The Head and Neck 113 



glands and extends to the skin. It then breaks down and becomes ,a 

 bleeding fungating mass and discharges an ichorous matter. There 

 is usually considerable collateral edema of the head and neck. In 

 internal parts these growths may give rise to ascites. 



Treatment. The prognosis must always be unfavorable and lio 

 treatment is practicable. Martin attempted the removal of one of 

 these tumors from the groin in a three-year old animal. A month 

 later several small nodular growths were observed near the edge of 

 the almost healed wound, and one larger one situated in the opposite 

 groin. These were not interfered with and the animal succumbed in 

 ten weeks' time. 



BIBLIOGRAPHY. 



Boucbet— Bull, de la Soc. Cent, de Med. vetSr. 1897, p. 184. 



Hobday — Journ. ol Comp. Patb. & Therap. 10. 



Johne — Ber. ne. d. Veterlnaerw. tm Koenlgr. Sacbsen. 1881, p. 70. 



Leblanc & Nocard — Ann. de M6d. V6t6r. 1878, p. 164. 



Martin — Jonrn. of Comp. Patb.& Tberap. 1896, p. 226. 



MTadyean — Jonrn. of Comp. Patb. & Terap. 3. p. 337. 



Semmer — Oestcrr.Vlerteljahresscbr. f. Veterlnaerk. 1873, p. 20. 



Sledamgrotzky — Ber. ue. d. Veterlnaerw. im Eoenigr. Sacbsen. 1871. 



The Nose. 



EPISTAXIS. 



Bleeding from the nasal passages depends upon various causes 

 the chief of which are traumatic influences, local inflammatory and 

 ulcerative changes, or the presence of neoplasms or parasites in the 

 nasal cavities. It is sometimes brought on by violent coughing and 

 it may also take place in cachectic subjects suffering from leukemia 

 or the pernicious anemia induced by the presence of uncinaria in the 

 intestine. It is in every case the result of rupture of the vessels of 

 the mucosa, whether arterial, venous, or capillary. 



As a rule the hemorrhage is insignificant but it may be copious 

 and recur at intervals and even lead to fatal termination. 



Treatment. When the bleeding is excessive the measures to 

 be adopted are both medicinal and surgical. Medicinally adrenalin 

 chloride solution (i:iooo) should be prescribed in ten to twenty 

 drop doses every hour. Surgical measures consist in directing a 

 stream of cold water from a hose over the roof of the nasal pas- 

 sages, or pressing a piece of ice against the same spot. 



