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May 19, 1923


JAMA. 1923;80(20):1454. doi:10.1001/jama.1923.26430470004012d

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Instances of chronic appendicitis being confused with disturbance in the gallbladder, gastroduodenal ulcer and various functional gastric disturbances are well known, operation usually disclosing the misdiagnosis, generally with benefit to the patient from the indicated surgery. There being no surgery or curative treatment for angina pectoris, this case is of interest:

A. M., a stock broker, aged 50, came under observation, Jan. 17, 1922. His father died of "heart disease," his mother of apoplexy. His past history was negative. He had been constipated most of his adult life, excepting on vacations, so he thought it was due to nervousness from active business strain. One night in early November, 1921, he suddenly awakened with an intense pain in the lower abdomen, followed by a temperature of 104, nausea and vomiting. The illness lasted four days, and was treated by rest in bed and colon irrigations, the latter being continued for two

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