Case 53-1964

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Abstract
Presentation of Case First admission. A forty-five-year-old tattoo artist was seen in the clinic because of swelling of the left hand.One year previously he had fallen and sustained a contusion of the left hand, which was treated with immobilization at another hospital. Twenty years before admission he was informed that he had a heart murmur, but he had subsequently worked as a ranch hand and competed in rodeos without symptoms. For many years he had smoked 1 or 2 packages of cigarettes and consumed as much as 2 fifths of whisky daily. He complained that his feet were . . .