A guide to the examinations by the Conjoint Examining Board in England, and for the diploma of Fellow of the Royal College of Surgeons of England / by Frederick James Gant.

  • Gant, Frederick James, 1825-1905
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: A guide to the examinations by the Conjoint Examining Board in England, and for the diploma of Fellow of the Royal College of Surgeons of England / by Frederick James Gant. Source: Wellcome Collection.

    21/168 (page 9)
    arm backwards, placing your knee in position for counter- extension. Neck.—Place the head as for tracheotomy. Mark the incision. Where should the trachea be opened ] What vessels are in the way or proximate ] Put your finger on the seventh cervical vertebra, and how do you know it 1 Compress the subclavian artery with your thumb, in the third part of its course. Thorax.—Point out the situation of puncture for para- centesis thoracis. Mark, with chalk, the arch of the aorta ; also the outline of the heart, and the apex where it strikes the wall of the chest. Point out where you would tap the chest, which margin of the intercostal space you would avoid, and why 1 Amputation of the breast: Place the arm in position, mark with red chalk the incisions, show how you would raise the breast, and to what depth, and how to remove any diseased axillary glands. The treat- ment of haemorrhage in the operation, and secondary. Abdomen.—Point out the situation of puncture for tapping the abdomen. Why is that spot selected % Mark the lineae semilunares. Mark the course of the abdominal aorta, and its termination. Also of the external iliac arteries. What is the relative position of the iliac veins % Where would you puncture the bladder above the pubes ? Where, per rectum ] Instruments.—Select the instrument for puncturing the bladder per rectum. The instruments for lithotomy. Apply a trephine to the skull, placing the centre-pin in position. When should the latter be withdrawn ? Apply a ligature to an artery, represented by the end of a bougie. Plug the nares, anterior and posterior, in the skull. Name various instruments on the table, and describe their uses. Clinical Examination.*—This examination consists in the diagnosis of, and statement of the treatment appro- priate for, injury or disease, as exhibited by patients in the average course of surgical practice. It forms part of the Practical Examination in Surgery, and the use of Surgical Instruments and Apparatus. The cases are such as may be seen mostly in the out-patients’ room of any general hospital, and would be almost certainly met with during the period of Dressership required by the regula- tions of the College. Thus, among the cases brought forward in the first two * Instituted at the College, April 18th, 1871.