Appendicitis by John Henry Tilden
page 77 of 107 (71%)
page 77 of 107 (71%)
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"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 |
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