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Article
September 15, 1883

ON EARLY TAPPING IN CASES OF ASCITES.

JAMA. 1883;I(10):289-292. doi:10.1001/jama.1883.02390100001001
Abstract

[Read at the meeting the of Section on Medicine of the British Medical Association, in Liverpool, August 2, 1883.]

Mr. President and Gentlemen: The subject which I have selected for a short paper cannot, perhaps, be said to belong in the higher regions of pathology and practice, but it is one which, as it seems to me, has considerable material importance.

Most writers on practical medicine at the present time, as in the past, recommend tapping, in cases of ascites, as a last resort, to be employed only when the dropsical accumulation has occasioned an alarming interference with respiration, and after other measures of treatment have proved ineffectual. The practice of most physicians now, as hitherto, I suppose to be in accordance with this recommendation. Many years ago I was led by reasoning and by clinical observation to advocate tapping early in cases of that affection. In 1863 I communicated

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