A patient who presented certain unusual features was recently observed. An abstract of the case follows:
REPORT OF CASE
—L. F., a negro woman, married, a housewife, was admitted to the medical service of the Johns Hopkins Hospital, Oct. 7, 1924, complaining of weakness and "pains all over." For sixteen months, she had noticed progressive weakness and dizziness on exertion. For six months, there had been occasional vomiting after meals. For the past two months, the vomiting had been very frequent, after each meal and often after taking water only. During this period, there had been severe cramps in the lower abdomen and also occasional precordial distress and palpitation. In the past month, she had suffered from painful hemorrhoids with fecal incontinence at times, and had also been troubled with frequent burning micturition. For two weeks, she had been confined to bed and had become increasingly drowsy.
HARRISON TR, PERLZWEIG WA. ALKALOSIS, NOT DUE TO ADMINISTRATION OF ALKALI, ASSOCIATED WITH UREMIA: REPORT OF CASE. JAMA. 1925;84(9):671–673. doi:10.1001/jama.1925.02660350035009
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