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CHRONIC APPENDICITIS

CHRONIC APPENDICITIS Much of the confusion which arises from a discussion of chronic appendicitis is due to the fact that it is not always specified whether the point of view is that of the pathologist or that of the clinician. The clinician has in mind a very definite syndrome when he speaks of acute appendicitis: A patient who has previously been well has a sudden severe pain in the abdomen, referred first to the epigastrium, with accompanying nausea, and possibly vomiting; a slight increase of pulse rate, with slight elevation of temperature; a chilly sensation, an appreciable increase of the leukocytes, and sooner or later tenderness over McBurney's point. On immediate opening of the abdomen there is sufficient evidence to warrant the diagnosis of an acute appendicitis. The pathologist, standing by, may at first see nothing more; but on closer examination he will find either macroscopic or microscopic evidence of a former http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

CHRONIC APPENDICITIS

JAMA , Volume 79 (11) – Sep 9, 1922

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Publisher
American Medical Association
Copyright
Copyright © 1922 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1922.02640110027008
Publisher site
See Article on Publisher Site

Abstract

Much of the confusion which arises from a discussion of chronic appendicitis is due to the fact that it is not always specified whether the point of view is that of the pathologist or that of the clinician. The clinician has in mind a very definite syndrome when he speaks of acute appendicitis: A patient who has previously been well has a sudden severe pain in the abdomen, referred first to the epigastrium, with accompanying nausea, and possibly vomiting; a slight increase of pulse rate, with slight elevation of temperature; a chilly sensation, an appreciable increase of the leukocytes, and sooner or later tenderness over McBurney's point. On immediate opening of the abdomen there is sufficient evidence to warrant the diagnosis of an acute appendicitis. The pathologist, standing by, may at first see nothing more; but on closer examination he will find either macroscopic or microscopic evidence of a former

Journal

JAMAAmerican Medical Association

Published: Sep 9, 1922

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