Royal Infirmary cliniques . ase we believe that the painful areas in the front of thechest, and the specially sensitive spots at the elbows, corre-spond to irritation of the first dorsal segment ; that thepainful areas along the inner aspects of the upper arms corre-spond to irritation of the second dorsal segment, whilst thatthe painful spot in the right interscapular region posteriorlycorresponds to irritation of the third dorsal segment. In thiscase the aneurism mainly involves the ascending arch andinnominate, and, as seen, the tender areas are on both sidesanteriorly. In the second case,


Royal Infirmary cliniques . ase we believe that the painful areas in the front of thechest, and the specially sensitive spots at the elbows, corre-spond to irritation of the first dorsal segment ; that thepainful areas along the inner aspects of the upper arms corre-spond to irritation of the second dorsal segment, whilst thatthe painful spot in the right interscapular region posteriorlycorresponds to irritation of the third dorsal segment. In thiscase the aneurism mainly involves the ascending arch andinnominate, and, as seen, the tender areas are on both sidesanteriorly. In the second case, E., Fig. 3, in whom the aneurism (A)seems to involve mainly the transverse part of the arch, the AOKTIC ANEUKISM. ETC, 101 painful chest area is anteriorly on the right side alone, andseems to correspond with the third dorsal segment. Butthe left arm shows, in addition to the specially sensitive spotat the bend of the elbow, an area of tenderness along itsentire inner aspect. This extends right down to tlie fingers, Fig.


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Keywords: ., bookcentury1800, bookdecade1890, bookpublisheredinb, bookyear1896