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May 26, 1900


Author Affiliations


JAMA. 1900;XXXIV(21):1312-1313. doi:10.1001/jama.1900.24610210018001e

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Nov. 2, 1899, I saw Mrs. A. B. R., of Greene, N. Y., in consultation with Dr. Williams of that town, who gave the following history: An American, aged 63, her family history was good. She had been married for forty-five years and had one child forty-two years ago. She had been troubled with what she called "bilious" attacks ever since she could remember. About thirty-five years ago she had a very severe illness which was described as inflammation of the bowels and, though "given up" to die, she gradually recovered. Since that time her troubles with her stomach, or "bilious attacks," have been more or less constant.

On September 4, last, she was attacked with vomiting and free purging, and after a week felt some better. In a few days there was another and one week later a third attack lasting about one week, after which there was no

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