The British Journal Of Childrens Diseases Volume 6 PDF Download

Excerpt from The British Journal of Children's Diseases, Vol. 6 Mr. Lockwood* maintains that tuberculous appendicitis should only be diagnosed after histological examination, as the naked eye is quite unreliable for the recognition Of tubercle. While this may be necessary in some Obscure cases I cannot see that it is required in other perfectly straightforward cases. If one meets with a case where there is a history Of chronic appendicular pain, where there is to be felt in the right iliac region an indurated mass, where there are constitutional symptoms such as sweating, debility, loss of weight, etc., and where at the Operation is found a chronically in flamed and thickened appendix with caseation on its peritoneal surface or with caseating mesenteric glands in the neighbourhood, then surely the diagnosis Of tuberculous appendicitis is quite justifiable. TO diagnose tuberculous appendicitis without seeing the appendix is difficult, and such a diagnosis is purely hypothetical. Still, the association of chronic attack, indurated mass over appendix, and constitutional symptoms is very suggestive, and a provisional dia gnosis Of tuberculous appendicitis based on such data will, in the majority of cases, be confirmed at the Operation. With regard to treatment, there seems to be a pretty general consensus Of Opinion that surgical measures are the best, and that the appendix should be removed wherever possible. Medical means are rarely satisfactory. It is doubtless true that by careful medical treatment the patient may be kept in comparative comfort, but every now and again there is some return Of the acuter symptoms, and sometimes the patient appears to be going rapidly downhill. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.