Instructions for case-taking in the medical wards / London Hospital.

Date:
[1912?]
Catalogue details

Licence: In copyright

Credit: Instructions for case-taking in the medical wards / London Hospital. Source: Wellcome Collection.

    33/76 (page 25)
    Palate, Fauces and Pharynx. Note colour of mucous membrane. Presence or absence of pigmentation, ulceration, thrush, etc. State of the Tonsils. Breath. Presence or absence of fcetor. II.—(Esophagus. Note any difficulty or pain in swallowing. Is this most marked in the case of fluids or solids ? Is there any regurgitation of food ? Auscultation over (Esophagus during swallowing. Exploration of (Esophagus with stomach tube (under direction of House-Physician). III.—General Examination of Abdomen. i . Inspection. Contour. General or local fulness or retraction. If gen- eral fulness, is it mainly lateral or antero-posterior ? Movements of walls during respiration. Presence or absence of distended veins. If these are observed, try to determine direction of blood-flow in them. Presence or absence of visible peristalsis, and its direction if present.* ♦Peristalsis may frequently be elicited by flicking the surface of the abdomen, or by rubbing it with a piece of ice, or by pouring a few drops of ether upon the surface,