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February 12, 1916

The Signs and Symptoms of Impending Death

JAMA. 1916;LXVI(7):529. doi:10.1001/jama.1916.02580330063030

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[A proof of the preceding was sent to Dr. Reilly, who replies:]

To the Editor:  —After reading the criticism of Dr. Bardes, I may say that I am quite well aware of the mechanism of the death rattle as understood by the laity; but, in my experience, when the death rattle is present there is also present an accompanying pulmonary edema. Doubtless the ultimate cause is the same in the two instances for both symptoms. I did not state that edema of the glottis is invariably fatal. This is the case only in elderly patients—those over 45 years of age, in whom a fatal issue may be predicted when this symptom is present. As to the term "edema of the glottis," there may be an honest difference of opinion. Osler regards the term "edematous laryngitis" as synonymous with edema of the glottis, or, more correctly, of the tissues from which

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