. A practical treatise on medical diagnosis for students and physicians . a, through which also the heart sympathetica are inanastomosis. The fourth, fifth, and sixth intercostal nerves supply cutaneous branches tothe sixth, seventh, and eighth intercostal spaces. Inframammaiy pain is a reflex neu-ralgia expressive of some heart-distress. The latter is brought about by exhaustion of themedullary and vasomotor centres, from worry or over-work, or from long-continued irrita-tion of the uterine nerves. This pain is most common in leucorrhcea. (Jacobson: Hiltonon Best and Pain.) (See Fig. 5.) PAIN
. A practical treatise on medical diagnosis for students and physicians . a, through which also the heart sympathetica are inanastomosis. The fourth, fifth, and sixth intercostal nerves supply cutaneous branches tothe sixth, seventh, and eighth intercostal spaces. Inframammaiy pain is a reflex neu-ralgia expressive of some heart-distress. The latter is brought about by exhaustion of themedullary and vasomotor centres, from worry or over-work, or from long-continued irrita-tion of the uterine nerves. This pain is most common in leucorrhcea. (Jacobson: Hiltonon Best and Pain.) (See Fig. 5.) PAIN IN THE LOINS. movable kidney. When low down, just above or over the sacrum, it isdue to disturbance of the pelvic viscera. The uterus, the colon, andrectum (impaction, cancer) must be examined. Sacral pain is also dueto disease of the sacro-iliac joints, as from gonorrheal rheumatism, whenthe characteristic attitude and gait are present. Spinal Tumor ^ Sciatic Neuralgia Sciatic Neuritis Tumor- (in Children) Hip Disease When double Locomotor Ataxia Lumbar Abscess Tumor. K MyalgiaLumbagoNeuralgiaAbdom. AneurysmFaeces in Colon Coccygodynia Uterine Disease Sacro-iliac Disease Rectal DiseaseFissure of AnusHemorrhoids{in Children)Spinal CariesRhachitisScurvy Pain in the back. Otherwise we may have—(a) Pain due to affections of the muscles. of rheumatic origin. Increased by movement, by dampness, bypressure; often relieved by warmth, by the recumbent posture, or by is associated with symptoms of lithsemia and with the passage of redsand in the urine. When the fasciae or the ligaments of the vertebrae areaffected, the upright position and pressure in small areas increase thepain ; other muscles may be affected alternately. 2. Myalgia from history of injury is obtained. Usually one side is larger than theother. Tenderness is present and movement increases the pain. Theremay be increased swelling, vasomotor disturbance, or ecchymoses. Aneurosis of the so-cal
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