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—The patient, a woman aged 53 was first seen on the evening of June 7, 1911. She had been combing her hair, preparatory to going out, when she suddenly became weak and faint, so much so that she went to bed and called a physician. When seen at 7:30 p. in. she was in a state of pro-found collapse; conscious, with face pale, and covered with cold perspiration. Her extremities were cold, and her legs had lost sensation and the power of motion; she could move her arms. Pupils responded to light and accommodation and were equal in size. The patient suffered from air hunger, and felt a pain in the left axillary line on a level with the nipple. Her temperature was 97.5; pulse 45, weak and thready. Heat was applied and strychnin and nitroglycerin administered.At 12 o'clock, the same night, the extremities were warmer. The patient
SHERRARD EE, SMALLEY CA. SPONTANEOUS RUPTURE OF THE SUPERIOR VENA CAVA WITHIN THE PERICARDIUM. JAMA. 1911;LVII(5):384. doi:10.1001/jama.1911.04260070388010
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