Systematic case-taking / by Henry Lawrence McKisack.

  • McKisack, Henry Lawrence.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Systematic case-taking / by Henry Lawrence McKisack. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    matic irritation (pleurisy, violent coughing, or vomiting), aneurism, disease of pancreas or of vertebrae, are less frequent causes of epigastric pain. In lumbar and iliac regions: affections of large intestine—e.g., faecal accumu- lation (chiefly left iliac), colic, stricture of gut, volvulus (often left-sided or umbilical), colitis, appendicitis; at first pain is epigastric or general over abdomen, later restricted to right iliac fossa (McBurney's point), where the chief tenderness is located; intussusception (often umbilical pain also) ; typhoid fever usually causes slight pain in right iliac fossa ; floating kidney is commonest on right side, causing pain in iliac or umbilical region ; hernia; varicocele; renal colic (see above) ; pelvic disease ; tubercular or other ulceration of the bowel. In the umbilical region: cancer or tuberculosis of omen- tum ; umbilical hernia ; strangulated inguinal or femoral hernia often causes pain to be chiefly umbilical, as is also the case at times in perforated gastric ulcer and appendicitis in the beginning of an attack ; gall-stones, floating kidney, colic of intestinal irritation and of lead- poisoning, all cause umbilical pain. In the hypogastric region: urinary bladder affections (cystitis, stone, tubercle, cancer), diseases of female genital organs, and inflammation of pelvic tissues. In the abdomen generally: peritonitis (with rigidity of abdominal muscles, tenderness, and distension) ; most of the pain- ful conditions already mentioned as occurring in one or other region of abdomen may at times be generalized ; the pains due to irritant poisoning, cholera, gastric crises of locomotor ataxia, and Dietl’s crises (in movable kidney), are usually felt all over the abdomen. Pain in the Gluteal Region.—Sciatica (dull, boring pain, with acute attacks, one-sided, pain and tenderness over trunk and distribution of nerve), hip-joint disease.