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Reply to Roos.

“The clinical data are as follows: the child, a girl, was the first pregnancy, the mother and father in good health. The child was born at term, weighing 6 and 3/4 lbs…”

Royce, Clayton E. – Duval County Hospital, Jacksonville, Florida.

Regarding case # [omitted] of Duval County Hospital… “this case, diagnosed at post mortem, is a female age three, one of twins, the other being perfectly healthy…The records show the left border of the heart in anterior auxiliary line and no enlargement to the right. There was no thrill…”

Samuels, Saul. – New York.

“In the revision of my book on diseases of the peripheral arteries, under the discussion of paradoxical embolism, I am wondering whether it is correct to state that the diagnosis of paten foreman ovale cannot be made clinically.”

Reply to Samuels.

“Replying to your letter of September 9th, diagnosed in the majority of cases of long standing. This diagnosis is based on the general habitus of the patient, on the fluoroscope and electrocardiograph findings and on the clinical aspects rather than on the physical signs…”

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