OBSTETRICS 239 



saline solution, until the solution runs out clear; 

 then with antiseptic solutions of chinosol or po- 

 tassium permanganate. After thoroughly irrigating 

 as above described, the uterus should be filled with 

 a hot, normal, saline solution and the patient allowed 

 to retain it as long as possible. 



Antistreptococci serum should be injected hypo- 

 dermically, giving ten centimeters once or twice a 

 day. Hot applications, such as antiphlogistin poul- 

 tices, applied to the abdomen give relief from the 

 abdominal pain. The patient should be kept warmly 

 covered, and the diet restricted to beef tea, milk, or 

 meat extracts. 



The after-treatment consists of a generous diet 

 and tonics, gentle exercise, and the avoidance of 

 exposure to wet and cold. 



Mammitis 



Inflammation of the mammae and lacteal glands is 

 of common occurrence in neglected bitches and in 

 heavy milkers. It may vary from a slight conges- 

 tion to intense inflammation with abscess formation, 

 sloughing, and obliteration of portions of the glands. 



Cause. — The causes are invasion of pyogenic 

 bacteria, retention of milk (the result of taking the 

 puppies away immediately after birth, or too early, 

 or from their death), or from cold and wet, and 

 lying on a cement floor or damp earth. 



Symptoms. — Indications of mammitis are shown 

 by tenseness and tenderness of the -parts ; the milk 

 is curdled, sometimes blood-stained, and, if abscess 

 formation has taken place, accompanied by pus. The 

 constitutional symptoms, varying with the intensity 

 of the inflammatory processes, are raised tempera- 

 ture, partial or complete anorexia, rigors, and con- 

 stipation. It is highly important that these cases be 

 taken in hand at once. 



