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January 1925


Arch Surg. 1925;10(1):579-589. doi:10.1001/archsurg.1925.01120100591034

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A woman, aged 37, had been perfectly well until eighteen months before, when she began to feel poorly, losing weight and color, fatiguing easily, and coughing. Pregnancy occurred, and immediately she became better. She went through with her pregnancy normally until within the last month when symptoms recurred. A tumor in the chest was diagnosed. The cough became more irritating, persistent and paroxysmal in character. It was not productive of any great amount of sputum, and, contrary to the usual experience, the patient did not expectorate blood. The cases of hemorrhage, as seen at the clinic, are classified approximately as follows: (1) tuberculous; (2) chronic heart disease; (3) abscess of the lung, and (4) bronchiectasis and allied affections, such as pneumonoconiosis, which usually produces bronchiectasis. Aneurysms and tumors and miscellaneous growths of various kinds within the lung, whether primary or secondary, are productive of hemorrhage which appears either as streaks

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