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April 2, 1887

FIVE CASES OF LARGE VISIBLE PULSATING ARTERY ON THE POSTERIOR WALL OF THE PHARYNX, WITH REMARKS.Read at the meeting of the Section for Clinical Medicine, Pathology and Hygiene, of the Suffolk District Medical Society, February 9, 1887.

JAMA. 1887;VIII(14):372-374. doi:10.1001/jama.1887.02391390008001c

Case I.—E. N., a girl 13 years old, came to me at the Boston Dispensary, complaining of nasal catarrh and enlarged cervical glands; she had also an atrophic pharyngitis. My attention was immediately drawn to two large, pulsating vessels on the back of the pharynx about quarter of an inch inside the posterior pillar of the fauces, and lying directly beneath the mucous membrane. By slightly depressing the tongue the lowest point of the pulsation was easily seen, the upper limit was a little higher than the base of the uvula. The vessels were nearly vertical, and the left one had a more marked pulsation than the right. To the finger the impression was given of an artery fully as large as the radial. The patient knew nothing of this condition of her pharynx. Thinking that the large cervical glands might, by pressure, be the cause of this pulsation, I