Subacute bacterial endocarditis observed: the illness of Alfred S. Reinhart

Kenneth M. Flegel

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Pain Map of D�rer: Picture of Illness.
Friedrich Flachsbart

Posted on: 25 April 2005

Posted on: (25 April 2005)
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Pain Map of D�rer: Picture of Illness.
Friedrich Flachsbart
Dear Sir,
the BMJ published a pain map of Dürer, showing his pain in the left upper quadrant.
And Alfred S. Reinhart wrote about his splenic infarction: "The second occasion, in which I am forced to the conclusion that my spleen has been infarcted, took place yesterday. .. There was no suddenness or acuteness about the onset. The realization was only gradually forced upon me that I had again pain in th...
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Dear Sir,
the BMJ published a pain map of Dürer, showing his pain in the left upper quadrant.
And Alfred S. Reinhart wrote about his splenic infarction: "The second occasion, in which I am forced to the conclusion that my spleen has been infarcted, took place yesterday. .. There was no suddenness or acuteness about the onset. The realization was only gradually forced upon me that I had again pain in the left upper quadrant, and as before, the pain reached its maximum intensity gradually and not suddenly. However, in this second case the pain was very much more severe than in the first. .. It was absolutely impossible for me to lie down in any position, on the left side, on the right side, or on the back."
This is the art of internal medicine - Innere Medizin - to bring signs into the true picture.
Sincerely Yours
Friedrich Flachsbart
GD Schott: The Sick Dürer - a Renaissance prototype pain map. BMJ 2004;329:1492
Conflict of Interest:
None declared
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Competing Interests: None declared.