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February 27, 1897


JAMA. 1897;XXVIII(9):383-384. doi:10.1001/jama.1897.02440090001001

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The patient whom I place before you this morning is, you see, confined to his bed. He was brought to the hospital three days ago, in a state of alarming prostration, vomiting and purging, and unable to retain anything in his stomach. This condition had been induced by a prolonged debauch, in which the usual accessories—wine and women—had been combined with almost fatal effect. Being only 22 years of age, and of a delicate organization, his stock of vital energy was insufficient for the occasion. Though considerably relieved, he can not yet tolerate the sight or smell of food; and ever since his admission to the hospital, he has been fed with nutritious enemata, and his stomach has been given perfect rest. His tongue is thickly coated; his breath is offensive; there is a small patch of herpes on his lower lip; his bowels, which were quite loose, on admission,

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