Document pevpexMov2zgmwQ0g1RnNRE8E

University of Cincinnati College of Medicine Department: of Surgery Kovember 29$ 1952 To Whom It May Concern Re : e/0 Frigidaire Corp. Dayton, Ohio This m a n 's principal complaint is weakness and loss of energy. He has no symptoms which definitely refer to his gastro intestinal tract. Upon, inspection of abdomen it is symmetrical, slightly below the level of the chest, moves normally with respira tion. Kothing abnormal was seen. U p o n palpation the abdomen Is slightly tense, there is -definite fullness in the right l ower quadrant associated with slight pain on deep palpation. This full ness is- due either to a thick or distended caecum, and on bi -manual palpation gas can be h eard a n d felt to gurgle in this full area. The patient states that he did not have his regular bowel movement this morning, and this, no doubt, accounts for the fullness in the caecum. The descending colon can be palpated a n d it is not tender. The liver and spleen are not definitely felt but seem to be within normal limits to percussion# B o t h inguinal rings are'relaxed but I was unable to feel a definite hernial sae on either side. There is no evidence of femoral he r n i a on either side; the inguinal glands on both sides are slightly enlax-ged, discrete, firm, non-tender, freely movable. Rectal Examination was not done. D i s c u s s i o n . In vlev; of the lac k of g a s tro-intestina.! symptoms 1 do not feel that X-ray examination of the gastro-intestinal tract is Indicated at this time. The find i n g of a d i stended caecum is often encountered and should not be r e g a r d e d as significant unless it is persistent and is a s sociated w i t h .symptoms. The slight enlarge ment of the inguinal glands is not sirn i fieant in that it points to any specific disease, ' Signed: M. Li. Z incinger, Li.D. Cincinnati General Hospital 0016333 N19506