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At the necropsy the uterus was found to contain the remains of a fully developed fetus, minus the portions discharged through a fistulous connection between the uterine cavity and the rectum. In this case there had been retention of a fully developed fetus for nine years.
The inside of the sore does not seem very tender, but the leg stays swollen all of the time and is somewhat feverish. This is probably a fistulous track that should be curetted by a veterinarian, after which the following formula could be used to heal: Acetanilide, 1/2 ounce; zinc oxide, 1/4 ounce; bismuth subgalate, 1 1/4 ounce. Mix and apply on cotton and bandage once daily after washing.
The cartilage of prolongation of the scapula is sometimes seriously involved in certain cases of fistulous withers, and in some instances it has been separated from its attachment to the rhomboidea muscles, and lameness has resulted. In such instances, the upper portion of the scapula is disjoined from all attachment, and with every movement the animal makes, the scapula is moved back and forth.
Simmons reports a case in which a calculus passed through a fistulous sore in the loins without any concomitant passage of urine through the same passage. Vosberg mentions a calculus in a patent urachus; and calculi have occasionally been known to pass from the umbilicus.
It will positively be a miracle if such a patient recovers without an operation. I have seen these cases linger for two, three, and even five years. The type of cases that lingers so long is one that has an imperfect drainage, either into the bowels or through a fistulous outside opening. What per cent of cases is of this type?
If they do not close promptly, an irritant Egyptian ointment containing verdigris and alum among other things should be applied to them. In the cure of old fistulous tracts near the teeth he employs not only this Egyptian ointment but also arsenic and corrosive sublimate. What he has to say with regard to the filling of the teeth is, however, most important.
Sometimes it is soft and filled with pus. Tumors of long standing may possess uneven, nodular surfaces and fistulous openings. When the tongue is affected, it is swollen and painful, and prehension and mastication of the food may be impossible. When the pharynx is the seat of disease, breathing and swallowing are difficult and painful.
Portions of the lung, cartilages, ribs, and of the ensiform process of the sternum came away. In a year from the time of the accident, the wound, with the exception of a fistulous aperture of the stomach and side, had completely cicatrized. This aperture was about 2 1/2 inches in circumference, and through it food and drink constantly extruded unless prevented by a tent-compress and bandage.
This being done, and the dog confined in such a way as not to be able to scratch or rub the eye, the fistulous opening might close up in a short time. However, it might be necessary to wear the style for many months.
Sanger speaks of a supernumerary vagina connecting with the other vagina by a fistulous opening, and remarks that this was not a case of patent Gartner's duct. Cullingworth cites two cases in which there were transverse septa of the vagina. Stone reports five cases of transverse septa of the vagina. Three of the patients were young women who had never borne children or suffered injury.
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