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Published on: August 24, 2019
William Osler and appendicitis
1Medical College of Georgia, Vascular Surgery, Augusta, GA 30912-4002, USA. rnesbit@mcg.edu
Abstract:
William Osler had cared for patients with 'typhlitis' and had seen perforations of the appendix in postmortem examinations before the day when he heard Reginald Heber Fitz proclaim that typhlitis was in fact disease of the appendix, that early surgery was indicated to treat perforation and that the process ought to be called 'appendicitis'. This paper examines the evolution of Osler's thoughts about appendicitis and documents his changing recommendations for treatment as presented in the eight editions of his text published during his lifetime.
Insights
William Osler
Area of Science:
- Medical History
- Surgical History
- Clinical Medicine
Background:
- William Osler observed 'typhlitis' and appendix perforations pre-Fitz.
- Reginald Heber Fitz identified 'typhlitis' as appendicitis and advocated early surgery.
Discussion:
- This paper traces Osler's evolving understanding of appendicitis.
- It documents his changing treatment recommendations across eight editions of his textbook.
Key Insights:
- Osler's views on appendicitis shifted following Fitz's influential work.
- His textbook editions reflect a progression in surgical recommendations for appendicitis.
Outlook:
- Understanding historical perspectives on appendicitis informs current clinical practice.
- The evolution of Osler's thought highlights the dynamic nature of medical knowledge.
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