Clinical Lectures

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: about by so many and so various causes as the unpleasant sensations in the head: pain and heaviness. Morbid conditions of the soft parts of the head and of the bones of the skull and face, of the numberless nerves of the head, of the organs of the higher senses, and, the most important of all, of the...
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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: about by so many and so various causes as the unpleasant sensations in the head: pain and heaviness. Morbid conditions of the soft parts of the head and of the bones of the skull and face, of the numberless nerves of the head, of the organs of the higher senses, and, the most important of all, of the cerebrum itself, which, outside of disturbances of its own substance, reflects in itself in various ways the influence of disturbances of other parts of the organism, ? these are all causes of frequent headaches and heaviness. If the picture of the morbid phenomenon, as seen from the above necessary questions, points directly to some certain disease (as, for instance, migraine, masked m tlaria, syphilis, etc.), and if the completed part of our examination ? and this latter will have been finished, if conducted in a certain order, by the time we reach the inquiries about the headache?contains data that may be considered as the causative agents of the pain in the head, then we certainly should make inquiries verifying our assumption. Otherwise we must leave the explanation to the end of our investigation, although it may happen, especially with an inexperienced practitioner, that he will traverse almost the whole region of pathology, before he will have found the causation of the pain in the head. Ifi. I'e.rtiyo. If present, find whether accompanied by a Hushed or pale face, by an overloaded stomach or other dyspeptic phenomena, by constipation, before luemorrhoidal bleeding, before menstruation or after it, by uraemic manifestations, etc. 17. Pain in the neck, pine, and extremities. If present, localize them (in the articulations, along the bones, nerves and muscles), and determine their character: constant, aggravated by pressure, (in the arthrites, periostites and perichondrit...