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November 28, 1931


Author Affiliations

Washington, D. C.

From St. Elizabeth's Hospital.

JAMA. 1931;97(22):1624. doi:10.1001/jama.1931.27310220001012

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This case of pulmonary embolism is reported on account of the exceptional size of the embolism and the clarity of its demonstration.

J. M., a white woman, aged 61, had varicose ulcerations on both legs and developed cellulitis on the left side. Under hot packs this cleared up after five days and the patient was allowed up in a wheel-chair. The heart was not enlarged; there was a soft systolic murmur audible over the whole precordium, and extrasystoles were present. The blood pressure was 170 systolic and 80 diastolic; the electrocardiogram was not abnormal. When the patient rose from her chair preparatory to discharge she complained of feeling weak and of being unable to stand. Almost immediately she became dyspneic and cyanotic, and thrashed about in bed fighting for air. She was pulseless and the cardiac sounds were barely audible. Eight or ten minutes after the onset the cardiac action

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