JAMA. 1894;XXII(13):453-454. doi:10.1001/jama.1894.02420920009001c.
Text Size: A A A
Published online

For the history of this case previous to the patient's admission to this hospital, I am indebted to Dr. W. H. Gunther.

J. B., admitted Oct. 18, 1893, aged 40 years. Occupation, sewer-builder; education, fair; a native of Canada; was first taken ill in the spring of 1893.

The first symptoms were observed by his fellow-workmen who noticed that at times the patient would stop in the midst of his work and appear unconscious of his surroundings for periods of varying duration. At such times his left eye would wink frequently. His work was always well done and nothing irrational was noticed. He frequently complained of headache, and claimed to have had a similar attack ten years previously.

Dr. Gunther was first called on Sept. 8,1893, when he found the patient in bed, rather stupid; complaining of severe general headache, vertigo and numbness of all extremities. His temperature was 97


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




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.
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.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


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

Sign In to Access Full Content

Related Content

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