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April 11, 1914, Vol LXII, No. 15 >
ARTICLE | April 11, 1914

ISCHEMIC PAINS

A. R. MITCHELL, M.D.
JAMA. 1914;LXII(15):1144-1146. doi:10.1001/jama.1914.02560400012003.
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The term "ischemic" is applied only to those localized recurring pallors which affect circumscribed areas for an indefinite and usually a very transient period, but which may recur at any time, under conditions similar to the first exciting cause. I do not include in the definition the general pallor or bloodlessness of the entire body-surface which follows shock or loss of blood. It is not necessary to define pain here, further than to mention the fact that the pains of ischemia are subject to the same variation of degree as are pains in other cases. On first thought the consideration of ischemic phenomena might seem to belong to the domain of the internist. In the more recent surgical works, but more especially in Cabot's "Differential Diagnosis," quoting J. Pal's book on Gefässkrisen, the subject has been given special attention. Thus, Cabot says:

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