CASE REPORT
History.—The patient, Mrs. T. G., was 37 years old. Her weight was 55 kilos. She was first admitted to St. Francis Hospital, Pittsburgh, Jan. 17, 1912; her chief complaint being shortness of breath. Dyspnea had been present during the past four to six weeks, during which period she had also experienced palpitation and precordial pain; occasional night sweats had occurred during the past few months, together with frequent ``colds'' during the course of which the patient would bring up blood-stained sputum. Her past medical history was as follows: She had chorea during childhood, rheumatic fever in 1908 and again in 1911, measles, diphtheria and small-pox in early life. She was not subject to sore throat. The patient had given birth to three healthy children and had had no miscarriages. She had worked hard. Her habits were good.Examination.—The physical findings on the day following admission were,