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June 4, 1904


Author Affiliations


JAMA. 1904;XLII(23):1492-1493. doi:10.1001/jama.1904.92490680032003a

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The subject of abdominal pain masking and dominating the clinical features of pulmonary lesions has been discussed in two most interesting reports in The Journal recently. I have to record the following case:

History.  —D. W., female, unmarried, aged 20 years, American nativity, previous health good, had an attack of articular rheumatism in November, 1901, Joints of hand affected. Patient was taken sick Feb. 20, 1902. In the morning of this day patient complained of headache and backache, which were severe. She retired to her room and to bed. Chill followed by rise of temperature occurred. In the afternoon patient complained of severe pain in right iliac region which was moderately severe. Vomiting occurred repeatedly. Patient was given a mercurial purge which operated freely on morning of February 21. Patient did not complain of pain in right iliac region as on preceding day, but vomited during forenoon. At about 1 p.

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