602 EPITOME OF MODERN TREATMENT 



Post-Partum Hemorrhage. See Hemorrhage. 



Post-Partum Paralysis. See Apoplexy, Parturient. 



Prolapse of Rectum (In Cattle and Swine). 



If slight, of mucous membrane alone, apply ice cold water, and astringents 

 — as fluidextract of hamamelis — and replace bowel, after washing and greasing 

 it, and raising the hind quarters, or, if impossible to reduce, apply actual 

 cautery to prolapse in lines radiating from its center to the circumference, 

 and burn through the sphincter in two places to aid its contraction after 

 return of bowel. Introduce morphine suppository, or give drug subcutaneously 

 to prevent straining. If all coats of bowel are prolapsed, as happens in large 

 prolapses, return bowel if possible, and then apply cautery in lines parallel 

 to long axis of the bowel — just within th? anus — to cause contraction there 

 and prevent prolapse. Then apply pad over anus, and give opium. In severe 

 (old or gangrenous) prolapse of great size, one must empty lower bowel by 

 enema, push back any loop of small intestine in the prolapsed portion and 

 amputate the prolapsed portion, performing an end to end anastomosis be- 

 tween'the two ends of the bowels. To prevent escape of the upper segment 

 of bowel back into the belly, the two layers of bowel should be fixed by two 

 or three silk sutures placed just outside the anus, before amputating. 



Prolapse op Uterus or Vagina. 



After cleansing and replacing parts, prevent recurrence of prolapse by the 

 use of opium, as above; elevation of hind quarters; and by truss; West's 

 vulval clamp; or closure of the vulva by wire sutures of the quilled type. 



Prostatitis (Occasional in All Entire Males). 



Occurs from extension from urethritis and cystitis, and from frequent 

 copulation or masturbation. Rarely diagnosed. The symptoms suggest 

 cystitis with frequent, intermittent and painful micturition; and also rectal 

 trouble with rubbing of the anus against objects. Examination shows en- 

 larged and painful swelling about the neck of the bladder. Treatment — 

 Frequent hot rectal injections through double tube to allow of return flow; 

 smart cathartic and diet of gruels, mashes or milk; entire rest. Internally, 

 give a mixture of spirit of nitrous ether, potassium acetate and tincture of 

 belladonna in full dose thrice daily. If there be much pain and straining, 

 administer morphine in suppository, or subcutaneously. If swelling of pros- 

 tate blocks urethra, pass a catheter. Abscess opened, not through rectum, 

 but via perineum by careful dissection with catheter in bladder and finger in 

 rectum as guides. 



Pruritis. Itching. 



Attacks Horses and ' Doigs and other animals independent of any skin 

 eruption. First endeavor to remove or treat the cause. Hepatic ol' diges- 

 tive trouble, constipation, piles, fissure and worms cause pruritus ani; preg- 

 nancy leads to pruritus vulvae, diabetes, exposure to cold and heat, nervous 

 debility. In general itching — baths — sodium bicarb, (lb. 1-2 to 30 galls.), or 

 sponging with vinegar. Local itching: Phenol, 5i; liq. potass., 5i; ol. lini, 

 §1. M. Sig. Use externally. Where there is danger of poisoning from 

 licking or absorption, use liquor picis alkalinus (1-32), or hydrogen dioxide 

 pure. All antiseptics appear to be antipruritics. In pruritis of anus or 

 vulva, apply hot fomentations, dry by sopping gently with soft cloth, and 

 dust on powdered starch. Also, saturated boric acid solution or silver nitrate 

 in spirit of nitrous ether (3 per cent.), are efficient in these troubles. In 

 debility, give iron, arsenic, and nux vomica. Other agents relieving itching 

 are: Carbolic acid, hamamelis, chloral, alcohol, prussic acid, corrosive sub- 

 limate, tobacco, cocaine, salicylic acid, potassium bicarbonate, tar, oil of tar, 

 oil of cade, menthol, lime water, alum, yellow wash, black wash, thymol. 



Psoas Muscle Strain in Horses and Dogs. 



Complete rest and the application of hot blankets about the loins and body 

 with waterprvoof covering and dry blanket outside, frequently renewed. Give 

 morphine suppository to dogs; laudanum, giv in boiled starch solution; to 

 horses, per rectum. Use slings in case of strain of both muscles in horses. 



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