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Samuel L. Immerman, M.D.
JAMA. 1930;94(22):1757. doi:10.1001/jama.1930.27120480001011.
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Mrs. M. R., aged 42, seen, Feb. 4, 1929, had become ill in September, 1928, the illness starting with slight nausea in the morning, followed later by distress on each side of the epigastrium and a lump in the throat, chiefly after eating fried scrapple. The distress consisted of "little pains," not of a pressing character. These symptoms persisted for a period of two months, when the patient noticed a partly formed and partly watery bowel movement, with mucus, attributed to the eating of pumpkin pie. The diarrhea lasted two days; it returned shortly with pain in the right side and around the umbilicus; this attack lasted two days. There was then a tendency to diarrhea with food particles in the bowel movement. By January, 1929, the bowel movement was of a mushy character. Up to this time the patient was on her usual diet, but for a short time


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