Perforating inflammation of the vermiform appendix : with special reference to its early diagnosis and treatment / by Reginald H. Fitz.

  • Fitz, Reginald H. (Reginald Heber), 1843-1913.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: Perforating inflammation of the vermiform appendix : with special reference to its early diagnosis and treatment / by Reginald H. Fitz. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    On the 2d day in 8 cases = 4 per cent. CC 3d CC 20 cc — 11 CC CC 4th CC 12 cc 7 CC 98 in the CC 5th cc 20 cc — 11 Cl 1st week, cc 6th cc 16 cc = 9 cc 56 per cent. cc 7th cc 22 cc = 12 cc J cc 8th cc 21 cc = 12 cc cc 9th cc 10 cc — 6 cc u Kith cc 8 cc 4 c. 54 in the cc 11th cc 6 cc — 3 cc 2d week, cc 12th cc 4 cc = 2 cc 31 per cent. Cl 13th cc 4 cc = 2 cc cc 14th cc 1 cc . . • cc 15th cc 3 cc cc 17th cc 1 cc • • • o in ine 3d week, cc 18 th cc 1 cc • • • ► cc 19 th cc 1 cc • • • 4 per cent. cc 20th cc 2 cc * * * In the 4th week 7 cc = 4 cc CC 5th cc 4 cc = 2 cc cc 7th cc 4 cc = 2 cc cc 8th cc 1 cc = * cc In fatal cases sixty-eight per cent., more than two-thirds, die during the first eight days, and two-thirds of these die between the fourth and eighth days inclusive. Errors in the diagnosis of appendicitis have been numerous, chiefly because the cardinal symptoms of localized pain, general heat, and circumscribed swelling have not been duly appreciated in their defined sequence. Again, the extreme rarity of acute perforating inflamma- tion of the caecum, as compared with that of the appendix, has not been made sufficiently conspicuous. The acute form of perforating appen- dicitis has been confounded with inflammation of the caecum 01 typh- litis in an exact sense, intestinal obstruction from intussusception or strangulation, pelvic peritonitis (haematocele) of vesical, ovarian, tubal, or uterine origin, psoitis, and renal or biliary colic. More rarely a movable kidney or a foreign body in the bladder has been suspected. The chronic appendicular peritonitis and the chronic paratyphlitis resulting from a perforating appendix have been confounded with the results of caries of the spine and hip-joint, suppurative nephritis, intes- tinal tuberculosis, and cancer of the caecum. An appreciation of the