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Lloyd F. Craver, M.D.; Fred W. Stewart, M.D.
JAMA. 1936;106(21):1802-1804. doi:10.1001/jama.1936.92770210003009b.
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History.  —C F. S., a high school boy, aged 15 years, applied at the Memorial Hospital, May 24, 1935, having been referred by his local physician, Dr. W. R. Janeway, of St. George, Staten Island. The chief complaints were dyspnea and pain in the right shoulder and chest. The father and mother were living and well. The maternal grandmother died of cancer of the uterus. The maternal grandfather died of tuberculosis. The patient had measles, pertussis and varicella in infancy, an appendectomy in 1931 and tonsillectomy in 1932.For two months prior to admission to the clinic the boy had complained of pronounced fatigue following the gymnasium period in school. Three and a half weeks before admission he had one day shortness of breath and pain in the right shoulder and right chest. After resting in bed one day he returned to school apparently in good health, but a


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