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Updated: May 21, 2025
The appendix vermiformis seems to be a useless remnant of anatomical structure transmitted to us from a lower animal condition. At least such is the interpretation which scientists generally give to this hurtful and dangerous tube-like blind channel in connection with the bowels. That it becomes easily inflamed and is the occasion of great loss of life can not be doubted.
The ileum, 6, opens into the cecum, all of the bowel below the opening being cecum, the opening of the appendix, 3, is in the lower part of the cecum. The arterial supply to these parts is great enough to get them into trouble in those people who are imprudent eaters, and it is also great enough to save the parts when diseased if the patient has the proper treatment.
Even that popular disease appendicitis is believed to be due sometimes to the injury caused by the work of parasites in the appendix. Parasites may cause morphological or structural changes in the tissues of their hosts. The stimulation caused by their presence may result in swellings or excresences or other abnormal growths.
Seeds are seldom found in the appendix and the fear of swallowing them because they may lodge in it is not well founded. There is no question but that this organ has the power, when normal, of taking care of itself. It has a peristaltic action and can expel anything that is capable of gaining entrance. Symptoms: An acute attack is ushered in with severe pain.
Boswell had been talking one day in the vein of his hero's poem on the "Vanity of Human Wishes," and commented on the persistence with which things were done upon the supposition of happiness, as witness the splendid places of public amusement, crowded with company. "Alas, Sir," said Johnson in a kind of appendix to his poem, "these are all only struggles for happiness.
Not only may any infection which is sweeping along the alimentary canal, thrown off and resisted by the vigorous, full-sized, well-fed intestine, find a point of lowered resistance and an easy victim for its attack in the appendix, but there is now much evidence to indicate that the ordinary bacteria which inhabit the alimentary canal, particularly that first cousin of the typhoid bacillus, the colon bacillus, when once trapped in this cul-de-sac, may quickly acquire dangerous powers and set up an acute inflammation.
A valvular arrangement called the ileo-cæcal valve, which is provided with a button-hole slit, forms a kind of movable partition between this part of the large intestine and the small intestine. Tubular Glands of the Small Intestines. Attached to the cæcum is a worm-shaped tube, about the size of a lead pencil, and from three to four inches long, called the vermiform appendix. Its use is unknown.
These are evidently formed inside the appendix, for they arc often too large to enter in the form in which they are found. When there is perforation of the appendix the result is peritonitis according to some authors, and, according to others just as great, this is disputed I belong to the latter class in belief.
Between the last page and the cover of the blank-book, which was confided to me, I found a continuation by a later Ueberhell. This appendix could hardly have been written earlier than towards the end of the last century, to judge by the paper, the stiff, old-fashioned handwriting and, more surely still, by the fact that the writer mentions vaccination as a new discovery.
Louis, contained in one hundred and eighty pages, and worth more or less as a history. Then come one hundred and seventy pages more of biographies, an appendix of fifteen pages, and about thirty pages of views of manufacturing establishments. And this book is called The Great West. No further comment seems necessary.
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