The students guide to surgical diagnosis / by Christopher Heath.

  • Christopher Heath
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: The students guide to surgical diagnosis / by Christopher Heath. Source: Wellcome Collection.

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    Lateral Curvaktre. when Blight. A patient suffering from pain in the back, irritation of the spinal cord, or abscess supposed to be connected with the vertebrEe, should be tested by stooping till the fingers touch the toes, so that the slightest irregularity of the spinal processes or un- natural fixation of the vertebrae may be ob- served. He should also rise on his toes and come sharply on to his heels, to test for pain in the spinal column. Mere pressure upon the spinous processes with the fingers is practically useless as a test, since hysterical hyperassthesia of the skin may cause the patient to cry out; but a hot sponge may detect tenderness before any actual projection has occurred. The common occurrence of cervical, dorsal Abscess, or lumbar abscess, or of psoas and iliac ab- scesses, in connection with angular curvature must not be overlooked. 613. Growing out of the shoulder, gene- Lateral rally the right, is one of the earliest symptoms of lateral curvature of the spine. Careful in- spection of the back will show whether the projection of the scapula is due simj)ly to feebleness of muscles, or to displacement back- wards of the angles of the ribs consequent upon the rotation of the vertebras in lateral curvature. A more or less complete double m
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