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April 4, 1896


JAMA. 1896;XXVI(14):668-670. doi:10.1001/jama.1896.02430660020003f

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The history of this case is as follows: Cora M., colored, 22 years of age, was admitted to my service in Columbia Hospital for Women, March 2, 1896. She was married and had one child three years ago after a normal labor. Her menstrual flow began at the age of fifteen, generally lasted three days, was regular, profuse and on the first day was usually very painful. It appeared Dec. 12, 1895 and lasted five days. Up to this time she enjoyed good health. Vague pelvic pains and indigestion ensued and continued to the time of her first severe attack. This occurred Jan. 20, 1896, when the pelvic pain became intense and she passed from the vagina a large blood clot. She had missed a menstrual period and thought this was an abortion. From this she soon recovered and was out of bed in two days. The pain and flow

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