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. 1901 Excerpt: ...part of all--there is scarcely room for doubt in the minds of those who have been brought much in contact with appendicitis, that surgical measures, and these alone, are competent to deal effectively with the disease when the latter is progressive in character. In mild cases of catarrhal or endo-appendicitis with but ...
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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. 1901 Excerpt: ...part of all--there is scarcely room for doubt in the minds of those who have been brought much in contact with appendicitis, that surgical measures, and these alone, are competent to deal effectively with the disease when the latter is progressive in character. In mild cases of catarrhal or endo-appendicitis with but slight interference with the blood-supply and in the absence of virulent infection, the inflammatory action may not extend beyond simple thickening of the mucosa, or at the most involve but slightly destructive changes, and hence these cases should quickly clear up under saline purgation and rest in the recumbent position. But even here there is a source of danger not heretofore sufficiently dwelt upon, and which is illustrated in a case coming under my care, in'which, with a history of several preceding indubitable attacks of appendicitis, I was impelled to open the abdomen promptly during an exceptionally mild attack. The conditions present were such as to fully justify the procedure. The appendix was greatly distended with a muco-purulent secretion almost to the point of rupture (empyema of the appendix), and with practically no adhesions present. Upon examination after removal it was found that communication with the c;ecum had been entirely shut off by a stricture--the result of a former attack--at the appendiculo-caecal orifice, constituting a most dangerous condition of affairs.' The first point upon which the practitioner should bestow his attention upon being called to a case of appendicitis is the state of the bowels. If these are constipated an enema should be given and this followed by a dose of sulphate of magnesium or other saline cathartic, since these drugs possess the property of not only emptying the intestinal canal, but like...
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PLEASE NOTE, WE DO NOT SHIP TO DENMARK. New Book. Shipped from UK in 4 to 14 days. Established seller since 2000. Please note we cannot offer an expedited shipping service from the UK.