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Rupture of the Diaphragm: Temporary Recovery
10
The Veterz'nary Journal.
RUPTURE OF THE DIAPHRAGM: TEMPORARY RECOVERY. BY W. WOODS, F.R.C.V.S., WIGAN, LANCASHIRE,
IN the spring of 1874 I was requ'e sted by the Ince Hall Coal and Canal Company to visit a carthorse which, it was reported, had been jammed between two coai-waggons, the buffers striking the posterior ribs: as the driver of the horse expressed it, "the buffers nearly met." On being released, the unfortunate animal immediately fell, and for some time was unable to rise, \ \Then I arrived, however, he had managed to get up, and walked from three to four hundred yards to the stable, On examination of the body I discovered fracture of the two last ribs ; the pulse was 90, and weak; the breathing ~heavy, and countenance anxious, and the horse very un\\'illing to move. The diagnosis was internal hremorrhage. I ordered hot wet cloths to be kept constantly applied to the abdomen, and administeredOpii Tinct, . 01. Lini.
.
,3ij.
. OJ.
On the following morning the symptoms were much the same. The horse often attempted to lie down, but when he got on his knees he immediately rose again, as if the effort produced suffering, and for a short time afterwards the breathing wa s considerably hurried. There was, however, no attempt to vom it, and the horse took a little mash, though no freces were passed, The oleaginous purgative was repeated, and to it was added two drachms of aloes in solution. The hot water fomentations were continued. On the third day the bowels began to respond; the counte·nance was less dejected, and the horse was evidently in less pain; though now he remained constantly in one position, and made no attempt whatever to lie down. From this date he continued to improve, though five weeks elapsed before he was put to work: for a week or two to carting, and then to his ordinary occupation of waggoning. He continued at this work for fourteen months, apparently perfectly restored; when I was again hurriedly requested to see
Singltlar Case
0/ D el£riulIl
in a Horse.
I I
him. He was dead, however, before my arrival, which was some time after I had been sent for. On examination of the body, I found an extensive rupture of the diaphragm, passi ng through which, and lying in the thoracic cavity, were found the whole of the stomach and some of the small intestines. The borders of the ruptured portion of the diaphragm were perfectly healed, and had a thickened edge like a selvage. This appearance led me to conclude that the stomach had been forced into th e thoracic cavity on the receipt of the injury by the coal-waggons. Should these crude observations be deemed worthy of insertion in your valuable journal, I shall be most happy to place them at y our disposal.
SINGULAR CASE OF DELIRIUM IN A DV
J.
HORSE.
W. HILL, M.R.C.Y.S., WOLYERHAMPTON.
ON the 7th December, a three-year-old grey mare pony was brought to the infirmary, suffering from Colic. She left the following day apparently well. On the 12th she was again brought to us for advice. The owner had that morning driven her a considerable distance, and when near home she exhibited signs of distress, and could only proceed at a walking pace. Immediately on her arrival at the infirmary she lay down; and when I saw her, shortly after, she was in a cold sweat, her nose propped on the ground, fore limbs extended and flexed as if in th e act of rising, the hind ones gathered under her. The pulse was weak, rapid, and fluttering ; the breathing short and difficult; and the extremities deathly cold. Auscultation revealed congestion of both lungs. An ordinary diffusible stimulant had been administered when she first came in. I now ordered 4 oz. of brandy with t oz. of tinct. ferri, to be given in a little tepid water, and mustard to be applied to the sides, and friction to the ears and extremities. An hour later I found the breathing less laboured, and the extremities warm, and pulse firmer. Shortly aftenvards, hearing a considerable noise in the box,
The Veterz'nary Journal.
RUPTURE OF THE DIAPHRAGM: TEMPORARY RECOVERY. BY W. WOODS, F.R.C.V.S., WIGAN, LANCASHIRE,
IN the spring of 1874 I was requ'e sted by the Ince Hall Coal and Canal Company to visit a carthorse which, it was reported, had been jammed between two coai-waggons, the buffers striking the posterior ribs: as the driver of the horse expressed it, "the buffers nearly met." On being released, the unfortunate animal immediately fell, and for some time was unable to rise, \ \Then I arrived, however, he had managed to get up, and walked from three to four hundred yards to the stable, On examination of the body I discovered fracture of the two last ribs ; the pulse was 90, and weak; the breathing ~heavy, and countenance anxious, and the horse very un\\'illing to move. The diagnosis was internal hremorrhage. I ordered hot wet cloths to be kept constantly applied to the abdomen, and administeredOpii Tinct, . 01. Lini.
.
,3ij.
. OJ.
On the following morning the symptoms were much the same. The horse often attempted to lie down, but when he got on his knees he immediately rose again, as if the effort produced suffering, and for a short time afterwards the breathing wa s considerably hurried. There was, however, no attempt to vom it, and the horse took a little mash, though no freces were passed, The oleaginous purgative was repeated, and to it was added two drachms of aloes in solution. The hot water fomentations were continued. On the third day the bowels began to respond; the counte·nance was less dejected, and the horse was evidently in less pain; though now he remained constantly in one position, and made no attempt whatever to lie down. From this date he continued to improve, though five weeks elapsed before he was put to work: for a week or two to carting, and then to his ordinary occupation of waggoning. He continued at this work for fourteen months, apparently perfectly restored; when I was again hurriedly requested to see
Singltlar Case
0/ D el£riulIl
in a Horse.
I I
him. He was dead, however, before my arrival, which was some time after I had been sent for. On examination of the body, I found an extensive rupture of the diaphragm, passi ng through which, and lying in the thoracic cavity, were found the whole of the stomach and some of the small intestines. The borders of the ruptured portion of the diaphragm were perfectly healed, and had a thickened edge like a selvage. This appearance led me to conclude that the stomach had been forced into th e thoracic cavity on the receipt of the injury by the coal-waggons. Should these crude observations be deemed worthy of insertion in your valuable journal, I shall be most happy to place them at y our disposal.
SINGULAR CASE OF DELIRIUM IN A DV
J.
HORSE.
W. HILL, M.R.C.Y.S., WOLYERHAMPTON.
ON the 7th December, a three-year-old grey mare pony was brought to the infirmary, suffering from Colic. She left the following day apparently well. On the 12th she was again brought to us for advice. The owner had that morning driven her a considerable distance, and when near home she exhibited signs of distress, and could only proceed at a walking pace. Immediately on her arrival at the infirmary she lay down; and when I saw her, shortly after, she was in a cold sweat, her nose propped on the ground, fore limbs extended and flexed as if in th e act of rising, the hind ones gathered under her. The pulse was weak, rapid, and fluttering ; the breathing short and difficult; and the extremities deathly cold. Auscultation revealed congestion of both lungs. An ordinary diffusible stimulant had been administered when she first came in. I now ordered 4 oz. of brandy with t oz. of tinct. ferri, to be given in a little tepid water, and mustard to be applied to the sides, and friction to the ears and extremities. An hour later I found the breathing less laboured, and the extremities warm, and pulse firmer. Shortly aftenvards, hearing a considerable noise in the box,