File:Principles and practice of physical diagnosis (1911) (14764564592).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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gina pectoris, neuralgia,myalgia, and disorders of the stomach and the colon. Pain in the breast, aside from that due to diseases of the mammae,may be associated with menstruation, pregnancy, and lesions of theuterus and the ovaries. Pleural pains, as in the pleurisy of croupouspneumonia, are also ordinarily referred to this region. Pain in the right hypochondrium suggests especially diseases of theliver and the bile-passages, malignant growths of the pancreas, thehepatic colon, or the duodenum, and aortic valve defects; in theleft hypochondrium, pain may be due to diseases of the spleen,impaction of the splenic colon, inflammation, ulceration, dilatationand prolapse of the stomach, and aneurism of the abdominalaorta. As likely causes of pain in either hypochondrium pleurisy,pneumonia, subphrenic abscess, peritonitis, gastric cancer, renal io8 PHYSICAL DIAGNOSIS colic, and nephroptosis are to be recalled. Pain localized alongthe upper part of the costal arch may be symptomatic of dia-
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phragmatic pleurisy, or it may come from the strain of long-con-tinued coughing or retching. Pain in the lateral wall of the thorax is particularly significant of EXAMINATION OF THE THORAX I09 pleurisy, pleurodynia, and intercostal neuralgia, and in this regionmay also be felt the pain of pericarditis, thoracic aneurism, mediastinaldisease, and lesions of the vertebrae. Herpes zoster accounts forexquisite pain in the lateral thorax, especially on the right side. Thediscomfort attending gaseous distention of the stomach and colon,as well as that of fecal impaction of the colon, is also referred to theside of the chest in many instances. Indefinite pains in the side area common complaint in hysteric and in anemic states. Pain in the posterior thoracic wall (Fig. 68), if localized between the Arterial hypertension ;constipation; gastriclesions. Gastric ulcer. Splenitis; pancreatitis.

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