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October 1950


Author Affiliations

From the Medical Service of Dr. Harrison F. Flippin, Philadelphia General Hospital.

AMA Arch Otolaryngol. 1950;52(4):650-653. doi:10.1001/archotol.1950.00700030674014

E. B., a man aged 65, was admitted to the medical service of Dr. Harrison F. Flippin, on Jan. 21, 1948. The patient was stuporous. No history was obtainable. He was found violent and agitated on the morning of admission.

Physical examination revealed a temperature of 105 F., with a pulse rate of 120 and respiration rate of 25. His blood pressure was 170/120. Extreme nuchal rigidity was present. The pupils were equal; they did not respond to light and accommodation. There was bilateral arcus senilis. Examination of the eyegrounds could not be made because of the restlessness of the patient.

Examination of the nose indicated nothing abnormal.

There was bilateral postauricular redness. Further examination of the ears was not made.

The oral, faucial and pharyngeal structures were not visualized because of the condition of the patient.

The trachea was in the midline. The veins were distended, and nuchal rigidity

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