positively no unusual menstrual symptoms and no trouble in the right
ileo-cecal region, indicates perforation of the stomach or of the
gall-bladder. If there have been a menstrual period or two gone over
with a slight showing, and some uneasiness, perhaps nausea, perhaps
a flow with pain somewhat simulating abortion, a sharp, severe
abdominal pain followed with quickening of the pulse and an
exceedingly anxious facial expression, ectopic pregnancy with
rupture of the tube may be suspected. One must also keep in mind
renal calculus in determining bowel diseases.

Authors pretty generally unite in declaring that appendicitis is a
dangerous disease. In his late book, "The Abdominal and Pelvic
Brain," Dr. Byron Robinson of Chicago says, "Appendicitis is the
most dangerous and treacherous of abdominal diseases--dangerous
because it kills and treacherous because its capricious course can
not be prognosed. . . . For years I have made it a rule to recommend
appendectomy to patients having experienced two attacks. Fifty per
cent of subjects who have had one attack experience no recurrence."

In Keating's Cyclopedia of the Diseases of Children, Dr. John B.
Deaver of Philadelphia makes the following statements:

"Appendicitis, whether acute or chronic, _is essentially a surgical
affection, _and should be placed at once under the care of a
skillful surgeon. The truth of this statement is becoming recognized
in direct proportion to the general knowledge of the course and
uncertainties of the disease, and at the present time only those who
have but a limited idea of the course of the affection and have seen
but a few cases, attempt to treat appendicitis without the advice of
a surgeon."