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October 2, 1915


Author Affiliations

Kansas City, Mo.

JAMA. 1915;LXV(14):1179. doi:10.1001/jama.1915.02580140029012

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Cases of cervical rib, while seldom reported, are not uncommon. When the chief complaint is brachial pain, one must always be on guard, as the diagnosis is frequently confused with rheumatism, brachial neuralgia, or neuritis. Miss T., a college student, complained of pain in the right arm and side of the neck. She had been under osteopathic and electric treatment for ten months under a diagnosis of neuritis. The pain had started about one year before in the right arm, and had been growing steadily worse, extending up into the neck and side of the head. She suffered from nervousness and insomnia, and at times the pain was so severe that opiates had to be given.

The patient was 21 years of age, and weighed 105 pounds. which she stated was about 10 pounds under her normal weight. Personal and family history were negative. Both parents were living and healthy.

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