermatic cord, is the cause of the cord exercising considerable pressure on the bowel, which occasions irritation, obstructs the passage of excrement, and excites inflammation, which terminates in gangrene and death.

The rent in the peritoneum is situated at the upper and front part of the pelvis, nearer to the sacrum than the pubes.

Causes.—Among the causes of peritoneal hernia considerable importance is attached to a method of castration which is practiced in certain districts, viz, the tearing or rupturing of the spermatic cord by main force instead of dividing it at a proper distance above the testicle in a surgical manner. After this violent and rough method of operating, the cord retracts into the abdomen and its stump becomes adherent to some part of the peritoneum, or it may wind around the bowel and then the stump becomes adherent, so that strangulation of the bowel results. The rough dragging on the cord may also cause a tear in the peritoneum, the result of which need not be described. The severe exertion of ascending hills and mountains, drawing heavy loads, or the straining which oxen undergo while fighting each other may also give rise to peritoneal hernia.

Symptoms.—The ox suddenly becomes very restless, stamps with his feet, moves backward and forward, hurriedly lies down, rises, moves his tail uneasily, and kicks at his belly with the foot of the affected side. The pain evinced may diminish but soon returns again. In the early stage there are frequent passages of dung, but after the lapse of 18 or 24 hours this ceases, the bowel apparently being emptied to the point of strangulation, and the passages now consist only of a little mucus mixed with blood. When injections are given at this time the water passes out of the bowel without even being colored. The animal lies down on the side where the hernia exists and stretches out his hind feet in a backward direction. These two particular symptoms serve to distinguish this affection from enteritis and invagination of the bowel. As time passes the animal becomes quieter, but this cessation of pain may indicate that gangrene of the bowel has set in, and may, therefore, under certain circumstances, be considered a precursor of death. Gangrene may take place in from four to six days, when perforation of the bowel may occur and death result in a short time.

Treatment.—In the first place the ox should be examined by passing the oiled hand and arm into the rectum; the hand should be passed along the margin of the pelvis, beginning at the sacrum and continuing downward toward the inguinal ring, when a soft, painful swelling will be felt, which may vary from the size of an apple to that of the two fists. This swelling will be felt to be tightly compressed by the spermatic cord. It very rarely happens that there is any similar swelling on the left side, though in such cases it is best to make a thorough examination. The bowel has sometimes been released from its position by driving the ox down a hill; by causing him to jump from a height of 2 feet to the ground; the expedient of trotting him also has been resorted to with the hope that the jolting movement might bring about a release of the bowel. If the simple expedients mentioned have been tried and failed, then the hand being passed into the rectum should be pressed gently on the swelling in an upward and forward direction, so as to endeavor to push the imprisoned portion of the bowel back into the abdomen. While this is being done the ox's hind feet should stand on higher ground than the front, so as to favor the slipping out of the bowel by its own weight, and at the same time an assistant should squeeze the animal's loins, so as to cause it to bend downward and so relax the band formed by the spermatic cord. If the imprisoned portion of gut is freed, which may be ascertained by the disappearance of the swelling, the usual sounds produced by the bowels moving in the abdomen will be heard, and in a few hours the feces and urine will be passed as usual. If the means mentioned fail to release the imprisoned portion of the gut, then an incision about 4 inches long must be made in the right flank in a downward direction, the hand introduced into the abdomen, the situation and condition of swelling exactly ascertained, and then a probe-pointed knife inserted between the imprisoned bowel and band compressing it, and turned outward against the band, the latter being then cautiously divided and the imprisoned gut allowed to escape, or, if necessary, the bowel should be drawn gently from its position into the abdomen. The wound in the flank must be brought together in the same way as in the case of the wound made in operating for impaction of the rumen.

WOUNDS OF THE ABDOMEN.

A wound of the abdomen may merely penetrate the skin; but as such cases are not attended with much danger, nor their treatment with much difficulty, we will consider here merely those wounds which penetrate the entire thickness of the abdominal walls and expose to a greater or less extent the organs contained in that cavity.

Causes.—Such accidents may be occasioned by falling on fragments of broken glass or other sharp objects. A blow from the horn of another animal may penetrate the abdomen. Exposure and protrusion of some of the abdominal organs may also be occasioned by the incautious use of caustics in the treatment of umbilical or ventral hernia. The parts which generally escape through an abdominal wound are the small intestine and floating colon.

Symptoms.—When the abdominal wound is small, the bowel exposed presents the appearance of a small round tumor, but in a few moments a loop of intestine may emerge from the opening. The animal then shows symptoms of severe pain by pawing with his feet, which has the effect of accelerating the passage of new loops of intestine through the wound, so that the mass which they form may even touch the ground. The pain becomes so great that the ox now not only paws but lies down and rolls, thus tearing and crushing his bowels. In such cases it is best to slaughter the animal at once; but in the case of a valuable animal in which tearing and crushing of the bowels has not taken place the bowels should be washed with freshly boiled water reduced to the temperature of the body and returned and the wounds in the muscle and skin brought together in a manner somewhat similar to that described in speaking of ventral hernia.

DISEASES OF THE LIVER AND SPLEEN.

JAUNDICE (THE YELLOWS, OR CONGESTION OF THE LIVER).

When jaundice exists, there is a yellow appearance of the white of the eyes and of the mucous membrane of the mouth. A similar aspect of the skin may also be observed in animals which are either partly or altogether covered with white hair. Jaundice is then merely a symptom of disease and ought to direct attention to ascertaining, if possible, the cause or causes which have given rise to it. A swollen condition of the mucous membrane of that part of the bowel called the duodenum may produce jaundice, as that mechanically closes the orifice of the biliary duct. In constipation there is an inactive or torpid condition of the bowel, and the bile which passes into the intestine may be absorbed and cause the yellow staining of jaundice. Jaundice is one of the symptoms of Texas fever. It may also arise from the presence of parasites or gallstones in the ducts, forming a mechanical obstruction to the onward flow of bile. The conditions under which jaundice most commonly calls for treatment are when cattle have been highly fed and kept in a state of inactivity. At such time there is an excess of nutritive elements carried into the blood, which is associated with increased fullness of the portal vein and hepatic artery. When continued high feeding has produced this congested state of the liver, the functions of that organ become disordered, so that a considerable portion of the bile, instead of being excreted and passing into the intestine, is absorbed by the hepatic veins.

The structure of the liver is shown in Plate IV.

Symptoms.—This disease, although rare, occurs most frequently among stall-fed cattle. Pressure along the margin of the short ribs on the right side produces pain; the appetite is poor and the animal shows hardly any inclination to drink; the mucous membranes of the eye and mouth are yellow, the urine has a yellow or brown appearance, the animal lies down much and moves with reluctance, moans occasionally, and has a tottering gait. The ears and horns are alternately hot and cold; in cows the secretion of milk is much diminished, and that which is secreted has a bitter taste; sometimes the animal has a dry, painful cough and presents a dull, stupefied appearance.

Treatment.—In such cases it is advisable to produce a free action of the bowels, so as to remove the usually congested condition of the portal vein and liver. For this purpose the administration of the following dose is recommended: Sulphate of soda, 16 ounces; molasses, 1 pint; warm water, 1 quart. The sulphate of soda is dissolved by stirring it up in tepid water. Following this the animal should have a heaping tablespoonful of artificial Carlsbad salt in the feed three times daily. This treatment may be assisted by giving occasional injections of warm water and soap. The diet should be laxative and moderate in quantity and may consist of coarse bran mash, pulped roots, grass in the season, and hay in moderate quantity.

HEPATITIS (INFLAMMATION OF THE LIVER).

Hepatitis is an inflammation of the liver and usually occurs as a complication of some infectious disease. It may also occur as a complication of gastrointestinal catarrh or in hot weather from overheating or damaged (putrid or fermented) feeds.

Symptoms.—The symptoms are sometimes obscure and their real significance is frequently overlooked. The most prominent symptoms are yellowness of the white of the eye and of the membrane lining the mouth; the appetite is poor, the body presents an emaciated appearance, the feces are light colored, while the urine is likely to be unusually dark; there is thirst, and pain is caused by pressing over the liver. The gait is weak and the animal lies down more than usual, and while doing so frequently rests its head on the side of its chest.

Treatment.—Give a purge of Glauber's salt and after it has operated give artificial Carlsbad salts in each feed, as advised under "Jaundice." Give green feed and plenty of water. Oil of turpentine should be rubbed in well once a day over the region of the liver. The skin on which it should be applied extends from the false ribs on the right side to 6 inches in front of the last one, and from the backbone to 12 inches on the right side of it.

FLUKE DISEASE.

[See chapter on "The animal parasites of cattle," p. 502.]

SPLENITIS (INFLAMMATION OF THE SPLEEN).

This disease occurs almost solely as a result of the existence of some infectious disease, and the symptoms caused by it merge with the symptoms of the accompanying causative disease. The spleen is seriously involved and becomes enlarged and soft in Texas fever, anthrax, and blood poisoning.

DISEASES OF THE PERITONEUM.

PERITONITIS.

Peritonitis consists of an inflammation of the peritoneum, which is the thin, delicate membrane that lines the abdomen and covers the abdominal organs.

Causes.—Wounds are the usual cause in cattle. The wound may be of the abdominal wall or of the intestines, stomach, or uterus; or inflammation may extend from one of the organs of the abdominal cavity to the peritoneum; so this disease may complicate enteritis or inflamed womb. A sharp metal body may perforate the second stomach and allow the gastric contents to escape, irritating the peritoneum. This disease may follow castration or operation for hernia.

Symptoms.—A continuous or occasional shivering; the animal lies down, but appears uneasy; it frequently turns its head toward its belly and lows plaintively; pressure on the flanks produces pain; has no appetite; muzzle is dry and no rumination; while standing, its legs are placed well under its body; pulse small and hard. The evacuations from the bowels are dry and hard. If this disease is complicated by the presence of inflammation of the bowels, the pain is more severe and the animal is more restless. The skin is cold and dry in the early stage of this disease, but in a more advanced stage this condition may be succeeded by heat of the skin and quick breathing. The fits of trembling, uneasiness, small and hard pulse, and tension of the left flank are symptoms the presence of which would enable one to reach the conclusion that peritonitis exists.

Post-mortem appearance.—The membrane lining the abdomen and covering the surface of the bowels is reddened to a greater or less extent, and there is usually considerable serous, or watery, fluid collected in the abdomen.

Treatment.—When we have to do with the form of peritonitis resulting from an injury, as when the horn of another animal has been thrust through the abdominal walls, this lesion must be treated in accordance with directions before given, but the general treatment must be similar to that which follows. Peritonitis resulting from castration or from parturient fever must also be treated in connection with the special conditions which give rise to it, as the general treatment of this disease must be modified to some extent by the exciting cause.

The aim must be to discover and remove the cause. The cause must be treated according to its nature. Harms strongly recommends borax in the treatment of peritonitis. He gives 6 ounces in the first 24 hours, divided into three doses, and afterwards he gives 6 drams three times daily. Opium in doses of 2 to 3 drams may be given. To bring on evacuations of the bowels it is better to give rectal injections than to administer purges. The strength may be sustained by coffee or camphor.

The body should be warmly clothed, and it is advisable, when practicable, to have a blanket which has been wrung out of hot water placed over the abdomen, then covered by several dry blankets, which are maintained in position by straps or ropes passing round the body. The wet blanket must be changed as it cools—the object of treatment being to warm the surface of the body and to determine as much blood to the skin as possible. The diet should consist of laxative food and drinks, such as linseed tea. If peritonitis assumes chronic form the diet should be nutritious, such as selected clover hay, linseed cake, grass, etc., and iodid of potassium should be given three times a day in gram doses dissolved in a pint of water.

DROPSY OF THE ABDOMEN (ASCITES).

In this disease there is a serous, or watery, effusion in the cavity of the abdomen.

Causes.—When old animals are fed on innutritious feed or when reduced by disease, they become anemic; in other words, their blood becomes impoverished and dropsy may follow. An innutritious and insufficient diet produces the same effect in young animals. It is one of the results of peritonitis, and may also arise from acute or chronic inflammation of the liver, such as is of common occurrence when flukes are present in the liver in large numbers. Heart disease and chronic lung disease may be followed by ascites. It is sometimes, in calves, a symptom of infestation with worms.

Symptoms.—A gradual increase in the size of the abdomen at its lower part, while the flanks becomes hollow; pallor of the mucous membrane of the mouth and eye; weak and sluggish gait; want of appetite, and irregularity in ruminating. On percussion or tapping the surface of the abdomen with the fingers, a dull sound is produced. If the hand and arm are oiled and passed into the rectum as far as possible, on moving the hand from one side to the other the fluctuation caused by the presence of fluid in the abdomen may be felt.

Treatment.—If possible the cause must be discovered and removed. The diet should be nutritious, and in those cases in which we have merely to deal with anemia (the bloodless state) arising from insufficient diet, the use of tonics and diuretics, at the same time keeping the skin warm, may bring about a gradual absorption of the fluid contained in the abdomen. One of the following powders may be mixed with the animal's feed three times a day; or, if there is any uncertainty as to its being taken in that way, it should be mixed with sirup, so as to form a paste, and smeared well back on the animal's tongue with a flat wooden spoon: Carbonate of iron, 3 ounces; powdered gentian, 3 ounces; powdered nitrate of potassium, 3 ounces; mix and divide into 12 powders. The administration of purgatives which promote a watery discharge from the mucous surface of the bowels also tends, by diminishing the serum of the blood, to bring about absorption and a gradual removal of the fluid contained in the abdomen. Large doses should not be given, but moderate ones should be administered morning and night, so as to produce a laxative effect on the bowels for several days. To attain this end the following may be used: Sulphate of soda, 8 ounces; powdered ginger, half an ounce; to be mixed in 2 quarts of tepid water and given at one dose.

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DISEASES OF THE DIGESTIVE ORGANS.

DESCRIPTION OF PLATES.

PLATE I. Position of the first stomach (rumen or paunch) on the left side. The area inclosed by heavy dotted lines represents the rumen; the elongated, shaded organ is the spleen resting upon it. The skin and muscles have been removed from the ribs to show the position of the lungs and their relation to the paunch.

PLATE II. Stomach of ruminants.

Fig. 1. Stomach of a full-grown sheep, 1/5 natural size (after Thanhoffer, from R. Meade Smith's Physiology of Domestic Animals): a, rumen, or first stomach; b, reticulum, or second stomach; c, omasum, or third stomach; d, abomasum, or fourth stomach; e, esophagus, or gullet, opening into the first and second stomachs; f, opening of fourth stomach into small intestine; g, opening of second stomach into third; h, opening of third stomach into fourth.

The lines indicate the course of the food in the stomachs. The incompletely masticated food passes down the esophagus, or gullet, into the first and second stomachs, in which a churning motion is kept up, carrying the food from side to side and from stomach to stomach. From the first stomach regurgitation takes place; that is, the food is returned through the gullet to the mouth to be more thoroughly chewed, and this constitutes what is known as "chewing the cud." From the second stomach the food passes into the third, and from the third into the fourth, or true, stomach, and from there into the intestines.

Fig. 2. Stomach of ox (after Colin, from R. Meade Smith's Physiology of Domestic Animals): a, rumen; b, reticulum; c, omasum; d, abomasum; e, esophagus; f, opening of fourth stomach into small intestine.

Fuerstenberg calculated that in an ox of 1,400 pounds weight the capacity of the stomach is as follows:

Per cent. Rumen, 149.25 quarts, liquid measure 62.4 Reticulum, 23.77 quarts 10 Omasum, 36.98 quarts 15 Abomasum, 29.05 quarts 12.6

According to Colon— Quarts.

The capacity of a beef's stomach is 266.81 Small intestine 69.74 Cecum 9.51 Colon and rectum 25.58

Fig. 1. Clinical thermometer, 4/5 natural size. This is used to determine the temperature of the animal body. The thermometer is passed into the rectum after having been moistened with a little saliva from the mouth, or after having had a little oil or lard rubbed upon it to facilitate its passage. There it is allowed to remain two or three minutes, then withdrawn, and the temperature read as in any ordinary thermometer. The clinical thermometer is made self-registering; that is, the mercury in the stem remains at the height to which it was forced by the heat of the body until it is shaken back into the bulb by taking hold of the upper portion of the instrument and giving it a short, sharp swing. The normal temperature of cattle varies from 100 deg. to 103 deg. F. In young animals it is somewhat higher than in old. The thermometer is a very useful instrument and frequently is the means by which disease is detected before the appearance of any external sign.













Fig. 2. Simple probang, used to dislodge foreign bodies, like apples, potatoes, eggs, etc., which have become fastened or stuck in the esophagus or gullet.

Fig. 3. Grasping or forceps probang. This instrument, also intended to remove obstructions from the gullet, has a spring forceps at one end in the place of the cup-like arrangement at the end of the simple probang. The forceps are closed while the probang is being introduced; their blades are regulated by a screw in the handle of the instrument. This probang is used to grasp and withdraw an article which may have lodged in the gullet and can not be forced into the stomach by use of the simple probang.

Fig. 4. Wooden gag, used when the probang is to be passed. The gag is a piece of wood which fits in the animal's mouth; a cord passes over the head to hold it in place. The central opening in the wood is intended for the passage of the probang.

Figs. 5a and 5b. Trocar and cannula; 5a shows the trocar covered by the cannula; 5b, the cannula from which the trocar has been withdrawn. This instrument is used when the rumen or first stomach becomes distended with gas. The trocar covered by the cannula is forced into the rumen, the trocar withdrawn, and the cannula allowed to remain until the gas has escaped.

Fig. 6. Section at right angles through the abdominal wall, showing a hernia or rupture. (Taken from D'Arboval. Dictionnaire de Medecine, de Chirurgie de Hygiene): a a, The abdominal muscles cut across; v, opening in the abdominal wall permitting the intestines i i to pass through and outward between the abdominal wall and the skin; p p, peritoneum, or membrane lining the abdominal cavity, carried through the opening o by the loop of intestine and forming the sac S, the outer walls of which are marked b f b.

PLATE IV. Microscopic anatomy of the liver. The liver is composed of innumerable small lobules, from 1/20 to 1/10 inch in diameter. The lobules are held together by a small amount of fibrous tissue, in which the bile ducts and larger blood vessels are lodged.

Fig. 1 Illustrates the structure of a lobule; v v, interlobular veins or the veins between the lobules. These are branches of the portal vein, which carries blood from the stomach and intestines to the liver; c c, capillaries, or very fine blood vessels, extending as a very fine network between the groups of liver cells from the interlobular vein to the center of the lobule and emptying there into the intralobular vein to the center of the lobule; v c, intralobular vein, or the vein within the lobule. This vessel passes out of the lobule and there becomes the sublobular vein; v s, sublobular vein. This joins other similar veins and helps to form the hepatic vein, through which the blood leaves the liver; d d, the position of the liver cells between the meshes of the capillaries; A A, branches of the hepatic artery to the interlobular connective tissue and the walls of the large veins and large bile ducts. These branches are seen at r r and form the vena vascularis; v v, vena vascularis; i i, branches of the hepatic artery entering the substance of the lobule and connecting with capillaries from the interlobular vein. The use of the hepatic artery is to nourish the liver, while the other vessels carry blood to be modified by the liver cells in certain important directions; g, branches of the bile ducts, carrying bile from the various lobules into the gall bladder and into the intestines; x x, intralobular bile capillaries between the liver cells. These form a network of very minute tubes surrounding each ultimate cell, which receives the bile as it is formed by the liver cells and carried outward as described.

Fig. 2. Isolated liver cells: c, blood capillary; a, fine bile capillary channel.

PLATE V. Ergot in hay: 1, bluegrass; 2, timothy; 3, wild rye; 4, redtop. Ergot is a fungus which may affect any member of the grass family. The spore of the fungus, by some means brought in contact with the undeveloped seed of the grass, grows, obliterates the seed, and practically takes its place. When hay affected with ergot is fed to animals it is productive of a characteristic and serious affection or poisoning known as ergotism.

PLATE VI. Ergotism, or the effects of ergot. The lower part of the limb of a cow, showing the loss of skin and flesh in a narrow ring around the pastern bone and the exposure of the bone itself.

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POISONS AND POISONING.

By V. T. ATKINSON, V. S.

[Revised by C. DWIGHT MARSH, Ph. D.]

DEFINITION OF A POISON.

To define clearly the meaning of the word "poison" is somewhat difficult. Even in law the word has never been defined, and when a definition is attempted we are apt to include either too much or too little. The following definition given by Husemann is perhaps the best: "Poisons are those substances, inorganic or organic, existing in the organism or introduced from the outside, produced artificially or formed as natural products, which, through their chemical nature, under definite conditions, so affect some organ of a living organism that the health or well-being of the organism is temporarily or chronically injured." The common conception of a poison is any substance which, in small quantity, will destroy life, except such as act by purely mechanical means, as, for example, powdered glass.

Some substances that are not usually looked upon as poisons may destroy life if given in large doses, such as common salt. Other substances which are perfectly harmless when taken into the body in the usual way are poisons if injected into the circulation, such as distilled water, milk, or glycerin. Living organisms are not "chemical substances," and are not considered in this connection.

SOURCES OF POISONING.

Poisoning may come from many causes, among the chief of which are the following:

(1) Errors in medication.—By using the wrong substance or too large dose an animal may be poisoned.

(2) The exposure of poisons used for horticultural, technical, or other legitimate purposes.—Poisons used for spraying plants, disinfecting, poisoning vermin, dipping cattle or sheep, painting, smelting, dyeing, or other purposes may be so handled as to come within the reach of animals.

(3) Damaged food.—Food that has undergone putrefaction or certain kinds of fermentation or heating, may have become poisonous, producing forage poisoning, meat poisoning, cheese poisoning, etc.

(4) Poisonous plants in the pasture or forage.

(5) The bite or sting of a poisonous insect or the bite of an animal.

(6) Malicious poisoning.

THE ACTION OF POISONS.

The action of poisons may be either local, and exerted directly on the tissues with which they come in contact, or remote, acting through the circulation or the nervous system; or both local and remote action may be exerted by the same drug. Poisons which act locally generally either destroy by corrosion the tissues with which they come in contact or by inhalation set up acute inflammation. When any corrosive agent is taken into the stomach in poisonous quantities, a group of symptoms is developed which is common to all. The tissues with which the agent comes in contact are destroyed, sloughing and acute inflammation of the surrounding structures take place; intense pain in the abdomen and death ensue. In a like manner, but with less rapidity, the same result is reached if the agent used be not of a sufficiently corrosive nature to destroy the tissues, but sufficiently irritating to set up acute inflammation of the mucous membrane of the digestive tract. If the poison exerts a remote influence alone, the action is quite different, little or no local effect being produced upon the digestive organs.

To produce an effect on some part of the body distant from the channel of entrance, a poison must have been absorbed and carried in the blood to the central nervous system or other region involved. The poisonous effect of any substance is modified by the quantity used; by its chemical combinations; by the part of the animal structure with which it comes in contact; by the physical condition of the subject; and also by the rapidity with which the poison is excreted. As an illustration, opium may be given with safety in much larger doses to an animal suffering from acute pain than to one free from pain, and to an adult animal with greater safety than to a young one. The rapidity with which the poison is absorbed, owing to the part of the body with which it is brought in contact, is also an important factor. So marked is this quality that some agents which have the power of destroying life with almost absolute certainty when introduced beneath the skin, may be taken into the stomach without causing inconvenience, as curara, the arrow poisons, or the venomous secretion of snakes. Other agents in chemical combination may tend to intensify, lessen, or wholly neutralize the poisonous effect. For example, arsenic in itself has well-marked poisonous properties, but when brought in contact with dialyzed iron it forms an insoluble compound and becomes innocuous. Idiosyncrasies are not so noticeable in cattle practice as in practice among human beings, but the uncertainty with which some drugs exert their influence would lead us to believe that well-marked differences in susceptibility exist. Even in some cases a tolerance for poison is engendered, so that in a herd of animals equally exposed injurious or fatal effects do not appear with uniformity. For example, among cattle that are compelled to drink water holding in solution a salt of lead the effects of the poisoning will be found varying all the way from fatality to imperceptibility.

GENERAL SYMPTOMS OF POISONING.

It is not always easy to differentiate between poisoning and some disease. Indeed, examination during the life of the animal is sometimes wholly inadequate to the formation of an opinion as to whether the case is one of poisoning or, if it is, as to what the poison may be. A chemical and physical examination after the death of the animal may be necessary to clear up the doubt. On the other hand, the symptoms may be of such a nature as to point unmistakably to poisoning with a certain agent. In general, the following classes of symptoms may be regarded as indicative of poisoning: Sudden onset of the disease without visible cause, a number of animals being similarly affected at once, with severe gastrointestinal disorder or derangement of the nervous system, or both; sudden alteration of heart action in relation to frequency, force, or rhythm; local irritation, dyspnea, or change in the urine or urination.

After death, lesions of the greatest variety may be found, and it is necessary for one to be skilled in anatomy and pathology in order to determine their significance. Oftentimes the stomach and intestines are red, have thick walls, and contain blood. This signifies a severe irritant, such as arsenic or corrosive sublimate. Other alterations sometimes found are inflammation of the kidneys or bladder, points of hemorrhage in various organs, changes in the blood, congestion of the lungs, and certain microscopic changes.

GENERAL TREATMENT.

The treatment of animals suffering from poison must vary according to the nature of the toxic agent. There are a few general plans of action, however, which should be followed so far as possible. In man and in some of the smaller animals it is possible to eliminate unabsorbed poison by the use of the stomach pump or by causing vomiting. These proceedings are impracticable in cattle. It is well, therefore, in many cases to endeavor to expel the unabsorbed poison by emptying the digestive tract, so far as may be, with a nonirritating purge. Castor oil in doses of 1 pint to 2 quarts is adapted to this purpose. If the poison is known to be nonirritant—as a narcotic plant—from 10 to 20 drops of croton oil may be given with a quart of castor oil. When poisons are somewhat prolonged in their effect, Epsom salt in doses of 1 pound can be given advantageously. To protect the mucous membrane from the action of strong irritants, one may give flaxseed tea, barley water, the whites of eggs, milk, butter, olive oil, or fresh lard. Chemical antidotes may sometimes be used for special poisons, as advised below. In general, if an acid has been taken it may be neutralized with an alkali, such as chalk, magnesia, bicarbonate of soda (baking soda), ammonia (diluted), or soap. If the poison is an alkali, such as caustic soda or potash (lye), or ammonia, an acid, such as diluted (1 per cent) sulphuric acid or vinegar, may be administered. Special treatments and antidotes are considered below.

A poisonous agent may be so gradually introduced into the system as to slowly develop the power of resistance against its own action. In other cases where the poison is introduced slowly the poisonous action becomes accumulative, and, although there is no increase in the quantity taken, violent symptoms are suddenly developed, as if the whole amount, the consumption of which may have extended over a considerable period, had been given in one dose. Other agents, poisonous in their nature, tend to deteriorate some of the important organs, and, interfering with their natural functions, are productive of conditions of ill health which, although not necessarily fatal, are important. Such might properly be called chronic poisons. Poisons of themselves dangerous when administered in large doses are used medicinally for curative purposes, and a very large percentage of the pharmaceutical preparations used in the practice of medicine if given in excessive quantities may produce serious results. In the administration of medicines, therefore, care should be exercised not only that the animal is not poisoned by the administration of an excessive dose but that injury is not done by continued treatment with medicines the administration of which is not called for.

MINERAL POISONS.

ARSENIC POISONING.

Of the common irritant and corrosive poisons, arsenic, especially one of its compounds (Paris green), is likely to be the most dangerous to our class of patients. The common practice of using Paris green and other compounds of arsenic as insecticides for the destruction of potato beetle and other insect enemies of the farmer and fruit grower has had the effect of introducing it into almost all farming establishments. White arsenic is also a principal ingredient in some popular dipping preparations, and poisoning from this source occasionally takes place when, after dipping, animals are allowed to run in a yard in which there is loose fodder. The drippings from the animals falling on the fodder render it poisonous and dangerous to animal life if eaten. Familiarity with its use has in many instances tended to breed contempt for its potency as a poison. Rat poisons often contain arsenic. The excessive use of arsenic as a tonic, or of "condition powders" containing arsenic, has been the means of poisoning many animals. This is the common poison used by malicious persons with criminal intent. The poison may also be absorbed through wounds or through the skin if used as a dip or bath.

If a large dose is given, at once acute poisoning is produced; if repeated small doses are given, chronic poisoning may result. The poisonous dose for an ox is from 3 drams to 1 ounce.

Symptoms.—The symptoms of acute poisoning first appear as those of colic; the animal is restless, stamping with the feet, lying down and getting up. There is tenderness on pressure over the abdomen. The acute symptoms increase; in a few hours violent diarrhea is developed; in many cases blood and shreds of detached mucous membrane are mixed with the evacuations. There is irregular and feeble pulse and respiration, and death is likely to supervene between the eighteenth hour and the third day. If the latter period is passed, there is a reasonable hope of recovery.

In chronic poisoning the symptoms are similar to those of chronic gastrointestinal catarrh, with indigestion, diarrhea, and general weakness and loss of condition.

Treatment.—The antidote for arsenic is a solution of hydrated oxid of iron in water. It should be prepared fresh by mixing a solution of sulphate of iron, made by dissolving 4 ounces of sulphate of iron in one-half pint water, with a suspension of 1 ounce of magnesia in one-half pint water. This quantity is sufficient for one dose for a cow and may be repeated in an hour, if much arsenic was taken. A solution of calcined magnesia or powdered iron or iron filings or iron scale from a blacksmith's forge may be given in the absence of other remedies. Powdered sulphur is of some value as an antidote. One must also administer protectives, such as linseed tea, barley water, whites of eggs, etc.

LEAD POISONING.

Lead poisoning of cattle sometimes comes from their having licked freshly painted surfaces and thus swallowed compounds containing white lead. In several instances cattle have been poisoned by silage from a silo painted inside with lead paint shortly before filling. Sometimes cattle eat dried paint scrapings with apparent relish and are poisoned. Cattle grazing on rifle ranges have been poisoned by lead from the bullets. Sugar of lead has been administered by mistake for Glauber's salt. Lead poisoning may be acute or chronic. The fatal dose of sugar of lead is from 1 to 4 ounces. Water drawn from lead pipes or held in a lead-lined tank may cause poisoning.

Symptoms.—The symptoms are generally dullness, lying down with the head turned toward the flank, colic, rumbling in the abdomen, loss of control of the limbs when walking, twitching, champing of the jaws, moving in a circle, convulsions, delirium, violent bellowing, followed by stupor and death. The symptoms generally extend over considerable time but may end in death after 24 hours.

Chronic lead poisoning occasionally occurs in districts where lead mining is the principal industry. The waste products of the mine thrown into streams contaminate the water supply, so that the mineral is taken into the system gradually, and a very small per cent of any of the salts taken into the system in this way is pernicious. Water which contains any salt of lead to the extent of more than one-tenth of a grain to the gallon is unfit to drink. Such water when used continually is likely to produce colic from the resulting intestinal irritation, and in aggravated cases paralysis more or less severe is likely to be developed. A blue line on the margin of the gums, the last symptom, is regarded as diagnostic and its presence as conclusive evidence of the nature of the disorder.

Treatment.—The treatment should first be directed toward removing the cause. A large dose of purgative medicine should be given, and the brain symptoms be relieved by giving bromid of potassium in half-ounce doses every 4 or 5 hours and by the application of cold water to the head. Dilute sulphuric acid in half-ounce doses should be given with the purgative medicine. In this case sulphate of magnesia (Epsom salt) is the best purgative, and it may be given in doses of from 1 to 2 pounds dissolved in warm water. After the acute symptoms have abated, iodid of potassium may be given, in doses of 2 drams each, three times a day for a week.

No treatment is likely to be of avail until the cause is removed.

COPPER POISONING.

The soluble salts of copper, though used as a tonic in the medicinal treatment of cattle, are poisonous when taken in large quantities. Like lead and arsenic, they have an irritant effect upon the mucous membrane with which they come in contact in a concentrated form. Cattle are not very likely to be poisoned from this cause unless through carelessness. Sulphate of copper, commonly called blue vitriol, is occasionally used for disinfecting and cleansing stables, where it might inadvertently be mixed with the feed. It is also used largely for making the Bordeaux mixture used in spraying fruit trees. The general symptoms produced are those of intestinal irritation, short breathing, stamping, and tender abdomen.

Treatment.—Give powdered iron, or iron reduced by hydrogen, or calcined magnesia. Sulphur may be used. This should be followed by a liberal supply of demulcents, linseed infusion, boiled starch, whites of eggs, etc.

ZINC POISONING.

Several of the soluble salts of zinc are irritant poisons. The chlorid and sulphate are those in most common use. In animals which have power to vomit they are emetic in their action. In others, when retained in the stomach, they set up more or less irritation of the mucous membrane and abdominal pain, producing symptoms already described in the action of other poisons which produce the same result.

Treatment.—The treatment should be the same as for copper poisoning.

PHOSPHORUS POISONING.

Only one of the forms of phosphorus in common use—the ordinary yellow—is poisonous. Phosphorus in this form is used for the destruction of rats and mice and other vermin, and has been largely used in the manufacture of matches.

Symptoms.—The symptoms are loss of appetite, colic, diarrhea, irritation of the mouth and throat, and paralysis of the throat. There is also weakness, difficult breathing, and rapid pulse. The course of the poisoning is usually rapid, terminating in either recovery or death within three days. The toxic dose for cattle is from 5 to 30 grains. If taken in large quantities the excreta are occasionally noticed to be luminous when examined in the dark.

Treatment.—Turpentine is given in an emulsion with flaxseed tea in a single dose of from 2 to 8 ounces. Permanganate of potassium may be given in a one-fourth of 1 per cent solution. Stimulants, such as alcohol and ether, should be administered. Oils and milk must not be given.

MERCURY POISONING.

Mercury poisoning is not rare in cattle from the fact that these animals have a special susceptibility to the action of this substance. Antiseptic washes or injections containing the bichlorid of mercury (corrosive sublimate) must be used on cattle with great care. Mercurial disinfecting solutions or salves must be used cautiously. Calomel can not be given freely to cattle.

Symptoms.—The symptoms are salivation, sore mouth, indigestion, diarrhea, skin eruption, paralysis of local groups of muscles, and nephritis.

Treatment.—The treatment consists in administering sulphur in large doses (2 to 4 ounces) or iron powder. Both make insoluble compounds with mercury. Follow with the whites of eggs mixed with water and with linseed tea. If the case does not terminate promptly, give iodid of potash in 1-dram doses twice daily.

POISONING BY ACIDS.

MINERAL ACIDS.—The mineral acids—nitric, sulphuric, hydrochloric, etc.— when used in a concentrated form destroy the animal tissues with which they come in contact, and in this respect differ from most of the poisons previously described. When taken into the stomach the mucous membrane of the mouth, pharynx, esophagus, and stomach is apt to be more or less completely destroyed. If taken in large quantities death is likely to result so speedily that nothing can be done to relieve the patient, and even if time is allowed and the action of the acid can be arrested it can not be done until considerable and, perhaps, irreparable damage has been done. The mucous membrane with which the acid has come in contact in the esophagus may be destroyed by its corrosive action and carried away, leaving the muscular tissues exposed. The raw surface heals irregularly, the cicatrice contracting causes stricture, and an animal so injured is likely to die of starvation. In the stomach even greater damage is likely to be done. The peristaltic action of the esophagus carries the irritant along quickly, but here it remains quiet in contact with one surface, destroying it. It is likely to perforate the organ and, coming in contact with the abdominal lining or other organs of digestion, soon sets up a condition that is beyond repair. In a less concentrated form, when this is not sufficiently strong to be corrosive, it exerts an irritant effect. In this form it may not do much harm unless taken in considerable quantity. When thus the mucous membrane of the stomach and intestines becomes inflamed pain and diarrhea are likely to result.

Treatment.—Any of the alkalies may be used as an antidote. Most convenient of these are chalk, baking soda, marble dust, magnesia, lime, soap, or plaster from a wall. Mucilaginous drinks should be given in large quantities.

VEGETABLE ACIDS.—Oxalic acid in particular is corrosive in its action when taken in concentrated solution, losing its corrosive effect and becoming irritant when more dilute. It also exerts a specific effect on the heart, frequently causing death from syncope. Taken in the form either of the crystals or solution it is likely to cause death in a very short time. Failure of heart action and the attendant small pulse, weakness, staggering, and convulsions are the more noticeable symptoms. Acetic acid is irritant to the gastrointestinal tract, and may cause sudden paralysis of the heart.

Treatment.—The action of the acid should be counteracted by the use of alkalies, as advised above, by limewater or lime or plaster given promptly, by protectives to the digestive tract, and by stimulants.

POISONING BY ALKALIES.

The carbonates of potash and soda and the alkalies themselves in concentrated form cause symptoms of intestinal irritation similar to those produced by mineral acids. Ammonia, caustic soda, and caustic potash (lye) are those to which animals are most exposed. The degree of their caustic irritant effects depends on their degree of concentration. When they reach the stomach the symptoms are nearly as well marked as in the case of the acids. The irritation is even more noticeable, and purgation is likely to be a more prominent symptom. If death is not caused soon, the irritation of the gastrointestinal tract and malnutrition will last for a long time.

Treatment.—Treatment consists in neutralizing the alkali by an acid, such as dilute sulphuric acid (1 per cent) or strong vinegar. The administration of such an antidote and its action must be carefully watched during administration. In the chemical change which takes place when the acid and alkali are combined, carbonic-acid gas is liberated, which may be to an extent sufficient to cause considerable distention of the abdomen, and even to produce asphyxia from pressure forward on the diaphragm. Should this danger present itself, it may be averted by opening the flank, permitting the gas to escape. (See "Acute tympanites, or Bloating," p. 22.) Flaxseed or slippery-elm decoction must be given to sooth the inflamed mucous surface. Opium may be used to allay pain.

COAL-OIL POISONING.

Coal oil is sometimes administered empirically as a treatment for intestinal parasites. If given in large doses it produces poisonous effects, which are likely to be manifested some time after the administration. It acts as an irritant to the digestive tract, causing dribbling of ropy saliva from the mouth, diarrhea, tenesmus, and loss of appetite, with increased temperature and cold extremities. Visible mucous membranes are injected, pupils of the eyes are contracted, and there is a watery discharge from the eyes and nostrils. Remotely it exerts a depressing influence on the functions of the brain and slight coma, and occasionally convulsions, from which the animal is easily aroused. The kidneys also suffer. The urine is dark colored and has the characteristic odor of coal oil. Death may result from gastroenteritis or convulsions.

Treatment.—The patient's strength should be fostered by the frequent administration of mild stimulants, of which aromatic spirits of ammonia is perhaps the best. The animal should be encouraged to eat soft feed and given mucilaginous drinks.

Crude coal oil is sometimes applied to the skin to kill parasites. If too much is used, especially in hot weather, great weakness and depression may be caused and in some cases death may result.

CARBOLIC-ACID POISONING.

Although one of the most valuable antiseptic remedies, carbolic acid in a concentrated form, when taken internally or used over a large surface externally, is likely to produce poisonous effects. It causes whitening, shrinking, and numbness of the structures with which it comes in contact, and, besides its irritant effect, exerts a powerful influence on the nervous system. Being readily absorbed, it produces its effect whether swallowed, injected into the rectum, inhaled, or applied to wounds, or even to a large tract of unbroken skin. Used extensively as a dressing, it may produce nausea, dizziness, and smoky or blackish colored urine. The last symptom is nearly always noticeable where the poisonous effect is produced. In more concentrated form, or used in larger quantities, convulsions, followed by fatal coma, are likely to take place. Even in smaller quantities, dullness, trembling, and disinclination for food often continue for several days. In a tolerably concentrated solution it coagulates albumen and acts as an astringent.

Treatment.—As an antidote internally, a solution of sulphate of soda or sulphate of magnesia (Glauber's or Epsom salt) may be given. The white of egg is also useful. Stimulants may be given if needed. When the poisoning occurs through too extensive applications to wounds or the skin, as in treatment of mange, cold water should be freely applied so as to wash off any of the acid that may still remain unabsorbed. As a surgical dressing a 3 per cent solution is strong enough for ordinary purposes. Water will not hold more than 5 per cent in permanent solution. No preparation stronger than the saturated solution should be used medicinally under any circumstances.

SALTPETER POISONING.

Both nitrate of soda and nitrate of potassium are poisonous to cattle. These substances are used for manure and for preserving meats. They may be administered in a drench by error in place of Glauber's salt, or they may be exposed within reach of cattle and thus be eaten. The toxic dose depends upon the condition of fullness of the stomach. If in solution and given on an empty stomach, as little as 3 ounces of saltpeter (nitrate of potassium) may be fatal to a cow. More of the Chile saltpeter (nitrate of soda) is required to cause serious trouble.

Symptoms.—Severe gastroenteritis, colic, tympanites, diarrhea, excessive urination, weakness, trembling, convulsions, collapse.

Treatment.—Same as for poisoning by common salt.

POISONING BY COMMON SALT.

A few pounds (3 to 5) of common salt will produce well-marked signs of poisoning in cattle. So much salt as this will not be taken by cattle except under unusual conditions. If the feed is poor in salt, and if no salt has been given for a long time, an intense "salt hunger" may occur that may lead an animal to eat a poisonous quantity, or an overdose of salt may be given by error as a drench. In order to prevent overeating of salt, it is doubtless better in salting cattle to use rock salt rather than that in more or less finely divided form.

Herring and mackerel brine and pork pickle are also poisonous, and are especially dangerous for hogs. In these substances there are, in addition to salt, certain products extracted from the fish or meat which undergo change and add to the toxicity of the solution. Sometimes saltpeter is present in such brines.

Symptoms.—The symptoms are great thirst, abdominal pain, diarrhea, poor appetite, redness and dryness of the mouth, increased urination, paralysis of the hind legs, weak pulse, general paralysis, coma, and death in from six to eight hours.

Treatment.—Allow as much warm water as the animal will drink; give protectives, such as linseed tea, etc. Linseed or olive oil may be given. To keep up the heart action give ether, alcohol, camphor, digitalis, or coffee. To allay pain, give opium.

VEGETABLE POISONS.

Vegetable poisons may be divided into two classes—those that are likely to be administered to the animal as medicine, and such as may be taken in the feed, either in the shape of poisonous plants or as plants or feeds of vegetable origin that have been damaged by fungi or by bacteria which have produced fermentation or putrefaction.

VEGETABLE POISONS USED AS MEDICINE.

OPIUM (MORPHIN, LAUDANUM) POISONING.

Opium and its alkaloid, morphia, are so commonly used in the practice of medicine that the poisonous result of an overdose is not uncommon. The common preparations are gum opium, the inspissated juice of the poppy; powdered opium, made from the gum; tincture of opium, commonly called laudanum; and the alkaloid or active principle, morphia. Laudanum has about one-eighth the strength of the gum or powder. Morphia is present in good opium to the extent of about 10 per cent. In medicine it is a most useful agent in allaying pain. It first produces a stimulating action, which is followed by drowsiness, a disposition to sleep or complete anesthesia, depending on the quantity of the drug used. In poisonous doses a state of exhilaration is well marked at first. This is particularly noticeable in cattle and in horses. The animal becomes much excited, and this stage does not pass into insensibility unless an enormous dose has been given. If the dose is large enough, a second stage sometimes supervenes, in which the symptoms are those of congestion of the brain. The visible membranes have a bluish tint (cyanotic) from interference with the air supply. The breathing is slow, labored, and later stertorous; the pupils of the eyes are very much contracted; the skin dry and warm. Gas accumulates in the stomach, so that tympanites is a prominent symptom. The patient may be aroused by great noise or the infliction of sharp pain, when the breathing becomes more natural. A lapse into the comatose condition takes place when the excitement ceases. Later, there is perfect coma and the patient can no longer be aroused from the insensible condition. The contraction of the pupil becomes more marked, the breathing intermittent and slower, there is perspiration, the pulse more feeble and rapid, till death takes place. Poisoning of cattle with opium or its products rarely goes beyond the stage of excitement, because the quantity of the drug required for the later effects is so great. Seventy-five grains of morphia administered subcutaneously has sufficed merely to excite for 12 hours.

Treatment.—Give strong coffee, 1 to 4 quarts, aromatic spirits of ammonia or carbonate of ammonia. Atropia is the physiological antidote.

STRYCHNIN POISONING.

Strychnin is a very concentrated poison and produces its effect very quickly, usually only a few minutes being necessary if given in sufficient dose and in such a way that it will be at once absorbed. When employed as a medicine, as a rule, minimum doses should be used, as cattle are quite susceptible to its effects and may be killed by the maximum doses given in the common manuals of veterinary medicine. The first noticeable symptom is evidence of unrest or mental excitement; at the same time the muscles over the shoulder and croup may be seen to quiver or twitch, and later there occurs a more or less well-marked convulsion; the head is jerked back, the back arched and leg extended, the eyes drawn. The spasm continues for only a few minutes, when it relaxes and another occurs in a short time. The return is hastened by excitement and in a short time again disappears, continuing to disappear and reappear until death results. As the poisonous effect advances the intervals between the spasms become shorter and less marked and the spasms more severe until the animal dies in violent struggles.

Treatment.—The best method is to put the patient under the influence of chloral, chloroform, or ether, and keep it there continuously until the effect of the poison has passed off. Alcohol may be given in large doses.

ACONITE POISONING.

In recent years tincture of aconite has become a popular stable remedy. If an animal is ailing, aconite is given whether indicated or not. Fortunately the dose used is generally small, and for this reason the damage done is much less than it would otherwise be. Aconite is one of the most deadly poisons known. It produces paralysis of motion and sensation, depresses the heart's action, and causes death by paralysis of respiration. In large doses it causes profuse salivation, champing of the jaws, and attempts at swallowing. If not sufficient to cause death, there is impaired appetite with more or less nausea for some time after. In poisonous doses it causes the animal to tremble violently, to lose power to support itself, and brings on slight convulsions, with perspiration. The pulse is depressed, irregular, and afterwards intermittent.

Treatment.—The chemical antidote is tannic acid, which forms an insoluble compound with the aconitin. The depressing effect on the heart should be counteracted by the use of ammonia, digitalis, alcohol, camphor, or other diffusible stimulants, which have a physiological effect opposite to aconite.

POISONOUS PLANTS.

An important group of poisons may be classed under this head. In most cases it is poison naturally belonging in the plant; in other cases the poisonous principle is developed in what would otherwise be harmless plants as a plant disease, or as a fermentation or putrefaction due to bacterial growth and observed in forage, grain, or meal that has become heated, damaged, or "spoilt."

The subject of poisonous plants is an important one and is of especial interest to those using the western stock ranges, for it is probable that there is no other single cause producing so many fatalities. In this article only a few of the more important plants are treated in a brief way, for an extended treatise would be necessary if the subject were to be handled adequately. Further information should be sought in the more elaborate publications. Many of the American poisonous plants have been treated in bulletins issued by the United States Department of Agriculture.

Treatment for plant poisoning.—Remedies given by the mouth in most cases fail to give relief to cattle affected by poisonous plants. The material of the poisonous plants in the first stomach is not very largely affected by a remedy given as a drench. If any beneficial result is effected, it must be on the material which has already passed into the fourth stomach, so that to get any real antidotal result the remedy must be given repeatedly in order to meet the alkaloid poisons as they are passing through the fourth stomach. While certain substances like tannic acid and potassium permanganate are the logical antidotes for plant poisons, in practical application they are very disappointing in the treatment of ruminant animals. Reliance must be mainly on prevention and upon such remedies as will increase elimination. A laxative or purgative is always helpful, and for this purpose Epsom salt may be given in pound doses, or linseed oil in doses of 1 or 2 pints. In some few cases special remedies can be given as is indicated below.

It is well to bear in mind that cattle while grazing freely in good pasture are not likely to eat poisonous plants to any extent. If these same plants are gathered and thrown in a pile, the animals, through a kind of pernicious curiosity, may eat them with disastrous results. This has frequently happened when freshly cut branches of cherry, yew, oleander, and other plants have been thrown where dairy cattle could get at them.

OAKS.

The foliage of oaks is a valuable constituent of the forage on many ranges and pastures. It has been shown, however, that when this is eaten without some admixture of other food, cattle frequently sicken and die. Many cases of the poisoning of cattle by acorns have been reported in England and Germany, and there have been some complaints in the United States. Harmful results from eating acorns do not seem likely to occur except as they are eaten in considerable quantities.

Symptoms.—The symptoms of oak poisoning are constipation, mucus and blood in the feces, emaciation, and edema. The symptoms of acorn poisoning are much the same.

Treatment.—Change of pasture or an addition of other food material.

HORSE CHESTNUT—BUCKEYE.

All the species of AEsculus, popularly known as horse chestnut or buckeye, are considered poisonous. The bark, leaves, and fruit are injurious. It is said that if the fruit is boiled or roasted and washed out it becomes harmless and even is a desirable addition to the feed of cattle. The Indians in time of scarcity of food have used the fruit after preparing it in this way. The buckeyes are said to have a specific effect in producing abortion in cattle and goats.

DEATH CAMAS (SPECIES OF ZYGADENUS).

The death-camas plants, which are commonly known in the Pacific States as "lobelia," are especially destructive of sheep, but cattle sometimes eat them and are poisoned. Cases of cattle poisoning are not likely to result fatally.

Symptoms.—The symptoms are salivation, nausea accompanied by vomiting, great weakness, and lowered temperature.

Treatment.—There is no effective treatment for death-camas poisoning.

FLY POISON (CHROSPERMA MUSCAETORIUM).

This plant, which is closely related to the death-camas plants, is sometimes known as "stagger grass" and causes a considerable loss in the Southern States. It grows earlier than the grasses, and on this account is more likely to be eaten. Like death camas, it produces pronounced nausea, resulting in vomiting and weakness, and in cases which recover the effects may continue for several days. Apparently the injurious effects are more common in the case of cattle than in other domestic animals. There is no known way of treating these animals, though doubtless purgatives would be beneficial.

YEW (TAXUS BACCATA).

The European yew has long been known as a very poisonous plant. It is cultivated in America, and while cases of poisoning have not been common, it is well to recognize its dangerous character. A comparatively small dose is poisonous and ordinarily acts with great rapidity. It causes respiratory paralysis and the animal dies in convulsions.

LAUREL.

The laurels, including the broad-leafed laurel, Kalmia latifolia, the narrow-leafed laurel, Kalmia angustifolia, the rhododendrons, and other closely related plants are poisonous and cause considerable losses. It is dangerous to let cattle graze where these plants are abundant at times when other forage is scarce. The symptoms are salivation, nausea and vomiting, spasms, dizziness, stupor, and death.

FERN.

The common brake or bracken fern, Pteris aquilina, has been considered responsible for the poisoning of many horses and cattle. Many cases have been reported in England and Germany, and some well-authenticated cases in the United States. Very little has been learned experimentally of fern poisoning, but there seems to be little question that it has been the cause of many deaths. The symptoms are said to be temperature higher than normal, loss of appetite, bloody discharges from mouth, nose, and bowels, and great depression followed by coma and death. Some authors say that the urine is colored by blood. It is thought by some that the disease known as "red water" in the northwestern United States and Canada is caused by eating ferns.

SORGHUM POISONING.

Under certain conditions sorghum contains enough hydrocyanic acid to make it exceedingly dangerous to cattle. These cases of poisoning most commonly occur when cattle are pastured upon the young plant or upon a field where the crop has been cut and is making a second growth. Conditions of drought make the sorghum especially dangerous. There is some reason to think that the frosted second growth is particularly rich in hydrocyanic acid. The cases of poisoning occur when animals are grazed upon the plant, but not from the harvested crop or from silage. If cattle are grazed on sorghum or sorghum stubble they should at first be under constant observation and should be removed as soon as any signs of illness appear. Similar precautions should be used in grazing kafir.

CORNSTALK DISEASE.

Considerable losses of cattle have occurred when they were turned upon cornfields in the fall. Deaths come very suddenly and there is no opportunity to apply remedies. It has been thought that these fatalities, like those from sorghum, were caused by hydrocyanic acid, but there is good reason to think that this is not true, and at the present time there is no accepted explanation of this disease, although there seems to be no doubt that it is connected in some way with the condition of the corn. Whether a given field is poisonous or not can only be determined by experiment, and the wise farmer will keep his cattle under close observation when they are first turned into a cornfield.

WATER HEMLOCK (CICUTA).

This plant, growing in wet places by ditches and along creeks, is the most poisonous of North American plants. The root is the poisonous part, and cattle generally get it when it is plowed up or washed out by high water. Sometimes they pull it up, for the plant occasionally grows out into ditches so that the whole plant will be taken in grazing. The most marked symptoms of Cicuta poisoning are the violent convulsions, which remind one of the effect of strychnin.

Treatment.—Little can be done in the way of treatment. The logical thing is to attempt to control the convulsions by means of morphia, but in view of the fact that the stomach can not be emptied, the prognosis is not good, and most cases die.

LARKSPURS.

The larkspurs are a source of heavy loss to cattle owners in the higher ranges of the West. There are a number of species, growing at altitudes from 4,000 feet to timber line, and all are poisonous. A few cases of poisoning by larkspurs have been reported in the eastern United States, but most of the losses are confined to the West, both because larkspurs grow there in greater profusion and because cattle are grazed in that region on the open ranges. The losses are confined to cattle, for sheep and horses can graze on larkspur with no resulting harm. Most of the larkspur losses occur in the spring and early summer, as the plants lose their toxicity after maturing.

Symptoms.—Larkspur poisoning is accompanied by a definite line of symptoms. In range animals the first symptom noted is generally the sudden falling of the animal and consequent inability to rise. After a while it may rise, only to fall again. This may happen repeatedly. In severe cases the animal lies prone and exhibits nausea, accompanied by vomiting. It dies of respiratory paralysis, death many times being hastened by the asphyxia following the vomiting.

Treatment.—The animal, if found down, should be turned so that its head is uphill in order to relieve the lungs. Many cases will recover with no further treatment. Nearly all cases will recover if a hypodermic injection is given immediately of physostigmin salicylate 1 grain, pilocarpin hydrochlorid 2 grains, strychnin sulphate 1/2 grain.

LOCO.

The loco plants have caused especially heavy losses of cattle, horses, and sheep. They grow in the semiarid regions of the West and sometimes in great luxuriance. The best known are the "blue loco," the "woolly loco" or "purple loco," and the "white loco" or "rattle-weed." The blue loco is common in parts of New Mexico, Arizona, and Utah. It affects both horses and cattle. The purple loco, Astragalus mollissimus, is common in Texas and the adjoining States and extends north as far as Nebraska and Colorado. It is especially destructive to horses. The white loco, Oxytropis lamberti, is still more widely distributed, being found in the plains region from Alaska to Mexico and west of the Rocky Mountains to central Utah. The white loco is much more important than the purple loco, for it affects not only horses but cattle and sheep. These plants belong to the pea family, and there are a number of other species of this family that are loco plants and produce the same symptoms.

Symptoms.—Loco poisoning is a chronic condition and symptoms are shown only after somewhat prolonged feeding. The condition is one of cumulative poisoning, and animals sometimes decline very rapidly after the first symptoms appear. In many cases animals acquire a habit of eating loco and prefer it to any other feed. The poison affects the central nervous system. There is a lack of muscular coordination and the animal performs very erratic movements. In the later stages the animal becomes emaciated and eventually dies of starvation.

Treatment.—Locoed animals are badly constipated, and it is important that this condition should be remedied at the start. Any purgative can be used, but Epsom salt has been found especially effective. If locoed animals can be turned into a field of alfalfa, a large proportion of them will recover with no further treatment. Recovery may be aided by giving cattle, hypodermically, daily doses of three-twentieths to four-twentieths of a grain of strychnin. By this treatment cattle can be cured and put in condition for market.

WHITE SNAKEROOT (EUPATORIUM URTICAEFOLIUM).

White snakeroot, frequently known as "rich weed," is a plant growing in great abundance in some of the eastern and central regions of the United States. It is particularly abundant in parts of Ohio, Indiana, and Illinois, and in western North Carolina. It is responsible for most, if not all, of the cases of a disease which is commonly known as "milk sickness."

Symptoms.—The animals are constipated, sometimes have bloody feces, become weak, and exhibit muscular trembling. This trembling is very characteristic, so that the disease is sometimes known as "the trembles."

Remedy.—There are no remedies which will work very efficiently. It is desirable to give the animals purgatives like Epsom salt and, of course, to remove them from fields where this plant is abundant.

RAYLESS GOLDENROD (ISOCOMA WRIGHTII).

The rayless goldenrod is a plant growing in especial abundance in parts of the Pecos Valley in New Mexico and Arizona, and there produces a disease so much like that produced in the East by white snakeroot that it is sometimes called milk sickness. More generally this disease goes under the name of "alkali disease." The plant has produced heavy losses in the regions where it grows abundantly.

Symptoms.—The symptoms are much like those produced by the white snakeroot. The animals are constipated, sometimes have bloody feces, become weak, and exhibit muscular trembling. There is good reason to think, too, that the milk of cows eating this plant is more or less injurious.

Treatment.—A purgative like Epsom salt will aid an animal in recovering, but most important is to remove the cattle from pastures where the plant is abundant and give them an abundance of good forage. Under such conditions they are almost certain to recover.

MILKWEEDS.

Many of the milkweeds have long been known to have more or less poisonous properties. Within the last few years it has been discovered that certain of the milkweeds going under the popular name of whorled milkweeds are especially toxic. There are at least four species of whorled milkweeds, but two of them are particularly important from the standpoint of people handling livestock. One, known scientifically as Asclepias galioides, is harmful in Colorado, Utah, Arizona, and New Mexico, while another, known as Asclepias mexicana, has produced losses, especially in California and Nevada. These whorled milkweeds are distasteful to all animals and are eaten only when the stock is closely confined to pastures where there is little else in the way of forage.

Symptoms.—The most prominent symptoms are weakness, producing staggering, and this is followed in acute cases by violent spasms.

Treatment.—There is no treatment which will effectively antidote the effect of the poison. In practically all cases, however, poisoning may be avoided if care is taken to prevent animals from being closely confined where this plant is abundant, as they never eat the plant by choice.

CHERRY.

In the leaves of the cherries more or less hydrocyanic acid is produced, and when these leaves are eaten in any considerable quantity cases of poisoning are likely to arise. It is popularly supposed that these cases arise from eating wilted cherry leaves, but there is every reason to think that the fresh leaves will produce the same results. These cases are easily prevented, because no harm results from eating a small quantity of the leaves, and if the fact is recognized that poisoning may result from eating a large quantity, it is not difficult to care for the animals so as to prevent poisoning.

ERGOTISM.

The poisonous effects of ergot (Pls. V, VI) appear chiefly in the winter and spring of the year and among cattle. It is developed among grasses grown on rich soil in hot, damp seasons. Rye seems more liable to ergot than any of our other crops. Of the grasses which enter into the composition of hay, bluegrass is the most likely to become affected. Ergot may also affect redtop, oats, grasses, and grains. On the plant the fungus manifests itself on the seeds, where it is easily recognized when the hay is examined in the mow. The ergotized seeds are several times larger than the natural seeds—hard, black, and generally curved in shape.

The effect of the protracted use of ergot in the feed is pretty well understood to be that of producing a degeneration and obstruction of the smaller arterial branches. The result is to shut off the blood supply to the distal parts of the body, where the circulation is weakest, and thus to produce a mummification or dry gangrene of the extremities, as the ears, tail, feet, etc. Cattle seem to be more susceptible than other animals to the influence of ergot, possibly on account of the slowness of the heart's action. When the effect of the poison has become sufficient to entirely arrest the circulation in any part, the structures soon die. The disorder manifests itself as lameness in one or more limbs; swelling about the ankle which may result in only a small slough or the loss of a toe, but it may circumscribe the limb at any point below the knee or hock by an indented ring below which the tissues become dead. The indentation soon changes to a crack, which extends completely around the limb, forming the line of separation between the dead and living structures. The crack deepens till the parts below drop off without loss of blood, and frequently with very little pus. Ergot may cause serious irritation of the digestive tract, or by acting upon the nervous system it may cause lethargy or paralysis. It also operates to cause contraction of the uterus, and may thus cause abortion.

Treatment.—Regarding the treatment, change of feed and local antiseptics are, of course, indicated. The former may be useful as a preventive, but when the symptoms have appeared the animal is necessarily so completely saturated that recovery is likely to be tedious. Tannin may be given internally in doses of one-half dram twice daily for a few days to neutralize the unabsorbed alkaloids of the ergot. At the same time give castor oil. To dilate the blood vessels give chloral hydrate. Bathe the affected parts with hot water. If sloughing has gone far, amputation must be resorted to.

OTHER POISONOUS FUNGI.

Many other fungi poison herbivora. In some instances, however, where fungi are blamed for causing disease their presence on the feedstuff or herbage is but coincidental with some other and more potent disease-producing factor. For example, if the conditions are favorable to the growth of fungi they are also favorable to the growth of bacteria, and bacteria may produce poisons in feeds. In general it may be said that any feed that is moldy, musty, or putrid is possibly dangerous. Silage, properly cured, does not belong to this class, because the curing of silage is not a bacterial process. But spoiled silage and silage matted with mold is dangerous and should not be fed.

POISONING BY ANIMAL PRODUCTS.

SNAKE BITES.

The poison contained in the tooth glands of certain venomous reptiles, particularly some of the snakes, which is injected into or under the skin of an animal bitten by the reptile, is a very powerful agent. It is likely to produce a serious local irritation, and in the case of the more poisonous snakes serious constitutional disturbances, even to causing death, which it may do in either of two ways: First, when very strong, by exerting a narcotic influence similar to that of some of the powerful poisons, checking heart action. Second, by diffused inflammation of the areolar tissue, gangrene, and extensive sloughing.

Symptoms.—The symptoms of snake bite are a local swelling caused by an intense local inflammation, pricks showing where the fangs penetrated, depression, weakness, feeble pulse, difficult breathing, bluish discoloration of the visible mucous membranes, stupor, or convulsions. If the poison is not powerful or plentiful enough to produce death, it is, at any rate, likely to cause severe local abscesses or sloughs.

Treatment.—The treatment may be divided into local and general. Locally every effort should be made to prevent absorption of the poison. If discovered at once the bitten part had better be excised. If that is impracticable and a ligature can be applied, as in the case of a bite to one of the limbs, no time should be lost in applying it above the injury. It should be made sufficiently tight to so far as possible arrest circulation in the bitten part. The wound should be freely incised, so that it will bleed freely, and the poison should be extracted by cupping, or pressed out by squeezing with the fingers. Permanganate of potassium in 5 per cent solution should be applied to and injected into the wound. The depressing effect of the poison on the general system should be counteracted by hypodermic injections of strychnin, or by liberal drenching with stimulants, such as coffee, digitalis, or the aromatic spirits or carbonate of ammonia. In animal practice the alcoholic stimulants and local treatment above described are likely to meet with best success. A special antitoxin for use in treating snake bite is now prepared and may be had from the leading druggists. It is quite effective if used promptly.

WASP AND BEE STINGS.

Wasps and bees secrete a poisonous substance which they are able to insert through the skin of an animal by the aid of their sharp stings. This poison is a severe local irritant and may even cause local gangrene. It also has a depressing effect upon the central nervous system and destroys the red-blood corpuscles. To produce these general effects it must be introduced in very large quantities, as when an animal is stung by a swarm of bees or wasps.

Treatment.—The treatment is to wash the parts with diluted ammonia or permanganate of potassium solution and to give stimulants internally. If there is so much swelling about the head and nostrils as to interfere with breathing, tracheotomy may be necessary.

POISONING WITH SPANISH FLY.

Spanish fly, in the form of powdered cantharides, may be given in an overdose, or when applied as a blister to too large a surface of skin enough may be absorbed to poison. If given by the mouth, it causes severe irritation of the gastrointestinal tract, shown by salivation, sore throat, colic, bloody diarrhea, etc. It also produces, whether given by the mouth or absorbed through the skin, irritation of the urinary tract, as shown by frequent and painful urination. If death results, it is due to respiratory paralysis.

Treatment.—Give protectives and the white of egg, with opium. Do not give oils or alcohol.



DISEASES OF THE HEART, BLOOD VESSELS, AND LYMPHATICS.

By W. H. HARBAUGH, V. S.

[Revised by Leonard Pearson, B. S., V. M. D.]

THE CIRCULATORY SYSTEM.

In cattle, as in human beings, the heart, blood vessels, and lymphatics may be described as the circulatory apparatus.

The heart is in the thoracic cavity (chest). It is conical in form, with the base or large part uppermost, while the apex, or point, rests just above the sternum (breastbone). It is situated between the right and left lungs, the apex inclining to the left, and owing to this the heart beats are best felt on the left side of the chest, behind the elbow. The heart may be considered as a hollow muscle, containing four compartments, two on each side. The upper compartments are called auricles and the lower ones ventricles. The right auricle and ventricle are completely separated from the left auricle and ventricle by a thick septum or wall, so that there is no communication between the right and left sides of the organ.

At the bottom of each auricle is the auriculo-ventricular opening, each provided with a valve to close it when the heart contracts to force the blood into the arteries. In the interval between the contractions these valves hang down into the ventricles.

The muscular tissue of the heart belongs to that class known as involuntary, because its action is not controlled by the will.

The cavities of the heart are lined by a serous membrane, called the endocardium, which may be considered as a continuation of the veins and the arteries, forming their internal lining. The walls of the ventricles are thicker than those of the auricles, and the walls of the left ventricle are much thicker than those of the right.