. Medical diagnosis for the student and practitioner. Fig- 4t$. Fig. 414. Figs. 413 and 414.—Relatively common area of pain and residual tenderness in extremeangina pectoris, especially in those with extremely high blood pressure. In one such caseobserved by the author the slightest touch applied to the skin overlying the sternum broughton a spasm of cough. (After Henry Head.). Fig. 415. Fig. 416. Figs. 415 and 416.—Another relatively common area of pain and residual hyperesthesia inangina pectoris major. (After Henry Head.) to increase in frequency and in some instances would last for hours w
. Medical diagnosis for the student and practitioner. Fig- 4t$. Fig. 414. Figs. 413 and 414.—Relatively common area of pain and residual tenderness in extremeangina pectoris, especially in those with extremely high blood pressure. In one such caseobserved by the author the slightest touch applied to the skin overlying the sternum broughton a spasm of cough. (After Henry Head.). Fig. 415. Fig. 416. Figs. 415 and 416.—Another relatively common area of pain and residual hyperesthesia inangina pectoris major. (After Henry Head.) to increase in frequency and in some instances would last for hours withoutmedical aid.* Exciting Causes of Anginal Seizures.—These attacks may and often do occurat irregular periods during the day, being precipitated by such causes as emotional * All such patients learn to have near at hand some means of ready relief oramelioration. ANGINA PECTORIS 771 excitement, cold air, facing a heavy wind, physical overstrain, a distendedstomach or intestine, straining at stool or sexual intercourse. Distribution and Degree of Pain.—Three features in connection withangina pectoris should be especially emphasized, viz.: 1. The pain of angina pectoris major and minor may be, and often is, maxi-mal at points remote from the heart. 2. Not infrequently more or less complete replicas of the majorseizure have been observed by the author in cases of
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