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Article
January 21, 1888

THE TREATMENT OF PERI-CÆCAL INFLAMMATION.Read before the Philadelphia County Medical Society, December 14, 1887.

Author Affiliations

SURGEON TO THE PENNSYLVANIA HOSPITAL.

JAMA. 1888;X(3):75-76. doi:10.1001/jama.1888.02400290011001c

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Abstract

For practical purposes the treatment of peri-cæcal inflammation must be divided into two subdivisions: that of the pre-purulent, and that of the post-purulent stage; or, first, before formation of pus or of appendix perforation; and, second, after that event.

The treatment of the pre-purulent, irritative, or simple inflammatory disorders of the cæcum and its surroundings, or appendix, should consist of rest in bed, restriction of diet to nourishing liquids, hot poultices or fomentations frequently replaced upon the parts, perhaps local depletion, and possibly the hypodermatic exhibition of morphia to control pain; whilst the bowels should be kept open and free from accumulation of gas and faeces by the administration of salines and enemas—perhaps with the addition of turpentine to the latter.

Those disposed to cavil at the advice just given I would ask: Shall we keep the bowels in liquid condition, and so prepared to best resist peritonitis, should it

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