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July 11, 1885


JAMA. 1885;V(2):54. doi:10.1001/jama.1885.04470010026015

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Dear Sir:—On April 6, 1885, I was called to attend Mrs. L. F., whom I found sitting up in a chair, with her lower extremities extended upon another chair, in a partial semi-reclining attitude. There was general anasarca, with an exaggerated manifestation of the condition in her lower extremities, from the coræ downward. I found, upon examination, that she was in an advanced stage of pregnancy, and albuminuric, and that her condition was of no little concern. I began a tonic course, with a view to improving the blood; but before there was a suspicion of maturity, owing to my cognizance of the marital date, I was no little surprised when I was sent for the next night. I found her in labor, which terminated happily with a male infant, yet not vigorously developed. I gave instructions as to the attention that was due the mother, and returned home,

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