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February 27, 1915


Author Affiliations

Duluth, Minn.

JAMA. 1915;LXIV(9):739. doi:10.1001/jama.1915.02570350033013

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Mrs. E. J. P., aged 24, German, housewife, married six years, mother of two children, aged 4 and 2 years, had typhoid three years ago. She has had recurrent attacks of appendicitis during the last two years, all very slight, however, and none during the previous eight months.

I was called on Saturday night, April 19, 1913, to attend the patient, as she had expected, during childbirth. On my arrival at her home I found my patient sitting in a chair with her hands over the lower abdomen and complaining of severe pain down low, especially over the right side. She was placed in bed and prepared, and an examination made of the cervix, which showed a slight degree of dilatation, about ¾ inch; the head was not engaged, however, and I felt certain, as the result of my examination, that there would be no need for my services for

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