Book-bot.com - read famous books online for free

Appendicitis by John Henry Tilden
page 77 of 107 (71%)
"At the start the temperature was uniformly high, but later
remissions in the pus fever were recognized."

[All fever would have disappeared had it not been that the
intestinal putrefaction was kept alive by feeding.]

"The pulse from the onset was comparatively frequent, regular and
somewhat tense.

"The vomitus was at first composed of the gastric contents, the bile
of a peculiarly pure, grass-green, biliverdin color mixed with a
yellowish chyme-like material, and in the later stages of the
disease showed thin masses having a fecal odor_ (ileus
paralyticus)._ In regard to the dejecta, the two passages at the
onset of the disease pointed to increased peristalsis; this was of
short duration, soon changing to the opposite condition, and until
the rupture of the perityphlitic abscess absolute constipation
existed."

[The vomiting would have gone to stay within three days if no drugs
nor food had been given; as it was, when real vomiting ceased the
opium nausea began.

This patient was not allowed to come into that state of peristaltic
elimination that is due in all cases in three days at the farthest,
and which would have come to this man if food and drugs had been
withheld.]

"Pain upon urination and strangury was due to inflammation of the
peritoneal coat of the bladder, in which a noticeable irritation was
DigitalOcean Referral Badge