May 1952


Author Affiliations

From Urological Service No. 1, The Albert Einstein Medical Center, Southern Division, Philadelphia.

AMA Arch Surg. 1952;64(5):535-536. doi:10.1001/archsurg.1952.01260010553001

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IN THE course of clinical work one encounters situations in which a differential diagnosis between renal blockage and other abdominal diseases is hurriedly requested. The urgency of the situation demands an immediate answer which will stave off or compel instant surgery. Such an emergency frequently exists in appendicitis, rupture of an abdominal viscus, rupture of a Graafian follicle, acute intercostal neuralgia, acute vasitis, acute intestinal diverticulitis, and intestinal obstruction. A similar acute situation also exists in immediate postoperative states, such as that following hysterectomy with one-sided pain; after operations upon the bladder, such as segmental resection of tumor, after excision of a diverticulum, or after surgical diathermy for bladder tumor. Whenever there is acute abdominal pain localized in either quadrant, upper or lower, the problem of correct and immediate diagnosis is imperative. The quick elimination of the kidney factor, thus revealing the actual pathology, is most important. Abdominal pains of

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