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JAMA. 1895;XXV(13):542. doi:10.1001/jama.1895.02430390028001h.
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A. B., age 45; miner: family and personal history good; no specific disease; moderately alcoholic; general nutrition good. Stated that two weeks ago he had felt a sharp pain in right side; did not last long; experienced no unpleasant sensations, no fever, he thought, although face was flushed. Saw a doctor, but was not examined. Just before presenting himself for examination at the clinic had been a little short of wind but no other trouble. Slight cough; no spit; appetite poor; bowels constipated; urine scanty and high colored. On admission face was flushed, slightly anxious; no dyspnea; tongue moist; white fur; lips, slight cyanosis at angles; temperature 100 degrees, respiration 32, pulse 80. Tension marked, regular. Physical examination: chest regular and uniform in outline; apex beat normal in position; no abnormal pulsations on chest wall; veins not varicose; movement free on left; retarded on right inframammary and lower axillary region;


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