RENAL CALCULUS.

This is much more common than is supposed. Small calculi formed in the

tubuli uriniferi of cattle on dry winter feeding often pass without

recognition, and habitually disappear on rich spring and summer grass.

If retained in the pelvis until increasing size forbids their passage

through the ureter they form pelvic calculi.

If retained in the bladder so that they cannot enter the urethra they

form cystic calculi.

Pelvic calculi or concretions are often (in cattle and swine) mere

scales lying in chalices. They may fill the whole pelvis and send

branching processes into chalices.

_Causes._ They are attributed to phosphaturia, lithæmia or uric acid

diathesis, oxaluria, etc. In cattle they are associated with dry feeding

and are common on all magnesian limestone soils. There are usually

catarrh of the kidney and the presence of bacterial ferments and

colloids (pus, albumen, etc.). (Sharing and Ord.) Calculi or gravel is

preceded by renal catarrh, but this is aggravated by the crystalline

deposit. Bacteria act also in producing NH_{3}O, which instantly

precipitates ammonio-magnesian phosphate. Retention of urine greatly

favors the precipitation.

_Symptoms._ A white or brownish yellow deposit in the last urine

discharged collects on the floor. Cloudy urine. Passage of

crystals—round—or angular. Colic. Lameness in one or both hind limbs.

Arched back. Sensitive loins. Pain paroxysmal. Attempts to urinate.

Little passed but often with drops of blood. Sudden relief when the

calculus enters the bladder.

Retained in the kidney it may cause no suffering in meat producing

animals, but in horses it usually causes stiffness or lameness

especially under violent effort. Also hematuria; blood globules are

found in the deposit when placed under the microscope. There may be

sepsis and specially cloudy offensive urine.

_Diagnosis_: May be confounded with renal tuberculosis, or sarcoma or

oxaluria. Examine for bacillus, small cells, or oxalate of lime or

oxalic acid.

_Prophylaxis._ In the early stages give succulent, watery food,

ensilage, roots, potatoes, spring grass, and water ad libitum.

_Treatment._ Salt may tempt the patient to drink. Nitro-muriatic acid is

a solvent and antiseptic. Or alkalies with salicylate of soda. Also

tonics. Quiet pain by morphia and other anodynes. Use piperazine.

These failing, an operation on the kidney may be considered.

Text book of veterinary medicine, Volume 3 (of 5) · 第 86 / 294 题