Wisconsin medical recorder . one or the other is invariablypresent. A high leucocytosis alwaysindicates strong resistance. In many cases it becomes necessaryto differentiate appendicitis from anumber of conditions for which it maybe confused as typhoid fever, biliarycolic, renal colic, pelvic infections, etc. Typhoid fever and appendicitis areeasily distinguished. In appendicitis the abrupt onset in aperson previously well, the nausea andvomiting, the rigidity of the right rec-tus and the tenderness in the iliac 292 WISCONSIN MEDICAL RECORDER fossa form a symptom complex almostpathognomonic. I
Wisconsin medical recorder . one or the other is invariablypresent. A high leucocytosis alwaysindicates strong resistance. In many cases it becomes necessaryto differentiate appendicitis from anumber of conditions for which it maybe confused as typhoid fever, biliarycolic, renal colic, pelvic infections, etc. Typhoid fever and appendicitis areeasily distinguished. In appendicitis the abrupt onset in aperson previously well, the nausea andvomiting, the rigidity of the right rec-tus and the tenderness in the iliac 292 WISCONSIN MEDICAL RECORDER fossa form a symptom complex almostpathognomonic. In typhoid, on thecontrary, the onset is slow and Lnsidi• mis. attended by lassitude, headache,epistaxis, diarrhoea, a characteristictemperature, relaxed abdominal pain and diffused tenderness. With biliary colic and appendicitisdifferentiation is often difficult. Inboth the onset is sudden, the pain ag-onizing aiid accompanied by nauseaand vomiting. The character and lo-cation of the pain in biliary colic dif-. Pllinary Carcinoma of Appendix vere and lacks the undulating qualitycharacteristic of appendiceal pain. Ittends to localize in the vicinity of the gall bladder though il may radiatefrom the righl costal margin towardt he umbilicus. Biliary colic often begins with ais usually more continuous and less se-vers from tliat of apendicilis in tbat itchill while fever is usually absent. Theoften gives a history of previous at-tacks. When gall stones arc found inthe stools the diagnosis is established. Renal colic should not be confused with appendicitis even in the earlystages. This condition begins usuallywith a rigor followed by excruciatinglumbar pain, which radiates along thecourse of the ureter. There is nofever, no tumor and no localized ten-derness. The pain is slightly allevi-ated by firm pressure over tie- painfularea and greatly relieved by is often present. In abscess of the kidney tendernessis elicited on pressure over the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
