Medical diagnosis : a manual of clinical diagnosis / J.J. Graham Brown.

  • Brown, J. J. Graham (John James Graham), 1853-1925.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Medical diagnosis : a manual of clinical diagnosis / J.J. Graham Brown. Source: Wellcome Collection.

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    Fades of Facial Paralysis.—The unopposed muscles on the side not affected draw the features over towards that side, so that the face has a curious one-sided appearance, which is most noticeable when the patient laughs or speaks. On the affected side of the face the cheek hangs loose, and puffs in and out with each respiration, the saliva trickles from the corner of the mouth, the eye is open and watery, and the whole skin of that side becomes smoothed out and loses its wrinkles. Fades of Bulbar Paralysis.—The face is expressionless, does not move in laughter and crying, the mouth is enlarged trans- versely, and saliva trickles out of the corners. The naso-labial furrows are well defined. Fades of Hectic Fever is chiefly characterised by a circum- scribed flush on the malar bones. This flush is also seen in acute pneumonia, and is said to occur chiefly on the same side as the disease. Fades of Cholera.—In the stage of collapse of cholera the face is sunken and wrinkled, the eyeballs retracted, and the countenance livid. Fades of Acute Peritonitis.—The face is haggard, the expres- sion distressed and anxious. The upper lip is drawn upwards so as to expose the teeth. Hippocratic Fades is the name given to the expression of the face immediately preceding death. The face is pale and livid, the eyes sunken and lustreless, the eyelids separated, the nose sharp and pinched, and the lower jaw falling. Attitude.—The attitude of the patient is very frequently de- termined by the disease from which he suffers. For example, at the height of a severe fever, the patient may be seen lying on the back very flat, with the face turned upwards; and one of the first indications of improvement, is his wish to be turned on to his side. The round-shouldered appearance of the asthmatic and emphysematous is characteristic; and in bed, those who suffer from dyspnoea are usually obliged to be propped up. Again, a patient suffering from acute peritonitis lies with his knees drawn up \ and so with all diseased condi-