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"SHE THOUGHT IT WAS HER CHANGE OF LIFE."REPORTING CASES OF UTERINE POLYPI, UTERINE CANCER, INVERSION OF UTERUS AND SUB-PERITONEAL FIBROID. Read by Title in the Section of Obstetrics and Gynecology, at the Forty-first Annual Meeting of the American Medical Association, at Nashville, Tenn., June, 1890.

JAMA. 1890;XV(1):4-6. doi:10.1001/jama.1890.02410270020001a.
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The object of this paper is to concentrate upon certain cases that occur in our consultation practice, and in the practice of the overworked general practitioner, a closer and more positive examination for the purpose of a correct diagnosis. I will proceed at once to the report of a case that will help to illustrate what I have in mind.

Miss M., æt. 47, a well-to-do maiden lady residing in a small country town, had been in good health, regular in her menstruation up to the age of 44, when she began to flow more excessively at her menstrual periods, and soon thereafter developed a condition of both menorrhagia and metrorrhagia. After this condition had lasted for a year, and when she was quite anæmic, somewhat exhausted and losing in flesh, she consulted her family physician, Dr. B., who treated her for some time with tonics, rest and diet, with


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