The patient, F. W. F., is a railway switchman by occupation and is 45 years of age. About March 5, 1901, he noticed a soreness over the right side of his chest and his right shoulder. This soreness gradually grew worse and extended to and involved the right arm. He consulted a physician at that time, who made a diagnosis (?) of "rheumatism" and treated him until Aug. 28, 1901.
His condition steadily growing worse, he decided to change physicians, and he called in Dr. Hiram A. Wright on Aug. 29, 1901. Dr. Wright made a careful examination of the seat of the trouble and made a diagnosis of aneurism of the innominate artery. He asked me to see the case with him the following day. I did so and, on examination, found what the doctor had correctly diagnosed. There was a marked bulging of the right half of the sternum
HIRSCHMAN LJ. ANEURISM OF THE INNOMINATE ARTERY. REPORT OF CASE SUCCESSFULLY OPERATED ON. JAMA. 1902;XXXIX(7):375. doi:10.1001/jama.1902.52480330029002
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