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METABOLISM OF A CHILD WITH COMPLETE ABSENCE OF THE BILE FROM THE INTESTINES

WILLARD S. PARKER, M.D.
Am J Dis Child. 1913;V(5):386-389. doi:10.1001/archpedi.1913.04100290045005.
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CASE HISTORY  George M., aged 4 years, entered the Children's Ward of the Massachusetts General Hospital, Sept. 28, 1912.

Family History.  —The child had been exposed to a tuberculous grandfather and to a tuberculous friend of the family, who cared for and slept with him at times.

Previous History.  —The child was born at term by a normal delivery and weighed 6% pounds. He was breast-fed for seventeen months, was then given infant diet and did well. In the past year he had four digestive upsets accompanied by light colored stools, but not by jaundice. His appetite has always been irregular, at times ravenous. He had a fondness for sugar and candy, which was freely indulged.

Present Illness.  —His mother noticed a tumor in right upper abdomen two months ago, since when it has increased somewhat in size. The child has grown thin, has lost his appetite, has night sweats

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