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ACUTE SURGICAL CONDITIONS WITHIN THE ABDOMEN OCCURRING DURING INFANCY AND CHILDHOOD:  A STUDY OF THREE HUNDRED AND NINETEEN CASES

EDMUND HORGAN, M.D.; JOSEPH HORGAN, M.D.
Arch Surg. 1929;18(6):2271-2280. doi:10.1001/archsurg.1929.01140150035005.
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ABSTRACT

The acute surgical conditions within the abdomen that occur during infancy and childhood must be looked on as extremely important when one considers the high mortality rate in cases in which the condition is incorrectly diagnosed, treatment by surgical measures delayed or the patient allowed to go untreated. Nausea, vomiting of food or bilestained mucus, crying on account of abdominal pain, visible peristalsis, abdominal rigidity, increased abdominal tension, an abdominal mass, decrease or absence of fecal stool, passing of bloody mucus from the bowel or fever and leukocytosis should attract one's attention to the abdomen instantly, and an investigation should be made to determine whether or not an acute surgical condition exists within the abdomen. The responsibility of recognizing such a condition rests with the family physician or the pediatrician who observes the sick child. The responsibility of promptly treating the patient lies with the surgeon called in consultation. Because

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