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April 28, 1945


JAMA. 1945;127(17):1148. doi:10.1001/jama.1945.02860170060024

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To the Editor:—  In going over Dr. Brennemann's article on abdominal pain in children in the March 24 issue of The Journal I note that diabetic acidosis and pyelonephritis are not mentioned as causes of acute abdominal pain often difficult to differentiate from the so-called "acute surgical abdomen." These are not infrequently met and need differentiation by urinary findings, although if the physical signs indicate a strong possibility of acute appendicitis it is safer to operate than to let it alone, the diabetes and its acidosis being possible of control despite the operation.

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