austing calls
made upon his system by the accompanying fever of the foregoing conditions,
the case ends either in resolution or suppuration. When suppuration occurs
it is found, as a rule, at the sole, leading to almost entire separation of
the sensitive and horny structures. The pain, if possible, is even worse
than in either of the foregoing stages, and relief for the suffering
patient is only obtainable by the natural exit of the pus at the coronet,
or by giving it escape with the knife at the sole. As a rule, suppuration
in laminitis is rare, and then only occurs when the disease has been of
some several days' duration. It has been the author's experience, however,
to meet with it in a case but three days' old. This particular animal had
laminitis restricted to the hind-feet. The condition was diagnosed and pus
liberated at the sole of one foot during the third day of the lameness. The
animal was cast on the fourth day, and pus obtained from the sole of the
opposite foot.

_Complications_.--In a moderate case, carefully treated, laminitis
terminates at the end of three or four days in resolution. The general
symptoms of fever gradually subside, the appetite returns, and the walk
becomes easier. Cases thus terminating fortunately leave behind them no
change of serious importance, either in the sensitive tissues or in the
horny envelope. Should resolution, however, be longer delayed, then the
case, although eventually terminating successfully so far as soundness in
gait is concerned, leaves more or less evidence behind in the shape of
rings about the wall and alterations in the build of the sole.

When the happy ending of rapid resolution is denied us, then, in addition
to the condition we have described as suppuration, we may meet with one or
other of the following complications:

_(a) Metastatic Pneumonia_.--This complication is not uncommon, and,
when occurring, more often than not ends fatally. It may be accounted for
indirectly by the greater work the lungs are called upon to perform in
carrying out the increased number of respirations occasioned by the general
fever and pain, and directly by the poisonous materials circulating in the
blood-stream.

_(b) Metastatic Colic_.--This may be either a subacute obstruction of the
bowel or an enteritis accompanied by an offensive purge.

A striking case of the former is related in the _Veterinary Journal_ (vol.
xvi., p. 180) by H. Thompson, of Aspatria. Here no evacua