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May 25, 1901


JAMA. 1901;XXXVI(21):1477. doi:10.1001/jama.1901.52470210027003

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The history of the following case is of interest chiefly on account of the age and as illustrating the necessity of care in examining the abdomen of children in disease of the bowels. When a child is too young to talk it is an easy matter to overlook the induration that might occur in a case of appendicitis.

M. H., aged 1 year and 11 months, had been fretful and peevish for a few days before I was called to see her. At the time of my first visit she was suffering from intestinal derangement, with tongue coated, stools green and on her face an ecthyma. She had no temperature, but had vomited. I gave her calomel and regulated the diet. Three days afterward the face and tongue had improved but the stools were still green, had a bad odor, and she had a temperature—by the groin—of 101F., with the

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