Practical diagnosis : the use of symptoms in the diagnosis of disease / by Hobart Amory Hare.

  • Hare, H. A. (Hobart Amory), 1862-1931.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Practical diagnosis : the use of symptoms in the diagnosis of disease / by Hobart Amory Hare. Source: Wellcome Collection.

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    PART 1. THE MANIFESTATION OF DISEASE IN ORGANS. CHAPTEK I. THE FACE AND HEAD. The expression and color of the face—Facial paralysis, unilateral and bilateral— Ptosis—Facial spasm—The shape of the head—The movements and position of the head. So much can be learned by the physician from the expression and general appearance of a patient's face and the carriage and shape of his head, that a careful inspection of these parts should always be made. For this reason, in the consulting-room and at the bedside, the physician should always arrange his chair in such a way that the light falls upon the face of his patient, while his own is in the shadow, and this is of importance not only because the facial expres- sion of the patient cau thus be well seen, but also because it prevents the patieut from making a too close scrutiny of the physician's face with the object of detecting encouragement, lack of sympathy, or alarm. The Pace. The Expression is j^roduced by the formation of creases, or alter- ations in the contour of the skin and subcutaneous tissues by trophic and muscular action, and these changes ai-e in time brought about by the mental tendencies and habits of the patient, his temperament, his intellectual development, his exposure to outdoor or indoor influ- ences, and finally, and these are very important, by pathological pro- cesses which may be going on somewhere in his body. The temper of the man also affects his expression, particularly as he approaches middle life, and he looks amiable, capable of sudden auger, or sullen, as the case may be.