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JAMA. 1890;XV(24):857-859. doi:10.1001/jama.1890.02410500013002.
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DIAGNOSIS OF AN ABDOMINAL TUMOR; BROKEN NEEDLES LEFT IN WOUNDS; PROSECUTIONS FOR ALLEGED MALPRAXIS.  A Clinical Lecture delivered at the University Hospital, Philadelphia.BY WILLIAM GOODELL, M.D., OF PHILADELPHIA.The age of this woman is 43 years, she is married and has had eight children. I have not seen her before, and she has been sent to me by her physician for a diagnosis of her case. Her present ill health began after an attack of pleuropneumonia, with vesical disturbances, especially a burning and scalding upon urination. She still menstruates regularly and has no uterine trouble. But she complains that she has no appetite; that she always has a sensation of fullness over the epigastrium; that after eating she feels distressingly distended; that during the last four weeks, for no apparent reason, she has been losing flesh, and that there has developed in her abdomen "aswelling." "Swelling" is the euphemism


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