Case 31411

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Abstract
Presentation of CaseA seventy-seven-year-old woman was admitted to the hospital in a semicomatose condition. The history was obtained from relatives.Two days before admission, in the morning, the patient became nauseated and vomited a considerable quantity of greenish fluid. She later complained of severe intermittent pain throughout the abdomen and in the back. On the day before admission there was no nausea or vomiting. She drank about 3 quarts of water but did not urinate all day. A bowel movement was obtained only by an enema. She was seen by a physician, who found the white-cell count to be . . .

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