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Article
May 4, 1889

A CASE OF ACUTE YELLOW ATROPHY OF THE LIVER.

Author Affiliations

OF TECUMSEH, MICH.

JAMA. 1889;XII(18):620. doi:10.1001/jama.1889.02400950009001c

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Abstract

James Muir, æt. 42 years, a shoemaker by occupation, had been complaining of pain in the region of the liver and stomach for upwards of two weeks previous to calling a physician. Dr. Geo. Howell, who attended him during the last week of his illness, and with whom I was called in consultation, gave the following history of the case: Upon examination, the patient's pulse ranged between 50 and 60 until within a few hours of his death, when it exceeded 100 per minute. The skin was jaundiced. The temperature never exceeded 100° F., and within a few hours of his death it was natural. There was slight nausea, but during the last week of his illness the patient neither complained of pain in the region of liver or stomach. The area of dulness over the liver rapidly decreased, so that its lower border could not be detected upon the

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