EVERSION OF THE UTERUS. 
631 
circular ring of the cervix showing as the division between the 
uterus and vagina. In eversion of the vagina while the tumor 
may be laige, it has a circular striated appearance, and in the 
center of the tumor we find tlie cervix. 
The diagnosis is also to be made from eversion of the bladder 
and hernia of the bladder, tumors and cysts. 
Sequela. Chronic eversion of the vagina may have metritis, 
sterility, nymphomania or septicaemia following. 
Prognosis .—In the cow, with proper treatment, the prognosis 
is good. If on examining an animal we find her quiet, not strain¬ 
ing, we would look for a favorable recovery, while if the uterus 
was lacerated, with excessive haemorrhage and severe straining, 
it would be much more guarded. I think the mortality is about 
8 per cent. 
1 reatinent. The treatment has been divided into five stages. 
1st, preliminary treatment; 2d, reduction of the uterus ; 3 d, re¬ 
tention of the uterus; 4th, after treatment; 5th, amputation of 
the uterus. 
I 1 diminary treatment: it is important to have the cow 
standing, as the uterus is much easier to replace in the standing 
position; if we are unable to make the animal stand we may raise 
the hind-quarters by means of bags of straw, or we may attach 
ropes to the hind legs, then turn the animal on its back, draw 
the hind paits up by passing the rope over a beam or pulley; it 
is very lare that this proceedure will have to be- resorted to. 
1 lie next is to clean the uterus by removing any foetal envelopes 
and foieign substances, by washing it in a strong creolin solution. 
Now, if the animal strains much, we had better give an ounce of 
chloral, then put her in a narrow box stall. It is important to 
have two assistants placed on each side of the uterus to lift it 
by means or a cloth, making traction upwards and forward, making 
the part of the cloth on the horns the tightest. 
Reduction. After your assistants have raised the uterus on a 
level v ith the vulva, you commence to replace it by first com¬ 
mencing at the vulva, replacing the vagina, use both hands 
edgewise, one hand each side of the vagina, tips of the fingers 
