Mrs. T., an American and a widow, 31 years of age, consulted me on Aug. 6, 1899, with the following history: She began life, and has mostly lived, in a malarious district; and from the age of 8 to 17 she had chills frequently—none since. Her family history was good and no history of syphilis. She began menstruating at 16; it has been painless and regular. She was married at the age of 22, one year afterward had a miscarriage, supposed to be the result of a fall, and was in bed for three weeks, with fever; she was delirious part of the time. Her menses were irregular from that time, and ceased entirely four years ago, the patient then being 27 years of age. About six years ago she began to have dull pains in the left hypochondrium, but gave little attention to them until two or three years later, when
RAFFERTY TN. REPORT OF CASE OF SPLENECTOMY, WITH ATTEMPTED SURGICAL CURE OF ASCITES DUE TO CIRRHOSIS OF THE LIVER. JAMA. 1900;XXXIV(24):1538–1540. doi:10.1001/jama.1900.24610240030003g
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