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August 1930


Arch Derm Syphilol. 1930;22(2):363-374. doi:10.1001/archderm.1930.01440140165019

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A Case for Diagnosis. Presented by Dr. Hans J. Schwartz.  H. G., a jurist, gave a past history of no importance except that he was troubled with heart burn, constipation, indigestion, flatulence and a dull pain on the right side of the abdomen. A complete physical examination made three years prior to consultation revealed nothing of note except abdominal distention and a slight tenderness over the region of the gallbladder. The Wassermann test was negative; the urine was negative for albumin and sugar; the chemical examination of the blood was negative except that there was 3.44 mg. of uric acid per hundred cubic centimeters. The duodenal contents were negative except for a small number of pus cells, and streptococci were found on culture.On Jan. 16, 1926, a series of gastro-intestinal examinations by Dr. W. M. Priest showed a hyperacid stomach with adhesions involving the prepyloric area, the antrum and

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