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Updated: June 8, 2025
You go and enjoy yourself, duckie." Ellen smiled a wan smile. On Monday night the news came to the Vines that their eldest son, Bill, who was in an accountant's office at Maidstone, had died suddenly of peritonitis. Of course Wednesday's jaunt was impossible, and Joanna talked as if young Bill's untimely end had been an act of premeditated spite.
I have attended in all twenty cases of this disease, of which four have been fatal. I am not aware that there has been any other case in the town of distinct puerperal peritonitis, although I am willing to admit my information may be very defective on this point. I have been told of some I 'mixed cases, and 'morbid affections after delivery."
In this case the doctor was in a mental mist from the beginning to the end; notwithstanding he was so confident that he knew all about his patient, that he has given the case a careful summing up so that it may be put with the medical classics. The doctor is in error when he gives the name of "Acute, Diffuse Peritonitis."
"Diagnosis: Acute diffuse appendicular peritonitis, probably also perforation; circumscribed perityphlitic abscess." "Operation was considered but not performed. Removal to the hospital for the purpose of an operation was absolutely declined by the patient." "I saw him upon the following day, the fourth of the disease."
If man depended upon God's will to save him, as he did in the past, the appendix would rupture, peritonitis would set in, and despite prayers and sacrificial offerings, the Deity would exact his life. When the surgeon observes a superficial cancerous growth, or an internal growth which can be removed in its entirety, does he trust to the Lord to halt this pernicious development?
Clinical Features. There may be an incubation period of some hours between the infection and the first manifestation of acute septicæmia. In such conditions as acute osteomyelitis or acute peritonitis, we see the most typical clinical pictures of this condition. The onset is marked by a chill, or a rigor, which may be repeated, while the temperature rises to 103° or 104°
Almost in every instance where I am called in to attend a case of acute appendicitis or peritonitis, I find hot compresses or hot water bottles, by means of which the inflamed parts are kept continually in an overheated condition. It is in this way that a simple inflammation is nurtured into an abscess and made more serious and dangerous.
After a time, having no desire to contract peritonitis, I left the little house and went out and sat in the car. There I watched for nearly an hour the life of what we would call a slum. The hour was about four in the afternoon, when even the poor have a little leisure. The street was filled with women sauntering up and down, gossiping, and followed by their young.
This postulate gives us the key to the pain-muscular phenomena of peritonitis, pleurisy, cystitis, cholecystitis, etc., as well as to the pain-muscular phenomena in obstructions of the hollow viscera.
Though greatly perplexed as to what she meant, for no one excepting herself had been able to make out the phenomena with any degree of distinctness, they yielded to her entreaties, and asked her no questions. The servants had neither heard nor seen anything. A fortnight later, Ruth was taken ill with appendicitis; peritonitis speedily set in, and she died under the operation.
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