A guide to medical case taking.

  • John William Springthorpe
Date:
1906
Catalogue details

Licence: In copyright

Credit: A guide to medical case taking. Source: Wellcome Collection.

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

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    Index to Clinical Examination The following may be taken as an Index to the procedure in Clinical Examination. It is simply a classified collection of clinical sign-posts. Unless the student has mastered the explanations, which are given in the larger Clinical Manuals, he cannot properly understand the directions, and these will remain comparatively valueless until he has put them to practical testing. Though fairly complete, they are neither exhaustive nor final. (a) Integumentary System—Skin as regards Color (pale, flushed, earthy, waxy, chlorotic, yellow, bronzing, pigmented), Moisture, Eruption (macules, papules, vesicles, pustules, scars, haemorrhages, erythema, parasites), Oedema, &c.; Eyes (conjunctiva, cornea, tension, pupils, arcus, lids); Face (peritonitis, dyspnoea, phthisis, pneumonia, hysteria, kidney, thyroid, typhoid, mask Hippocratic, mouth breathing, specific), Nose (sunken, red, pinched, etc.), Lips, Hair, Fingers (spade, claw, cold, waxy, clubbed, distorted), Nails, Glands, Joints (size, shape, color, position, mobility, deposits). (b) Digestive System—Odor of Breath, Gums (color, spongy, deposits), Teeth (state, peculiarities, specific), Tongue (coated, raw, irritable, indented, fissured, strawberry, dry, brown, ulcer, etc.), Thirst, Nausea, Vomiting (times, character, duration, contents,) Pains (seat, character, effect of food), Dyspepsia (flatulent, acid, nervous duodenal), Bowels (frequency, contents, worms), Rectum (piles, prolapse, stricture, pruritus, tenesmus), Nutrition, Cachexia. Inspection—Dilated Veins (portal, general), Obesity, Tympanites, Ascites, Tumor, Enteroptosis.). Palpation—Tenderness (deep, superficial), rigidity, flaccidity, fluctuation, enlargements, tumors). Percussion—Stomach, intestine, perforation, fat, oedema, effusions, tumors, etc., change of posture. Stomach capacity, movements, test meals, contents (mucus, blood, food, germs, acid). (c) Respiratory System—Nose (discharges, alae, blockage, adenoids, closed nasal voice). Lips (herpes, color). Tonsils (enlarged, ulcer, pust membrane). Fauces (paralysed, specific, open nasal voice). Pharynx (granular, ill nourished, ulcer, etc.). Larynx (vocal cords, voice husky, brassy, whisper, spasm). Cough, site (nasopharynx, larynx, bronchi, lung), cause (nervous, irritable membrane, secretion, reflex), character (dry, loose, hacking, morning, paroxysmal, with vomiting). Sputum, quantity in 24 hours, site, character (frothy, muco-purulent, nummular, blood-tinged, asthmatic, prune-juice, foetid, gangrenous), contents (leucocytes, hydatids, crystals, casts, elastic fibre, germs). Dyspnoea, extent, cause (anaemia, heart, spasm, pain, fever, emphysema, obstruction). Orthopnoea. Stertor (nasal, oral, cerebral). Stridor (tracheal, laryngeal). Haemoptysis (nasopharynx, cardiac, vascular and lung disease), frequency, quantities.
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