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March 12, 1904


Author Affiliations

Assistant Surgeon, U. S. A. BULAN, SORSOGON PROVINCE, P. I.

JAMA. 1904;XLII(11):709. doi:10.1001/jama.1904.92490560019002c

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In connection with the instructive paper by Dr. Herrick in The Journal of the American Medical Association on "Abdominal Pain in Pleurisy and Pneumonia," I report the following case:

The patient, a native female, single, aged 20, of previous good health, suddenly was seized about 10 a. m. with a violent chill, followed by very severe pain in the umbilical region. This lasted for about an hour. About 5 p. m. the pain returned, and she had a sensation of "burning up," as she expressed it. I saw the patient for the first time about 9 p. m. The abdominal pain seemed to radiate downward and laterally from the umbilicus, but did not extend above that point. It was of a dull, aching character, although the first paroxysm had been of a sharp, stabbing nature. No evidence of tenderness was found, and there was no rigidity or tympany. Bowel

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