This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1904 Excerpt: ...indicate, and probably put off sending for their medical man until it is too late. We have known a case where the history given by the parents was that of bilious attacks, for which they did not call in assistance, and when a fatal attack of peritonitis came on with (in their judgment) the same symptoms, no medical aid ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1904 Excerpt: ...indicate, and probably put off sending for their medical man until it is too late. We have known a case where the history given by the parents was that of bilious attacks, for which they did not call in assistance, and when a fatal attack of peritonitis came on with (in their judgment) the same symptoms, no medical aid was sought until forty-eight invaluable hours had elapsed after the onset of the illness. The so-called bilious attacks--(abdominal pain with vomiting)--had been mild recurring attacks of appendicitis. The symptoms of a well-developed attack of peritonitis can scarcely be mistaken, but they are so liable to variation that two cases are seldom seen alike--and it must be remembered that peritonitis following a perforation of the appendix, does not differ in its essential characteristics from that due to a perforation in other parts of the intestinal tract, or from the giving way of an abscess of the pelvis or of other parts into the peritoneum. The typical case of peritonitis presents local and general symptoms, the latter chiefly resulting from the absorption of bacterial products from the cavity of the peritoneum. In other words, there is a local inflammation affecting a large area of the body, one supplied to a marvellous extent with nerve ganglia and lymphatics. It is not a cause of surprise, therefore, that the progress of a septic inflammation in this part of the body is extremely rapid, nor is it strange that the resulting vital depression is profound. The patient, in a case of appendicular peritonitis, will be found lying on the back with thighs flexed on the abdomen, and possibly the arms thrown up above the head; the expression is anxious, the eyes sunken and surrounded by dark rings. There is pain in the abdomen, and the abdominal wa...
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