JAMA. 1907;XLIX(7):575. doi:10.1001/jama.1907.25320070045003.
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History.  —Mrs. M. B., aged 29, married 6 years, has one child 3 years old, no miscarriages, menses always regular and normal. The last menstruation occurred as usual after 28 days, but was accompanied by considerable pain, which necessitated her taking to bed. A piece of membrane was passed on the third day, after which the pain and flow ceased. The physician consulted diagnosed miscarriage and advised removal to a hospital for curettement. I saw her for the first time on the following day at the hospital.

Examination.  —Patient a medium-sized woman, poorly nourished, very anemic, mucous membranes almost white and skin of a dirty sallow color. She said she was always pale. She complained of feeling weak, loss of appetite, restlessness and sleeplessness. No pain. Temperature 101.8 F., pulse 100. Thoracic and abdominal organs negative. Uterus slightly enlarged and somewhat tender at the fundus. Uterine adnexa somewhat thickened. A


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