[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.176.107. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
March 27, 1897

DIAGNOSIS AND SYMPTOMS OF APPENDICITIS.

Author Affiliations

Chief of Staff and Gynecologist to Harper Hospital; Professor of Obstetrics and Clinical Gynecology in the Detroit College of Medicine; Ex-President American Association of Obstetricians and Gynecologists, etc. DETROIT, MICH.

JAMA. 1897;XXVIII(13):594-595. doi:10.1001/jama.1897.02440130020001d

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

The diagnosis of appendicitis is now generally made without difficulty by the general practitioners. Still sometimes a mistake is made and the diagnosis not easy on account of obscure symptoms.

The first symptom is pain and this varies in location. It is seldom in the region of the appendix at first, but most frequently is referred to the umbilicus. In a smaller number of cases, the pain is first located in the region of the stomach, especially in cases accompanied by vomiting; and in a very small proportion of cases only, is it located by the patient in the region of the appendix. The pain is generally spasmodic, colicky, hence the expression, "appendicular colic." Sometimes, however, the pain is not so sharp and acute, but is dull and constant. Remember, I am referring to the very first symptoms.

In the acute fulminating kind, when the appendix is ruptured and diffuse

First Page Preview View Large
First page PDF preview
First page PDF preview
×