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June 9, 1945

THE DIAGNOSIS OF ACUTE SURGICAL DISEASES OF FEMALE PELVIS AND LOWER ABDOMEN

JAMA. 1945;128(6):434-437. doi:10.1001/jama.1945.02860230038010
Abstract

In the hope of emending the accuracy of preoperative diagnoses in acute surgical lesions of the pelvis and abdomen in women, at least in the Atlantic City Hospital, a study of inaccuracies and errors in that institution was begun in 1936. At the end of five years a preliminary report was made to the Medical Society of New Jersey. This was to be compared with anticipated improvement during the next five year period. But the plan was interrupted by the war. This paper is based on the results of the original five year period together with those of the following year. After the war the apocryphal results will be compared with those of a similar period. Improvement is a consummation devoutly to be wished.

Diagnosis is based on the recognition of signs and symptoms. It is often necessary to wait for them to develop before an exact diagnosis can be

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