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July 8, 1910, J. H. M., a hoisting engineer, married, aged 37, came to see me, giving a history of trouble with his stomach. His temperature was 102.6 F., pulse 100. A diagnosis of typhoid fever was made and he was sent to the hospital, where he ran a very high temperature. He was put on a milk diet, given phenyl salicylate 2½ grs.) every three hours and sponged for temperature above 102.5. He was blue, so he was given whisky (½ oz.) after each sponging. Rose spots appeared on the fifth day in the hospital; on the seventh day he had a severe hemorrhage from the bowels. The patient was given morphin (¼ gr.), and all food withheld for forty-eight hours. He was given all the ice-cold normal salt solution that he would drink (he never made any complaint about it). In twelve hours his temperature dropped to
BLEDSOE NC. UNUSUAL SITE OF TYPHOID PERFORATION. JAMA. 1910;55(12):999–1000. doi:10.1001/jama.1910.04330120021008
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