File:Principles and practice of physical diagnosis (1911) (14741964836).jpg

Identifier: principlespracti1911daco (find matches)
Title: Principles and practice of physical diagnosis
Year: 1911 (1910s)
Authors: Da Costa, John C., jr., 1871-
Subjects: Diagnosis Diagnosis
Publisher: Philadelphia and London : W.B. Saunders Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ved therefrom, as in the shoulder pains symptomaticof lesions of the liver and colon, in the tender spine of gastriculcer, and in the painful testicle of stone in the kidney. Generalized abdominal tenderness and pain usually is traceable to suchconditions as gastro-intestinal disease, meteorism, peritonitis, irritantpoisons, abdominal myalgia, or hysteria. Or when diffused through- EXAMINATION OF ABDOMEN AND ABDOMINAL VISCERA 491 out the abdomen it may stand for the radiation of pain originating inone of the abdominal viscera or in some extra-abdominal structure,as in renal colic, appendicitis, dysmenorrhea, and diaphragmaticpleurisy, in which the pain, primarily circumscribed to the locallesion, secondarily spreads far beyond its original confines. Cir-cumscribed tenderness and pain should be investigated with refer-ence to its origin in, and reflection from, the organs and other struct- Gall-bladder diseaseRobsons point 4 Intussusception McBurneys point Clados point Ureteral disease
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Gastric ulcer Morriss pointsVolvulus Fig. 204.—1. Diseases of stomach, gall-bladder, duodenum, transverse colon, andpancreas; abdominal aneurism; pneumonia; phrenic pleurisy; pericarditis; appendi-citis. 2. Diseases of stomach, splenic colon; enteroptosis, nephroptosis, nephralgia.3. Diseases of intestines, omentum, mesentery, and peritoneum; lead colic; abdominalarteriosclerosis. 4. Diseases of liver, hepatic colon, and right kidney. 5. Diseases ofspleen, splenic colon, and left kidney. 6. Diseases of urinary bladder and pelvic organs. ures corresponding to the several surface divisions of the abdominalwall, the findings thus obtained being interpreted in the light of afull clinical inquiry by other methods of examination (Fig. 204). Pain in the epigastrium ordinarily is of purely gastric origin, as inneuralgia, inflammation, ulcer, or cancer of the stomach, but to thisregion the pain of diseases of the gall-bladder and gall-ducts also iscommonly referred. In cholecystitis deep ten

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