AZOTURIA 103 



To record in detail the various atypical forms and 

 changed clinical pictures of this disease would be the work 

 of a lifetime. We shall, however, attempt a review of the 

 more important features presented in atypical attacks, 

 and shall begin the discussion by noting the differences 

 between azoturia cases in city horses and in farm horses. 



Azoturia as seen in horses by the city practitioner, is, 

 as a rule, a more serious condition than that which the 

 country practitioner sees in his patients. City horses 

 develop azoturia nearly always in a typical form. The 

 attack comes, is barely noted before the horse goes down, 

 and death comes nearly as quickly, after a day or two. 



The country horse develops an attack in a more lei- 

 surely manner. In over half the cases seen in the country 

 the disease gives fair notice that it is on the way. There 

 is, first, lagging, possibly some perspiration; then, if 

 the animal is stopped, symptoms are seen which point 

 towards acute indigestion. If properly handled, the con- 

 dition stops here, and the horse is again in good health 

 after the lapse of a few hours. Country horses that go 

 down with azoturia have usually gone down because the 

 driver lacked the good sense to stop the animal as soon 

 as he noted that it was not well. But even eases of azo- 

 turia in the height of their development in country 

 horses, when the animal is down, are milder in form than 

 the same cases would be in city horses. 



The explanation probably lies in the more concentrated 

 feed upon which the city horse lives, and in the more 

 strenuous existence he is forced to lead. Country azo- 

 turia cases that receive ordinary care and treatment 

 while the animal is yet standing will make a complete 

 recovery in a few hours ninety-eight times out of a hun- 

 dred. The city practitioner does not find it so. Many 

 of the cases to which he is called while the horse is yet on 

 its feet go down in spite of the best care and treatment. 



