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About eight years ago I was called to see a patient, male, aged 30 years. He complained of intense pain at the tip of the left shoulder. On close examination I found that the seat of pain did not cover an area larger than a silver half-dollar at the end of the acromial nerve. Accompanying this pain there was quite a high temperature—103°F. Pressure through the shoulder-joint did not elicit pain; no pain elsewhere. I prescribed morphia and aconite. The former in sufficient doses to relieve the pain. While under the influence of the anodyne the pain was mitigated, but as soon as its influence passed off the pain returned in its previous severity. The aconite did not reduce the temperature. Quinine was administered but it did not reduce the temperature or relieve the pain. This line of treatment was carried out for
THOMAS JD. ACUTE RHEUMATIC NEURITIS. JAMA. 1892;XVIII(9):249–250. doi:10.1001/jama.1892.02411130005001a
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