Jaundice of the Neuu-Born. 475 



and prostration, the violent heart action, the jaundiced hue 

 of the mucous membranes, and the bloody urine. Confirmation 

 may be sought in the presence of streptococci in the fresh urine, 

 kidneys, liver and blood, and in the artificial cultures made from 

 them. The presence of omphalitis is further significant. 



Prognosis. Bernardin says that if hsematuria is present nine 

 out of ten cases are fatal, while in the absence of this feature 

 nine-tenths recover. 



Lesions. The jaundiced appearance of the conjunctiva and 

 other tissues is constant. The heart is pale, soft and flaccid, 

 with petechial patches of a deep red extending into the muscular 

 substance ; the lungs are congested with similar patches of blood- 

 staining ; the blood in the heart and larger ves.sels is dark, and 

 fluid or only loosely clotted. The liver is congested to twice or 

 thrice its normal size (10 lbs. in place of 3 or 4 lbs.); the spleen 

 is enlarged, softened, and shows spots C'f brownish yellow. The 

 small intestine contains a yellowish or dark red meconium, and 

 it may contain effusions of dark blood, while its mucosa is in- 

 flamed, thickened, easily lacerated, and pigmented, or marked 

 by petechise. The large intestines and especially the rectum are 

 packed with hard dry balls. 



The kidneys are enlarged, often to double their volume, and 

 deeply congested, with infarcts, and patches of necrosis, of a 

 pale brownish yellow hue. The urine in the bladder is deeply 

 stained with blood coloring matter. 



Treatment. For congenital ca.ses it is manifest that treatment 

 must be preventive and applied to the dam, before parturition. 

 An open air life, moderate exercise, sound, easily dige.stible and 

 nouri.shiug food ; grooming ; in the stable, cleanliness, dryness 

 and good ventilation : good water, are essential. 



For the offspring, antiseptics (tannin, mercuric chloride 

 lotion," copperas, calomel, iodoform), applied to the navel, 

 and protection against cold winds and rains, and damp 

 lairs. For mules and other young animals born in severe, 

 winter weather a dry, warm, foaling box is desirable, and the 

 little animal should be rubbed dry and covered with a warm 

 woolen blanket. When the temperature approaches zero or the 

 barn is cold, the smaller animals, as soon as they are dropped, 

 .should be placed under a box with a jar of hot water wrapped in 



