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February 15, 1902

ACUTE MORPHIN POISONING IN AN INFANT —RECOVERY.

JAMA. 1902;XXXVIII(7):459-460. doi:10.1001/jama.1902.62480070025002
Abstract

At 3 a. m., July 6, 1899, I delivered Mrs. W. of a well-formed and developed female child, weighing 8 pounds, after a normal labor in every respect. Recovery was slow and tedious, due to her highly neurotic temperament.

On the tenth day after labor, the patient suffered considerably from facial neuralgia, due to some carious teeth. This neuralgic trouble resisted ordinary treatment, so one-eighth grain of sulphate of morphin powders was given, with the instructions to the nurse, that a powder should be given every four hours until relief was experienced. This was done. About this time, the tenth day after the accouchement, the child developed considerable intestinal colic as the result of flatulency, and a diarrhea set in. My attention was called to this and I gave ⅛-grain Dover powder, ½-grain bismuth subnitrate and ½-grain soda bicarbonate, to be repeated every three hours till child was easier and

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