Other Articles |


Robert Sterling, M.D.; A. J. L. Guay, M.D.
JAMA. 1936;107(25):2046-2047. doi:10.1001/jama.1936.92770510002008b.
Text Size: A A A
Published online


History.  —Miss V. R., aged 21, was admitted to El Centro Hospital May 8, 1936, complaining of severe abdominal pain of eight days' duration. There was no vomiting, no diarrhea and no vaginal discharge. The last menstrual period was ten days before admission. This period was of usual amount but of short duration. The previous period was missed. She had had no menstrual irregularities before that time. She had never been pregnant.

Examination.  —The patient was well developed and moderately well nourished. Her temperature was 100, pulse 104, and respiration 24. The examination was negative except for tenderness in both lower abdominal quadrants, more marked on the right. The vagina admitted two fingers readily. Bartholin's glands were not palpable. The cervix was small, firm, nulliparous, and without discoloration or inflammation. The fundus was anterior and fixed but not enlarged. There was thickening in both adnexal regions, more marked


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




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.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


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

Sign In to Access Full Content

Related Content

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