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P. C. JENSEN, Ph.C., M.D.
JAMA. 1886;VI(2):39. doi:10.1001/jama.1886.04250010047004.
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Mrs. A.; age 27 years; married; mother of two children. Family history of phthisis on mother's side. Lost one brother of pulmonary tuberculosis, at 23 years of age, about one year ago. The appearance of Mrs. A. when first seen by me was that of extreme emaciation. Her anæmic and debilitated condition gave her a dull and sallow expression, exhibiting with marked distinctness that peculiar white pearly and glossy appearance of the sclerotic, and ocular conjunctiva so characteristic in phthisical subjects.

The patient had suffered considerable loss of strength from a long-existing menorrhagia, to such an extent as to reduce the inter-menstrual period to ten days. During this inter-hæmorrhagic interval she suffered additional exhaustion from a profuse leucorrhœa. She was troubled with a severe cough, worse in the afternoon, and continuing until after midnight. She expectorated large quantities of yellowish green, tenaceous, but putrid matter.

Toward morning she saturated her


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