560 Veterhiary Medicine. 



similar effusions on the brain. In the absence of improvement 

 the patient becomes more and more debilitated and exhausted, 

 and death may be preceded by profuse exhausting diarrhoea. 



Prognosis is unfavorable in advanced cases, and when the 

 faulty regimen cannot be corrected. 



Treatment. The first consideration is to correct the unwhole- 

 .some conditions of life, purify the building and its surroundings, 

 and allow a free range oti a pasture. Subject each patient to a 

 thorough soapy wash, and if possible allow clean running water 

 in which a bath may be taken at will. Access to green food and 

 invertebrates (slugs, larvae, etc.) is important, or a varied diet of 

 grain, middlings, bran, roots, fruits, tubers, cabbage, silage, etc., 

 must be furnished. Iron and bitters (nux vomica, gentian,) are 

 useful and .sometimes small doses of ansenite of soda solution, or 

 cream of tartar are useful. Acorns or hor.sechestnuts are recom- 

 mended. For the mouth a wash of potassium chlorate, soda 

 biborate, or potassium permanganate may be resorted to. Fried- 

 berger and Frohner advise for the dog extract of meat in wine. 



In the case of fat pigs it is more profitable to butcher at once, 

 as soon as early symptoms appear. 



In pigs or puppies brought up by hand, as in babies, the true 

 course, is to di.scard milk substitutes and give sweet new milk, 

 preferably of the genus to which the patient belongs. The im- 

 portant elements of cleanliness and outdoor life mu.st not be 

 forgotten. 



GOITRE. BRONCHOCEIvE. ENLARGEMENT OF THE 



THYROID. 



Definition.. A non-inflammatory enlargement of the thyroid 

 gland, independent of known microl^es or parasitism. 



Canses. Goitre is an endemic disorder in man and beast, 

 though it may occur sporadically during or after a debilitating 

 disease, or in animals that are overworked or out of condition. 

 As occurring endemically all acces.sory factors that undermine 

 the general health must be admitted as potent factors, though in- 

 sufficient of themselves to develop the malady in the absence of 



