Pain Analysis. A Guide to Diagnosis by Rudolph Janzen

By Rudolph Janzen

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Intravenously. If this does not succeed, the diagnosis must be checked. Susceptibility to attack can be reduced by barbiturates, Bellergal, Hydergot, and also Deseril (methysergide maleate). The barbiturate sleep will interrupt any status migrainosus. , either always on the right, always on the left, or always from the back of the head (in the latter case possibly with change of sides), suspicion must arise that a locally disposing factor is at the root of this reaction. , aneurysm, angioma, or some other dysplasia.

A pain in the cheek and jaw is so often diagnosed as trigeminal neuralgia, although the patient clearly indicates that the pain radiates beyond the ear and into the neck. Such elementary errors are frequent although they can easily be avoided if sufficient care is taken in the pain analysis. If drugs are not adequate in the treatment of tic douloureux, pain relieving operations can remove the symptom. Only the trigeminal neuralgia following herpes zoster, like all zoster neuralgias, cannot as yet be removed by operative measures.

7. Original infection or re-infection near the pleura with tubercle bacillus, which we can observe in any decade of life at the present endemic phase of tuberculosis, or the exacerbation of an existing tuberculosis. 8. Functional precordial pain, which must be distinguished from irritation of pleural organic focus in the lingula. 9. Zoster neuralgia, which can precede an exanthema by many days. 10. Pleurodynia epidemica (Bornholm disease) with its acute onset and benign course. 11. Tietze's syndrome.

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