Möller's operative veterinary surgery / translated and edited from the second enlarged and improved edition of 1894 by Jno. A.W. Dollar.
- Date:
- 1895
Licence: Public Domain Mark
Credit: Möller's operative veterinary surgery / translated and edited from the second enlarged and improved edition of 1894 by Jno. A.W. Dollar. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![introducing the finger; in such case no doubt can exist as to the nature of the condition. The course of subcoronary cellulitis is usually unfavourable. Some- times laminitis results from the animal continually standing on the other foot, and the patient dies from decubitus,; sometimes the disease seizes on one or other of the lateral cartilages and produces quittor, but not infrequently septic inflammation occurs in the coronary band, destroys extensive tracts of tissue, and leads to fatal pyaemia or septi- caemia. The large vessels of the coronary venous plexus particularly favour the development of pysemia. Purulent inflammation of the pedal joint, produced by extension of the cellulitis, is a frequent com- ]:)lication. Its onset is characterised by increase of pain; and if inflammation had not previously extended beyond one-half of the hoof, by the swelling involving the entire coronet; fever is a constant symptom, though in some cases it may even precede this condition. Eesolution is comparatively rare, and recovery, after perforation of the abscesses, still more so, though it has once or twice been seen. The inflammation scarcely ever affects the fibro-fatty frog, though it may attack the connective tissue above the coronet, producing necrosis of the fasciae at this point, and leading to chronic suppuration and formation of fistulse. The prognosis is generally unfavourable, so that it is only advisable to treat animals of considerable value/ On the other hand, recovery is 'not impossible, even when pain is severe, for sudden improvement ■sometimes occurs when the abscesses break. Treatment.—To prevent complications, all injuries of the coronet and its neighbourhood in which the skin is perforated, should if possible be treated antiseptically. Surface injuries are rarely dangerous. Treads ■on the coronet, especially when near the hoof, require particular care to avoid purulent inflammation. If cellulitis has already appeared, dispersal will be favoured by warm baths, to which it is well to add some antiseptic. The appearance of distinct fluctuation should be the sign for immediately opening the abscess, though considerable bleeding must be expected, and almost always occurs. After discharge of the pus, which is almost always blood-stained or ■ decomposed, the cavity should be washed out with a disinfectant, and tampons inserted to check bleeding. The tampons can be kept in position for twenty-four hours by a bandage, the pressure of which will increase their styptic action, but care must be taken not to apply it so tightly as to produce necrosis. For the next few days the abscess •cavity must be repeatedly and carefully syringed with disinfectants, and precautions taken against retention of pus; it may even be aiecessary to insert a drainage-tube.](https://iiif.wellcomecollection.org/image/b2193986x_0713.jp2/full/800%2C/0/default.jpg)
