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The patient, a boy, aged 15, had an acute attack of appendicitis on Jan. 17, 1912. He vomited a number of times and complained of being chilly; temperature was normal; pulse 80. There were colicky pains about the navel but very little over the appendix, even on deep pressure. The bowels were free. The next morning, after a restless night, the temperature was 101.5 F. and the pulse 90; there was pain over the appendix but that about the navel had disappeared. On the afternoon of the same day the temperature was 102; pulg 100. The boy was taken to the hospital and a gangrenous appendix removed under chloroform anesthesia. No pus or any evidence of peritonitis was found, and the wound closed without drainage. The operation lasted about thirty-five minutes. The patient, being rather restless when put to bed, was given 1/8 grain of morphin. lie slept all night
Houda EO. A CASE OF ACETONEMIA. JAMA. 1912;LVIII(16):1194–1195. doi:10.1001/jama.1912.04260040210014
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