Charles Gordon Heyd

Death from appendicitis

Abstract 1. 1. Emphasis is placed upon the fact that the symptomatology of acute appendicitis is directly sequential to the pathological process. 2. 2. Infection is the underlying factor. 3. 3. The administration of cathartics is the largest single death-producing factor. 4. 4. Appendicitis is a surgical condition. 5. 5. The desirability of early surgery is stressed. 6. 6. The preoperative and postoperative measures to be carried out are outlined.

Conditions erroneously diagnosed as appendicitis

Abstract 1. 1. Attention has been directed to the fact that abdominal pain may have its origin in disturbances of the cerebrospinal system, the thorax, the retroperitoneal space, in addition to intraperitoneal pathology. 2. 2. A number of conditions which may simulate acute appendicitis have been indicated. 3. 3. An analysis of the history, with complete and accurate physical examination will eliminate most of these conditions and make possible an accurate diagnosis. 4. 4. The value of systematic elimination in diagnosis is accentuated.

Rectal anesthesia (Gwathmey) in exophthalmic goiter

I II th! roicl conditions not assc)c.i:itccI \\.ith to\ic,oais :I prolonged preopcr:iti\ e trc:ltriivrlt is not required, nor is the gi\ ins ot iotlinv pr~opcr;~fi\~el~~ indicated. In this report \\-e 21.t concerned \\ith r-ectnl ;~nesthc*\i:\ iii the se\~tbre types ofth: r-otosic.osis, bul iiiort p;1rticwlurl~ the. toslc.c)sis ot‘ the ~o-~~:rll~l Grn\ es’ disease t!.pe. The prc~)~,~r.;iti\t.tt-e:~tmciiteml~t-:l~esthc~ t’ollo~~~ing: I. L)icl. I Iigh c:lloric,, t;~i-c~~l feeding: \nlklll iiic~:~Is at t’rccfuent inter\.:ils. 2. tZc.<l. Absolute rest ;~iicl quiet in bed, oc.~,:l5ion;ill\ :tlIo\ving the pntir.nt up one