PREVENTION, SYMPTOMS AND TREATMENT 215 



sweet spirit of nitre, of each an ounce, may be given to the large 

 patients thrice daily in water. 



If there is much frequency and straining in micturition it is 

 well to give morphine under the skin. If the prostate is so swollen 

 as to block the urethra it may be necessary to pass a catheter. High 

 fever and increasing swelling of the prostate would suggest ab- 

 scess, which must be opened through the perineum, with catheter in 

 the bladder and finger in the rectum as guides to prevent the sur- 

 geon from injuring either of these parts. Chronic prostatitis is 

 best relieved by massage of the prostate through the rectum for a 

 few minutes every three or four days. 



Inflammation of the seminal vesicles is shown by much the 

 same symptoms and is due to the same causes as prostatitis. A 

 correct diagnosis can only be made by rectal examination. Then 

 the seminal vesicles may be felt just forward of the prostate and 

 on either side of the neck of the bladder. If acutely inflamed, they 

 would give the impression of tense and tender swellings. The 

 vesiculae seminales may be chronically distended, owing to ob- 

 struction of their ejaculatory ducts, and in this case massage of 

 these tumors will cause their contents to be emptied into the urethra 

 with consequent discharge from the meatus. In bulls such a con- 

 dition gives rise to symptoms similar to those described under 

 prostatitis owing to pressure on the neck of the bladder, urethra, 

 and neighboring parts. 



It is probable that distension of the vesiculae seminales is 

 secondary to chronic inflammation of the vesicles, and obstruction 

 of the ejaculatory ducts follows plugging of them with inflam- 

 matory products and altered semen. The treatment of acute seminal 

 vesiculitis is the same as for acute prostatitis. 



Puerperal Fever — Parturient Fever— Parturient Septicemia — 

 Septic Metritis. 



This is a condition of local (in the female genital organs) and 



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