EXTREMITAL

\ɛkstɹˈɛmɪtə͡l], \ɛkstɹˈɛmɪtə‍l], \ɛ_k_s_t_ɹ_ˈɛ_m_ɪ_t_əl]\
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1920 - A practical medical dictionary.
By Stedman, Thomas Lathrop
 
1898 - American pocket medical dictionary
By Willam Alexander Newman Dorland