Theory and practice : 1900-1901.

  • Harvard Medical School.
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: Theory and practice : 1900-1901. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    *^General Examination of the Body. General Nutrition. Muscular development, size, weight, figure, attitude, decubitus. Skin and Mucous Membranes. Pale, flushed (hectic), cyanosed, pigmented (jaundiced, bronzed skin and buccal mucous membrane). Cold, hot, dry, moist, satiny (alcoholic), rough. Scars, eruptions (Koplik's sign), oedema, emphysema, calluses, rheumatic nodules. Temperature. Mouth, axilla or rectum. Pulse. Rate, tension for compressibility), volume (or wave), rise (or shape of wave); compare radials. Capillar}^ pulse. Water-hammer pulse (Corrigan). Arteries: Size, abnormal course, arterio-sclerosis, auscul- tation of. Veins: Size, pulsation (systolic or slow presystolic, fill from below ?) auscultation of, varicosity. Respiration. Frequency, painful, shallow, costal, diaphrag- ma.tic. Dyspnoea (expiratory, inspiratory, Cheyne-Stokes). Glands. Suboccipital, mastoid, parotid, sub-maxillary, superficial and deep cervical, supaclavicular, axillary, epitro- chlear. inguinal (bronchial, mediastinal, mesenteric). Glands are either small, large, hard, soft, fluctuating (adhe- rent or non-adherent), discrete or conglomerate. HEAD. Size, shape (rachitic, hydrocephalic, microcephalic), fonta- nelles, tender spots, cranio tabes, hair. Facies. Placid, stupid, anxious, pinched, puffy, adenoid, alcoholic, heimatrophic, myxoedematous, acromegalic, mask- like (Paralysis Agitans). Eyes. Pupils (size, equality, shape, reflexes, Argyll-Rob- ertson), ophthalmoplegia (strabismus, ptosis), nystagmus, conjunctivitis, exophthalmos; vision (condition of retina, hemi- anopsia, amaurosis). Oedema of lids (Pertussis), * Physical examination is not dependent upon a knowledge of the patient's previous history and present sensations. It is a good plan, therefore, for students to examine the patient before the history is taken. The examination will be made more systematically and accurately in this way. 8