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November 9, 1918


Author Affiliations

(Chicago) Major, M. R. C., U. S. Army Fort Riley, Kan.

JAMA. 1918;71(19):1554-1555. doi:10.1001/jama.1918.26020450001010a

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Examination of the teeth and tonsils in a large series of cases of endocarditis, rheumatism and chorea has demonstrated that many of the patients are suffering from alveolar abscesses and infected tonsils. The removal of such teeth is a simple matter even during the course of the disease, but only a few men have had the temerity to advise tonsillectomy at the height of the infection in acute cardiac conditions. Believing that much could be accomplished by evacuating the pus which has accumulated in the tonsils in many of these cases by expression and massage of the tonsils, I have devised an instrument which has been found of practical value in our cardiovascular and rheumatic wards for diagnostic purposes and frequently for treatment.

Set at right angles to a 7½-inch steel handle is a cross-piece of steel three-quarters inch in length and three-sixteenths inch in diameter, well rounded on all

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