For these reasons, then, I regard all cases of phantom pain as being similar in origin and mechanism of production, whether they have burning pain or not. It is, however, possibly not altogether desirable for the word " causalgia " to be used to describe all these cases, with their varying painful sensations, or even for the term "minor causalgia " to be used for the less severe examples. As pointed out by Dr. Bowden and Dr. Napier, Weir Mitchell originally coined the word " causalgia," meaning literally " fire pain," to describe only the single symptom of burning pain; and it might still be desirable to use it only in this sense, or at least only for cases with this type of pain, without of course implying that there is any difference in pathogenesis between this " causalgic ' pain and lesser degrees of pain following nerve trauma.-I am, etc., Belfast.
Two cases of abdominal extrauterine pregnancy are reported which were admitted to Mengo Hospital, Kampala, Uganda, within four months and present features worthy of record. CASE 1 The patient, a Muganda woman in the early twenties, had had a previous normal pregnancy. During antenatal observation the pregnancy appeared normal, the foetal position was left occipito-anterior, the head above the brim of the pelvis, but a small hard mass low down on the right side of what was thought to be the enlarging uterus was noted and presumed to be a fibroid. On April 15, 1946, when apparently at term, the patient was admitted to hospital, having taken a native drug popularly believed to induce labour. This drug, we have observed, usually causes abdominal distension and tonic contractions of the uterus. She appeared to be very ill and in severe pain, with a rapid pulse rate. The abdomen was distended and the uterus felt very hard and was tender. The foetal position was anterior and the foetal heart rate 120 a minute. The head was above the brim and the cervix was not taken up. She was treated expectantly with morphine. The pain decreased, and on April 29 the head was found to have entered the pelvis and was well below the mass felt on the right side. After a month, during which tinme she complained persistently of pain, 10 , 200
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