the womb, and in addition by the risk of protrusion of the bladder,
which appears through the lips of the vulva as a red, pyriform mass.
Sometimes such lacerations extend downward into the bladder, and in
others upward into the terminal gut (rectum). In still other cases the
anus is torn so that it forms one common orifice with the vulva.
Too often such cases prove fatal, or at least a recovery is not
attained, and urine or feces or both escape freely into the vagina. The
simple laceration of the anus is easily sewed up, but the ends of the
muscular fibers do not reunite and the control over the lower bowel is
never fully reacquired. The successful stitching up of the wound
communicating with the bladder or the rectum requires unusual skill and
care, and though I have succeeded in a case of the latter kind, I can
not advise the attempt by unprofessional persons.
BLOOD CLOTS IN THE WALLS OF THE VAGINA.
(See "Effusion of blood in the vaginal walls," p. 190.)
LAMINITIS, OR FOUNDER, FOLLOWING PARTURITION.
This sometimes follows on inflammation of the womb, as it frequently
does on disorder of the stomach. Its symptoms agree with those of the
common form of founder, and treatment need not differ.
INFLAMMATION OF THE WOMB AND PERITONEUM.
These may result from injuries sustained by the womb during or after
parturition, from exposure to cold or wet, or from the irritant
infective action of putrid products within the womb. Under the
inflammation the womb remains dilated and flaccid, and decomposition of
its secretions almost always occurs, so that the inflammation tends to
assume a putrid character and general septic infection is likely to
occur.
_Symptoms._--The symptoms are ushered in by shivering, staring coat,
small, rapid pulse, elevated temperature, accelerated breathing, loss of
appetite, with arched back, stiff movement of the body, looking back at
the flanks, and uneasy motions of the hind limbs, discharge from the
vulva of a liquid at first watery, reddish, or yellowish, and later it
may be whitish or glairy, and fetid or not in different cases.
Tenderness of the abdomen shown on pressure is especially
characteristic of cases affecting the peritoneum or lining of the belly,
and is more marked lower down. If the animal survives, the inflammation
tends to become chronic and attended by a whitish mucopurulent
discharge. If, on the contrary, it proves fatal, death is preceded by
extreme prostration a
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