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March 18, 1911


Author Affiliations

Attending Gynecologist, Macon Hospital MACON, GA.

JAMA. 1911;LVI(11):803-804. doi:10.1001/jama.1911.02560110025008

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Patient.  —N. H., aged 15, white, schoolgirl, was eldest of three children, complained of pain in the left lower abdominal quadrant with nausea and vomiting.

Family History.  —This was unimportant. The mother menstruated at eleven.

Personal History.  —Birth was normal. The history was taken after the operation. General health had never been good. During childhood the girl had measles, mumps, whooping-cough, chicken-pox, diphtheria, scarlet fever, chorea and one attack of "slow fever" lasting a week, with severe headache and delirium. She had always been nervous and delicate. Appetite was somewhat inordinate, and she craved unusual and unreasonable foods; digestion was good. There was no nausea or vomiting except during the attacks. Bowels usually moved every day. The urinary condition seemed to have been normal up to present illness, during which she suffered severe dysuria. Following diphtheria and scarlet fever at the ages of 5 and 6, patient had a troublesome

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