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diseases of the digestive organs.

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288 DISEASES OF CATTLE.<strong>of</strong> <strong>the</strong> operator, but not alone in <strong>the</strong> selecting and use <strong>of</strong> <strong>the</strong> appliances;for as much attention must be given to subsequent management. Thepatients are unreasonable, and a single awkward motion may undo <strong>the</strong>work <strong>of</strong> weeks so far as <strong>the</strong> union <strong>of</strong> <strong>the</strong> parts <strong>of</strong> <strong>the</strong> bone is concerned.It takes place after <strong>the</strong> same process and, if <strong>the</strong> conditions are favorable,with greater rapidity than in <strong>the</strong> human being. The injury thatcaused <strong>the</strong> fracture is almost sure to have extended to some <strong>of</strong> <strong>the</strong>adjacent tissues, and even though <strong>the</strong> fracture may be <strong>of</strong> <strong>the</strong> simplesttype <strong>the</strong>re is almost sure to be considerable hemorrhage around <strong>the</strong>ends <strong>of</strong> <strong>the</strong> broken bone. This, however, is unimportant if <strong>the</strong> skinremains intact, unless a very large vessel should be injured, or <strong>the</strong>fracture should open some <strong>of</strong> <strong>the</strong> important cavities <strong>of</strong> <strong>the</strong> body, inwhich case a fatal hemorrhage might result. If, on <strong>the</strong> o<strong>the</strong>r hand, <strong>the</strong>fracture be a compound one, <strong>the</strong> external opening furnishes a fertile fieldfor <strong>the</strong> lodgment <strong>of</strong> disease-producing germs. Unless great care is exercisedin such cases a suppurative process is likely to be establishedwhich will seriously interfere with if not entirely arrest <strong>the</strong> process <strong>of</strong>union between <strong>the</strong> bones; or it may become so serious as to endanger<strong>the</strong> general health <strong>of</strong> <strong>the</strong> animal and even be attended with fatalresults. This last danger is greater where <strong>the</strong> injury has occurred to<strong>the</strong> bones <strong>of</strong> <strong>the</strong> arm or thigh. In such cases, owing to <strong>the</strong> dense covering<strong>of</strong> fascia which enshea<strong>the</strong>s <strong>the</strong> muscular covering, pus is likelyto be imprisoned, and burrowing downward saturate <strong>the</strong> whole structure,not only endangering <strong>the</strong> limb, but, being likely to be reabsorbed,may set up blood-poisoning and seriously interfere with <strong>the</strong> generalhealth <strong>of</strong> <strong>the</strong> patient, even to causing death. In order as far as possibleto prevent such an unfortunate complication <strong>the</strong> wound should becarefully cleansed with a mild solution <strong>of</strong> carbolic acid, <strong>the</strong>n dustedover with iod<strong>of</strong>orm before <strong>the</strong> bandages are applied, and cleansed anddressed daily in <strong>the</strong> same way. After dressing always cover withabsorbent cotton. In <strong>the</strong> early process <strong>of</strong> union an exudation <strong>of</strong> lymphtakes place, which is at first fluid,gradually becoming thicker andfirmer till it forms a callus in <strong>the</strong> shape <strong>of</strong> a ring or ferrule surrounding<strong>the</strong> detached portions <strong>of</strong> <strong>the</strong> bone, known as <strong>the</strong> external orensheathing callus. It occasionally happens that this callus onlyformsat <strong>the</strong> ends <strong>of</strong> <strong>the</strong> bones, filling<strong>the</strong> spaces that exist between <strong>the</strong>m,when it is known as <strong>the</strong> intermediate callus. The process <strong>of</strong> unionmay be divided into fivestages: In <strong>the</strong> firststage, including <strong>the</strong> firsteight days, <strong>the</strong> detached portions <strong>of</strong> <strong>the</strong> bone and <strong>the</strong> sharp projectionsthat are not sufficiently nourished are absorbed; <strong>the</strong> blood whichescaped into <strong>the</strong> surrounding tissues, <strong>the</strong> result <strong>of</strong> <strong>the</strong> injury, is graduallyabsorbed and <strong>the</strong> effused lymph which is ultimately to constitute<strong>the</strong> temporary cartilage takes its place. In <strong>the</strong> second stage, from <strong>the</strong>tenth to <strong>the</strong> twentieth day, <strong>the</strong> tumor or callus is formed and fibrocartilageis developed inside and around <strong>the</strong> exposed end <strong>of</strong> <strong>the</strong> bone.In <strong>the</strong> third stage, extending from <strong>the</strong> twentieth to <strong>the</strong> fortieth or fif-

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