PURPURA HEMORRHAGICA (MORBUS MACULOSUS WERLHOFII)

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Abstract
History. —W. V., aged 20, a farm hand, came to me, Aug. 11, 1914, complaining of slight nosebleed which had started about twelve hours before and which he had been unable to stop. The bleeding, he stated, was not severe but rather bothersome. Examination revealed a small bleeding area on the right side of the nasal septum, apparently from a slight erosion of the mucous membrane. I applied epinephrin and packed the nose with a small gauze pack, telling the patient to remove it on the following morning. I prescribed fluidextract of ergot, 1 dram three times a day until the hemorrhage had ceased, and told the patient to remain quiet for the rest of the day. The patient again appeared the following morning, rather alarmed. He said that the bleeding from the nose had not ceased and that he was bleeding from his mouth also. He gave the following

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