ly, it will be necessary to renew the dressing every 24
or 48 hours; if the discharge is small in quantity and the patient
comfortable, the dressing may be left on for several days; in fact, 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 tendons
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 preceding, 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 coronary 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 injuries 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