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Thomas K. Rathmell, M.D.; Frederick L. Smith, 2d, Ph.D.
JAMA. 1940;114(3):242-243. doi:10.1001/jama.1940.62810030002010a.
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The search for the cause of an acute gastric condition in children frequently presents a fascinating detective problem. When the common factors of acute appendicitis and of disorders due to green fruits, worms, acidosis of variable etiology and sluggish bowel function have been eliminated the search terminates.

A fond parent recently purchased a set of toy dishes, shown in the illustration, from a reputable Philadelphia department store. The salesgirl represented these as of aluminum composition and they were so labeled, although they were inexpensive. The dishes were presented to the child (age 22 months) in time for the evening meal and were immediately used as containers for small quantities of orange juice, which with stewed prunes and a commercial cereal food for children, of unimpeachable composition, constituted the evening meal.

The supper was given at 5: 30 p. m. At 9: 30 the same evening, approximately twenty minutes after retiring,


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