We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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 |


JAMA. 1910;LIV(24):1941-1942. doi:10.1001/jama.1910.02550500027011.
Text Size: A A A
Published online


Patient.  —A white woman, aged 30, born and raised in South Florida; married, and having one child aged 3. When I first saw her in December, 1908, she had had a menorrhagia for six weeks, the flow being irregularly profuse, but without pain. The patient was badly nourished, almost emaciated. Although very weak she was able to move about the room. She was markedly melancholic, or rather in varying stages of hysteromelancholia, with occasional suicidal tendencies. There was no rise of temperature or pulse and there were no definite points of pain or tenderness. She gave a history of having had dysmenorrhea for years, and of having temporarily lost her mind twice.

Examination.  —I found a relaxed vaginal outlet, uterus in extreme retroflexion, marked endometritis, with both ovaries enlarged and tender. At times she talked rationally and gave me a fairly clear history of her troubles. There was no apparent


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also 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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
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.


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

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

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