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Article
February 5, 1887

A CASE OF PYELITIS OF NINETEEN YEARS' DURATION CAUSED BY A RENAL CALCULUS. RECOVERY.Read before the Chicago Medical Society, January 3, 1887.

JAMA. 1887;VIII(6):145-147. doi:10.1001/jama.1887.02391310005001b
Abstract

The case I have to present to the Society is that of William P., aged 30 years; of slight physique, medium height; temperament exceedingly nervous, disposition retiring. I saw patient first on May 12, 1885; I found him in great agony—indeed his suffering was excruciating in the extreme. I found the temperature 101 F., pulse 120, respiration 20; complained of severe and distressing pain in the region of the left kidney, a dull aching pain in the lumbar region; sometimes the pain would be sharp and stabbing and radiating about in different directions; there was marked gastric irritability, flatulency and indigestion, disturbance nil, obstinate constipation, and copious sweats would accompany the violent paroxysms of pain. Frequently the attacks would be of short duration, again they would come on instantaneously and the suffering would be intense for two days, and these sieges would be so exhausting to the system that it

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