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to retain a little nourishment. There was no pain until October 1st, and then she was attacked with a severe cramp in the region of the sternal end of the last rib ; next day extreme tenderness followed. This state of things lasted for five days, and vomiting again set in. The substance vomited was about one half a cupful of pus mixed with blood, very offensive. The next day pain and soreness began to diminish, and convalescence com-doi:10.1056/nejm187911061011919 fatcat:phammqax6ngyfg3m5twonu656y