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March 3, 1906


Author Affiliations

Surgeon Northern Pacific Railway. BELLINGHAM, WASH.

JAMA. 1906;XLVI(9):655. doi:10.1001/jama.1906.62510360029003a

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I report the following because of its infrequent occurrence:

History.  —Mrs. W., aged 32, family history negative, very sparely built, has one son 5 years of age, and has had no illness since childhood. The present illness began Nov. 28, 1904. In the morning she had a sharp chill, followed in the afternoon by high temperature and a slight pain in the right lower chest. During that night and the forenoon of the next day the pain became very much augmented.I saw her at 3 p. m. on November 29. Her temperature then was 105 1/5; pulse, 140; respiration, 36 and panting in character; she was cyanotic. Auscultation revealed crepitant râles in the lower lobe of the right lung in the axillary line. The area of dullness on percussion was about the size of a silver dollar. The pleurisy extended over a greater part of the right lateral chest.

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