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JAMA. 1891;XVI(14):486-487. doi:10.1001/jama.1891.02410660018005.
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Dr. R. L. Macdonnell, of the Montreal General Hospital, relates in The Lancet, March 7, the clinical aspects of seventeen cases of thoracic disease where "tracheal tugging" was recorded. This sign was first brought forward in 1878, by Surgeon-Major W. S. Oliver, in The Lancet, and his account of it has since been republished in only two text-books, so far as is at present known. In the original publication, the writer suggested the following procedure in the diagnosis of thoracic aneurism: "As the diagnosis of thoracic aneurism of the aorta is often difficult and obscure, notwithstanding the various means we have at our disposal for detecting it, I am desirous of mentioning a method of examination which has afforded me material assistance in diagnosing this disease—or even simple dilatation of the vessel—when it occurs, as is most generally the case, either in the ascending or first part of the transverse


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