. Cleveland medical gazette. year she had been perfectly well (except the usual diseases ofchildhood) ; she menstruated normally at 14. During the pastyear she had several attacks of pain in right iliac region, each at-tack being more severe than the last. Temperature 100-120. Nauseated and occasional vomiting. She wasunable to bear but slight pressure over McBurneys point. Uterusand ovaries normal. Diagnosis of recurrent appendicitis was made and operationadvised. I operated on her at her house. Found the appendixbound by numerous adhesions, severely congested lumen, almostoblit
. Cleveland medical gazette. year she had been perfectly well (except the usual diseases ofchildhood) ; she menstruated normally at 14. During the pastyear she had several attacks of pain in right iliac region, each at-tack being more severe than the last. Temperature 100-120. Nauseated and occasional vomiting. She wasunable to bear but slight pressure over McBurneys point. Uterusand ovaries normal. Diagnosis of recurrent appendicitis was made and operationadvised. I operated on her at her house. Found the appendixbound by numerous adhesions, severely congested lumen, almostobliterature at proximal end. Operation occupied but a few min-utes, patient suffered but slight shock. Wound healed by pri-mary union, convalescence smooth and comfortable. Fig. 2. Johnny G. I saw Johnny G., a boy aged 9 years in an acutefirst attack. He was suffering considerable pain, constipated andoccasionally nauseated. Temperature 102. Pulse 120. I urgedan early operation which was performed at his home in the coun-. Myers: Appendicitis—Diagjiosis and Treatme7it. 479 try the next day. Found the appendix about two inches long, thelumen almost obliterated near its attachment to the caecum. Itcontained a small quantity of pus, and very small fecal concre-tions. There was but a slight rise of temperature following oper-ation, and he made a smooth, and rapid recovery. Third.—Gaugrowiis Appendicitis, including foreign the morning of March 28th, 1899, I was called to see Mr. R.,a young man of 22 years, as I was on my way to the hospital tooperate on another case of appendicitis and gave him but a super-ficial examination, but made a provisional diagnosis of appendi-citis. In the evening I saw him the second time. He continued tosuffer considerable pain in the right iliac region. By palpationI could make out an enormously large appendix. I made a posi-tive diagnosis of acute appendicitis, and now found that for sev-erral weeks he had occasionally had slight attack
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