[Illustration: FIG. 23.—Photograph of model of horse's heart: auricle; ventricle; pulmonary artery; pulmonary veins; posterior aorta; and anterior aorta.]
The functions of the blood are to nourish the body tissues; furnish material for the purpose of the body secretions; supply the cells of the body with oxygen; convey from the tissues injurious substances produced by the cellular activity; and destroy organisms that may have entered the body tissues. The cellular and fluid portions of the blood are not always destructive to disease-producing organisms. In certain infectious diseases, the fluid portion of the blood may contain innumerable organisms, and destruction of the blood cells occurs.
In inflammation of tissue the circulation of the blood in the inflamed part undergoes certain characteristic changes. At the beginning there is an increase in the blood going to the part. This is followed by a slowing of the blood stream in the small vessels, and the collecting of the blood cells in the capillaries and veins. These circulatory changes are followed by the migration of the blood cells, and the escape of the fluid portion of the blood into the surrounding tissue. The character of the above circulatory changes depends on the extent of the injury to the tissue.
PALPITATION.—This disturbance in domestic animals seems to be purely functional. It may occur independent of any organic heart disease. A highly nervous condition, excitement, over-exertion, debility from disease and the feeding of an improper ration are the common causes.
The heart beats are so violent and tumultuous as to shake the body, and be noticed when standing near the animal. The heart sounds are louder than normal and the pulse beats small and irregular. It may be differentiated from spasm of the diaphragm by determining the relationship of the heart beats to the abrupt shocks observed in the costal and flank regions.
The treatment consists in keeping the animal quiet and avoiding any excitement. A quiet stall away from the other animals is best. The treatment of palpitation resulting from some organic heart disease must be directed largely at the original disease. Morphine is commonly used for the treatment of this disorder. Weak, anaemic animals should receive blood and bitter tonics. If we have reason to believe that the disturbance is caused by improper feeding, the animal should receive a spare diet for a few days. In such cases it is advisable to administer a physic.
PERICARDITIS.—Inflammation of the pericardial sack is usually a secondary disease. It is frequently met with in influenza, contagious pleuropneumonia, hog-cholera and rheumatism. Cattle may suffer from traumatic pericarditis caused by sharp, pointed, foreign bodies passing through the wall of the reticulum and penetrating the pericardial sack. The jagged ends of fractured ribs may cause extensive injury to neighboring parts, and the inflammation spreads to the pericardial sack.
The symptoms of pericarditis may not be recognized at the very beginning when the disease occurs as a complication of influenza, or infectious pleuropneumonia. The manifestation of pain by moving about in the stall, refusing to eat and the anxious expression of the face are the first symptoms that the attendant may notice. The body temperature is higher than normal, and the pulse rapid and irregular. On auscultation, friction sounds that correspond to the tumultuous beats of the heart are heard. When fluid collects within the pericardial sack, the heart beats become feeble and the pulse weak. Labored breathing and bluish discoloration of the lips follow. The disease usually runs a very acute course. The prognosis is unfavorable.
The treatment recommended in pneumonia is indicated in this disease. Absolute rest and the feeding of an easily digested, laxative diet is a very essential part of the treatment. At the very beginning morphine may be given to quiet the tumultuous beats of the heart. Cold applications to the chest wall in the form of ice packs should be used. Heart tonics and stimulants such as digitalis, strychnine and alcohol should be administered when the pulse beats weaken. To promote absorption of the exudate, iodide of sodium may be given. Mustard paste, or a cantharides blister applied over the region of the heart is useful in easing the pain and overcoming the inflammation. If fluid collects in sufficient quantity to seriously interfere with the heart action, the sack may be punctured with the trocar and cannula and the fluid withdrawn. Great care must be used to avoid injury to the heart and infection of the part.
[Illustration: FIG. 24.—Elephantiasis in horse.]