CHARLES K. TASHIMA, M.D.
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To the editor: The study of epigastric bruits by Watson, Williams, and Duffy (Ann Intern Med 79:211-215, 1973) made me recall a patient I examined 9 years ago. A 44-year-old negro man was seen for epigastric pain after lifting a heavy object 4 days before. He had had recurrent abdominal pains for many years and even had a negative exploratory laparotomy at the age of 37. At 42 years of age he had spent 10 weeks in a psychiatric ward, with a diagnosis of chronic schizophrenic reaction. His abdomen was flat and soft but diffusely tender. A fairly loud (grade
TASHIMA CK. Diastolic Epigastric Bruit. Ann Intern Med. ;79:762–763. doi: 10.7326/0003-4819-79-5-762_2
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Published: Ann Intern Med. 1973;79(5):762-763.
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