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January 12, 1884


JAMA. 1884;II(2):39. doi:10.1001/jama.1884.02390270011001b

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John Frost; American farmer; aged 30 years; previously healthy, while eating supper on Monday evening, Nov. 26, 1883, felt a sensation of soreness in the right iliac region. It was not severe, and gave so little trouble that on the next morning he went to his usual work, and continued working until noon, when, the pain becoming much worse, he took to his bed. The pain from that time until Thursday morning, when I first saw him, was of an intermittent character, and very severe, and was general over the whole abdomen. On my first visit to the patient, the surface of the abdomen was excessively tender, the weight of the bedclothes even causing increased distress. Pulse was 108; temperature high. There had been some vomiting, and the bowels were constipated, though they had been moved freely by injection. I regarded the case as one of peritoneal inflammation, and sufficient

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