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November 11, 1905


Author Affiliations

Professor of Therapeutics and of Clinical Medicine in the George Washington University, Physician to the Garfield and to the University Hospitals. WASHINGTON, D. C.

JAMA. 1905;XLV(20):1498-1499. doi:10.1001/jama.1905.52510200044003b

Patient.  —On March 19, 1905, I was called to a neighboring town to see T. G., a boy, aged 5 years and 7 months, who, for the past twelve days, had suffered with a bad cough and an irregular fever, ranging from 99 in the morning to 104 in the evening. He seemed cheerful and free from pain, but there was a frequent cough, consisting of two or three expiratory efforts. The temperature was 105; the pulse, 120, and the respirations, 60 a minute.

Examination.  —The expansion was markedly diminished on the right side of the chest. The voice was too weak to allow of the detection of any differences in tactile fremitus, but there was certainly no increase over any area. Percussion showed a slightly higher pitch over the entire right lung, but only one small area of dullness extending from the angle of the scapula down to the

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