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JAMA. 1905;XLIV(15):1195-1197. doi:10.1001/jama.1905.92500420035004.
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Patient.  —F. J., aged 36, native of Germany, by occupation a teamster, entered St. Luke's Hospital Sept. 21, 1903.

History.  —Family history unimportant. He drank to excess and smoked moderately. Six years ago he dropped a piece of iron on the first and second toes of the right foot, which accident was followed by "blood poisoning." Three years ago his right eye was destroyed by a shot. About two months ago he had a severe cold and a nosebleed. which lasted two and one-half hours; he lost a great deal of blood. Since then has felt weak and faint. He had nosebleed once since, but not so severely. Bowels were constipated.

Examination.  —Patient was fairly well developed and nourished. Face was pale with dilated capillaries. Right eye was artificial; left reacted normally. Tongue was pale, flabby and tremulous. Lips were pale. Chest was fairly well developed.


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