ROY W. SCOTT, M.D., F.A.C.P.; HOWARD B. SPRAGUE, M.D., F.A.C.P.; JOHNSON MCGUIRE, M.D., F.A.C.P.; CHESTER S. KEEFER, M.D., F.A.C.P.; ALAN R. MORITZ, M.D.
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The patient, a white unmarried female, first came under observation in January 1946 at age 27 years complaining of hoarseness and increasing breathlessness with effort over the preceding year. The family history was irrelevant. The past history was non-contributory as the patient had always enjoyed good health and was quite active in competitive athletics during school days with no cardio-respiratory limitations.
On physical examination the patient presented a normal appearance. She was well developed and well nourished and was neither dyspneic nor cyanotic. The neck veins were not distended. Examination of the eyes revealed no abnormalities. To elicit
SCOTT RW, SPRAGUE HB, MCGUIRE J, et al. CLINICAL-PATHOLOGICAL CONFERENCE1. Ann Intern Med. 1953;38:878–885. doi: 10.7326/0003-4819-38-4-878
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Published: Ann Intern Med. 1953;38(4):878-885.
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