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No physician who has been engaged long in the practice of medicine has not had complaints coming to him from his female patients, of excessive pains in the lower portion of the abdomen. The pain is not always confined to the pelvic portion of the abdominal cavity; but often extends both above and below it. The pain radiating upward from the pelvis, follows a line about two inches inside the crest of the ilium, radiating upward and backward, often losing itself beneath the floating ribs. Downward, it is found most often in the front of the thigh. Occasionally it is found on the outside of the thigh, and rarely in the back part of it. Sometimes it is confined entirely to the lower portion of the iliac fossa and upper two inches of the thigh. The pain is usually of a dull. aching, persistent character; increased markedly by physical exertion
HALLEY G. SOME PATHOLOGIC CONDITIONS OF THE OVARIES THAT CAUSE GREAT PAIN. JAMA. 1899;XXXII(17):925–926. doi:10.1001/jama.1899.92450440018002e
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