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JAMA. 1901;XXXVI(6):382. doi:10.1001/jama.1901.52470060026002.
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The following case illustrates the necessity of giving apparently trivial symptoms due consideration, and acting without delay if we wish to save our patients from unnecessary and serious risk from hemorrhage. Mr. H. came to my office on Friday evening, Nov. 30, 1900, to ask about his wife's condition. He stated that she had pains and some tenderness in the lower abdomen and had been flowing very slightly every few days for ten days previously. Her menstruation had been regular, but at the last epoch, on November 2, she flowed only for one day, her usual time being three or four days. I called to see her the day following and in addition to the symptoms mentioned found that ten days previously she had had a sudden pain in the abdomen, which was followed by considerable tenderness. Examination showed a soft mass in Douglas' cul-de-sac which could not be definitely


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