Pain; its causation and diagnostic significance in internal diseases / translated and edited from the 2d enl. and revised German edition by Karl M. Vogel and Hans Zinsser.

  • Rudolf Schmidt
Date:
[1911]
Catalogue details

Licence: In copyright

Credit: Pain; its causation and diagnostic significance in internal diseases / translated and edited from the 2d enl. and revised German edition by Karl M. Vogel and Hans Zinsser. Source: Wellcome Collection.

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    SEGMENTAL DISTRIBUTION OF REFERRED PAIN AND TENDERNESS IN VISCERAL DISEASE. (Compiled from Head.) See diagrams figures 1, 2, and 3. Heart. Third cervical and first, second, and third dorsal seg- ments. Lungs.—Third and fourth cervical and first to ninth [sometimes tenth] dorsal segments, especially the third, fourth, and fifth. Breast.—Fourth and fifth dorsal segments. (Esophagus.—Fifth, sixth, and eighth dorsal segments. Stomach.—Third and fourth cervical and sixth, seventh, eighth, and ninth dorsal segments. Cardiac end from the sixth and seventh, and the pyloric end from the ninth. Intestines.—Down to the upper part of the rectum: Ninth, tenth, eleventh, and twelfth dorsal segments. Rectum: Second, third, and fourth sacral segments. Liver and Gall-bladder.—Seventh, eighth, ninth, and tenth dorsal segments, and perhaps the sixth. Kidney and Ureter.—Tenth, eleventh, and twelfth dorsal seg- ments. The nearer the lesion lies to the kidney the more is the pain and tenderness associated with the tenth dorsal segment. The lower the lesion in the ureter the more does the first lumbar segment tend to appear. Bladder.—Mucous membrane and neck of the bladder: First, sec- ond, third, and fourth sacral segments. Overdistention and ineffec- tual contraction: Eleventh and twelfth dorsal and first lumbar segments. Prostate.—Tenth, eleventh, and twelfth dorsal, first, second, and third sacral, and third lumbar segments. Epididymis.—Eleventh and twelfth dorsal and first lumbar seg- ments. Testis.—Tenth dorsal segment. Ovary.—Tenth dorsal segment. Uterine Appendages.—Eleventh and twelfth dorsal and first lum- bar segments. Uterus.—In contraction: Tenth, eleventh, and twelfth dorsal and first lumbar segments. Os uteri: First, second, third, and fourth sacral segments, and very rarely the fifth lumbar.
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