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—About 1 p. m., July 16, J. C., an intelligent Austrian, aged 40, was pushing a heavily loaded truck from the platform of an elevator. The elevator platform was several inches above the floor so that when he pushed the truck on to the floor, it rebounded and struck him in the abdomen. Pain and distress were marked at the time, but passed off and the patient worked the rest of the afternoon. On the morning of July 17, he reported at the office complaining of an intense pain over the site of the injury. He walked in a stooped position which seemed to ease the abdominal distress.
—The patient was well muscled and nourished. Examination indicated a moderate degree of arteriosclerosis; the pulse was 110, but of good volume and tension; temperature was 99.1. The abdomen was exquisitely tender over a spot about 2 inches square, ½
STERN MA. RUPTURE OF LEFT RECTUS MUSCLE. JAMA. 1911;LVII(10):822. doi:10.1001/jama.1911.04260090044018
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