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Article
August 29, 1903

ABDOMINAL PAIN IN PLEURISY AND PNEUMONIA.

JAMA. 1903;XLI(9):535-540. doi:10.1001/jama.1903.92490280005001a
Abstract

That a disease in one part of the body may call forth painful sensation in another part is a matter of everyday observation. Pain in the knee may mean hip-joint disease; the passage of a renal calculus may make pain in the testicle or penis; a gallstone may cause pain referred to the neighborhood of the right scapula; pain in the neck or left arm and hand may indicate angina pectoris and coronary sclerosis. While in pleurisy and pneumonia the pain is usually referred to the chest and to the side affected, it may be referred to points remote from the site of the disease, as to the opposite side or to the abdomen. This fact had not escaped the keen observation of our forefathers in clinical medicine. Laennec1 speaks of the pain of pleurisy as sometimes shifting its place and "occasionally," he says, "from the beginning

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