0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

FRACTURE OF THE XIPHOID PROCESS CAUSING CLONIC SPASM OF THE DIAPHRAGM

CLARENCE E. BIRD, M.D.
JAMA. 1927;89(2):101-102. doi:10.1001/jama.1927.02690020025008.
Text Size: A A A
Published online

To observe clonic diaphragmatic spasm is in itself sufficiently surprising, but to find as its probable underlying cause a fracture of the xiphoid process is still more so. Comparatively few instances of spasm of the diaphragm are found recorded, and, so far as can be determined, fracture of the xiphoid process is unique.

REPORT OF CASE  H. S., a married Russian-Jewish tailor, aged 48, was admitted, Oct. 10, 1921, with complaints which led to the diagnosis of duodenal ulcer. Roentgen-ray studies confirmed the impression and, October 13, under ether anesthesia, a transsection of the pyloric antrum with posterior gastroenterostomy (Billroth II) was performed. The ulcer was situated on the anterior and superior surfaces of the duodenum, involving the cap along the lesser curvature. Because of the extensive surrounding induration and cicatrization, it was not removed. An appendix, noted by the pathologist to show "obliterative appendicitis," was excised, and the abdominal

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();