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PERFORATION OF A GASTRIC 0R DUODENAL ULCER
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abdominal pain abdominal wall abscess absence accompanied acute abdominal disease acute pancreatitis appendicitis appendicular attack biliary colic bladder blood caecum chieﬂy cholecystitis colitis collapse colon common constipation deﬁnite diaphragm differential difﬁcult distension duodenal ulcer ectopic gestation examination felt fever ﬁbroid ﬁngers ﬁrst free ﬂuid frequently gall-bladder gangrene gastric ulcer haemorrhage hepatitis hernia hypogastrium ileum iliac region infection inﬂamed appendix inﬂammatory inguinal injury intestinal obstruction intussusception irritation kidney large bowel lesion liver muscles muscular rigidity nausea nerves normal obturator occur onset operation ovarian cyst palpating patient pelvic peritoneum pelvic peritonitis perforated gastric ulcer perforated ulcer peristalsis peritoneal cavity peritoneum pregnancy present pulse pyelitis rectal rectum reﬂex renal colic right iliac fossa rupture serious severe shock signiﬁcance signs simulate slight small intestine sometimes stage strangulated subacute sufﬁciently surgeon surgical swelling symptoms temperature testicle tion tubal tube tumour typhoid ureter urine usually uterine uterus viscus volvulus vomiting whilst