SYMPTOMS 4 127 
(otorrheea) is in evidence. There is great painand some 
amount of deafness; though, unless both ears are 
affected, it is often difficult to decide to what extent 
hearing has been impeded. It is only in very rare in- 
stances that these cases will not yield to adequate treat- 
ment, although in the severer forms permanent deafness 
may result. 
Balanitis.—Inflammation of the glans penis is rarely 
seen in distemper, but when present might be mistaken 
for preputial catarrh, which is rather more common. 
In these conditions there is swelling of the glans or 
prepuce, whichever may be the seat of affection, and a 
yellow purulent discharge drips from the end of the 
prepuce. The dog calls attention to it by constantly 
licking the part, or wet stains may be left wherever the 
animal has rested for any time. - It is not of serious con- 
sequence, and although frequently attributed to a specific 
origin, the dog does not suffer from specific gonorrhea, 
and the urethra is not implicated. A similar condition 
may rarely be observed affecting the vulva of the bitch. 
Nephritis.—Probably affections of the kidney are more 
constant in distemper than is generally realised, owing 
to the fact that in slight inflammations little or no dis- 
turbance of health in the dog is apparent. 
Diagnosis would be rendered more certain by micro- 
scopic examination and testing of the urine voided, and 
to distinguish between the various types of nephritis one 
must place most reliance in the post-mortem examination 
of the kidneys. 
This complication arises from the absorption of the 
toxins of,the primary specific disease, and is generally of 
a chronic catarrhal character, in which the pyramids are 
of a reddish hue from the plugging of the tubular canals 
with cells, and the cortical portion yellow or yellowish- 
white. It may arise subsequent to recovery from dis- 
