Clinical medicine : a manual for the use of students and junior practitioners / by Judson S. Bury.

  • Judson Sykes Bury
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Clinical medicine : a manual for the use of students and junior practitioners / by Judson S. Bury. Source: Wellcome Collection.

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    to the existence of ves. • it is tnete U a great risk of Jprewtu hk'toryof the patient, )n of his present condition, to times called. At tie outset we dominant symptom! If there i) which that symptom belongs; !!(in with the nervous system; if and dropsv, we begin with the i<« no strikins dominant symptom, miijjint and b|wt But with whatever sys» examination of the whole ^^^ition of its various g iorm, f?>8TD<-' w <0 J & time •> INTRODUCTORY. 5 Sexual disorders—catamenia—leucorrhoea. Inquire specially for previous hemorrhages or discharges, if there be anemia. Previous general nutrition and weight. 3. Social History.—Particulars concerning residence, coldness, dampness, salubrity—prevalence of special diseases—changes of residence— residence abroad. Occupation—peculiarities of occupation, as exposure to heat, cold, noxious gases, dust, &c.—changes in occupation. Food and clothing—excess or defect, &c.—stimulants, character and amount—tobacco—drugs. General or special habits and mode of life. If married, date of marriage—issue—still-born children—miscarriages and times at which they have occurred. 4. Family History. Father, \ Sisters ' / A&es> nealth, or cause of death. Brothers, / Diseases and causes of death in other relatives, especially consumption, insanity, gout: specify whether relative affected was on side of father or mother. Pkesent State.—Give Date. (a.) External Surface.—Posture—temperature—general appearance—form of head—colour and expression of face, worn, languid, sallow, excited, stupid, livid in any part, flushed, anaemic—wrinkles—nostrils—lips— arcus senilis—conjunctival—pupils—eyelids—eyeballs—ears. Relation of appearance to age. Nutrition—well nourished, stout, spare or emaciated, weight. Peculiarities of external configuration, tumours, swellings, deformities. Skin—oedema, face, body, ankles, &c. Perspiration—face, head, body —odour, if any—cutis anserina—roughness—softness—cicatrices— rashes (niaculai, stains, erythemata, wheals, papules, vesicles, pustules, scaliness, tubercles), ulcers—discolourations and superficial vessels. Hair on head, body. Nails curving—clubbing of fingers—onychia— structural alterations. Glands—superficial, back of neck, along sterno-mastoid, in axilla, groin —parotid. Joints—form—redness—tenderness—pain—stiffness—deposits around— deformities. (6.) Nervous System. 1. Motor Disordcrs.-Spasm.—Tonic, clonic, distribution of, whether general, unilateral, or local, distortions resulting from spasm. Tremor and its relation to voluntary movement. Paralysis.—Spastic or atrophic, and distribution of, whether in the form of hemiplegia, paraplegia, hemiparaplegia, or local, distortions of paralysed limbs. Station.—With and without closed eyes. 0ait.—Whether ataxic, spastic, paralytic, shuffling, sta°gering Strength-As tested by ability to move in bed, by power of grasp, and ol resistance to passive movements at the various articulations Disorders of special movements, caused by paralysis of the ocular motor muscles, the facial, lingual, and masticatory muscles 1 in*' A r
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