600 EPITOME OF MODERN TREATMENT 



Peritonitis, Acute and Chronic. _ 



Acute form— In all animals; generally secondary to some local inflamma- 

 tion, injury, as operation for hernia and castration, or lesion in the belly, as 

 perforation of stomach or intestines, or pelvis. Parturient sepsis is a fre- 

 quent cause. Treatment must be chiefly directed to primary cause. In dogs, 

 the treatment should be laparotomy, to remove the cause, and drain, if 

 need be. Medically, use opium heroically to quiet pain and peristalsis and 

 enable nature to wall off infection with protective barrier of lymph. Withhold 

 all food by mouth for week or more. Move bowels by enemata and glMe 

 normal saline and food per rectum. Apply externally hot turpentine stupes, 

 frequently renewed. Tympanites relieved by turpentine or asafetida, per 

 rectum. 



Chronic form — Treatment depends on cause, as inflammation of abdominal 

 and pelvic viscera, tuberculosis, new growths. Ascites is often present (see 

 Dropsy). Repeated blistering in small areas, and the use of tincture of 

 ferric chloride with oil of juniper and sweet spirit of nitre — in combination — 

 are of service in ascites. If unsuccessful, potassium iodide may be tried. 

 In dry peritonitis, with formation of adhesions, medical treatment is un- 

 availing. 



Pharyngitis, Acute. 



Occurs in horses, dogs, pigs; less often in cattle and cats; rare in sheep 

 and birds, except pseudo-membranous form. In enzootic type, isolate patient. 

 Good ventilation and housing; liquid or soft diet. Gruels, cooked roots, 

 mashes, milk and greeil food for larger animals. Milk, gruels and soups for 

 smaller patients. Drenches are dangerous in leading to foreign body pneu- 

 monia. Tincture of aconite hourly is useful till fever is reduced. In large 

 animals, an electuary of kermes mineral and potassium chlorate (each 3ii in 

 dose) is beneficial. Externally, applications of ice, hot poultices, stimulating 

 liniments and blisters are of advantage. A wet compress covered with oil 

 silk and bandage; or equal parts of camphor liniment and oil of turpentine 

 rubbed in and applied on cloth, wet with same, are useful in less urgent 

 cases. Antiphlogistine spread on hot and thick, after shaving skin, and 

 renewed each 12 hours, is also beneficial. When abscess of glands threatens, 

 frequent hot poulticing or application of a fly blister are in order. Relieve 

 constipation by carron oil or artificial Carlsbad salt in doses of a few ounces 

 on the food, and by enemata. Inhalations of 2 per cent, carbolic acid are 

 efScacious, with cleansing and greasing of nostrils with vaseline. Abscess 

 about the pharynx calls for incision of skin and exploration with director or 

 fingers. Severe dyspnea demands immediate tracheotomy. In dogs, silver 

 nitrate solution (10 per cent.) may be painted on throat, or m.v of tincture 

 of ferric chloride may be given in one-half dram of glycerine every 2 hours for 

 effect on throat. In swine, apply a good fly blister from ear to ear and give 

 veratrum or ipecac (of either, gr.xxx) on food to cause emesis and avert 

 suffocation. 



Phlebitis. 



Due to infection following injury and operation. If diffuse it is incurable. 

 Excise thrombotic portion of infected vein. Open abscess. Give a purge. 

 Apply warm covering, secure rest of part. Apply Credfi's ointment. 



Phrenitis. See Encephalitis. 



Phthiriasis. See Lice. 



Pica. See Depraved Appetite. 



Piles. Hemorrhoids (In Dogs). 



Keep bowels loose with liquid petrolatum, or equal parts of sulphur and 

 compound licorice powder (3ss-i in capsules), or with two parts of sulphur 

 and one of potassium bitartrate (3ss in capsules). Apply externally fluid- 

 extract of hamamelis, and inject some into the rectum. With much itching 

 and pain: acidi gallici, gr.x; orthoformi, gr.x; extract opii, gr.iv; extract 

 belladonnae, gr.iv; unguentum ad. 3iv; apply externally. If aggravated and 



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