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In a few days the yellow hue becomes more intense, and particularly on the cuticle, the conjunctiva, the iris, the gums, and the lips. A state of fever becomes more and more perceptible, and there are alternations of cold and heat. The pulse varies from 80 to 120; the dry tongue hangs from the mouth; the appetite ceases, but the animal is peculiarly desirous of cold water.
The conjunctiva and particularly that portion which covers the sclerotica, will be considerably injected, but there will not be the usual intense redness of inflammation. The vessels will be large and turgid rather than numerous, and frequently of a darkish hue.
In the excess of their joy, the owners crammed him with meat until he became strangely ill. His throat was filled with froth, the pupils of his eyes were dilated, the conjunctiva was strongly injected, his neck was spasmodically contracted, and the spine of the back was bowed, and most highly sensible to the touch. M. Debeaux was sent for; it was an hour before he could attend.
The discharge in epidemic ophthalmia, when carried from one dog to the eyes of another, no doubt is contagious, and, therefore, it is necessary to separate dogs as much from each other as possible during any prevalent epidemic of this nature. The disease announces itself by slight redness of the conjunctiva, tenderness to light, and increased flow of the secretions.
Anemia of the soft parts at the points of pressure results from prolonged sitting or lying in one position, and as a result pain compels a muscular action that shifts the damaging pressure this is the pain of anemia; when the rays of the blazing sun shine directly upon the retina, pain immediately causes a protective muscular action the lid is closed, the head turns away this is light pain; when standing too close to a blazing fire the excessive heat causes a pain which results in the protective muscular action of moving away this is heat pain; when the urinary bladder is acutely overdistended the resultant pain induces voluntary as well as involuntary muscular contraction this is evacuation pain; associated with defecation is a characteristic warning pain, and an active pain which induces the required muscular action this, like the pain accompanying micturition, is an evacuation pain; in obstruction of the urinary passages and of the large and the small intestine the pain is exaggerated, as is the accompanying muscular contraction this is a pathologic evacuation pain; when the fetus reaches full term and labor is to begin, it is heralded by pain which is associated with rhythmic contractions of the uterine muscle; later, many other muscles take part in the birth and pain is associated with all these muscular contractions these are labor pains; when a foreign body, be it ever so small, falls upon the conjunctiva or cornea there results what is perhaps the acutest pain known, and quick and active muscular action follows this is special contact pain.
At the external angle of the eyelid was a fold of conjunctiva which extended 0.5 cm. in front of the conjunctiva, to which it did not adhere, therefore constituting a fourth eyelid. Fano presents a similar case in a child of four months, in whom no other anomaly, either of organs or of vision, was observed.
A small shaving of the sclera, about ½ mm. thick, 1½ to 2 mm. broad and from 2 to 3 mm. long, is then excised by means of a narrow Graefe knife. The scleral slip is then freed from the conjunctiva at each end and the mucous membrane brought together over the wound by fine catgut sutures.
His eyes were wild, the conjunctiva considerably inflamed, and he panted quickly and violently. There was a considerable flow of saliva from the corners of his mouth. He was extremely restless and did not remain in one position half a minute. There was an occasional convulsive nodding motion of the head.
Symptoms of loathing of food and redness of conjunctiva call for the cessation of its use for two or three days at least, when it is to be recommended at the same size of dose given when left off. There are two things which assist the arsenic, at least to go well with it; they are, iron in some form and Virol. The latter will be needed when there is much loss of flesh.
The moment they lost their strength tears came to their eyes, repeatedly they arose, apparently deprived of their senses, and stared shy and terror-stricken at their surroundings. The physiognomy, the spasmodic contractions of the muscles of the face, manifested the cruel agony which they suffered. The eyes were very red, and drops of blood trickled from the conjunctiva.
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