. Fig. 228.—Intra-mediastinal diaphragmatic hernia (viewed in position from the left side). P, Lung ; C, heart (displaced) ; D, diaphragm; H, hernial mass. into the right pleural sac compresses the lung, causes attacks of dyspnoea and acceleration of the heart's action. Percussion may not reveal any important change, but on auscultation digestive sounds can plainly be heard within the chest. The symptoms are far from being well defined. They may be more or less intense, and colic may or may not be present. Mediastinal hernia (Fig. 223) appears to develop slowly, and it is only by degrees that


. Fig. 228.—Intra-mediastinal diaphragmatic hernia (viewed in position from the left side). P, Lung ; C, heart (displaced) ; D, diaphragm; H, hernial mass. into the right pleural sac compresses the lung, causes attacks of dyspnoea and acceleration of the heart's action. Percussion may not reveal any important change, but on auscultation digestive sounds can plainly be heard within the chest. The symptoms are far from being well defined. They may be more or less intense, and colic may or may not be present. Mediastinal hernia (Fig. 223) appears to develop slowly, and it is only by degrees that the viscera become displaced. There is then no sudden change, no clearly marked disturbance, but simply a certain amount of digestive irregularity, together with loss of appetite, cessation of rumination, slight indigestion, and mode- rate tymi^anites. The disturbance is really due to obstruction in the alimentary canal and displacement of the reticulum and omasum, so that rumination and deglutition are affected. Very often this condition may last for weeks, in either a stationary K K


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectveterin, bookyear1920