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October 22, 1892

HYPERTROPHY OF THE ANTERIOR TIP OF THE MIDDLE TURBINATE BODY OF THE NOSE.Read in the Section Of Laryngology and Otology, at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892.

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JAMA. 1892;XIX(17):483-486. doi:10.1001/jama.1892.02420170007001c

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There is a class of symptoms connected with many cases of catarrhal disease of the nose which is ordinarily taken to indicate the disease in its totality, but not regarded as having any special signification. I refer to frontal ai.d basilar headache, deep orbital pain often bilateral, and not unfrequently unilateral, when it is termed hemicrania; mental hebitude, sometimes associated with defective memory, and again bordering upon melancholia, migraine, epilepsy, etc.

Now we do not have these symptoms in childhood, where we find the disease uncomplicated, either as suggesting conditions which would create the disease, or with those resulting from it as usually witnessed. Therefore we must look farther for their correct signification.

They have been regarded as gastric in origin, and as gastric catarrh so commonly accompanies the nasal and throat trouble, it is easily misleading. But closer analysis will reveal that many subjects of the gastric complication

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