During the past decade it has become generally recognized that the treatment, if not the diagnosis, of certain diseased conditions demands from the moment of their onset the joint attention of both physician and surgeon. Among such diseases may be mentioned appendicitis, pyelitis, and, in its various forms, cholelithiasis. In the first mentioned of these diseases surgical observation is considered of so much importance that the case is generally transferred to the surgeon, or he at least is summoned by the family physician to see the patient in consultation, as soon as a probable diagnosis of appendicitis has been made.
In cases of cholelithiasis the drift of opinion is in the same direction, though for manifest reasons the importance of early surgical observation is less urgent. In the diseases just mentioned, as in all others, it is but natural and right that the family physician should first be
McCOSH AJ. GALL-STONES. OBSERVATIONS ON THEIR TREATMENT. JAMA. 1899;XXXIII(12):694–701. doi:10.1001/jama.1899.92450640007002a
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