Appendicitis, and Other Diseases of the Vermiform Appendix

Appendicitis, and Other Diseases of the Vermiform Appendix

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1909 edition. Excerpt: ...fifth day of his illness he vomited a living a s c a r i s; three days later, after the administration of santonin, a second worm 25 cm. long was passed, and after large evacuations he recovered. Metchnikoff cites three cases showing distinct symptoms of appendicitis in which the patients, one of them a child twelve years old, were relieved by anthelmintic treatment, without operation. In each instance the eggs of both ascaris and trichocephalus were found in the stools. He justly lays stress upon the necessity for a microscopic examination of the stools for ova in all cases in which there is any room for suspicion, a measure especially important in children, in whom a slight intra-abdominal source of irritation may provoke violent symptoms with fever. The role of the worms may be to produce an erosion of the mucosa, and so open the way for the invasion of bacteria; it may be that an inoculation takes place with the act of exciting the lesions. The trichocephalus found in the caecum produces lesions by its habit of boring inward and imbedding the anterior end of the body beneath the mucosa. Still (Brit. Med. Jour., April 15, 1899) looks upon the oxyuris vermicularis (pin-worm) as the cause of catarrhal troubles in the appendix. Moty (Semaine mid., 1901, Nos. 11-14) found oxyuris in three out of five cases recently under his care. He insists that an immediate examination of the appendix after removal is necessary to discover the worms. A case of this kind which occurred in the practice of my colleague, J. C. Bloodgood, has been already cited. The activity of children in running about and playing especially exposes them to trauma in the blows, falls, and violent exertion which are the familiar, hourly events of childhood. The elTort, more

Product details

  • Paperback | 214 pages
  • 189 x 246 x 11mm | 390g
  • United States
  • English
  • black & white illustrations
  • 1236743407
  • 9781236743404