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 DISEASES OF THE SALIVARY GLANDS.
Modifications of the secretion are commonly simple excess or
deficiency, with a correspondingly high or low specific gravity of the
product. There may, however, be a virulent element as in the case of
rabies.
 SUPPRESSION OF SALIVARY SECRETION.
XEROSTOMIA.
Causes; fever; vascular vacuity, after bleeding, diarrhœa, etc.; destruction of
glands; Calculus. Symptoms; slow, difficult mastication; digestive disorder.
Treatment; remove mechanical obstruction; correct constitutional disorder;
employ stimulation to gland—pilocarpin, electricity.
Entire suppression of salivary secretion is usually the result of
some other disease. It may be a manifestation of the general
tendency to retain water in the febrile system, or it may be an
indication of vacuity of the vascular system as after bleeding, profuse
diarrhœa, diuresis, or diaphoresis, or it may be the result of the
entire destruction of a salivary gland or the obstruction of its duct by
some foreign body or calculus. In proportion to the completeness of
the suppression, mastication and deglutition become difficult or
impossible. The condition must be met by the removal of the cause
which is operative in the particular case. The treatment may be
surgical for the removal of obstructions, or medical with the view of
overcoming anæmia, fever, profuse secretions from other
emunctories, or the simple physiological inactivity. To meet the last
indication small doses of pilocarpin, or the application of a gentle
current of electricity will usually succeed.
 EXCESSIVE SECRETION OF SALIVA.
SALIVATION. PTYALISM.

Causes; a symptom of other diseases, of the mouth, teeth, throat or stomach;

rank aqueous vegetation, lobelia, pilocarpin, muscaria, tobacco, mustard, and
other acrid vegetables; caustic alkalies, acids, salts; compounds of mercury, gold,
copper, iodine; palsy of lips; harsh bit; fungi on clover, sainfoin, etc. Symptoms;
salivary escape; frequent deglutition; thirst; disordered digestion, etc. Treatment;
remove cause; astringent washes; sedatives; embrocations to the glands.

This is often a symptom of some other affection such as aphthous

fever, dumb rabies, epilepsy, stomatitis, pharyngitis, dentition, caries
and other diseases of the teeth, wounds and ulcers of the mouth,
gastric catarrh, etc. In other cases it is due to direct irritants in the
food or medicine, as very rank, aqueous, rapidly grown, spring grass,
lobelia, pilocarpin, muscarin, tobacco, wild mustard, colchicum,
pepper, garlic, ginger, irritant and caustic alkalies, acids and salts,
and the compounds of mercury, gold, copper, or iodine employed
locally or internally. The application of mercurials to the skin is
especially liable to salivate cattle and dogs, partly because of a special
susceptibility to the action of this metal and partly from the tendency
of these animals to lick the medicated surface. Paralysis of the lips
causes a great flow of saliva from the mouth though no more than the
normal amount is secreted. The irritation of a large or harsh bit will
increase the secretion and still more the former habit of attaching to
it small bags of spicy or irritant chemicals. Certain fungi determine
salivation. Mathieu saw profuse salivation in horses, cattle and sheep
fed on clover and sainfoin which had become brown.
Symptoms consist in the profuse flow of saliva, either in long
stringy filaments, or if there is much movement of the jaws, in frothy
masses; frequent deglutition; increased thirst and disordered
digestion (tympany, inappetence, colics, constipation, diarrhœa). In
mercurial salivation there may be loose teeth, swollen, spongy,
ulcerated gums, tympany, rumbling, and the passage of fœtid flatus
and soft ill-digested stools.
Treatment consists in removing the cause, whether this is to be
found in faulty food or drink, diseased teeth or gums, disordered
stomach, or the irritant food medicine or poison ingested. If more is
wanted simple astringent washes like those recommended for
stomatitis and a free access to pure water will often suffice. Tartar
emetic or opium has been known to succeed in obstinate cases.
Friction over the parotid or submaxillary gland with camphorated
spirit, tincture of iodine or soap liniment is sometimes required. In
mercurial salivation chlorate of potash is especially to be
commended, and when the bowels have been unloaded of the agent,
iodide of potassium will hasten its elimination from the tissues and
blood.
 DILATED SALIVARY DUCTS. SALIVARY
CALCULUS. SALIVARY FISTULA.
These are all surgical diseases and are to a large extent inter
dependent. The impaction of the calculus in the duct leads to
overdistension of the duct posterior to the obstruction, and the
rupture or incision of the distended duct, determines the fistula. It is
only necessary here to point out the seat of these lesions: the
distended sublingual ducts constituting a more or less rounded
swelling to one side of the frænum lingui, the Whartonian duct
forming a tense rounded cord from the papilla back of the lower
incisor teeth backward on the inner side of the lower jaw, and the
Stenonian duct forming a similar tense cord from near the middle of
the cheek down around the lower border of the jaw in company with
the submaxillary artery and backward on the inner side of its curved
border to the parotid gland.
For the more precise lesions, symptoms and treatment of these,
see a work on surgery.
INFLAMMATION OF THE PAROTID GLAND.
PAROTITIS.

Causes: traumatic; calculus; grains; barley and other beards; infecting microbes.
Symptoms: fever, dullness, buccal heat, salivation, difficult mastication, swelling of
gland and duct, protruded nose, stiff neck, fœtor, dyspnœa, facial paralysis,
induration of gland, abcess. Diagnosis from pharyngitis, abcess of guttural pouch
or pharyngeal glands; from tumors. Treatment: avoidance of causes; derivation;
astringent, antiseptic washes; wet antiseptic bandages to throat; cool pultaceous
diet. Open abscess and disinfect. For induration deobstruents. For sloughing
antiseptics.

This may be caused by traumatism, such as incised punctured or

bruised wounds. Wounds inflicted by the goad, by horns, and even
by the yoke in cattle must be looked on as factors. It occurs from
obstruction of the salivary ducts by calculi, or by grains, seeds, or
pebbles introduced from the mouth; from their irritation by the
beards of barley and other plants (brome, rye, wheat, etc.); and from
the localization in the gland of specific inflammations like strangles,
pyæmia, canine distemper, tuberculosis and pharyngitis. In most of
these cases infective microbes are prominent factors. They enter with
penetrating bodies from the skin; they extend through the weakened
and debilitated tissues in bruises; they penetrate the Stenonian duct
with the various foreign bodies from the mouth; irrespective of
foreign objects they make their way up the duct by continuous
growth from the buccal orifice; in case of calculus or other
obstruction their extension is favored by the local congestion and
debility and by the stagnation of the saliva above the point of arrest.
When present these microbes even favor the deposition of the
salivary salts and formation and increase of calculi so that the
affection may advance in a vicious circle, the microbes favoring
calculus and the calculus favoring the increase of microbes.
 Symptoms. In the horse in particular there may be premonitory
symptoms of fever, dullness, heat of the mouth, ptyalism, slow and
imperfect mastication, and the retention of food in the cheeks.
The Stenonian duct becomes swollen and painful. The parotid
becomes hard, hot, tender, and is surrounded by a softer pitting
infiltration which may extend down around the entire throat, and
even along the intermaxillary region to the chin. When the canal is
obstructed it may stand out as a thick rope-like resilient swelling
extending around the lower border of the jaw and upward toward the
cheek as far as the point of obstruction. When one parotid only is
involved, the contrast with the other is quite marked. The head is
extended and carried stiffly. When the nose is depressed, or when
the head is turned to one side or the other, the patient gives evidence
of suffering from compression or stretching of the inflamed region.
The breath and mouth exhale an offensive odor, determined by the
decomposition of mucus and of the retained food products.
Among remote effects may be named dyspnœa and threatened
suffocation from pressure on the pharynx and laryngeal nerves, and
facial paralysis from pressure on the seventh nerve.
The disease may go on to induration and remain permanently in
this condition, or it may suppurate and discharge through the skin,
into the pharynx or through the duct of Stenon. It may communicate
with both the duct and the skin and determine a fistula. When
suppuration occurs there is an access of fever, a chill may be noticed,
the swelling becomes more tense, harder, more tender to the touch,
and even emphysematous, and finally points internally or externally.
This may take place from the fifth to the tenth day or later. When it
opens into the duct it may be seen oozing from the orifice in the
cheek when the mouth is opened, and in case the jaws are suddenly
parted, it may escape in a jet. In such a case and especially if the
microbes have come originally from the food the odor is very fœtid.
The abscess is not always single and when multiple the pus may
escape externally by a variety of orifices. The pus is usually whitish,
yellowish or grayish and creamy, but it may be grumous or bloody or
serous and of a most offensive odor. In exceptional cases the gland
becomes more or less gangrenous and such parts, exposed in the
wound are hard, bloodless and insensible, and add very materially to
the fœtor. This may lead to general septic infection, or the necrosed
masses may slough off and the cavities fill up by granulations.
Diagnosis. Parotitis is distinguished from pharyngitis and abscess
of the guttural pouch by the absence of cough and nasal discharge;
from abscess of the pharyngeal glands it is differentiated by the
limitation of the hard swelling to the parotid gland and by the
superficial seat of the resulting abscess. The co-existence of active
inflammation serves to distinguish it from ordinary tumors.
Treatment. By way of prevention, the avoidance of injuries by
yokes, forks, pokes, and goads is important. Also the disinfection of
the mouth by a liberal supply of pure water and even by antiseptic
washes:—borax, boric acid, creolin, tannin, chlorate of potash. Also
by the removal of foreign bodies or calculi from the canal.
When the inflammation has set in, a saline laxative is often of
value. Wash the mouth with a solution of vinegar and salt, or other
antiseptic, repeating this at least after every meal. The swollen,
painful gland may be covered with a damp compress or anointed
with vaseline to which may be added a little creolin, naphthol,
carbolic acid or salicylic acid, together with lead acetate and
belladonna or other anodyne. The diet must be soft, cool mashes,
sliced or pulped roots or any bland agent that will demand little or no
mastication. Cool, fresh water should be allowed ad libitum. When
the laxative has set, it may be followed by cooling diuretics such as
nitrate or acetate of potash.
If suppuration occurs it should be opened as soon as the pus can
be definitely recognized, and the cavity treated antiseptically to
prevent further local or general infection by the microbes. In deep
abscess there is a certain danger of wounding blood vessels and
salivary ducts, but this can be to a certain extent obviated by making
an incision through the skin only and then boring the way into the
abscess with a grooved director or the points of closed scissors.
When the cavity is penetrated the pus will ooze out through the
groove or between the scissor blades. When the pus has been
evacuated the cavity should be washed out two or three times a day
with mercuric chloride solution (1 : 1000), or permanganate of
potash solution (1 : 100).
When the gland becomes indurated and indolent seeming to
merge into the chronic form it may be stimulated to a healthier
action by a cantharides blister, or it may be subjected to daily
massage, or to a daily current of electricity for ten or fifteen minutes.
If the inflammation is slight or unrecognizable, the surface of the
gland may be daily painted with tincture of iodine, and iodide of
potassium maybe given internally, in daily doses of ½ to 1 drachm.
Gangrene, the result of septic microbes, a weak system or too
severe treatment, may be met by astringent and antiseptic agents
locally, and by tonics, stimulants and a generous diet internally.
In cattle the disease usually responds readily to local antiseptics,
and stimulating germicidal embrocations. Camphorated spirit, alone
or combined with tincture of iodine; cantharides ointment with
carbolic acid; and camphor and phenol may be cited as examples.
 SUB MAXILLARY ADENITIS. MAXILLITIS.
Mostly in solipeds and unilateral. Causes; traumatic; calculus; infections;
ablation of papillæ. Symptoms; tardy mastication; salivation; buccal heat and
fœtor; submaxillary swelling and tenderness; morsels retained under tongue;
papilla and duct swollen, tender and firm; abscess. Treatment; remove causes;
dislodge foreign bodies; antiseptic lotions and packing.
This is rarely seen in other animals than solipeds, is mostly
unilateral, and due to the introduction of microbes along with
vegetable spikes (barley awns, brome, wheat or oat spikes or glumes)
or other foreign bodies. It may also be caused by calculi obstructing
the duct. The orifice of each duct, to one side of the frænum lingui, is
imperfectly closed by a triangular valvular projection, which in some
countries is erroneously cut off as a diseased product (barbs), thus
opening the way for the introduction of foreign objects. The microbes
are usually pus germs and tend to abscess of the gland. As in the case
of the Stenonian duct the presence of these germs tends to the
precipitation of the salivary salts and the formation of calculi.
Symptoms. The animal may seem hungry, but masticates tardily
and imperfectly, and may even drop morsels partly chewed. He
prefers ground feed to whole, and soft mashes to ground feed, while
hay and other fibrous aliments may be altogether rejected. Salivation
may be excessive, the secretion drivelling from the lips, the mouth
may feel hot and the submaxillary salivary gland swollen and tender.
This may be detected in the intermaxillary space, but is especially
noticeable along the lower and lateral aspect of the tongue. If the
mouth is opened and the tongue drawn to one side a mass of food
may be found to one side of the frænum lingui, and beneath this the
projecting, red inflamed papilla which covers the Whartonian orifice.
Extending backward from this the duct is felt as a thickened cord,
and when this is compressed a purulent liquid flows from the orifice.
The mouth becomes offensively fœtid.
The tendency is to suppuration, and if this is determined in the
Whartonian duct only, by the presence of foreign bodies, calculi, or
microbes it may recover in connection with an abundant muco
purulent discharge and a free secretion of saliva. If it occurs in the
gland tissue itself by reason of the penetration of the microbes into
the follicles, the tendency is to circumscribed abscess, which may
point and burst by the side of the root of the tongue, or externally in
the intermaxillary space. In the first case the tongue is displaced
upward and to the other side of the mouth by the hard, firm swelling,
which is felt on one side beneath the back part of that organ, and
later there is the wound, the profuse muco purulent discharge, and
intense fœtor. If on the other hand the abscess forms nearer the skin,
there is the firm, painful intermaxillary swelling, which finally points
and bursts discharging pus of a septic odor. It may be mixed with the
foreign bodies that have penetrated through the canal, with morsels
of necrosed gland tissue and with blood.
Treatment. The first consideration is to extract any foreign bodies
which have lodged in the duct causing irritation and infection. The
finger passed along the line of the swollen duct may detect the seat of
such foreign body by the extra swelling, and may extract it by
manipulation from behind forward. This may sometimes be assisted
by the introduction of a grooved director as far as the foreign body,
or even by a catheter which can be made to distend the canal in front
of the object and open the way for its easier passage. In case of
failure and in all cases of the introduction of small bodies like
vegetable awns or spikes pilocarpin may be given to cause an
excessive secretion and thus as it were purge the canal of its offensive
contents. Incision of the canal over the foreign body is the dernier
resort.
This accomplished, the injection of antiseptic solutions
(permanganate of potash, boric acid), and the liberal use of pure
water and detergent lotions in the mouth (vinegar, borax, carbolic
acid or salicylic acid in solution) will go far to establish a cure. In
case of an abscess bursting internally the antiseptic solutions should
be injected into its cavity. When the abscess bursts externally this is
doubly demanded, as the introduction of aerial germs tends to
produce very unhealthy action. The cavity may be stuffed with
carbolized, or iodoform, or acetanilid cotton, or with boric or salicylic
acid.
 SURGICAL LESIONS OF THE SALIVARY
GLANDS.
Among these may be named calculi of the Stenonian and
Whartonian ducts, ranula, stenosis and fistulæ of these ducts,
tumors, special infections like actinomycosis.
 TONSILITIS IN PIGS, AND OTHER
ANIMALS.
Causes; debilitating, climatic, microbian. Symptoms; fever, dullness; lies under
litter; ears and tail droop; watery eyes; anorexia; vomiting; pharyngeal swelling;
buccal redness and fœtor; tonsils swollen with pus or caseous mass in follicles;
cough dry and hard, later loose. Abscess. Calculus. Course. Treatment; antiseptic
electuaries; embrocations; laxatives; diuretics; tonics.
This is seen in both the acute and chronic form. In the former it
has the general causes and symptoms of pharyngitis. There is more
or less fever, dullness, a disposition to lie with head extended and
buried in the litter, ears drooping, eyes watering and red,
carelessness of food, deglutition painful, and liable to be followed by
vomiting. The mouth is red and hot, the breath fœtid and the tonsils
swollen, and their alveoli filled with muco purulent matter or at
times with a fœtid cheese-like product. The cough is at first dry and
hard and later loose and gurgling.
In the chronic form there is general swelling of the tonsils with the
overdistension of the follicles by the above mentioned whitish putty-
like masses, which are often even calcareous. These are due to the
proliferation of microbes which find in these alveoli a most favorable
field for their propagation. A similar condition is found in the
carnivora and to a less extent in the horse, in keeping with the
restricted development of the amygdalæ in these animals. It may be
attended by ulceration, or in rare cases by the formation of veritable
calculi in the follicles of the tonsils.
The gravity of the disease is largely determined by the nature of
the infecting microbe and the debility and susceptibility of the
animal attacked. The affection usually ends in recovery, but may go
on to grave local ulceration, and general infection.
Treatment consists largely in astringent and antiseptic
applications to the buccal mucous membrane. In the acute forms
frequent smearing of the mouth with electuaries of honey or
molasses and borax, boric acid, salammoniac, chlorate or
permanganate of potash, and the application of stimulating
embrocations to the skin around the throat. In other cases solutions
of tincture of chloride of iron, or of tincture of iodine can be used
with profit. The iron can be swallowed with advantage, but it is
objectionable to pour liquid rapidly into the mouth of the pig,
because of the danger of its entering the lungs and setting up fatal
pneumonia. A better way is to apply it to the interior of the mouth
and fauces on a swab or sponge dipped in the liquid. Short of this
one of these agents may be mixed with the drinking water, or
muriatic acid may be used in the same way, though at some
detriment to the teeth. The general health must at all times be
attended to. Any costiveness may be corrected by Glauber salts or
jalap, and elimination through the kidneys must be sought through
the use of nitrate of potash or other diuretic.
 CALCULI IN THE TONSILS.

Diagnosis and treatment of tonsillar calculi; spud; acid dressings. Trauma of soft
palate by stick, probang, file, molar. Abscess of palate. Treatment; laxative;
expectorant; antiseptic; lancing. Cleft palate and hare lip.

Rudimentary as these organs are in the equine race they are

important enough to have become the seat of hard calculous masses.
These have been found by Goubaux and Blanc in old asses, and by
the author in old horses. They vary in size from a pin’s head to a pea
and consist of concentric layers of a granular material arranged
around a central nucleus, which is usually a foreign body introduced
with the food. This nucleus is usually of a vegetable nature, while the
enveloping material is made up largely of the imprisoned and
degenerated epithelium of the follicle. Both diagnosis and treatment
are difficult in such cases. The adventitious masses should be
dislodged by the aid of a smooth, blunt metallic spud, and the surface
thereafter washed or swabbed with an antiseptic and astringent
solution. Swabbing with a solution of hydrochloric acid will tend to
dissolve and remove them.
 INJURIES TO THE SOFT PALATE AND
FAUCES.
The region of the fauces is sometimes injured by sharp pointed
bodies swallowed in the food, by the giving of boluses on the end of a
pointed stick, or by the careless use of a probang or of a file upon the
posterior molars. An overgrown last molar will sometimes lacerate
the velum. In other cases the inflammation of sore throat is
especially concentrated on this part, giving rise to cough, difficulty of
swallowing, redness, infiltration and swelling of the parts, and even
abscess. In the dog it is often associated with tonsilitis.
Treatment. A laxative is usually desirable to be followed by
salammoniac or chlorate of potash. In case of actual traumatic
lesions, the astringent and antiseptic lotions advised for tonsilitis will
be in order, and if abscess is recognized it should be opened
promptly.
 CLEFT PALATE.
In exceptional cases the soft palate has failed to unite in the
median line, and is represented by two lateral flaps separated by a v-
shaped hiatus in the middle. In a specimen in the N. Y. S. V. College,
taken from a trotting colt, the fissure is continued forward for several
inches between the palatine bones and the palatine processes of the
superior maxillary, establishing a direct communication between the
mouth and nasal chambers. In still other instances the fissure is
continued forward between the maxillary and anterior maxillary
bones, throwing the whole length of the buccal and nasal chambers
into one irregular cavity, and forming harelip.
It would be possible to remedy some of these conditions by plastic
operation, but the value of the young animal will rarely warrant any
such resort.
 CATARRHAL PHARYNGITIS.
Causes: traumatic; thermic; gaseous; medicinal; chemical; physiological
irritants; in solipeds, cattle, swine, dogs; debility; exposure; cold baths; youth; age.
Microbes in solipeds, cattle, dogs, birds; facultative microbes. Symptoms:
constitutional; difficult swallowing; nasal rejection of water; pharyngeal swelling
and tenderness; extended head carried stiffly; cough loose; salivation; in cattle,
grinding of teeth; in dogs, rubbing of chops; buccal heat and redness; often fœtor.
Course. Duration. Diagnosis from parotitis, from abscess of guttural pouch, from
pharyngeal tuberculosis, from actinomycosis, from adenitis and phlegmonous
pharyngitis, from specific fevers affecting the pharynx. Lesions: redness and
swelling of mucosa, epithelial degeneration, elevations, erosions, and ulcers;
lesions of tubercle, glanders, rabies, anthrax, actinomycosis, etc. Prevention.
Treatment: soothing; dietetic; laxative; expectorant; eliminating; locally antiseptic
astringents in solid, liquid, or vapor; embrocations and blisters; tonics.
Causes. As in stomatitis the starting point of pharyngitis is usually
in a local injury or a systemic condition which lowers the vitality of
the pharyngeal mucous membrane. It may come in all animals from
the hot air of burning buildings, from acrid gases inhaled, food, drink
or medicines given at too high a temperature, from caustic alkalies,
acids or salts, from physiological irritants like croton, euphorbium,
cantharides, from barley and other spikes entangled in the follicles,
from drinking freely of iced water. In solipedes there are the injuries
caused by giving boluses on pointed sticks, and the wounds caused
by tooth files in careless hands, and by coarse fibrous fodder, which
has been swallowed without due mastication. In cattle injury comes
from foreign bodies impacted, from the rough use of probang, rope
or whip and even of the hands in relieving choking. Swine have the
part scratched and injured by rough or pointed objects which they
bolt carelessly with the food. Dogs and especially puppies are often
hurt by solid and irritant bodies that they play with, and swallow
accidentally or wantonly. They also suffer at times from the pressure
of a tight or badly adjusted collar.
The system is debilitated and rendered more susceptible by chills
consequent on exposure to cold blasts, or draughts, or rain or snow,
when heated and exhausted, by cold damp beds, by pre-existing
disease, by underfeeding and by overwork. In the larger animals this
may come from the excessive ingestion of iced water, while in dogs
the plunging in rivers, ponds or lakes may chill.
The weakness of early age and old age have a perceptible
predisposing influence especially in solipeds and carnivora.
Finally as in other catarrhal inflammations the local action of
disease germs on the mucous membrane must ever be borne in
mind. These may be the germs of specific diseases localized in the
pharynx;—in Solipeds the streptococcus of strangles, the bacillus of
glanders, the diplococcus (streptococcus) of contagious pneumonia,
the germ of influenza, and actinomyces;—in Cattle the bacillus
tuberculosis, the bacillus of anthrax, actinomyces, the germs of
aphthous fever and of pseudomembranous angina; in dogs canine
madness and distemper;—in birds the bacillus of
pseudomembranous pharyngitis.
In addition to such specific germs the micrococci, streptococci and
bacilli which are normally present and harmless in the mouth and
pharynx, enter, colonize and irritate the debilitated tissues in case of
trauma, inflammation or constitutional disorder and serve to
perpetuate and aggravate the affection.
Symptoms. Acute pharyngitis is manifested by impaired or lost
appetite, dullness, weakness, by difficulty in deglutition, by the
rejection through the nose of water or other liquids swallowed, by
swelling over the parotid and above the larynx, and by a disposition
to keep the head extended on the neck and the nose raised and
protruded. Fever is more or less marked according to the severity of
the attack the temperature being raised in mild cases to 100°, and, in
the more violent, to 104° or 106°. The pulse and breathing may be
excited, amounting sometimes to dyspnœa, the throat is tender to
the touch and its manipulation rouses a cough, the nasal mucosa is
congested and the buccal membrane, and especially along the
margin of the tongue may be red and angry. Salivation is shown
more or less, in solipeds the saliva accumulating especially during
mastication in froth and bubbles at the commissures of the mouth,
while in ruminants the grinding of the teeth or frequent movement
of the jaws in the absence of food or actual mastication leads to a free
escape of the filmy liquid at the same points. Dogs will rub the jaws
with the foot as if to remove some irritating object from the mouth.
In the last named animals the swelling of the tonsils, fauces and
pharyngeal mucous membrane, may be seen marked by patches and
spots of varying redness and swelling, covered with glairy or opaque
mucopurulent secretions, or particles of food, or even showing
erosions.
The cough of pharyngitis is painful, paroxysmal, and softer and
more gurgling (even in the early stages) than that of laryngitis or
bronchitis. It is roused by handling the throat, by swallowing, by a
draught of cold air or by passing out of doors, in dogs by opening the
mouth, and in cattle by pulling on the tongue which causes pain and
resistance. The cough is followed by the rejection, mainly through
the nose in solipeds, but also through the mouth in other animals, of
a glairy mucus or an opaque mucopurulent discharge often mixed
with and discolored by the elements of food or in bad cases by blood.
The course of the disease is comparatively rapid, and it usually
ends in recovery in seven to fifteen days, in cases that are not
complicated by dangerous local infections.
Diagnosis is mainly based on the stiff carriage of the neck with the
nose elevated, the swelling and tenderness of the throat,
manipulation above the larynx rousing the cough, the soft or rattling
nature of the cough, the ejection of liquids and foods through the
nose, the movements of the jaws apart from mastication and the
salivation. From parotitis it is distinguished by the concentration of
the swelling and tenderness to the deepseated region above the
larynx, by the abundance of the discharge, by the ejection of liquids
through the nose, and by the readiness with which the cough is
aroused. From abscess of the guttural pouch it is differentiated by
the more continuous discharge from the nose, rather than the
intermittent one. From tuberculous pharyngeal glands by its acute
nature, by the absence of the glandular swellings in which the
tuberculosis is concentrated, also by the absence of tubercles in other
parts of the body. From actinomycosis by its more rapid progress
and by the absence of the hard indurated cutaneous or subcutaneous
swellings, and of the open sores with minute sulphur colored
granules that mark that affection. From adenitis and phlegmonous
pharyngitis it is distinguished by the absence of the glandular
swelling and dyspnœa which attend on that affection. From the
various fatal febrile affections, the germs of which may be localized
in the throat, it may be diagnosed by the absence of the more