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Vol. 60, 1909 - University of North Carolina at Chapel Hill

Vol. 60, 1909 - University of North Carolina at Chapel Hill

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440 THE CHARLOTTB MEDICAL JOURNAL. ]<br />

Chronic Appendicitis m Children. children. He doubts any such connection |<br />

Comby thinks th<strong>at</strong> this condition is much with angina as iri <strong>of</strong>ten assumed, but does '<br />

more common than is generally supposed, note an apparent rel<strong>at</strong>ion to influenza. He<br />

and th<strong>at</strong> while usually the diagnosis"is not 's also doubtful regarding any special relamade<br />

unless an acute exacerb<strong>at</strong>ion calls<br />

|<br />

tion between diet and appendicitis. He special <strong>at</strong>tention to the appendix, careful emphasizes, however, the importance <strong>of</strong> in-<br />

i<br />

observ<strong>at</strong>ion on the part <strong>of</strong> the physician fectious enteritis, especially folicular colitis,<br />

may lead to earlier recognition <strong>of</strong> the trou- i" tbe etiology.<br />

ble^ and consequently an earlier cure. He He thinks th<strong>at</strong> too little <strong>at</strong>tention is giv'en |<br />

reports having observed over 120 cases <strong>of</strong> to possible appendicitis in childhood; th<strong>at</strong><br />

chronic appendicitis, which form the basis vomiting and abdominal pain are too <strong>of</strong>ten 1<br />

<strong>of</strong> this article. slighted, and th<strong>at</strong> lax<strong>at</strong>ives are given too I<br />

The etiology is <strong>of</strong>ten vague. The dis- o^^en and too carelessly in such conditions, ease mav occur in well nourished children, "e calls <strong>at</strong>tention to the difficulty in diagwithout<br />

'previous intestinal disease, and in "Of^ m young children nientionmg especthese<br />

some general cause—heredity, family<br />

j<br />

,<br />

'^lly- besides other conditions discussed by predisposition, etc., may plav apart. More

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