RT Journal A1 HUGGINS RR T1 THree cases of extrauterine pregnancy JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1909 FD April 17 VO LII IS 16 SP 1254 OP 1255 DO 10.1001/jama.1909.25420420034003h UL http://dx.doi.org/10.1001/jama.1909.25420420034003h AB When a married woman, whose menstrual period has been regular for some time previous, misses or goes beyond her time for menstruation she will suspect pregnancy. If a flow from the vagina begins in a period varying from four or five days to three weeks after the regular time, continuing more or less regularly, accompanied by pains periodic in character located in the hypogastrium, or on either side, extrauterine pregnancy should at once be suspected by the physician, unless some other well-defined condition is present to account for it. This vaginal hemorrhage at times may be dark-colored, coagulated blood, at others a blood-tinged leucorrhea; in some instances it may be bright red. It it is profuse in quantity it is more likely to be bright red in color. It is usually described by the patient as being different from the normal menstrual flow and is, therefore, atypical.There may be