192 



DISEASES OF THE CHEST. 



mixture. 23rd. The embrocation and medicine have been daily used ; but 

 the cough is as bad as ever. Balls of assafcetida, squills, and opium were 

 had recourse to. 25th. The second ball produced the most distressing 

 sickness, but the cough was evidently relieved. The assafcetida was dis- 

 continued. 28th. The cough, during the last two days, has been gradually 

 getting worse. It is more laborious and longer, and the intervals between 

 it are shorter. Give another emetic and continue the other medicine. 

 30^. The effect of the emetic was temporary, and the cough is again 

 worse. 



Dec. 2nd. Very little change. 5th. The cough appears to be station- 

 ary. Again have recourse to the antimony, digitalis, and nitre. 8th. The 

 cough is certainly better. Try once more the assafoetida. It again pro- 

 duced sickness, but of a very mild character. 12th. The assafcetida 

 was again used morning and night. The cough continues evidently to 

 abate. 14th. The dog coughs very little, not more than half-a-dozen times 

 *n the day. Notwithstanding the quantity of medicine that has been taken, 

 the appetite is excellent, and the spirits good. 16th. The cough is still 

 less frequent, but when it occurs it is attended with retching. 19th. 

 The cough is daily getting better, and is not heard more than three or four 

 times in the four-and-twenty hours, and then very slight. 30th. At 

 length I can say that the cough has ceased. It is seldom that so much 

 trouble would have been taken with a dog. It is the neglect of the 

 medical attendance which is often the cause of death. 



Professor Delafond, of Alfort, gives a most interesting and complete 

 table of the usual diagnostic symptoms of pleurisy and pneumonia. 



PLEUKISY. 



Commencement of the Inflammation. 

 Shivering, usually accompanied by slight 

 colicky pains, and followed by general or 

 partial sweating. Inspiration always short, 

 unequal, and interrupted ; expiration full ; 

 air expired of the natural temperature. 

 Cough unfrequent, faint, short, and with- 

 out expectoration. Artery full. Pulsequick, 

 small, and wiry. 



Auscultation. A respiratory murmur^ 

 feeble, or accompanied by a slight rub- 

 bing through the whole extent of the 

 chest, or in some parts only. 



Percussion. Slight, dead, grating sound. 

 Distinct resonance through the whole of 

 the chest, and pain expressed when the 

 sides are tapped or compressed. 



Terminations. Delitescence. Cessation 

 of pain ; moderate temperature of the skin ; 

 sometimes profuse general perspiration. 

 Respiration less accelerated ; inspiration 

 easier and deeper. Pulse fuller and softer. 

 Breath of the natural temperature. Re- 

 turn of the natural respiratory murmur 

 and resonance. The walls of the chest 

 cease to exhibit increased sensibility. 



Effusion, false Membranes. Inspira- 

 tion more and more full. 



PNEUMONIA. 



Commencement of the Inflammation. 

 General shivering, rarely accompanied by 

 colicky pains, followed by partial sweats 

 at the flanks and the inside of the thighs. 

 Inspiration full, expiration short. Air 

 expired hot. Cough frequently followed 

 by slight discharge of red-coloured mucus. 

 Artery full. Pulse accelerated, strong, full, 

 and soft. 



Auscultation. Absence of respiratory 

 murmur in places where the lung is con- 

 gested ; feebleness of that sound in the 

 inflamed parts, with humid crepitating 

 wheezing. The respiratory murmur in- 

 creased in the sound parts. 



Percussion. The dead grating sound 

 confined to the inflamed parts. Distinct 

 resonance at the sound parts ; increased 

 sensibility of the walls of the chest slight, 

 or not existing at all. 



Terminations. Resolution. Tempera- 

 ture of the skin moderate. Sometimes 

 profuse partial sweats. Laborious respi- 

 ration subsiding; inspiration less deep. 

 Artery less full. Pulse yielding. Breath 

 less hot. Gradual and progressive disap- 

 pearance of the crepitating rdle. Slow 

 return of the resonance. 



Red Hepatization. Respiration irre- 

 gular and interrupted. 



