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In many, the disease had been fully formed twenty-four hours or longer before the patients were seen, and then blood-letting was employed so sparingly as to exert no influence on the progress of the disease. I have seen such a tubal abortion continue for three weeks, the pelvic tumor gradually growing from the size of a hickory nut to that of a cocoanut, and the anaemia steadily increasing without pain or urgent symptoms until it was thought justifiable to open the abdomen, and the suspected diagnosis of ruptured ectopic pregnancy was confirmed and amended by the discovery that the case was really a tubal abortion (is bactrim ds safe during breastfeeding).

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