DISEASES OF THE GENITAL OEGANS. 285 



The indications are a speedy replacement of the part 

 after perfect cleansing and disinfection, retention in posi- 

 tion, and prevention of recurrence of the accident. Yery 

 often there is considerable pain, much straining, etc. If 

 the stomach is not irritable, a dose of morphia or a hypo- 

 dermic injection may be given at once. A soothing enema 

 or suppository will generally be useful. 



The parts should, before returning them, be thoroughly 

 cleansed with a warm solution of corrosive sublimate (1 to 

 2,000) or weak carbolic lotion, to which a sedative as 

 laudanum, belladonna, conium, etc. has been added. The 

 hands of the manipulator should also be well washed and 

 disinfected with the same solution. The replacement 

 should be effected as gently and speedily as possible, and 

 the hand, suitably covered, should, if necessary, guard the 

 vulva to prevent extrusion afresh. The bowels should 

 be opened by an enema, as any straining will almost surely 

 lead to another prolapse. 



The injection of cold water or astringent solutions (as 

 above) will tend to prevent a recurrence of this evil. 



Tonics should be given as the pill of iron, quinine, 

 and nux vomica unless the bitch be febrile, when quinine 

 alone will be better for the present. However, the gen- 

 eral indications must be followed. Rigid rules are only 

 misleading. 



Metritis, or inflammation of the womb (uterus), is very 

 rare except after parturition, when it becomes a most seri- 

 ous disease, causing the death of many valuable bitches 

 annually. It is liable to follow on any sort of injury, 

 external or internal, including the use of instruments, 

 forcible removal of the after-birth (jplacenta), especially 



