A treatise on the principles and practice of medicine . he stomach, and may even radiate alongthe genitocrural nerve to the testis, which is sometimes retracted. Reach-ing its greatest severity in a few hours, the pain persists until the pressureof the pus is relieved by drainage into the bowel, perforation or relief from pain often indicates gangrene, (b) Nausea andvomiting result reflexly from occlusion and follow within a few hoursafter the pain, (c) Abdominal tenderness is general at first and is oftenassociated with a cutaneous hyperesthesia, which covers like half agirdle


A treatise on the principles and practice of medicine . he stomach, and may even radiate alongthe genitocrural nerve to the testis, which is sometimes retracted. Reach-ing its greatest severity in a few hours, the pain persists until the pressureof the pus is relieved by drainage into the bowel, perforation or relief from pain often indicates gangrene, (b) Nausea andvomiting result reflexly from occlusion and follow within a few hoursafter the pain, (c) Abdominal tenderness is general at first and is oftenassociated with a cutaneous hyperesthesia, which covers like half agirdle the right lower abdomen from the spine to the mid-line. The APPENDICITIS 545 right rectus muscle resists palpation, which explains most cases of earlyapparent tumor. A little later the general tenderness disappears, leavingwell-localized tenderness over the appendix; McBurneys point is in theright lower quadrant of the abdomen (about two inches from the anteriorsuperior iliac spine in a line drawn between it and the navel) or a little Fig. 38 Fig. 42. Fig. 39


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Keywords: ., bookcentury1900, bookdecade1910, bookpublisherphiladelphialeafeb