Patient.
—A woman, aged 35, was sent into the Clara Barton Hospital, Dec. 4, 1908, with the tentative diagnosis of ruptured ectopic pregnancy.
Condition on Admission.
—When seen by us she was in a state of collapse with weak, thready, and intermittent pulse; rapid respiration, and a temperature of 98 F. She was not particularly anemic, however. Her abdomen was very much distended and she complained of pain over the enlarged uterus. No fetal heart could be heard and no movement of the child could be detected.
History.
—The patient gave a history of an uneventful pregnancy of seven months duration. At about five months she began to notice fetal motion which continued irregularly up to her present illness. At 3 a. m., Wednesday, Dec. 2, 1908, she was taken with a sudden pain in the lower abdomen and collapsed. Since when she had noticed no fetal motion and her