0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

TENDER POINTS IN DISEASES OF THE RENAL PELVIS AND OF THE URETER PERIPHERAL DISTRIBUTION OF UNILATERAL AND BILATERAL HYPERALGESIA AND ANATOMIC RELATIONS OF THE SPINAL NERVES AND MUSCLES INVOLVED

MATTHEW S. LEVITAS, M.D.
Arch Surg. 1939;39(3):457-477. doi:10.1001/archsurg.1939.01200150136008.
Text Size: A A A
Published online

The work of the physiologist Gaskell,1 reported in 1886, on the distribution of afferent nerve impulses initiated by the viscera later received clinical interpretation by Ross.2 Many observers contributed to its further development, among whom Head,3 Mackenzie,4 Morley5 and Lennander6 may be mentioned. Cutaneous areas were mapped out by a study of cutaneous superficial hyperalgesia, the distribution of the rash along the course of nerves in cases of herpes zoster and the direction of the subjective symptom referred pain. To Head is due the credit for mapping out the distribution of the afferent somatic nerves in cases of structural and functional changes in the pelvis of the kidney and the ureter. This accumulation of clinical data, however, has been based essentially on the zoning out of cutaneous areas by actual tactile approach, without complete consideration of the anatomic structures involved.

Though all this accumulated

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

39 Views
0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
×
brightcove.createExperiences();