A medical handbook : for the use of practitioners and students / by R.S. Aitchison.

Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: A medical handbook : for the use of practitioners and students / by R.S. Aitchison. 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.

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    z. Subjective Symptoms. Difficulty of breathing. Rapid or laborious breathing having been already described under Inspection, note here if the patient suffers much distress or loss of sleep from it; also whether it is constantly present or only comes on during exertion, or paroxysmally from other causes. Cough : its character, severity, and frequency; if it deprive patient of sleep, &c. Expectoration: its amount; its physical char- acters, as regards viscidity, wateriness, frothiness, colour, presence of pigment, blood, pus, &'c. Odour of breath and expectoration; special note to be made of any foetor. Microscopical examination of the sputum. Pain in chest: its character, situation, and limitation. 3. Examination of the Larynx. In describing the symptoms of a laryngeal case, bear in mind the four following functions performed, or taken part in, by the Larj'nx. (a) Phonation.—Is the voice natural, husky, weak, or altogether lost.-- (*) Coughing.—\i, the cough natural in sound, husky or loudly metallic and ringing? [c] Deglutition—1% there pain in the larynx during deglutition, or choking from the entrance of food or fluid into the air- passages ? (d) Respiration.—there any impediment m the Larynx, as indicated by stridor in breathing ; and if so, is the difficulty constant, or paroxysmal? If paroxysmal, note the time (day or night) during which the paro.xysms most frequently occur, and state, if possible, by what causes they seem to be induced. E.xamine the Larynx externally by palpation. Note the presence ol any tenderness to touch, or of any swelling. Results of Laryngoscopic Examination. 4, State of the Nares and Eustachian Tubes. Catarrh, &c. Characters, microscopic and otherwise, of the secre- tion. Foetor of breath. V. Digestive System. I. Subjective Symptoms. Annetite thirst deglutition, digestion, action of bowels, &c. OiS//; i'^-/^^^^^-'''^--Cause the patient to indicate as clearly as pSte the selt of obstruction; report result of examination with lit:i-Norsituation and limits, character and degree offeveritv if constantly present or intermittent, if aggravated or relieved meals at which the accession or ° °