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July 30, 1887


JAMA. 1887;IX(5):149-150. doi:10.1001/jama.1887.02400040021004

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In a lecture on "Some Points in Relation to the Diagnostic Significance and Therapeutic Indications of Laryngeal Symptoms resulting from Pressure of Aneurisms upon the Vagus and Recurrent Laryngeal Nerves," Dr. David Newman endeavors to show by reference to cases of aortic and innominate aneurism: 1. That aneurism of aorta and innominate artery may exist and give rise to laryngeal symptoms only, but in most cases, on careful physical examination, certain collateral signs may be made out sufficient to warrant one in forming a positive diagnosis, or to give rise to a very strong suspicion of intra-thoracic tumor. 2. That in the early stage pressure may cause symptoms of most urgent dyspnœa, accompanied by laryngeal stridor and paroxysmal cough. 3. That at a later stage paralysis occurs, usually, but not always, limited to one side, characterized by phonative waste of breath and imperfect cough, but without dyspnœa, except when reflex

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