814 EPITOME OP MODERN TEEATMENT OF 



with corrosive solution, and bandage. Keep this wet antiseptic 

 poultice on for several days, or a week, till acute Inflammation 

 subsides. Inject fistule occasionally with carbolic acid in glycerine 

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

 ticing. Repair of the horn hastened by fly blister to coronet, 646. 



Eabies in Animals. Hydrophobia in Man. (See Bites, p. 762.) 

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

 a diagnosis is imperative. An animal suspected of rabies should be 

 kept caged for inspection. Death occurs invariably within 4 to 10 

 days in rabies. If there is any doubt about the diagnosis, micro- 

 scopical examination of the brain — for Negri's bodies in Ammon's 

 horn (Hippocampus Major) and changes in the plexiform ganglion 

 of the vagus — by a trained pathologist will determine the diagnosis. 

 Otherwise, inject an emulsion of one grain of medulla (of the sus- 

 pected animal) in sterile water under the dura mater ol the brain 

 of a rabbit, when the disease will appear in 13 to 21 days, if rabies. 

 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 if the history of case, duration and location of 

 bite are given. Treatment is successful in preventing hydrophobia 

 in 99 per cent, of persons having recent rabid infection. If clinical 

 history and autopsy are suggestive of rabies, it is unwise for bitten 

 J)ersons to await results o£ inoculation experiments before under- 

 taking Pasteur treatment. Prophylaxis: When a case of rabies 

 develops all dogs within a radius of twenty miles should be muzzled 

 for six months. Animals bitten by rabid dogs should at once be 

 killed. 



Rheumatism, Acute Articular. (In Cattle, Dogs, Horses,* 

 Pigs and Goats.) See also Arthritis, Infectious. 



Give sodium salicylate, 495, with an equal amount of sodium bi, 

 carbonate, 136, in solution. If the salicylates cause vomiting in 

 dogs, administer salol, 495, and phenacetin, 323, in capsules thrice 

 daily. To the affected joints, apply cloths wet in pure methyl 

 saUcylate, 497; or cloths soaked in a hot, saturated solution of bak- 

 ing soda, 135, and covered with waterproof and bandage. In the 

 later, or subacute stages, prescribe equal parts of sodium salicylate 

 and iodide, 249, three times daily. Iodine ointment, 246, 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, 658, quinine, 489, iron, 

 201, arsenic, 226, and strychnine, 410, with generous feeding, are 

 required. For complications, as pleuritis, endocarditis, see these 

 titles. 



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