604 EPITOME OF MODERN TREATMENT 



Quarter Evil. See Black Quarter. 

 QuiTTOR. (In the Horse.) 



Fistula of the coronet. Remove shoes. A bar shoe may be needed if the 

 foot is broken down. If there is pus in the sole, make counter-opening' here. 

 Open up sinus to the bottom with knife or actual cautery. The latter is best 

 in destroying pyogenic membrane of the fistula. Remove necrotic tissue. 

 Give mixed vaccine. Irrigate wound with 1% lysol solution, and apply 

 aseptic gauze and jute, wet with lysol solution, and bandage. Keep 

 this wet antiseptic poultice on for several days, or a week, till acute inflam- 

 mation subsides. Inject fistula occasionally with dichloramine-T or phenol in 

 glycerine (1-16). Apply dry aseptic dressing after the wet antiseptic poul- 

 ticing. Repair of the horn hastened by fly blister to coronet. 

 Rabies in Animals. Hydrophobia in Man. (See Bites.) 



When persons or animals are bitten by a dog, supposedly rabid, a diag- 

 nosis is imperative. An animal suspected of rabies should be kept caged for 

 inspection. Death occurs invariably within 4 to 10 days in rabies. If sus- 

 pected dog runs away, dies or is killed inside of 10 days Pasteur treatment 

 advisable. If suspected rabid animal alive and in good health, after 10 days, 

 rabies is improbable. If there is any doubt about the diagnosis, microscopicaf 

 examination of the brain — for Negri's bodies in Ammon's horn (Hippocam- 

 pus Major) and changes in the plexiform ganglion of the vagus — ^by a trained 

 pathologist wiU determine the diagnosis. Specimen for pathologist should be 

 head and neck above 3rd cervical vertebra on ice, or brain with upper part 

 of cord in glycerin. 



Otherwise, grind small amount of fresh cerebellum with twice weight of 

 normal salt solution. Drill hole through frontal bone of guinea pig asepti- 

 cally, little to one side of middle line, to dura. Use cocaine. Inject 10 drops 

 of brain emulsion through dura with hypodermic syringe. 



Average incubation, 14 days, but animal must be kept 100 days to prove 

 test negative. 



All persons bitten by rabid dogs should at once be sent to a Pasteur 

 institute for Pasteur treatment, or virus may now be procured from Pasteur 

 institutes, and makers of biological products for home treatment, if the his- 

 tory of case, duration and location of bite are given. For immediate treat- 

 ment of bites of rabid animals. See Bites. Pasteur treatment is successful 

 in preventing hydrophobia in 99 per cent, of persons having recent rabid 

 infection. If clmical history and autopsy are suggestive of rabies, it is un- 

 wise for bitten persons to await results of inoculation experiments before 

 \ undertaking Pasteur treatment. Prophylaxis: When a case of rabies de- 

 velops all dogs within a radius of twenty miles should be muzzled for six 

 months. Animals bitten by rabid dogs should be killed at once, or given 

 prophylactic treatment. The newer Hogyes dilution from fresh brain of rabid 

 rabbits requires but six injections of vaccine. 

 Rheumatism, Acute Articular. (In Cattle^ Dogs, Horses, Pigs and 

 Goats.) See also Arthritis, Infectious. 



Give sodium salicylate with an equal amount of sodium bicarbonate in solu- 

 tion. If the salicylates cause vomiting in dogs, administer aspirin in capsules 

 thrice daily. To the afl'ected joints, apply cloths wet in pure methyl salicy- 

 late, or cloths soaked in a hot, saturated solution of Epsom salt, baking 

 soda, and covered with waterproof and bandage. Inject joints with formalin 

 and glycerin. In the later, or subacutf stages, prescribe equal parts of 

 sodium salicylate and iodide three times daily. Iodine ointment rubbed on 

 the joints, or firing and blistering, are most effective in chronically enlarged 

 and stiff joints. Rest, and liquid diet are indicated at the onset. In the later 

 period, cod liver oil, quinine, iron, arsenic and strychnine with generous 

 feeding, are required. For complications, as pleuritis, endocarditis, see 

 these titles. 

 Rheumatism, Muscular. See Muscular Rheumatism. 

 Rickets. Rachitis. 



In the case of sucklings improve the mother's food in nitrogen, fat and 



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