DISEASES OF THE FETLOCK, ANKLE, AND FOOT. 411 
the less often the wound is disturbed, the better, so long as the healing 
process is healthy. When the sore commences to “skin over,” the 
edges should be lightly touched with lunar caustic at each dressing. 
The patient may now be given a little exercise daily, but the bandages 
must be kept on until the wound is entirely healed. 
TENDINOUS QUITTOR. 
This form of quittor differs from the cutaneous in that it not only 
affects the skin and subcutaneous tissues, but involves also the ten- 
dons of the leg, the ligaments of the joints, and, in many cases, the 
bones of the foot as well. 
Fortunately, this form of quittor is less common than the preced- 
ing, yet any case beginning as simple cutaneous quittor may at any 
time during its course become complicated by the death of some part 
of the tendons, by gangrene of the ligaments, sloughing of the coro- 
nary band, caries of the bones, or inflammation and suppuration of 
the synovial sacs and joints, thereby converting a simple quittor into 
one which will, in all probability, 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 are more liable to have tendinous quittor than older 
ones, and that they are much more likely to make a good recovery. 
Symptoms.—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 quittor, 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 the first 
two days rarely discloses any cause for this lameness; it may not be 
possible even to say with certainty that the foot is the seat of the 
trouble. On the third or fourth day, sométimes as late as the fifth, 
a doughy-feeling tumor will be found forming on the heel or quarter. 
This tumor grows rapidly, feels hot to the touch, and is extremely 
painful. As the tumor develops, all the other symptoms increase in 
intensity; the pulse is rapid and hard; the breathing quick; the 
temperature elevated 3° or 4°; the appetite is gone; thirst increased; 
and the lameness so great that the foot is carried if locomotion is 
attempted. At this stage of the disease the patient generally seeks 
relief by ving upon the broad side, with outstretched legs; the coat 
