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Abdominal Pain, Its Causes and Clinical Significance
Alfred Ernest Maylard
No preview available - 2015
abdominal pain abdominal parietes abscess aching acute pain adhesions affections appendix artery associated become bladder bowel branches caecum calculus canal cause pain cavity character chronic clinical colic colon condition considerable cord cutaneous deep-seated derangement diagnosis discomfort disease distension distribution ducts elicited epigastric epigastrium existence fibres frequently gall-bladder gall-stones hepatic hepatic plexus hypogastric iliac region incision indicate inflammation inflammatory instances involved irritating kidney lesion ligature liver loin lumbar Malignant manifestations mesenteric plexus muscles nerve-supply nervous system neuralgia obstruction operation organ ovarian ovary pains arising palpation pancreas patient pelvic perforation peristalsis peritoneum peritonitis possible post-operative pain posterior preceding list pressure probably pylorus rectum referred pains region renal renal colic result sacral nerves seat sensation sensory situated small intestine sometimes spinal nerves splanchnic splenic splenic plexus stomach stricture suffering suggestive superior mesenteric plexus supply suture symptoms tenderness tion tissue tubercular tumour twelfth dorsal umbilicus ureter usually uterus viscera viscus vomiting
Page 51 - The reasons why the pain is referred to portions of the body so far apart is because in the course of development the tissues that in a low scale of life immediately covered the organ have been displaced. Thus, the pain felt in the testicle in renal colic is due to the fact that in its journey down to the scrotum the coverings of the testicle receive a twig from the first lumbar nerve, and when the root of this nerve is stimulated, as in renal colic, the pain radiates to the testicle.
Page 98 - ... other complications. (See sections on inflammatory affections of the gall-bladder and bile-ducts.) The following symptoms will be considered in detail : (a) Paroxysmal Pain. — For the most part the patient complains of pain under the right costal margin or in the epigastrium, whence it radiates over the abdomen and to the right subscapular region ; but in some cases the pain radiates to the left shoulder. These attacks come on suddenly when the patient is quite well, and usually end by causing...
Page 93 - ... the lower end of the sternum. A sympathetic pain in the right shoulder is not uncommon, especially when the abscess is situated on the convex surface of the right lobe, but in most cases it is absent.
Page 99 - I believe that nearly every serious attack of biliary colic is accompanied by adhesive peritonitis, as experience shows that adhesions are found practically in all cases where there have been characteristic seizures.
Page 115 - Its course corresponds to a line drawn from a point midway between the anterior superior spine of the ilium and the symphysis pubis, to the inner side of the inner condyle of the femur.
Page 245 - ... pain is traceable to the condition of the large bowel. I find that some patients complain of a pain, aching, dull, and heavy in character, and extending "right across the back." When asked to point out its position, they indicate this by carrying a hand behind the trunk and drawing the extended thumb straight across the back, in a transverse line, about half way between the inferior angles of the scapulae and the renal region.
Page 98 - ... the patient is quite well, and usually end by causing nausea or an attack of vomiting. The vomiting leads to relaxation of the duct, and if the gall-stone be small it may pass on and thus end the attack. The seizures come on without apparent cause, although at times they may appear to be brought on by exertion, or by taking food. Not infrequently, after an attack has passed off, a dull aching is felt in the region of the gall-bladder for some time, perhaps until another seizure. In several cases...
Page 107 - DM, aged 38, had complained for six months of a 'nagging' sort of pain in the right iliac region, which seemed to him to pass upwards and lodge in his right lumbar region,. where it produced a dull sickening sensation. It would linger there for twenty-four hours, causing him during the time to vomit, and making him at the end of the attack feel quite weak. He had four bad attacks of acute iliac and lumbar pain. Immediately after one of these attacks the urine was found to contain a quantity of albumen,...