A disease that causes no less than 5 per cent. of all deaths and that can only be "approximately" diagnosed in the absence of hematemesis is still deserving of the closest study. The following case is presented as a text for a discussion upon the hitherto known signs of gastric ulcer.
N. H., aged 27, first came under my observation Nov. 29, 1893, through the kindness of Drs. Lyman and Ward, after a profuse hematemesis. Neither the family history of the young woman nor that of her early life presented anything of special note. Having somewhat of a neurotic type of constitution, she nevertheless has always borne the appearance of fairly good health, being well nourished and well developed. She has always been of a studious turn of mind and devoted much time to music and literature. She is fond of outdoor sports and is an expert bicyclist. Except for
METTLER LH. ON THE DIAGNOSIS OF GASTRIC ULCER. JAMA. 1896;XXVI(8):371–374. doi:10.1001/jama.1896.02430600023002g
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