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Updated: May 13, 2025
If, on the other hand, the pain-lines are heaviest about the brows, the eyes, and the forehead, with only a sympathetic droop or twist of the corners of the mouth, if the nostrils are not at all distorted or too movable, if there is no fever flush and little wasting, and on turning to the eyes we find a difference between the pupils, or a wide distention or pin-point-like contraction of both or a slight squint, the picture of brain tumor would rise in the mind.
If, on the other hand, our first glance shows us that the deepest pain-lines are those about the nostrils and upper lip, especially if the wings of the nostrils can be seen to dilate with each breath, and breathing be faster than normal, our clew points in the direction of some disease of the great organs above the diaphragm that is, the lungs or heart.
From the limp, coupled with the direction in which the toe or foot is turned, the tilt of the hips, the part of the foot that strikes first, the presence or absence of pain-lines on the face, a snap diagnosis can often be made as to whether the trouble is paralysis, hip-joint disease, knee or ankle mischief, or flatfoot, as your patient limps across the room.
If the pain-lines about the mouth are of recent formation, and have not graved themselves into the furrows of the forehead above and between the eyebrows; if the color, instead of ashy, be clear and red, we throw out cancer and think of colic, ulcer, hyperacidity, or some milder form of alimentary disease.
At the show, the Mistress developed one of her sick headaches. She said nothing of it. But the Master saw the black shadows grow, under her eyes; and the color go out of her face; and he noted the little pain-lines around her mouth.
He glanced at Helga's thin cheeks and the pain-lines around her mouth, and the full force of his indignation rang out in his voice. "To us it meant life or death, heaven or hell, was it worthy of a man like you to find amusement in our suffering?" Though it was as faint as the rustling of leaves, unmistakable applause swept around. Rolf dared to clap his hands softly.
Here, of course, is where our second great process, so well known in all clew-following, elimination, comes in. A patient comes in with pain-lines written all over his face. To put it very roughly has he cancer of the stomach? Pneumonia? Brain tumor?
One of the most singular transformations in the sick-room, especially in serious disease marked by lethargy or stupor, is that in which the patient's countenance will appear like a sponged-off slate, so completely have the lines of worry and of thought been obliterated. One distinct value of the pain-lines about the eyes and brow is that you can often test their genuineness.
Probably not more than once in three times will the first clew that we start on prove to be the right one; but the moment that we find this barred, we take up the next most probable, and in this manner hit upon the true scent. As to the cause and rationale of these pain-lines, only the barest outlines can be given. Take the mouth for an example.
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