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April 18, 1896


Author Affiliations


JAMA. 1896;XXVI(16):775-778. doi:10.1001/jama.1896.02430680027002c

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My reason for presenting this report is the obscurity which enveloped the diagnosis as well as the long train of unpleasant symptoms in its history. I do not arrogate to myself the ability to teach this intelligent body, but hope to learn something from the discussion which will prove beneficial. Through the kindness of my friend, Dr. N. S. W., on May 24, 1895, I was called with him to see Mrs. J. M. B., who had been ill about two weeks. She was brought up to know nothing of the blightings of poverty, but had every want gratified, and moved in the topmost social circles. She weighed 230 pounds, and was 41 years of age. She lived a sedentary life and as a result was troubled with constipation. Aside from this her health had always been perfect, except that about eighteen months previous she had an attack lasting ten

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