DISEASES OF THE FETLOCK, ANKLE, AND FOOT. 409 
fected in from two to three weeks; but when two or more tumors are 
developed at once, or if the formation of one tumor is rapidly suc- 
ceeded by another for an indefinite time, the suiferings of the patient 
are greatly increased, the case is more diflicult to treat, and recovery 
is more slow and less certain. 
This form of quittor is often complicated with the tendinous and 
subhorny quittors by an extension of the sloughing process. 
Treatment.—The first step in the treatment of an outbreak of quit- 
tor should be the removal of all exciting causes. Crowding animals 
into small corrals and stables, where injuries to the coronet are likely 
to happen from trampling, especially among unbroken range horses, 
must be avoided as much as possible. 
Watering places accessible without having to wade through mud 
should be provided. In towns, where the mud or dust is largely im- 
pregnated with mineral products, it is not possible to adopt com- 
plete preventive measures. Much can be done, however, by careful 
cleansing of the feet and legs as soon as the animal returns from 
work. Warm water should be used to remove the mud and dirt, 
after which the parts are to be thoroughly dried with soft. cloths. 
The means which are to be adopted for the cure of cutaneous quit- 
tor vary with the stage of the disease at the time the case is pre- 
sented for treatment. If the case is seen early—that is, before any 
of the signs of suppuration have developed—the affected foot is to be 
placed under a constant stream of cold water, with the object of 
arresting a further extension of the inflammatory process. To ac- 
complish this, put the patient in slings in a narrow stall having a 
slat or open floor. Bandage the foot and leg to the knee or hock, as 
the case may be, with flannel bandages loosely applied. Set a tub 
or barrel filled with cold water above the patient, and by the use 
of a small rubber hose of sufficient length make a siphon which will 
carry the water from the bottom of the tub to the leg at the top 
of the bandage. The stream of water should be quite small, and is 
to be continued until the inflammation has entirely subsided or until 
the presence of pus can be detected in the tumor. When suppuration 
has commenced, the process should be aided by the use of warm 
baths and poultices of lineseed meal or boiled turnips. If the tumor 
is of rapid growth, accompanied with intense pain, relief is obtained 
and sloughing largely limited by a free incision of the parts. The 
incision should be vertical and deep into the tumor, care being taken 
not to divide the coronary band entirely. If the tumor is large, 
more than one incision may be necessary. 
The foot should now be placed in a warm bath for half an hour or 
longer and then poulticed. The hemorrhage produced by the cutting 
and encouraged by the warm bath is generally very copious and soon 
gives relief to the overtension of the parts. 
