Chapter 29

The disease in the cow is ushered in by a slight fever, which, however, is usually overlooked, and the first sign is tenderness of the teats. Examined, these may be redder and hotter than normal, and at the end of two days there appear little nodules, like small peas, of a pale-red color, and increasing so that by the seventh day they may measure three-fourths of an inch to 1 inch in diameter. The yield of milk diminishes, and when heated it coagulates slightly. From the seventh to the tenth day the eruption forms into a blister, with raised margins and a depression in the center, and from which the whole of the liquid can not be drawn by a single puncture. The blister, in other words, is chambered, and each chamber must be opened to evacuate the whole of the contents. If the pock forms on a surface where there is thick hair it does not rise as a blister, but oozes out a straw-colored fluid which concretes on the hairs in an amber-colored mass. In one or two days after the pock is full it becomes yellow from contained pus and then dries into a brownish-yellow scab, which finally falls, leaving one or more distinct pits in the skin. Upon the teats, however, this regular course is rarely seen; the vesicles are burst by the hands of the milker as soon as liquid is formed, and as they continue to suffer at each milking they form raw, angry sores, scabbing more or less at intervals, but are slow to undergo healing.

The only treatment required is to heal the sores. As milking is the main cause of their persistence, that must be done as gently as possible, or even with the teat tube or dilator. (Pl. XXIV, figs. 3 and 4.) It is essential to check the propagation of the germ, and for this purpose the sore teats may be washed frequently with a solution of half an ounce hyposulphite of soda in a pint of water. This will usually check the inflammation and cut short the malady.

SUPPRESSION OF MILK.

The absence of milk in the udder may result from ill health, debility, emaciation, chronic disease of the bag, wasting of the gland from previous disease, or insufficient feed, but sometimes it will occur suddenly without any appreciable cause. The treatment consists in removing the cause of the disease, giving rich albuminoid feed made into warm mashes, and administering ounce doses of aromatic carminatives, like anise seed, fennel seed, etc. Rubbing and stripping the udder are useful; the application of oil of lavender or of turpentine, or even a blister of Spanish flies, will sometimes succeed.

BLOODY MILK.

Blood may escape with the milk when the udder has been injured by blows; also when it is congested or inflamed, when the circulation through it has been suddenly increased by richer and more abundant feed, or when the cow is under the excitement of heat. The milk frothing up and assuming a pink tinge is often the first sign of red water, and it may result from eating acrid or irritant plants, like the RanunculaceÊ, resinous plants, etc. Deposits of tubercle or tumors in the udder, or induration of the gland, may be efficient causes, the irritation caused by milking contributing to draw the blood. Finally, there may be a reddish tinge or sediment when madder or logwood has been eaten.

In milk which becomes red after it is drawn it may be from the presence in it of the _Bacillus prodigiosus._ This also grows on bread, and is the explanation of the supposed miracle of the "bleeding host."

The treatment will vary with the cause. In congested glands give 1 pound of Epsom salt, and daily thereafter one-half ounce saltpeter, with a dram of chlorate of potassium; the bag should be bathed with hot or cold water, and rubbed with camphorated lard. If the feed is too rich or abundant it must be reduced. If from acrid plants, they must be removed from pasture or fodder. Induration of the udder may be met by rubbing with a combination of iodin ointment 1 part, soft soap 2 parts; mercurial ointment and soap also may be used. Careful milking is imperative.

BLUE MILK.

Watery milk is blue, but the presence of a germ (_Bacillus cyanogenes_) causes a distinct blue shade even in rich milk and cream. It may reach the milk after it has been drawn, or it may find its way into the opening of the milk ducts and enter the milk as it is drawn. In the latter case frequent milking and the injection of a solution of 2 drams of hyposulphite of soda in a pint of water into the teats will serve to destroy the germs.

STRINGY MILK.

This may be caused by fungi developing in the liquid, and that the spores are present in the system of the cow may be safely inferred from the fact that in a large herd two or three cows only will yield such milk at a time, and that after a run of 10 days or a fortnight they will recover and others will be attacked. I have found that such affected cows had the temperature raised one or two degrees above the others. Like most other fungi this does not grow out into filaments within the body of the cow, but in five or six hours after milking the surface layers are found to be one dense network of filaments. If a needle is dipped in this and lifted the liquid is drawn out into a long thread. In one case which I investigated near Ithaca, N. Y., the contamination was manifestly from a spring which oozed out of a bank of black-muck soil and stood in pools mixed with the dejections of the animals. Inoculation of pure milk with the water as it flowed out of this bank developed in it the fungus and the stringy characters. By fencing the spring in and giving the affected cows each 2 drams bisulphite of soda daily, the trouble was arrested promptly and permanently.

CHAPPED TEATS.

These may be caused by anything which irritates them. The powerful sucking of the calf; the sudden chilling of the teat in winter after the calf has just let it go or after the completion of milking with a wet hand; contact with cold water or stagnant, putrid water, or with filth or irritants when lying down; slight congestions of the skin in connection with overstocking; indeed, any source of local irritation may cause chapping. This may be slight or extend into great, gaping sores and induce retention of milk or even mammitis. Soothing applications of vaseline or a combination of equal parts of spermaceti and oil of sweet almonds may be applied. If healing is tardy, add 10 grains balsam of Peru to the ounce of ointment. If the irritation is very great, wash first with a solution of 1 dram sugar of lead in 1 pint of water and then apply benzoated zinc-oxid ointment.

WARTS ON THE TEATS.

These are often very troublesome, yet they may be greatly benefited or entirely removed by smearing them thickly with pure olive oil after each milking. If they persist they may be cut off with a pair of sharp scissors and the sore touched with a stick of lunar caustic. They may now be oiled and the caustic repeated as demanded to prevent their renewed growth.

_Scabby teats_ may be smeared with vaseline containing carbolic acid enough to give it an odor.

TEAT BLOCKED BY CONCRETION OF CASEIN.

Under unhealthy conditions of the gland or milk ducts clots of casein form which, pressed clear of most of their liquid and rolled into rounded masses, may block the passage. They can be moved up and down by manipulation of the teat, and if they can not be pressed out they may be extracted by using the spring teat dilator (Pl. XXIV, fig. 3), being held surrounded by its three limbs. Before extraction is attempted an ounce of almond oil, boiled, should be injected into the teat.

TEAT BLOCKED BY CALCULUS.

When the calcareous matter of the milk has been precipitated in the form of a smooth, rounded stone, a rough, conglomerated concretion, or a fine, sandlike dÈbris, it may cause obstruction and irritation. These bodies are felt to be much harder than those formed by casein, and the milk usually contains gritty particles. Extraction may be attempted, in the case of the finely divided gritty matter, by simple milking or with the spring dilator (Pl. XXIV, fig. 3) in the case of the larger masses. Should this fail the teat may be laid open with the knife and sewed up again or closed with collodion, but such an operation is best deferred until the cow is dry.

TEAT BLOCKED BY A WARTY OR OTHER GROWTH INSIDE.

In this case the obstruction may be near the orifice of the teat or farther up, and the solid mass is not movable up and down with the same freedom as are concretions and calculi. The movement is limited by the elasticity of the inner membrane of the teat from which it grows, and is somewhat freer in certain cases because the growth has become loose and hangs by a narrow neck. In the case of the looser growths they may be snared by a fine, spring wire passed as a loop through a fine tube (like a teat tube open at each end) and introduced into the teat. When this can not be done, the only resort is to cut in and excise it while the cow is dry.

THICKENING OF THE MUCOUS MEMBRANE AND CLOSURE OF THE MILK DUCT.

As a result of inflammation extending from without inward, a gradual narrowing of the milk duct may occur from thickening and narrowing of its lining membrane. This may be limited to a small area near the lower end, or it may extend through the whole length of the teat. The stream of milk becomes finer and finer until it finally ceases altogether, and a firm cord is felt running through the teat. If the constriction is only at the outlet, the teat may be seized and distended by pressing the milk down into it from above, and an incision may be made with a sharp penknife in two directions at right angles to each other and directly in the original opening. The knife should be first cleansed in boiling water. The opening may be kept from closing by a dumb-bell shaped bougie of gutta-percha (Pl. XXIV, fig. 5) or by the spring dilator. If the obstruction is more extended it may be perforated by L¸thi's perforating sound. (Pl. XXIV, fig. 1A and 1B.) This is a steel wire with a ring at one end, and at the other is screwed on to the wire a conical cap with sharp cutting edges at the base, which scrapes away the thickened masses of cells as it is drawn back. This may be passed again and again to enlarge the passages sufficiently, and then the passage may be kept open by wearing a long, dumb-bell bougie, a thick piece of carbolized catgut, or a spring dilator. If the passage can not be sufficiently opened with the sound it may be incised by the hidden bistoury. (Pl. XXIV, fig. 2.) This is a knife lying alongside a flattened protector with smooth, rounded edges, but which can be projected to any required distance by a lever on the handle. The incisions are made in four directions, as deep as may be necessary, and the walls then can be held apart by the spring dilator until they heal. In case the constriction and thickening of the canal extend the whole length of the teat, it is practically beyond remedy, as the gland is usually involved so as to render it useless.

CLOSURE OF THE MILK DUCT BY A MEMBRANE.

In this form the duct of the teat is closed by the constriction of its lining membrane at one point, usually without thickening. The closure usually takes place while the cow is dry; otherwise its progress is gradual, and for a time the milk may still be pressed through slowly. In such case, if left at rest, the lower part of the teat fills up and the milk flows in a full stream at the first pressure, but after this it will not fill up again without sufficient time for it to filter through. This is to be cut open by the hidden bistoury (Pl. XXIV, fig. 2), which may be first passed through the opening of the membrane, if such exists. If not it may be bored through, or it may be pressed up against the membrane at one side of the teat and opened toward the center, so as to cut its way through. Incisions should be made in at least two opposite directions, and the edges then may be held apart by wearing the spring dilator until healing has been completed.

In all cases of operations on the teats the instruments must be thoroughly disinfected with hot water, or by dipping in carbolic acid and then in water that has been boiled.

OPENING IN THE SIDE OF THE TEAT (MILK FISTULA).

This may occur from wounds penetrating the milk duct and failing to close, or it may be congenital, and then very often it leads to a distinct milk duct and an independent portion of the gland. In the first form it is necessary only to dissect away the skin leading into the opening for some distance down, to close the orifice with stitches, and to cover the whole with collodion. A teat tube or spring dilator may be worn to drain the milk off and prevent distention and reopening of the orifice. In case of an independent milk duct and gland one of two courses may be selected--to open the one duct into the other by incision and then close the offending opening, or to inject the superfluous gland through its duct with a caustic solution, so as to destroy its secreting power. In both cases it is desirable to wait until the cow goes dry.

* * * * *

DISEASES FOLLOWING PARTURITION. DESCRIPTION OF PLATES.

PLATES XXII, XXIII. Supports for prolapsed uterus. These illustrations show various appliances used in prolapse or inversion of the uterus. The uterus should first be returned to its proper situation and then some apparatus applied to prevent a recurrence of the inversion or protrusion.

PLATE XXII:

Fig. 1. Crupper, strap truss. (From Hill's Bovine Medicine and Surgery.)

Fig. 2. Renault's rope truss. The rope for this truss should be from 25 to 30 feet long and about the thickness of the little finger.

PLATE XXIII:

Fig. 1. Cow to which Delwart's rope truss has been applied.

Fig. 1_a_ shows the loop of Delwart's truss.

Fig. 2. Zundel's labial sutures. These consist of two wires passed through the lips of the vulva in a horizontal direction, and two additional wires passed through the loops at the ends of the horizontal wires in order to hold them in place.

Fig. 3. Iron truss for holding the vagina or uterus in place after calving. The cords are passed through the eyes at the corners of the triangular iron; the base of the triangle fits under the tail. The truss is from 5 to 7 inches long and about 2-1/2 inches wide.

PLATE XXIV. Instruments used in diseases following parturition.

Fig. 1. L¸thi's perforating sound, for opening the milk canal through the teat when this has become occluded; A, the sound one-half the natural size; B, section of head of sound, natural size, showing cutting edge.

Fig. 2. Bistouri cachÈ. A blade hidden in its sheath which by pressure of the finger may be made to protrude a certain distance. This distance is regulated by the screw near the handle. The instrument is used to open the milk canal when closed up. It is introduced into the milk canal with its blade in the sheath and withdrawn with the blade protruding.

Fig. 3. Spring teat dilator, about one-half natural size, for dilating the milk canal.

Fig. 4. Ring teat syphon, for withdrawing milk when the teat is sore or injured.

Fig. 5. Gutta-percha bougie, for dilating the opening of the teat.

Fig. 6. Truss applied to calf for umbilical or navel hernia. (From Fleming's Veterinary Obstetrics.)

Fig. 7. Armatage's iron clamp for umbilical or navel hernia. When this clamp is applied care must be taken not to include a portion of the bowel.

* * * * *

DISEASES OF YOUNG CALVES.

By JAMES LAW, F. R. C. V. S.,

_Formerly Professor of Veterinary Science, etc., in Cornell University._

SUSPENDED BREATHING.

The moment the circulation through the navel string is stopped the blood of the calf begins to become overcharged with carbon dioxid (CO_{2}), and unless breathing is speedily established death promptly follows. Fortunately the desire to breathe, roused by the circulation of the venous blood and the reflex action from the wet and chilling skin, usually starts the contractions of the diaphragm at once and life is insured. Among the obstacles to breathing may be named suffocation before or during birth from compression of the navel cord and the arrest of its circulation; the detachment of the fetal membranes from the womb before the calf is born; a too free communication between the two auricles (foramen ovale) of the heart by which the nonaerated blood has mixed too abundantly with the aerated and induced debility and profound weakness; a condition of ill health and debility of the calf as a result of semistarvation, overwork, or disease of the cow; fainting in the debilitated calf when calving has been difficult and prolonged; the birth of the calf with its head enveloped in the fetal membranes, so that it has been unable to breathe, and the presence of tenacious phlegm in the mouth and nose, acting in the same manner.

Besides the importance of proper care and feeding of the cow as a preventive measure, attention should be given at once to relieve the newborn calf of its investing membrane and of any mucus that has collected in mouth or nostrils. Wiping out the nose deeply with a finger or feather excites to sneezing, hence to breathing. Blowing into the nose has a similar effect. Sucking the nostril through a tube applied to it is even more effective. Slapping the chest with the palm of the hand or with a towel dipped in cold water, compression and relaxation alternately of the walls of the chest, may start the action, and ammonia or even tobacco smoke blown into the nose may suffice. Every second is precious, however, and if possible the lungs should be dilated by forcibly introducing air from a bellows or from the human lungs. As the air is blown in through bellows or a tube the upper end of the windpipe must be pressed back against the gullet, as otherwise the air will go to the stomach. In a large dairy a piece of elastic tubing one-third of an inch in bore should be kept at hand for sucking and blowing in such cases.

BLEEDING FROM THE NAVEL.

This may occur in two conditions--when the cord is cut off too close to the navel and left untied and when it tears off at the navel. (Pl. XIV.) It may also bleed when torn across naturally, if it is sucked by the dam or another calf. In an animal with little plasticity to its blood it will flow under almost any circumstances. When any cord is left it is always safe to tie it, and it is only when it is swollen and may possibly contain a loop of the bowel that there is danger in doing so. By pressing upward any bulky contents such danger is avoided. If torn or cut too close to be tied the bleeding may be checked by applying alum, copperas, or for a fraction of a second the end of an iron rod at a dull-red heat. If much blood has been lost it may be requisite to transfuse several ounces of blood or of a weak, common-salt solution into the open, umbilical vein.

URINE DISCHARGED THROUGH THE NAVEL (PERSISTENT URACHUS).

Before birth the urine passes from the bladder by a special tube through the navel and navel string into the outer water bag (allantois). (Pl. XII.) This closes at birth, and the tube shrinks into a fine cord up to the bladder. It is only in the bull calf that it is liable to remain open, doubtless because of the long, narrow channel through which the urine must otherwise escape. The urethra, too, is sometimes abnormally narrow, or even closed, in the male. If part of the cord remains, it should be tied and the whole allowed to wither up naturally. If the cord has been removed and the tube (urachus) protrudes, discharging the urine, that alone must be tied. If there is nothing pendent the urachus must be seized, covered by the skin, and a curved needle being passed through the skin and above the duct, it may be tied along with this skin. A blister of Spanish flies, causing swelling of the skin, will often close the orifice--so with the hot iron. If the urethra of the male is impervious it can rarely be remedied.

INFLAMMATION OF THE URACHUS (NAVEL URINE DUCT).

This may originate in direct, mechanical injury to the navel in calving, or shortly after, with or without the lodgment of irritant or septic matter on its lacerated or cut end. The mere contact with healthy urine, hitherto harmless, can now be looked on as becoming suddenly irritating. The affection is usually marked by the presence of redness and swelling at the posterior part of the navel and the escape of urine and a few drops of whitish, serous pus from the orifice of the urachus. In those cases in which urine is not discharged a tender swelling, like a thick cord extending upward and backward from the navel into the abdomen, may be identified. The navel enlargement may be considerable, but it is solid, does not gurgle on handling, and can not be done away with by pressing it back into the abdomen, as in a case of hernia.

In cases at first closed the pus may burst out later, coming from the back part of the navel and the swelling extending backward. In other cases whitish pus may pass with the urine by the ordinary channel, showing that it has opened back into the bladder. In other cases the umbilical veins become involved, in which case the swelling extends forward as well as backward. Thus the disease may result in destructive disorders of the liver, lungs, and, above all, of the joints.

The disease may usually be warded off or rendered simple and comparatively harmless by applying antiseptics to the navel string at birth (carbolic acid 1 part, water and glycerin 5 parts each, or wood tar). Later, antiseptics may be freely used (hyposulphite of soda 4 drams, water 1 quart) as an application to the surface and as an injection into the urachus, or even into the bladder if the two still communicate. If they no longer communicate, a stronger injection may be used (tincture of chlorid of iron 60 drops, alcohol 1 ounce). Several weeks will be required for complete recovery.

ABSCESS OF THE NAVEL.

As the result of irritation at calving or by the withered cord, or by licking with the rough tongue of the cow, inflammation may attack the loose connective tissue of the navel to the exclusion of the urachus and veins, and go on to the formation of matter. In this case a firm swelling appears as large as the fist, which softens in the center and may finally burst and discharge. The opening, however, is usually small and may close prematurely, so that abscess after abscess is formed. It is distinguished from hernia by the fact that it can not be returned into the abdomen, and from inflammations of the veins and urachus by the absence of swellings forward and backward along the lines of these canals.

Treatment consists in an early opening of the abscess by a free incision and the injection twice a day of an astringent antiseptic (chlorid of zinc one-half dram, water 1 pint).

INFLAMMATION OF THE NAVEL VEINS (UMBILICAL PHLEBITIS).