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Updated: May 8, 2025
The patient became emaciated and died thirteen days after his admission into the hospital. A histologic examination showed the sarcomatous nature of the various growths. The disease differed from "button-scurvy." Mycosis fungoides approximates, clinically and histologically, granulomata and sarcomata.
The term neuralgia is applied clinically to any pain which follows the course of a nerve, and is not referable to any discoverable cause. It should not be applied to pain which results from pressure on a nerve by a tumour, a mass of callus, an aneurysm, or by any similar gross lesion. We shall only consider here those forms of neuralgia which are amenable to surgical treatment.
I turned towards the ticket office. As I waited for our tickets I evolved a sort of rationale of my consciousness of that presence. He who had accompanied me was very weak, distinctly convalescent. He could but make himself felt clinically, so to speak. When at length I was aboard the train I had opportunity to test my surmises.
When the kinetic system is driven at an overwhelming rate of speed, as by severe physical injury, by intense emotional excitation, by perforation of the intestines, by the pointing of an abscess into new territory, by the sudden onset of an infectious disease, by an overdose of strychnin, by a Marathon race, by a grilling fight, by foreign proteins, by anaphylaxis, the result of these acute overwhelming activations of the kinetic system is clinically designated shock, and according to the cause is called traumatic shock, toxic shock, anaphylactic shock, drug shock, etc.
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