Misleading abdominal symptoms / by Antonio M. Crispin.

  • Crispin, Antonio M.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Misleading abdominal symptoms / by Antonio M. Crispin. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    tumors of the spinal cord, often transmitted to a cutaneous terminal or other distant organ. These neuralgias when of central origin are generally distinguished by their bilateral character. Robert T. Morris in 1908 essayed to establish the importance of painful points, which when located only to the right side indicated irritation of the appendix, and when located on both sides indicated irritation of pelvic origin. Unfortunately this has not been confirmed. Toxines may be capable of irritating a nerve through their chemical action, but of this we have no evidence. These painful reflexes may be clini- cally divided into two forms. The acute forrij, which are caused by lesions of an acute nature, generally accompanied by intestinal paralysis more or less intense, often attended by constipation, vomiting and final collapse. It is found in cases of fulminating appendicitis, rupture of the intes- tines, perforated gastric or duodenal ulcer, in acute pyosalpinx and ruptured ectopic gestation. The symptoms indicate an internal hemorrhage, an in- testinal obstruction or a peritonitis. The nature of the pain is extremely acute and at times terrific, generally located near the umbilicus, followed by colics or a remittent and exacerbating character, and accompanied by a peculiar psychical excite- ment. The pain, although local at the beginning, soon becomes generalized over the abdomen, with maximum intensity at the initial point. In the second, or chronic form, the onset is with symptoms of chronic indigestion, flatulence and at times vomiting, as seen in chronic appendicitis, gastric and duodenal ulcers, which are not perfo- rated, in gallstones, cholecystitis and irritations from the pelvic organs. The most frequent causes