Hints for clinical clerks in medical cases / Westminster Hospital.

  • Westminster Hospital
Date:
[1863?]
Catalogue details

Licence: Public Domain Mark

Credit: Hints for clinical clerks in medical cases / Westminster Hospital. Source: Wellcome Collection.

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    lumps, mixed with mucus, pus, or blood, as in dysentery:— Clay-coloured and very offensive, as in jaundice :—Like tar or black paint, as in melcena:—Containing fluid fat, which solidi¬ fies on cooling, as in certain affections of the 'pancreas:—Small and riband-like masses, as in stricture of the rectum, enlarged prostate, retrovertecl uterus, &c : -— Green and like boiled spinach, as in mercurial purging of children:—and so on. 27. State of abdominal walls, as to the amount of fatty tissue, the presence of hernial and other tumours, enlarged veins, linege albicantes and other marks, the participation in respiratory movements, and so on:—Abdomen generally, as to distension, flatness, retraction, fluctuation on percussion, tympa¬ nitic sound, and so on: — Region of liver, as to bulging, extent of dulness on percussion, smoothness or irregularity of the edge and surface of the liver under the fingers, fluctuation, pain, tenderness, and so on :—Region of stomach, as to increased heat, tenderness, pulsation, resonance or dulness on per¬ cussion, palpable tumour, and so on : — Region of spleen, as to the extent of dulness on percussion and to the changes in the position of this dulness, splenic murmur, Jeucocythsemic condition of the blood :— Region of large intestine, as to prominence, tender¬ ness and gurgling in the csecal region and elsewhere, local resonance or dulness on percussion, palpable tumour, and so on : — Anus, as to prolapsus of the rectum, fissure, piles, ulcers, excoriations, condylo- mata, and so on: — Other tumours, pulsatile or not: — Movements, as those of a foetus in utero, and others. 5. Concerning the urinary system. 28. Micturition, as to frequency, urgency, painful¬ ness, and so on :—Retention of urine Distension of the BladderOverflow:—Suppression of urine: —Pain, in the loins,glans penis,testicle,and elsewhere: —Ardor urinee:—Strangury:—Region of the kidney, * In acute diseases, if attended with insensibility, retention of urine is often attended by a state of constant elevation of the knees. - M. Hall.