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L. H. Dunning, M.D.
JAMA. 1885;IV(8):199-201. doi:10.1001/jama.1885.02390830003001a.
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Mrs. G. H., aged 44 years; American; of large build and strong; previous to the present illness had been robust. About seven years ago she lifted hard upon an iron kettle and felt something give away in the right side. She was ill for some time after this strain, and attributed her illness to some injury done to an internal organ. Commencing six years ago, she was for three years confined to the bed the greater part of the time. Of the nature of her disease, at the commencement, I am unable to say, since she was seen by many physicians, no two of whom agreed in the diagnosis of her case. Four and one-half years ago she came under my observation and treatment. Then there were ascites and anasarca, and pain in the pelvic region. The urine was slightly albuminous. I thought her a subject of chronic Bright's disease,


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