Abdominal Pain

Cover Abdominal Pain
Abdominal Pain
Norbert Ortner
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The tumor often feels like a super- Digiti zed by Google ACUTE PERICYSimS 215 ficialy tender, finely nodular, well-defined mass whidi may rapidly increase in size, even readi- ing to the size of a head. The fact that the dull- ness is not so diffuse in the ileocecal region as in appendicitis, but is more circumscribed by a tympanitic zone to the right of the dull area, may be of some use. Leucocytosis is not so marked as in appendicitis.
Acute pericystitis may also come into ques- tion in some
...cases. In cases in which the appen- dix or the resulting inflammation extends into the pelvis, we may have strangury, dysuria, and retention as predominant symptoms. The finding of a large mass on rectal examination speaks rather for a periappendicitis, as such a large mass rarely occurs in pericystitis. In fa- vor of appendicitis is the absence of previous uri- nary distiu*bances. Albumin or pus in the inline speaks, of com-se, for cystitis, but a periappendi- citis may extend to the bladder and secondarily involve the perivesicular tissues.

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