0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
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 |

A CASE OF PRIMARY CARCINOMA OF THE BILE DUCTS, WITH AUTOPSY.

B. O. Le BLANC, M.Ph., M.D.
JAMA. 1907;XLVIII(12):1030. doi:10.1001/jama.1907.25220380046002e.
Text Size: A A A
Published online

ABSTRACT

Patient.  —Mrs. H. B., aged 71, a rather spare person, active and energetic.

History.  —The patient had scarcely ever had a day's sickness in her life up to the present illness. The family history was excellent, except that one sister died of carcinoma of the uterus some years previously. The present illness began with malaise, slight jaundice, and an evening rise of temperature, about 100-101 F. This was treated as an ordinary catarrhal jaundice of malarial origin, but the symptoms gradually grew worse. Dr. A. A. Allain, of Bayou Goula, saw the patient at this time and recognized some serious trouble. I first saw her in consultation with him, then together throughout the case.

Examination.  —The skin was deeply jaundiced. Heart, lungs and kidneys were normal, but analysis revealed an abundance of bile in the urine. Microscopic examination of the urine showed only bile pigments, no blood. Liver dulness was

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
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.

Multimedia

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

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

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

Jobs
brightcove.createExperiences();