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Updated: August 8, 2024
After having completed a general examination of a lame animal obtaining the history of the case, noting its temperament, type, size, conformation, position assumed while at repose, swellings or enlargements if present, causing the subject to move to note the degree and character of lameness manifested; palpating and manipulating the parts affected to acquire a fairly definite notion of the nature of an inflammation or to recognize crepitation it becomes necessary in some cases to employ peculiar means of examination in singular instances.
The sibilation produced by the sap, which exudes copiously therefrom, is not conducive to composition." "True, father, but I thought it would be preferable to the constant crepitation which is apt to attend the combustion of more seasoned ligneous fragments."
The condition is of rather common occurrence in some countries because of the fragile condition of horses' bones. Symptomatology. If the parts can be examined before extravasation of blood and swelling mask the condition, crepitation may be detected. In other instances, it is possible to note a displacement of parts of the sesamoid bones this in horizontal fracture.
When compelled to walk, if pain is excruciating, the animal hops with the sound leg, no weight being supported by the fractured member. When an examination of the subject is possible before the extremity is swollen, crepitation is usually found without great difficulty, except in a subperiosteal break or in some cases of vertical or oblique fracture.
No difficulty is encountered in recognizing the fracture of the patella because of the exposed position of the bone. Crepitation, and in some cases fissures, may be easily detected. Treatment. In simple fracture, when treatment is thought advisable, the subject is put in a sling and kept as nearly comfortable as possible.
Parapets of dry stones, breast high, enclose the russet roadsides, which resound with the crepitation of grasshoppers; and, beyond, the Campagna stretches, vast and bare, as far as the eye can see. A parasol pine, a eucalyptus, some olive or fig trees, white with dust, alone rise up near the road at infrequent intervals.
Where intense pain is not manifested, because of manipulation, one may abduct the extremity and thereby occasion distinct crepitation; but when it is possible to recognize crepitation by holding the hand in contact with the olecranon while the animal is made to walk, this method is to be preferred, if the subject can move without serious difficulty.
A characteristic gait marks inflammation of the trochanteric bursa, and as Gunther has put it, the subject generally moves or trots as does the dog the sound member being carried in advance of the affected one and the forward stride of the diseased leg is shortened. In some chronic cases crepitation is discernible by holding the hand on the trochanter while the subject walks. Treatment.
Two or three students listened again to recognise the murmur or the crepitation which the physician described, and then the man was told to put on his clothes. When the various cases had been examined Dr. Tyrell went back into the large room and sat down again at his desk. He asked any student who happened to be standing near him what he would prescribe for a patient he had just seen.
A withered old peon woman, who in dress, complexion, and fibrous hair might have been an animated fragment of the debris, rustled out of a low vaulted passage and welcomed them with a feeble crepitation. Following her into the dim interior Mrs. Tucker was surprised to find some slight attempt at comfort and even adornment in the two or three habitable apartments.
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