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March 26, 1938


Author Affiliations

Washington, D. C.

JAMA. 1938;110(13):952. doi:10.1001/jama.1938.62790130002005a

Mrs. G. L. N., a housewife, aged 61, complained chiefly of a rather constant pain in the midepigastrium which she had had for the past month. Now and again for some two or three years she had complained of mild nausea, which, however, was of only temporary nature. Shortly after the development of the epigastric pain in July or the first part of August 1937 she had begun to experience pain in the back, which was not constant as to either time or location. She had noted a certain amount of loss of strength and endurance and had also lost some 10 pounds (4.5 Kg.) in the preceding twelve months. The symptomatology was otherwise essentially negative. The bowel movements were normal. There was slight dyspnea on exertion but no precordial pain and no edema. There was no cough or other symptom suggestive of respiratory disease and no difficulty in urination,

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