Plan of examining and reporting medical cases, to be followed in Dr. Wood Smith's wards of the Glasgow Royal Infirmary.

Date:
[1876?]
Catalogue details

Licence: Public Domain Mark

Credit: Plan of examining and reporting medical cases, to be followed in Dr. Wood Smith's wards of the Glasgow Royal Infirmary. Source: Wellcome Collection.

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    Subjective Symptoms. Objective Signs. Inspection. Palpation. Percussion. Auscultation. Subjective Symptoms. Objective Signs. Circulatory System. Pain, constant or paroxysmal, localised or spreading over chest and abdomen, or down either arm, and if aggravated by food or exertion? Palpitation, on exertion, or when at rest? Fainting ? Notice tortuosity of temporal, brachial, or radial arteries. Pulsation of carotids, and in supraclavicular space; fulness and pulsation of veins in neck, chest, &c. Position of apex-beat—its definiteness and extent, if accompanied by a “ thrill,” and notice any bulging or retraction of cardiac region. Pulse at wrists—frequency, regularity, fulness, strength, compressibility, and equality on both sides. Delimit area of cardiac dulness, and record if there is any alteration in size, whether it is to the right or left,-©*■ upwards.^ Quality of ist and 2nd sounds, as to distinctness and length of “ pause.” If murmurs exist, mention their general characters (soft, blowing, harsh, rubbing, musical), their rhythm, seats of intensity, and if con¬ tinued into the vessels of the neck. Digestive System. Pain on eating, or pressure over stomach, and extending to the spine ? Hunger ? Thirst ? Swal¬ lowing (difficulty)? Vomiting? Digestion? Flatu¬ lence ? Defecation ? Condition of teeth, gums ; breath, tongue; throat; oesophagus, abdominal walls (enlarged or retracted). Use inspection, palpation, measurement, percus¬ sion, auscultation, deep inspiration and expiration, to