omb to contract after
calving. If that organ contracts naturally, the afterbirth is expelled, the
internal cavity of the womb is nearly closed, and the mouth of the organ
becomes so narrow that the hand can not be forced through, much less the
whole mass of the matrix. When, however, it fails to contract, the closed
end of one of the horns may fall into its open internal cavity, and under
the compression of the adjacent intestines, and the straining and
contraction of the abdominal walls, it is forced farther and farther, until
the whole organ is turned outside in, slides back through the vagina, and
hangs from the vulva. The womb can be instantly distinguished from the
protruding vagina or bladder by the presence, over its whole surface, of 50
to 100 mushroomlike bodies (cotyledons), each 2 to 3 inches in diameter,
and attached by a narrow neck. (Pls. XII, XIII.) When fully everted, it is
further recognizable by a large, undivided body hanging from the vulva, and
two horns or divisions which hang down toward the hocks. In the imperfect
eversions the body of the womb may be present with two depressions leading
into the two horns. In the cases of some standing the organ has become
inflamed and gorged with blood until it is as large as a bushel basket, its
surface has a dark-red, bloodlike hue, and tears and bleeds on the
slightest touch. Still later lacerations, raw sores, and even gangrene are
shown in the mass. At the moment of protrusion the general health is not
altered, but soon the inflammation and fever with the violent and continued
straining induce exhaustion, and the cow lies down, making no attempt to
rise.
_Treatment._--Treatment varies somewhat, according to the degree of the
eversion. In partial eversion, with the womb protruding only slightly from
the vulva and the cow standing, let an assistant pinch the back to prevent
straining while the operator pushes his closed fist into the center of the
mass and carries it back through the vagina, assisting in returning the
surrounding parts by the other hand. In more complete eversion, but with
the womb as yet of its natural bulk and consistency and the cow standing,
straining being checked by pinching the back, a sheet is held by two men so
as to sustain the everted womb and raise it to the level of the vulva. It
is now sponged clean with cold water, the cold being useful in driving out
the blood and reducing the bulk, and finally it may be sponged over with
laud
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