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འབྲུག་རྒྱལ་འཛིན་གཙུག་ལག་སློབ་སྡེ།
རང་འབྱུང་འཐློན་བསྡེད་མཐློ་རིམ་སློབ་གྲྭ།
སྤུ་ན་ཁ་རློང་ཁག།
ལློད་སྦུད་ས།
དློག་ཏྲར་་་འཇིགས་འབྡེལ་རློ་རྡེ།
རང་འབྱུང་འཐློན་བསྡེད་མཐློ་རིམ་སློབ་གྲྭ། སྤུ་ན་ཁ་རློང་ཁག།
ལློད་སྦུད་ས།
Abscess, Hematoma & Maggot Wound &
Horn Avulsion
10/31/2017 1
Abscess
Circumscribed collections of purulent materials (Pus)
found in various locations of the body caused by one of
the four Pus producing bacteria such as Corynebacterium,
Pseudomonas, Streptococcus and Staphylococcus.
Abscess
10/31/2017 2
Parts of Abscess:
1. Wall
2.Pyogenic Membrane
3.Pus (Liquor puris)
Pyogenic wall prevents further spread of
infection and helps in;
 Phagocytosis
 Granulation tissue formation
10/31/2017 3
Contents of the Pus (Liquor puris):
1. Necrosed tissues
2. Dead bacteria
3. Leukocytes
4. Blood & Tissue proteins.
 Pus is alkaline in nature & yellow colored.
N:B= Pus serum will not clot since the fibrin of
exudates is digested by proteolytic enzymes of the
leukocytes.
10/31/2017 4
Classification of Abscess
1. Acute Abscess (Hot Abscess):
 Inflammatory symptoms are more active
2. Chronic Abscess (Cold abscess):
 Inflammatory symptoms are less active.
 Hard with inspissated
 Soft with liquid pus and thin abscess wall.
3. Superficial/Deep abscess:
 Depending on the location.
10/31/2017 5
Etiology of Abscess
A. Pyogenic organisms like Staphylococci
1. Streptococci
2. Escherichia coli
3. Pseudomonas aeruginosa
B. Specific organisms like
1. Corynebacterium pyogenes
2. Actinomyces bovis
C. Chemicals like
1. HgCl2,
2. ZnCl2
D. Traumatic injury
E. Presence of foreign body
10/31/2017 6
Maturation of abscess
Fomentation – application of heat dry/moist
Iodine ointment application
- Iodex
- Povidone Iodine Oint
Diagnosis
 History – from the owner
 Examination – of patient
10/31/2017 7
Abscess must be differentiated from:
- Hematoma
- Skin tumor
- Hernia
- Edema
-Cyst
10/31/2017 8
Treatment
• Choose dependent area
• Site preparation
• Open it – blade be directed outward
• Drain out content
• Irrigate cavity with PP
• Pack cavity with Tr. Iodine gauze
• Remove gauze next day
• If swollen – use Mg +Glycerin, Acriflavin gauze
• daily dressing
10/31/2017 9
A ripe abscess at the base of left ear
10/31/2017 10
Cruciate incision made on abscess
10/31/2017 11
Pus drained out
10/31/2017 12
Cavity irrigated with antiseptic
10/31/2017 13
Hematoma
Collection of blood in the abnormal cavity and usually
caused by injury to the superficial vein
Causes
Damage of superficial vein due to:
 Scratching
 trauma during coitus
 crush injury
10/31/2017 14
Common site of Hematoma
Animal Site cause
cow Mammary vein Butting by calf
cow Vaginal mucous
membrane
Injury during
coitus
Breeding bull Penis Injury during
coitus
Dog, kid, rabbit,
piglet
Ear pinna Injury by
rubbing
10/31/2017 15
Diagnosis:
 History from owner
 Examination of the patient
10/31/2017 16
Confirmation By Drainage
10/31/2017 17
Aural Hematoma
10/31/2017 18
Surgical correction of ear Hematoma
 Restrain – Light sedation - Xylazine
 Plug ear canal – ball of dry cotton
 Site preparation – wash the pinna, shave, paint with Tr.
Iodine
 Incision – on inner wall of ear –
 Remove elliptical piece of skin
 Drainage – drain out the clot and serum
 Clean the cavity with PP solution
 Paint with Tr. Iodine – the cavity – induce inflammation
10/31/2017 19
Exposure of the Aural Cavity
10/31/2017 20
Suture Pattern of the Wound
10/31/2017 21
 Clean the wound
 Dose of long action antibiotic
 Dose of painkiller
 Remove the ear plug
 Prevent scratching
 Elizabethan collar
Post Operative Care
10/31/2017 22
Maggot Wound (Myiasis)
 Any wound infested with maggot
10/31/2017 23
Causes:
- Lucilia cuprina
- Calliphora erythrocephala
- Sarcophaga sp
- Musca domestica
10/31/2017 24
Diagnosis:
- History
- Examination
Treatment :
1. Plug wound with cotton –T-oil
2. Leave it for 5 – 10 min
3. Remove cotton – maggots
4. Repeat step 1 – 3 for 3 times
5. If deep wound leave
cotton -T –oil over night
6. Next day remove cotton / maggots
10/31/2017 25
7.Clean wound with PP sol
8. Remove necrotic tissue
9. Apply Himax / Ectosep
10. Or Lorexane with fly repellent
11.Repeat steps 7 – 9/10 daily
Note: Farmer may be given this task
If far away from centre
10/31/2017 26
10/31/2017 27
Avulsion
 an open wound in which there is actual loss of tissue.
E.g. horn avulsion, hoof avulsion.
Etiology
 Traumatic injury
10/31/2017 28
Anatomy
10/31/2017 29
Diagnosis
History – from the owner – accident/fight
Examination – of the patient
- loss of horn
- hemorrhage
Treatment
• Control of hemorrhage
• Cleaning & drying
• Place thin layer of cotton
• Apply Tr. Benzoin/Iodine
• Bandage it - Leave it for 3 – 4 days
• On 5th day remove bandage
10/31/2017 30
Treatment continued….
• If not infected apply antibiotic ointment for 1 – 2 weeks
• Apply coal tar from 3rd week onwards
•Horn may grow few months later or may not grow
10/31/2017 31
Yoke gall
 Gall is localized acute inflammation of skin and
subcutaneous tissue with accumulation of exudate.
e.g. Yoke gall in bull, saddle gall in horse
10/31/2017 32
Causes
• Constant irritation / friction of tissue
10/31/2017 33
Predisposing causes
 Young bulls
 Bullocks more prone to yoke gall
 Rough surface of yoke
 Unequal size of bulls
 Heavy load for long duration
10/31/2017 34
Heavy Load
10/31/2017 35
Clinical Signs
• Warm painful swelling on dorsal neck
• Swelling may be soft or hard (fibrous)
• Fibrous gall is called tumor
• Gall may become acute or chronic abscess
10/31/2017 36
Treatment
 Maturation indicated if abscess is formed
 Incise if not opened
 Drain out content – pus
 Irrigate cavity with PP lotion
 Daily antiseptic dressing
 Rest animal until fully recovered
 Antibiotic
 NSAIDs on alternate days
Thanks
10/31/2017 37

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Abscess hematoma & maggot wound