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September 17, 1898


JAMA. 1898;XXXI(12):663-664. doi:10.1001/jama.1898.02450120037007

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While medical men were glad to seize the opportunity of increasing the strength of their diagnoses by examination of the blood, the surgeon, until late years, has always held rather aloof, trusting more to the physical signs and constitutional reaction than to anything else. With the difficulty often accompanying the diagnosis of appendicitis, he at last became eager to accept any additional evidence that might be offered, and the hematologist has often been called upon for help. So frequent became these examinations in appendicitic affections that several important points, both in prognosis and diagnosis, have been fairly well established. As one would naturally expect, purulent appendicitis is usually accompanied by leucocytosis. This symptom is very common, and in a way may be looked upon as a good prognostic sign for this reason: If your diagnosis is reached by other symptomatology, and no leucocytosis is present, the prognosis is bad. The

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