AZOTURIA 115 



members affected. This usually passes off in a short time 

 without treatment of any kind. 



In grave attacks, during which the horse has been down 

 for a number of days, the most common after-effects are 

 bed sores. These come on the points of the hips and 

 other prominent places. Some of these sores are very 

 resistant to treatment, and they may leave permanent 

 scars. They are commonly treated with antiseptics and 

 astringent lotions, healing powders or ointments. In 

 obstinate cases an occasional swabbing with a caustic 

 solution of silver nitrate will hasten healing. Those hav- 

 ing centers of dead or gangrenous tissue should first be 

 curetted. 



Another common sequel of azoturia takes the form of 

 muscular atrophy. This sequel is sometimes seen after 

 cases that were not severe by any means. The degree of 

 atrophy varies from a slight flattening of the muscles to 

 an almost complete disappearance of the muscle involved. 

 Most commonly it is the gluteal region or the crural 

 group; sometimes both. This atrophy is very stubborn 

 under treatment and often requires several months for its 

 correction. I have seen no particular or noteworthy bene- 

 fit from any form of treatment. Now and then a certain 

 case will respond marvelously under one form of han- 

 dling; when another case is given the same treatment 

 nothing whatever is seen of a beneficial result. 



The usual treatment for this sequel consists of setons, 

 blisters, massage, injections of strychnin or of irritant 

 agents, tonics, alteratives, and occasionally actual 

 cautery. 



In my experience one is as good as another. I have 

 seen a few cases in which this atrophy remained perma- 

 nently. After several weeks of hospital treatment the 

 animals were turned out to grass for several months. On 

 their return to the stable at the end of this period not a 



