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Friction Rub over the Liver in a Patient with Subacute Bacterial Endocarditis

Ann Intern Med. 1932;6(5):689-690. doi:10.7326/0003-4819-6-5-689
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The patient, B. S., 15 years of age was admitted to the New York City Hospital March 21, 1930, complaining of pain in the chest, cough and shortness of breath. The family history was unimportant. He had been an invalid since childhood and when he was two years old his mother was told that he had "heart trouble". For many years his activity had been limited because of dyspnea upon the slightest exertion. There was no history of rheumatic fever or of chorea. He had had occasional sore throats. Tonsillectomy was performed about five years ago.

His present illness began


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