here:
Acute arthritis begins like an ordinary attack of synovitis. In
joints other than the pedal and pastern, there is sudden and
extensive swelling, which at first is intra-articular, succeeded by
extra-articular tumefaction, and accompanied by violent lameness.
The pain soon becomes intense and agonizing. There is severe
constitutional disturbance, the temperature ranging from 104 to 106
degrees and the pulse from 60 to 72. Painful convulsions of the
limb occur, shown by involuntary spasmodic elevations due to reflex
irritation of the muscles. There is loss of appetite, rapid
emaciation, the flank is tucked up and the back arched. In from
three to six days, the tumefaction around the joint tends to soften
at a particular place, and bursts, and a discharge that is
sometimes of a sanious character, mixed with synovia, escapes.
Great exhaustion at times supervenes, and if the joint is an
important one, the horse lies or falls and is unable to rise.
Treatment.--In small puncture wounds the immediate application of a
vesicating ointment has given good results, but when infection has taken
place to such extent that the animal manifests evidence of intense pain,
and lameness is marked and local swelling and hyperesthesia are great,
vesication is contraindicated. In such instances the exterior of the
wound and its margins should be prepared as in similar affections of
other joints. A quantity of synovia is then aspirated by means of a
small trocar and care should be taken to observe all due aseptic
precautions. Subsequently the injection of from four to six ounces of a
mixture of tincture of iodin, one part to ten parts of glycerin, and
gentle massage of the joint immediately after the injection has been
made, serves to check the infective process in some cases.
The subject should be cared for as has been previously suggested in
arthritis proper provisions for comfort being made. Good nursing is
always essential to a successful issue. However, the author cannot view
cases of open stifle joint with the same optimism concerning their
course and outcome that is expressed by a number of writers on this
subject. It is a grave condition wherein the prognosis should be given
advisedly.
Fracture of the Tibia.
Etiology and Occurrence.--Because of its exposed position to kicks,
and its lack of protection by heavy musculature (especially on its inne
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