Excerpt from Delaware State Medical Journal, Vol. 6: The Official Organ of the Delaware State Medical Society, One of the Oldest Medical Societies in America; December, 1914
A differential diagnosis cannot always be made even by the masters of abdominal surgery and that master who says I do not know, is a greater surgeon than the one who masks the ignorance with reticence and on exploration says, Yes, that is just what I thought it was. The diagnosis of the variety of the obstruction is clinically important. Frac tically, however, it is necessary to know only that some lesion exists that is demanding immediate intervention.
However there are some symptoms that often present themselves that point to certain distinct conditions as being the cause of the obstruction. If intelligent observations can be made early, a differential diagnosis may often be made. Late in this condition all we have to guide us is the history, as all local signs are masked.
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