The early diagnosis of acute appendicular disease: with notes of six illustrative cases: submitted for the Pattison Prize in Clinical Surgery, 1927

Abstract

1. Pain in the Right Iliac Fossa is not The symptom of appendicitis. • 2. The most important clinical features of appendicitis are Paraumbilical Pain followed by nausea or vomiting. • 3. Occasionally, with a history of a previous attack pain may begin in the right iliac fossa. • 4. The only way to reduce the mortality to nil is by operation in the first 24 hours: this depends on early diagnosis. • 5. The public should be educated that the most dangerous type of appendicitis begins with- generalised abdominal pain.