Nervous and mental diseases . present. Thepresence of joint disease in old,gouty, and rheumatic patients maymislead as to the order of events,for the joint disturbance may beinduced by the neuritis, or viceversa. The history must determinethe point. Inflammation or injuryof the subacromial bursa may easilybe mistaken for a neuritis. It ismarked by a distinctly painfulpoint just below the tip of the acro-mion and by the pain caused whenthe elbow is abducted more than 10or 15 degrees from the side of thebody. In this bursitis the pain is almost always referred to the armabove the elbow^ and ther
Nervous and mental diseases . present. Thepresence of joint disease in old,gouty, and rheumatic patients maymislead as to the order of events,for the joint disturbance may beinduced by the neuritis, or viceversa. The history must determinethe point. Inflammation or injuryof the subacromial bursa may easilybe mistaken for a neuritis. It ismarked by a distinctly painfulpoint just below the tip of the acro-mion and by the pain caused whenthe elbow is abducted more than 10or 15 degrees from the side of thebody. In this bursitis the pain is almost always referred to the armabove the elbow^ and there is neither paresthesia, objective sensorychanges, atrophy, or trophic disturbance in the hand or fingers. Thedeep reflexes are never reduced or abolished. A supernumerary cervical rib may cause symptoms of a brachial neuritis and actually induce such a neuritis. This condition, though congenital, usually causes trouble only in adult years. Carrying heavy burdens on the shoulder or in the hand produces pressure or tension 20. U
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys
