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August 25, 1883


JAMA. 1883;I(7):220-221. doi:10.1001/jama.1883.02390070028009

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I was called to see Mrs. A. R., aged 17 years, primipara, on the morning of Aug. 5, 1883. I found her deeply comatose, and just having a frightful convulsion. On inquiry I learned from her husband that she had complained of severe headache all night, and that she frequently micturated. Towards morning she vomited. She had anasarca, especially in the face and extremities. She expected to be confined towards the last of the month. On examination I found no dilatation of the os. I gave a hypodermic injection of 6 grs. of hydrate of chloral, which rendered her conscious. I then left, and at noon found her having convulsions again. I gave another injection of chloral hydrate, and as soon as she could swallow, I gave her 20 gtts. of tinct. verat. viride. This caused severe nausea and vomiting for a while, and then she became quiet. Before midnight

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