FREE BOOKS

Author's List




PREV.   NEXT  
|<   155   156   157   158   159   160   161   162   163   164   165   166   167   168   169   170   171   172   173   174   175   176   177   178   179  
180   181   182   183   184   185   186   187   188   189   190   191   192   193   194   195   196   197   198   199   200   201   202   203   204   >>   >|  
y than from the use of the probe. We need hardly say that in the middle zone the deeper the prick, the more serious the case, and the less favourable the prognosis. As in succession the sensitive sole, the plantar aponeurosis, the navicular bursa, the navicular bone, or the pedal articulation is injured, so with each step deeper of the prick is the severity of the case increased. The shape of the penetrating object may also be considered. One excessively blunt, and calculated to bruise and crush the tissues, will inflict a more serious wound than one of equal length that is pointed and sharp. The conformation of the foot should also be regarded. Wounds in well-shaped feet are less serious than in feet with soles that are flat or convex, or in which the horn is pumiced or otherwise deteriorated in quality. Although unaffecting the prognosis so far as the actual termination of the case is concerned, it may be mentioned that punctured foot is far more serious in a nag than in a heavy draught animal. With an equal degree of lameness resulting in each case, the former will be well-nigh useless, but the latter still capable of performing much of his usual labour. The temperament and condition of the patient will also in many cases largely influence the prognosis. An animal of excitable and nervous disposition is far more likely to succumb to the effects of pain and exhaustion than the horse of a more lymphatic type. In the case of a patient suffering from a prick to a hind-foot while heavily pregnant, the attempted forecast of the termination should be cautious. More especially does this apply to the case of a heavy cart-mare. Ordinarily, the heavier the breed, the greater the tendency to lymphatic swelling of the hind-limbs. With pregnancy this tendency is enormously increased, and it is no uncommon thing to find a cart-mare in this condition, with legs, as the owner terms it, 'as thick as gate-posts.' A prick to the foot, with the lymphatics of the limb in this state, is extremely likely to end in septic infection of the leg, for there appears to be no doubt but that invasion of the lymphatics with septic matter is favoured by a sluggish stream. Also, in the case of a patient in the advanced stages of pregnancy, it must be remembered that, no matter how great may be the need, one is debarred, for obvious reasons, from using the slings. _Treatment_.--_In a simple_ case--and by 'simple' here we mean the case in which
PREV.   NEXT  
|<   155   156   157   158   159   160   161   162   163   164   165   166   167   168   169   170   171   172   173   174   175   176   177   178   179  
180   181   182   183   184   185   186   187   188   189   190   191   192   193   194   195   196   197   198   199   200   201   202   203   204   >>   >|  



Top keywords:
patient
 

prognosis

 

condition

 

septic

 
lymphatics
 

lymphatic

 
animal
 

pregnancy

 
tendency
 
termination

matter

 

simple

 

deeper

 

increased

 

navicular

 
cautious
 
forecast
 

attempted

 

pregnant

 
reasons

appears

 

debarred

 

obvious

 

heavily

 

exhaustion

 

effects

 

succumb

 

disposition

 
infection
 
suffering

slings

 
Treatment
 

Ordinarily

 

remembered

 

extremely

 

favoured

 

invasion

 
greater
 

stages

 
heavier

advanced

 

swelling

 

sluggish

 
uncommon
 
stream
 

enormously

 

nervous

 

considered

 

excessively

 

object