CHRONIC ATROPHY OF THE LIVER.

_Chronic Atrophy_: In _old horses_: in right and spigelian lobes;

others show hypertrophy. In _ruminants_, omnivora and carnivora: in

areas compressed by tumors or parasites. Perihepatitis. Sclerosis.

Remedy causes if possible. _Fatty Degeneration_: Oil globules in liver

cells, pathological when they destroy the protoplasm. In ducks and

geese on forced feeding. Causes: poisoning by phosphorus, arsenic,

antimony, lead, phenol, iodoform, alcohol; excess of fat in food,

spoiled fodders, colchicum autumnale, yellow lupins, bacteria,

hemorrhages, inflammations, tumors, parasites; improved meat producing

breeds, old animals, hot stables. Lesions: liver enlarged, pale,

yellow, bloodless, knife in cutting is smeared with fat, oily stain on

paper, liver cells enlarged, protoplasm replaced by fat or oil; may be

circumscribed. Symptoms: obesity, over-fed in fats and starches, of

fattening breed, kept in confinement, in hot moist environment, if fed

certain poisons, with costiveness and indigestion, no endurance, short

winded, slight icterus, scanty urine, little urea, later, emaciation,

palpation of enlarged liver. Treatment: send to butcher, pampered

horses, cows from swill stable, a run at grass, with shade trees, a

poor pasture, salines, cholagogues, mineral acids, bitters, iron with

alkalies, currying, massage, douches.

Acute yellow atrophy has been referred to under parenchymatous hepatitis

but a chronic atrophy is also met with in all domestic animals.

In _old horses_ it affects, by preference the right and spigelian lobes,

the portal circulation of which is less direct because of the veins of

supply leaving the parent trunk at right angles (Leblanc), and because

these lobes are more exposed to compression by solid accumulations in

the double colon (Kitt). In such cases a compensatory hypertrophy of the

left and middle lobes is often observed.

In _ruminants_ the lesion is often circumscribed to the areas that have

undergone compression by tumors or parasites (echinococcus,

actinomycosis), and there may be compensatory increase elsewhere in the

organ.

In _swine_, _dogs_ and _cats_ the same conditions are operative. In all

alike perihepatitis may be a causative factor, and sclerosis

(cirrhosis), with contraction of the fibrous hyperplasia may also

operate.

_Symptoms_ are very obscure and _treatment_ unsatisfactory unless the

active causes can be recognized and arrested.

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