Although appendicitis is more than ever regarded as a surgical disease, a majority of cases are first treated by medical men. To one trying to follow the drift of opinion on its various phases as expressed by those best informed, it is clear that there is yet a great lack of agreement on many important points. In view of the importance of the history of any given attack a precise diagnosis is indispensable at the earliest possible time. Physicians should therefore carefully examine every case, beginning with or attended by abdominal pain. The diagnosis established, the next step will be either medical treatment or surgical operation. The number of those who favor immediate operation, except in fulminant cases, is small, as compared with the advocates of an observation period of from twenty-four to thirty-six hours. It is the general belief, in which the writer shares, that a considerable
HARSHA WM. THE EARLY TREATMENT AND INDICATIONS FOR OPERATION IN APPENDICITIS. JAMA. 1898;XXXI(7):332–334. doi:10.1001/jama.1898.92450070010001d
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