PAPERSPAST

PERITONITIS.

•Peritonitis is an inflammation; of the peritoneum, a fine membrane lining the interior of the abdomen, and when inflammation starts, it spreads very rapidly over it. The symptoms come on rapidly. TbTere is acute, pain over the abdomen, and the least pressure is unbearable, such as the weight of the b6d-clothes. The patient looks careworn and pinched, the skin is cold and clammy, and after a shivering fit the temperature becomes high. The doctor should be called in at once.

Peritonitis may come on after an operation from the pressure of microbes, or it may be the next thing to appendicitis, vor any other inflammatory condition of the organs. Sometimes it occurs in typhoid fever; in this case the intestinal wall becomes perforated just as in ulceration of the stomach. When the above symptoms are present a purgative must never be given. The patient must lie as still as possible in bed. Hot fomentations of flannel must be applied to the abdomen and nourishment must be florid and cold. But this is not a case for domestic treatment; it must be in the hands of the doctor as soon as possible as an operation may be necessary.

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