and if it were as valuable in quality as it is great in quantity the
necessity for more investigation would be removed.

Appendicitis means inflammation of the appendix. This inflammation
may affect the whole structure or merely a part. Catarrhal
appendicitis affects only the mucous membrane.

The appendix may be gangrened, wholly or in part. At times only the
mucous membrane is gangrenous. The mucous membrane may be ulcerated
and the pus penned in because of a closure of the mouth from
swelling.

Concretions are found in the organ at times. These are evidently
formed inside the appendix, for they arc often too large to enter in
the form in which they are found.

When there is perforation of the appendix the result is peritonitis
according to some authors, and, according to others just as great,
this is disputed I belong to the latter class in belief.

The pathology of appendicitis is necessarily touched upon more or
less in going over the etiology, symptoms, and treatment of the
disease, and variation is the rule, for how could it be otherwise
when subject and environment must always vary?

As soon as an inflammation starts, the first thing that nature does
is in the line of enforcing the _first law of cure, _namely: _rest.
_To bring this about the musculature is set, rigidly contracted,
thus fixing the parts. The contraction, of course, will be in
keeping with the irritation of the parts; great pain means great