DISEASES OF I'llK KK ll^OCK, AN Kl.i:, A ND KOiH. 411 



tlie less often the wound is disturbed, the l>etter, so long as the healing 

 process is healthy. When the sore coniineuces to "skin over." the 

 edges should he lightly touched with lunar caustic at each dressing. 

 The patient may now l)e given a little exercise daily, hut the bandages 

 must be kept on until the wound is entirely healed. 



TENDINOUS QUITTOR. 



This form of quittor ditlVis from the rutaneous in that it not only 

 affects the skin and sul)cutanoous tissues, but involves also tiic ten 

 dons of the leg, the ligaments of the joints, and, in many cases, tlic 

 bones of the foot as well. 



Fortunately, this foi*m of <{uittor is k'ss common than the i)i'eced- 

 ing. yet any case beginning as siuiple cutaneous ([uittor may at any 

 time during its course become complicated by the death of some part 

 of the tendons, by gangiene of the liganieuts. sloughing of the coro- 

 nary band, caries of the bones, or intlammation and suppuration of 

 the synovial sacs and joints, thereby converting a simple quittor into 

 one which will, in all j>robability, either destroy the patient's life or 

 maim him for all time. 



Causes. — Tendinous quittor is caused by the same injuries and 

 influences that produce the simple form. Zundel believes it to be a 

 not infrequent accompaniment of distemper. In my own experience 

 I have seen nothing to verify this belief, but I am convinced that 

 young animals ai'e more liable to have tendinous quittor than older 

 ones, and tiuit they are nnich more likt'ly to make a good recovery. 



Sympfom^f. — When a case of simple quittor is transformed into the 

 tendinous variety the change is announced by a sudden increase in 

 the severity of all the symptoms. On the other hand, if the attack 

 primarily is one of tendinous quittoi-, the earliest symptom seen is a 

 well-marked lameness. In those cases due to causes other than inju- 

 ries this lameness is at first very slight, and the animal limps no 

 more in trotting than in walking; later on, generally during the next 

 48 hours, the lameness increases to such extent that the patient often 

 refuses to use the leg at all. An examination made during tiic first 

 two days rarely discloses any cause for this lamene.ss; it may not be 

 ]v>ssil)le even to say with certainty that the foot is the seat of the 

 tro\ible. On the third or fourth day, sometimes as late as the fifth, 

 a doughy-feeling tumor will be found forming on the heel or quarter. 

 This tumor giows raj)idly, feels hot to the touch, and is extremely 

 painfhl. As the tumor develops, all the othei- symjitoms increase in 

 intensity, the pulse is rapid and hard; the breathing quick; the 

 t«'mi>erature elevated 3^ or 4" ; the appetite is gone; thii'st increased; 

 and the lameness so great that the foot is carried if locomotif)n is 

 attempted. At this stage of the di.sease the patient generally seeks 

 relief bv lying upon the broad --ide. with outstretched legs: the eoat 



