A bedside manual of physical diagnosis : ... with an appendix, containing a plan for the registration of cases in hospital and private pratice : also an abstract of Mr. Farr's statistical nosology / by Charles Cowan.

  • Cowan Charles, 1806-1868.
Date:
1842
Catalogue details

Licence: Public Domain Mark

Credit: A bedside manual of physical diagnosis : ... with an appendix, containing a plan for the registration of cases in hospital and private pratice : also an abstract of Mr. Farr's statistical nosology / by Charles Cowan. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    97/128 (page 73)
    great en-bon-point, would increase the difficulty of the diagnosis. It is advisable to percuss the patient when lying on the right side. DILATED STOMACH. The only satisfactory physical evidence of a di- lated stomach is the careful comparative ex- amination of the abdomen by percussion, both before and after the patient has swallowed a large quantity of fluid. There would be extensive tym- panitic resonance over the upper part of the ab- domen, and for some distance downwards and to the left, or loss of sound with slight resist- ance to the finger. The descent of the liquid, and its locality, may also be detected by auscul- tating over the organ during the act of deglutition. In some emaciated cases, the outline of the viscus, when distended, and especially if thickened, may be traced upon the parietes. STERCORACEOUS CONCRETIONS. In addition to the information we can, in most instances, derive from carefully executed palpa- tion, percussion gives a dull sound over the point corresponding to the fcecal accumulation, which is often conjoined with a kind of metallic re- sonance. u