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Appendicitis by John Henry Tilden
page 60 of 107 (56%)
have brought a case of this kind to need gastric ravage, at this age
and stage of the disease.]

_"Upon the sixth day of the disease the picture changed."_

[It is impossible for any case to arrive at this state of maturation
in six days, if allowed to take its own course.]

"The complexion became sallow, the face elongated, the eyes hollow;
the pulse was 140, small, but quite regular; the temperature was
101.3 degree F.;"

[The great discrepancy between the pulse and temperature was caused
by the opium.]

"there was clammy perspiration and a cool skin, the hands were cold;
frequently slight eructations occurred and, now and then,
ineffectual or mild paroxysms of vomiting of a greenish yellow
material with a slight fecal odor."

[All these symptoms were positively unnecessary. They were built by
food end drugs.]

"The mind was clear; there was little pain."

[There was no reason why the mind should not be clear, and there
should have been no pain after the third day.]

"The abdomen became somewhat softer, much less painful, and was
readily palpated and percussed; there was a distinct resistance
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