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Mitral Stenosis and Pregnancy.

J. A. McDonell, M.D.
JAMA. 1894;XXIII(17):651-652. doi:10.1001/jama.1894.02421220023008.
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Chicago, Oct. 13, 1894.

To the Editor:  Some years ago there came to my consulting room a young woman, bride of two summers, wife of a prominent criminal lawyer. She was in her third month of utero-gestation, and consulted me regarding an annoying cough, dyspnea and a slight hemoptysis, the latter on the morning of the day she called at my office.From facial landmarks I feared my visitor a tuberculous subject. Her penciled-like eyebrows, long, silken eye-lashes, clear sclerotics, rather prominent cheek bones, and slender tapering fingers all pointing in that direction, but mark you my surprise when I placed a stethoscope over the heart and found I had a pronounced case of mitral stenosis; this told the story of how the sputum came to be tinged with blood We know that the auricle must accommodate for the defect, and if it does so imperfectly, the accumulation of the


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