Compend of the practice of medicine : based on the fourth revision of the quiz-compend.

  • Hughes, Daniel E., 1851-1902.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Compend of the practice of medicine : based on the fourth revision of the quiz-compend. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    99/492 (page 93)
    TYPHLITIS. Synonyms. Inflammation of the caecum; catarrh of the caecum. Definition. A catarrhal inflammation of the mucous membrane of the caecum and ascending colon; characterized by pain, tender- ness, constipation, and in certain cases a characteristic vomiting. Causes. In a majority of cases mechanical, from the lodgment of seeds or hardened faeces. Pathological Anatomy. Similar to the catarrhal inflammation of dysentery. Symptoms, Pain and tenderness in the right iliac fossa and along the ascending colon, with some prominence of this region; the bowels are usually constipated, or small liquid stools may occur from time to time, due to the accumulation of hardened faeces in the saccu- lated periphery of the caecum, leaving a central canal through which the liquid contents of the upper bowel can pass. In severe cases, the \0c2l pain, tenderness 2ind. swelling zxq greater, there are impaction oi fceces and no movements. There are decided fever, restlessness, and also nausea and vomiting. The vomited mat- ters, at first the contents of the stomach, then the duodenum, with bilious matter, and ultimately, if the impaction persists, of material having the odor of faeces. With these symptoms occux great depres- sion of the vital powers. Peritonitis is finally developed by contiguity of tissue or by rupture of the bowel. Duration. The mild form lasts about one week. The severe form may terminate in subacute peritonitis, continuing about two weeks. Diagnosis. The mild form is distinguished from other intestinal affections, by the localized pain, tenderness and prominence, and the constipation. The severe form can only be distinguished from the other forms of intestinal obstruction by the history of the case and attack, and the results of treatment. Prognosis. Mild for?n idiVorzhlQ. Severe fortn gxdiYe., 2L\ih.owgh. not necessarily fatal. Treatment. The patient should be kept in bed, and placed on a strictly milk diet. In mild cases, act upon the bowels, with either oleum ricini or mag- nesii sulphas in small doses, followed by an opium influence, to be maintained until convalescence is pronounced.