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May 18, 1889

A CASE OF NEPHROTOMY.Read before the Philadelphia County Medical Society, March 27, 1889.

Author Affiliations


JAMA. 1889;XII(20):695-696. doi:10.1001/jama.1889.02400970011001d

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On July 17, 1888, Mrs. Anna H., 44 years old, from New Jersey, was sent by her attending physician to my department at the Polyclinic with a statement that she had been under his care for about a month, that she presented symptoms of hepatic and gastric disorders which brought about anæmia, nervousness and irritability of the heart. She complained of indigestion, frequent vomiting of food or of mucus, attacks of palpitation of the heart, and loss of flesh. One week ago his attention was directed to an induration in the right hypochondriac region, and, deeming it of serious import, he referred the patient to our clinic.

From her own statements and those of accompanying friends we gathered, in addition to the above, the following history:

Mrs. H. was formerly a hard working country woman, who bore six healthy children, but had had no miscarriages. She suffered in several of

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