172 THE ITINERANT HORSE PHYSICIAN 



"buck shin," but otherwise there was no objective 

 evidence of a healed fracture. 



We also saw a case of sweeney that we had 

 treated a year before by injecting sodium bicar- 

 bonate solution subcutaneously in the atrophied 

 area. The muscle had filled in beautifully, but 

 at each point of injection there was a "button" of 

 fibrous tissue. 



Another case we had treated the year before, 

 again came to our attention this year in a very 

 aggravated form. It was a case that had once 

 been treated by a quack for a necrosed tooth; the 

 quack had trephined the superior maxilla for the 

 purpose of repulsing the tooth. In the act of 

 repulsing, the punch slipped off the fang and 

 crashed through the hard palate, coming out just 

 inside the dental arcade and leaving an ugly hole 

 on its withdrawal. 



When the case came into our hands the first 

 time, there was the beginning of a cauliflower- 

 like growth at the opening made by the punch in 

 the roof of the mouth ; it had attained the size of 

 a billiard ball then. 



The horse also exhibited a severe grade of 

 dyspnea, which we attributed to a similar growth 

 or an extension of the same growth, in the maxil- 

 lary and nasal chambers. On the strength of 

 this, we trephined him again and removed an 

 immense mass of new growths resembling "proud 

 flesh." The removal was accomplished through 

 the trephine opening, taking the growth away in 

 sections with a large curette. A very profuse 

 hemorrhage ensued. 



