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May 19, 1900


Author Affiliations

Instructor of Orthopedic Surgery, College of Physicians and Surgeons. CHICAGO.

JAMA. 1900;XXXIV(20):1224-1226. doi:10.1001/jama.1900.24610200010001b

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Miss E. H., a schoolgirl, 11 years old, came under observation Jan. 24, 1898, with the following history: She had had measles, chicken-pox and whooping-cough in childhood, and scarlet fever three years before I saw her. After this she had severe headaches, pain in the upper dorsal region and "trouble with her stomach." The gastric disturbance consisted of attacks or crises, occurring at quite regular intervals of about a month, with headache, eructations, sometimes vomiting, and pain of an intermittent character in the abdomen; and with this was extreme nervousness amounting at times to nervous storms. These attacks lasted for two or three days, and rapidly passed off, leaving the patient in good health. She had never menstruated. In September, 1897, she began to complain of pain in the right hip, and these pains recurred, with intervals of perfect comfort, for six months; then a slight limp developed, which had

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