52 
A. ZUNDEL. 
quittor is a very obscure disease; the lameness is very great, but 
not characteristic; in proceeding, we referred to the acute local 
pains at the side of the tendiuous cord of the cannon, the inflam¬ 
matory swelling, the increase of local pains, and the general re¬ 
active fever. 
IV. — Prognosis .—It is a very serious disease, on account of 
the possible complications and sequelae. The loss, or the deform¬ 
ity of a phalanx, which are sometimes among the sequelae of the 
felon of man, are in him, accidents which never give rise to 
serious complications, or are quickly forgotten, while in the horse 
such complications are equivalent to the death of the animal. 
V. — Etiology .—The causes are the same as those of a simple 
quittor which is complicated with the tendinous kind ; this is also 
observed after the subcutaneous abscesses, frequently resulting 
from bruises, or even from punctured wounds. It is most com¬ 
monly met within low bred horses and Fisher says that it is more 
frequent, and less malignant, in young than in adult animals; ac¬ 
cording to this writer it is a common manifestation of distemper. 
Irritating muds favor its development in the same manner in 
active as in simple quittor. It often appears without appreciable 
causes. 
VI. — Treatment .—When tendinous quittor is superficial it 
requires about the same treatment as the simple kind, except 
that in this case the counter openings must be made early to 
prevent the sloughs, migrations of the pus and the gangrene. 
The surgeon must not forget that the inflammation in this affection 
must ordinarily terminate by suppuration, and he must bear in 
mind that there is a possibility of the modification of the in¬ 
flamed cellular tissue, and that the mortified portion of that tissue 
must slough out, as their presence too long continued may be 
very dangerous. The general indication is to prevent, as much 
as possible, the accumulation of the pus, an indication which will 
be best fulfilled by making openings for its escape, even before 
the formation of the abscess. As the tissues which surround the 
pus are very resisting, nature will not be able, or if so, only with 
great difficulty, to effect the expulsion of these matters. It is 
for this reason that it is necessary to assist her operations by mak- 
