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Appendicitis by John Henry Tilden
page 64 of 107 (59%)
not been medicated, with those of a similar case that has been
medicated, to know the full value of symptoms under medication, as
well as the full value of the symptoms when not under medication.
This knowledge I am using in analyzing this medical classic and from
my standpoint I can see how very easy it was for the author of the
article under consideration to blunder along as he did. The doctor
should not feel lonesome, however, for he has a world of company.]

"This condition lasted nearly twenty-four hours; then a very large
and hard stool, followed by a thin one of hemorrhagico-purulent
character was discharged and simultaneously a decided change took
place. The appearance and pulse improved; the abdomen became softer
with the exception of the marked resistance upon the right side low
down, and the fever slightly remittent, its maximum 101 degree F.
Vomiting did not recur; the patient moved about somewhat in bed and
slept several hours in a half-lateral posture. Meat jelly and cold
beef tea were swallowed."

[This feeding was the beginning of mistakes for the second round. If
this patient had been left distressingly along until he could have
thrown off his opium poison and become normal, and allowed the
abscess to drain and close, all would have been well. This, I
assume, would have been the ending if the vigorous examination that
was given the patient the day before the collapse had not
prematurely ruptured the abscess both into the gut and into the
subperitoneal region converting an appendicular abscess into a
perityphlitic one.]

"Upon the next day there were several hemorrhagico-purulent stools,
the urine was profuse and voided without pain. Nevertheless, firm,
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