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June 13, 1896


Author Affiliations

Professor Therapeutics Northwestern University Medical School; Attending Physician Cook County Hospital; Pathologist to Cook County, St. Luke's and Wesley Hospitals.

JAMA. 1896;XXVI(24):1165-1168. doi:10.1001/jama.1896.02430760017002f

I. CASE OF CIRRHOSIS OF LIVER WITH PRE-ASCITIC EDEMA OF LOWER EXTREMITIES.  J. A. N., a laborer, married, 43 years old, American; under observation from Jan. 25 to Feb. 6, 1895. By occupation he was an engineer. His affection began two weeks before entrance, with an initial chill, with pains over the entire body, in every joint and in the head. He had during this period suffered from hourly vomiting, and frequent diarrhea. The bowels had been usually constipated. Hiccough had troubled him excessively. His wife stated that the patient's illness began suddenly with involuntary evacuations from the bladder and rectum, accompanied by an enormous appetite and thirst. His left arm had been limp and painful for some time past. The lower extremities, together with the other parts, have grown emaciated till some six days since, when considerable anasarca about the legs and ankles developed. He had always lived in