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February 10, 1912

CONTUSION OF THE CHEST FOLLOWED BY PERSISTENT HEMOPTYSIS AND PRESYSTOLIC MURMUR AND THRILL

JAMA. 1912;LVIII(6):405-406. doi:10.1001/jama.1912.04260020089007
Abstract

The following case, sent to me in April, 1911, has been under my observation from time to time for nearly six months, It is reported as a contribution to the subject of valvular disease of the heart following traumatism.

The physician who sent the patient to me is a very well-trained and careful practitioner, and had bad personal knowledge of the patient for more than six years prior to the accident, had attended his family and bad occasionally prescribed for him in trifling ailments. This physician regarded the patient as a healthy man, always able to discharge the duties of an occupation calling for irregular but severe muscular effort, and absolutely free from rational symptoms or physical signs suggestive of disease of the lungs or heart.

History.  —G. A. B., aged 36, married, is a lock-tender by occupation and a hearty-looking, stout fellow of medium stature. About the middle

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