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February 20, 1915


JAMA. 1915;LXIV(8):658-659. doi:10.1001/jama.1915.02570340030010

History.  —D. P., married woman, aged 31, first seen May 20, 1914, complained of severe cramp-like pains in the abdomen. She had been taking heroin hydrochlorid hypodermically for three years, owing to severe pains in the kidney regions, following several operations, and she desired to take some treatment for the cure of the habit.

Examination.  —When first seen she was fairly well nourished. The heart and lungs were negative. Blood pressure was 115-85. The urine was negative. Nothing abnormal could be ascertained from abdominal palpation. The entire area around the kidney region was painful to touch. Otherwise the entire physical examination was negative.

Treatment.  —The patient was prepared for the treatment by rest in bed, catharsis, and reduction in the dose of heroin to which the patient was accustomed; that is, we gave her the amount she said she was taking, and found that attacks of sneezing started toward the