. A practical treatise on medical diagnosis for students and physicians . e affected side. The painof pleurisy may be increased by local pressure, but is always relievedby general pressure, as by the whole hand, a broad bandage, or strapof adhesive plaster. In the pleurisy that attends phthisis pain is quitecommon, being of the same character as the pain of acute plastic pleurisy,but varying in situation and in degree. It occurs in paroxysms and fol-lows a slight exposure to cold, undue exertion, or fatigue. It maypersist for twenty-four hours, and then disappear, until brought on again I,N a
. A practical treatise on medical diagnosis for students and physicians . e affected side. The painof pleurisy may be increased by local pressure, but is always relievedby general pressure, as by the whole hand, a broad bandage, or strapof adhesive plaster. In the pleurisy that attends phthisis pain is quitecommon, being of the same character as the pain of acute plastic pleurisy,but varying in situation and in degree. It occurs in paroxysms and fol-lows a slight exposure to cold, undue exertion, or fatigue. It maypersist for twenty-four hours, and then disappear, until brought on again I,N a repetition of the cause. It must be distinguished from the myalgiaof phthisis \\ b- due to cough and exposure. In myalgia the muscles and fascia al the bony attachments are verytender. Tin- pain of pleurisy niusl be distinguished pleurodynia, fromintercostal neuralgia, and from the pain due to disease of the ribs. //. rpea Zoster Intercostal Neuralgia Pit urodynia Pleurisy (with or without Pneumonia) Mediastinal Tumor /, ricarditis Disease of Chest Walls^,. The site in general of thoracic pain in Tn pleurodynia the muscles are sensitive if palpated or compressedbetween the fingers. A large area is affected, but the physical signs ofpleurisy or of pneumonia can not be elicited. Cough and fever areusually absent. The pain is associated with pain in other muscular orfibrous structures. There may be a previous history of exposure tocold and dampness. Usually there is a history of recurrent myalgia. Intercostal neuralgia is sometimes difficult to distinguish. The pain issharp, localized, and may modify the movements of the chest. Generalpressure relieves it ; local pressure at the points where the terminalfilaments of the nerve come to the surface may increase it. The so-calledValleixs tender points, however, are not always present in cases of in-tercostal neuralgia. The patient- is usually anaemic, is often the subjectof uterine or exhausting disease, and may suffer fr
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