er of the
coronary cushion. To this condition we devote Section D of this chapter.
_Prognosis_.--In giving a prognosis in a case of coronitis, attention
should be paid to the manner in which the condition originated, and the
extent, when present, of the wound.
When the inflammatory swelling has arisen from bruising alone, without
actual division of the skin, when the weather is that of winter, and the
swelling showing a marked tendency to spread, then the prognosis must be
guarded. As we have seen, this state of affairs is probably ushering in
a condition of spreading suppuration of the coronary cushion, and
considerable gangrene and sloughing of the skin. We have here no intimation
as yet of how far the suppurative process may run, nor what important
structures it may involve. Consequently, the guarded prognosis we have
mentioned is imperative.
Where an actual wound is to be seen, and where advice is sought early,
then a more favourable opinion may be advanced. In this case antiseptic
measures, commenced early and persisted in, may prevent the rise of further
mischief.
It goes without saying that, should there arise any other of the
complications we have mentioned (viz., Arthritis, Necrosis of the Extensor
Pedis, Sand-crack, Quittor, and False Quarter), the fact should be pointed
out to the owner, and the prognosis regulated thereby.
_Treatment--Preventive_.--Seeing that at any rate the majority of cases of
coronitis result from injuries inflicted by the shoes, we may look at once
to that particular for a means of prevention.
Take first the case of 'treads'. There is no doubt that they are most
common in animals shod with heavy shoes and with high and sharp calkins.
This suggests at once that a preventive is to be found in substituting a
calkin that is low and square.
Where the injury is an overreach, and where, on account of the animal's
pace and manner of gait it is in risk of being constantly inflicted, the
shoeing should be seen to at once.
We have already pointed out that it is the inner border of the lower
surface of the toe of the hind-shoe which, in the act of being drawn
backwards, inflicts the injury. (See Fig. 110).
In this case prevention may be brought about either by shoeing with a shoe
whose ground surface is wholly concave, or by bevelling off the sharp
border (see Fig. 110, _a_, p. 236). When the tendency to overreach is not
excessive, prevention may in many cases be effected by simp
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