Hints and directions for the use of clinical clerks and students of clinical medicine.

  • Royal Infirmary (Aberdeen, Scotland)
Date:
[1866?]
Catalogue details

Licence: Public Domain Mark

Credit: Hints and directions for the use of clinical clerks and students of clinical medicine. Source: Wellcome Collection.

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    Memoranda.—The brain is essentially composed of three dis¬ tinct parts—1st, brain proper—seat of the intelligence; 2nd, cerebellum—seat of the principle which regulates the movements; 3rd, medulla oblongata—seat of the principle regulating the vital functions. The spinal cord (medulla spinalis) is connected with the brain by the medulla oblongata. The brain proper (the cerebral hemispheres) is that portion of the encephalon situated above the corpus callosum. The grey matter evolves, and the white conducts, nervous power. Contractility is the property peculiar to fibrous texture, whereby it is capable of shortening its fibres. Motion is of three kinds, contractile, dependent on muscle; diastaltic or reflex, dependent on muscle and spinal cord; voluntary, dependent on muscle, spinal cord, and brain. Sensibility is the property peculiar to nervous texture, where¬ by it is capable of receiving impressions. Sensation is the con¬ sciousness of receiving such impressions. Heart.— Palpitation, uneasiness or pain. Inspection—Visible pulsation, situation where apex beats. Per cuss ion—Amount and extent of dulness. Auscultation—Action and rhythm ; sounds at apex of heart and at base; if ab¬ normal, their character, and the position or direction in which they are heard loudest. Effect of posture and exertion on sounds, tory'sys -j ^>a^Pa^on—Place the hand over the praecor- tem. dial region, and note any thrill or tremor. Arterial pulse, number of beats in a minute, large or small, strong or feeble, hard or soft, equal or unequal, regular or irregular, inter¬ mittent, &c. If an aneurismal swelling exist, its situation, pulsations, symptoms, extent, and sounds must be carefully examined. \ enous pulse, if perceptible, observe position, [ sound, force.