Some salient points in the diagnosis, pathology, and treatment of appendicitis / by John B. Deaver.

  • Deaver, John B. (John Blair), 1855-1931.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Some salient points in the diagnosis, pathology, and treatment of appendicitis / by John B. Deaver. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    not die from the attack), but should you rest con- tent with a fair percentage of recoveries, when a much greater number would recover by operation ? I have been accused of being too radical upon the subject of appendicitis, of having removed normal appendices, but I have the courage of my convic- tions, and say to you that my statements are founded upon facts, and that if I can convince one of you, who may be skeptical, that what I say is true, then have my time and labor been well spent. In support of what I say I can produce the statistics of 200 operations performed between attacks, with two deaths, both of which deaths occurred in the first series of 100 cases. Diagnosis. I wish to emphasize a fact I have already stated in former articles, that is, that the diagnosis of appendicitis is an easy one to make. There are three cardinal symptoms which when present warrant without exception a diagnosis: the sudden onset of acute abdominal pain with or with- out vomiting occurring in one who was previously well; rigidity of the right side of the lower ab- dominal wall; tenderness over the site of the appendix. It is not my intention to go over the entire sub- ject of the diagnosis, the pathology, and the treat- ment of appendicitis, but to discuss some salient points not touched upon in the paper I read before the College, May 2, 1894, and which I hope will throw sufficient additional light upon this subject to clear the horizon for those who are still groping in the fog of uncertainty and doubt. The affections with which I have seen appendicitis