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.

    67/76 (page 59)
    Present State. Abdominal Examination. Inspection, size, symmetry, condition of skin. Palpation, resistance, presence or absence of tumours, ascites, tenderness. Tenderness—superficial or deep. Percussion—resonance or dulness, whether altered by change of position. Thrill. Size of liver and spleen. Measurements—level of greatest circumference, circumfer- ence at level of umbilicus. Examination of an Abdominal Tumour. (N.B.—Speak of a “swelling” before the patient, not of a “tumour”). Inspection and palpation, size, shape, position. Movement on respiration, consistence, fluctuating or not, smooth or nodular, hard or soft, etc. Apparent origin, e.g.y from pelvis or loin, fixity or mobility, range of movement. Tenderness, seat and degree. Alternate contraction and relaxation. Foetal parts or movements. Percussion. Auscultation—is anything to be heard over tumour, souffle or foetal heart, foetal movements ? With abdominal examination, examine breasts for evidence of activity, fluid, etc.