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should noted. The hysterical breast, a painful and excessively tender mammary gland, commonly in neurotic young women, deserves especial mention. It an open question whether the tenderness Valleix's points in intercostal neuralgia may not attributed hysteria as often Beferred Fains.

In the study visceral diseases must note the occurrence referred pains.

Head's exhaustive researches make plain that pain in a given organ often accompanied pain and tenderness in a certain distant area the skin. essay about service It probable that an organ possessing but little sensibility, the sending its sensory impulses its spinal homework help writing essay segments, and the transference these impulses a more sensitive area skin supplied from the same segment, may cause much more discomfort in the. Thb Location Transferred Pains Dana. Figure redrawn in charcoal after an imported photograph. Tb pains, through the existence more or less indirect or roundabout sensory nerve connections, are felt at points varying remoteness from the source the irritation which produces them. need help writing college paper Thus, pain in the knee may due disease the hip joint the lesion affecting one the terminations the nerve much nearer the origin the latter than that in which the pain felt or the mamnuuy gland may swell and become painful, when a distant organ the uterus the seat a pain-producing process. Butler's Diagnostics Internal Medicine. secondary area than the patient feels in the real seat the disease. In many diseases the pain felt at a region distant from that the greatest pathological change, through the transference the sensation peripherally in the nerve system involved, as in the knee pains hip disease, or the radiating pains when one branch the trifacial involved.

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If the pain intense may overflow into neighboring channels, speak, as in the arm pains angina In compression the spinal cord there may found areas devoid tactile and pain sense, but which are yet live essay help acutely painful, Anesthesia.

This phenomenon, like hyperesthesia, commonly hysterical in origin that should suggest functional disease the medical mind rather than organic, because the predominance functional disturbance this nature.

While literally denoting loss tactile sensibility, commonly employed clinically denote loss sensation in general. By hemianesthesia mean loss sensibility in one lateral half the body, often accompanied loss special sensation upon that side. If the patient a young female and the phenomenon noted upon the left side, may need help writing philosophy paper assume a manifestation hysteria unless signs organic disease found, for this the most common cause hemianesthesia, and more frequent upon the left side. One must beware a decision which excludes hysteria even when the right side involved, and even in the male sex.

Loss corneal and pharyngeal reflexes should looked for as confirmatory signs in the diagnosis. Next in frequency the generally incomplete hemianesthesia organic hemiplegia, due involvement the posterior portion the posterior limb the internal capsule, as noted elsewhere, the sensory fibers being damaged the hemorrhage, tumor, or other lesion causing the hemiplegia the same side. If with hemiplegia and hemianesthesia there oculomotor paralysis the opposite side, the lesion sought in the crus that side. Crossed facial anesthesia occasionally seen in lesions the pons or medulla below the exit the fifth nerve. In imilateral damage the cord may find incomplete anesthesia with analgesia upon the side opposite the lesion, with partial hemiplegia the injured side. Various obscure lesions in the brain may accompanied hemi anesthesia without the exact topical diagnosis being readily possible.

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