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July 27, 1912


Author Affiliations


JAMA. 1912;LIX(4):276. doi:10.1001/jama.1912.04270070275014

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Patient.  —Mrs. S. B., aged 56, was admitted to the Medico-Chirurgical Hospital on Jan. 5, 1912, complaining of pain in the right hypochondrium and vomiting. Her family history was negative, excepting death of father from rheumatism. The patient had been in good health prior to four years ago, but since then had had several attacks of illness, which were diagnosticated acute gastritis. Her habits were good, although she had used tea freely. Dec. 21, 1911, following a severe headache and a feeling of weakness, the patient was seized with severe pain in the right hypochondrium, which lasted about three minutes. This pain was not referred, but recurred three or four times daily, apparently without relation to the time of the ingestion of food, until date of admission to the hospital, and was somewhat relieved by vomiting. Following the first attack of pain, jaundice was noticed. After coming to the hospital,

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