COLICS OF THE SOLIPED 23 



Other Disturbances Simulating Enteralgia 



In leaving the subject of false colics at this point, 

 of course it is admitted that greater completeness would 

 be accomplished did space permit me to consider several 

 other maladies with manifestations conflicting in part. 

 Fearing, however, to weary the reader with unneces- 

 sary, though not wholly irrelevant, detail, we may pass 

 them over by simply suggesting the possibility of error 

 from iliac or femoral thrombosis, cerebral derangement, 

 foot trouble or from open synovial sacs, as well as from 

 rupture of the stomach and diaphragm. 



CONSIDERATION OF TRUE COLICS 



We have now to consider true colics. As altered 

 function of the stomach either independently or jointly 

 with the bowels may occasion pains akin or identical to 

 colic, I am prompted to give a broader interpretation to 

 the word than is inferred by enteralgia and include in 

 this discussion certain gastric disturbances quite inti- 

 mately associated with colics of the soliped. 



It would appear to be impossible to intelligently 

 diagnose colic if one expected in all instances to discover 

 each and every symptom cited by various authors; in- 

 deed, there is much irregularity among the varieties of 

 colic in the manner of their expression. Some symp- 

 toms prominent in one instance are entirely absent in 

 another. Right here is emphasized the value of adopt- 

 ing a methodical system of examination, and thfe import- 

 ance of differentiation ; for naturally lucid understanding 

 of the nature of the painful condition will very materially 

 aid in lessening mortality where the accepted death rate 

 is seemingly excessive. 



