Licence: Public Domain Mark
Credit: A manual of medical diagnosis / by A.W. Barclay. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![Z- The rapidity or shortness of the stroke is very observable as \ an indication of excitement. j Tj. Its frequency is most remarkable in acute hydrocephalus, 1 varying with unappreciable causes, and generally uneven or unequal. I 9. It is still more unequal and depressed, or it is slow and j laboured, in cerebral disease, especially where the case is marked by pressure on the brain. j K. Irregularity of the pulse is most commonly associated with disease of the heart, and, along with this, it is remarkably i faint and feeble if there be mitral regurgitation. | X. A hammering pulse indicates aortic regurgitation. j H- The pulse becomes imperceptible in syncope and in cholera,' and more or less faint in all conditions of collapse. V. It is sometimes felt only at one wrist, when disease, chiefly in the fomr of aneurism, atfects the origin of the subclavian, on the oppo.site side. More rarely, this circumstance is the effect of accidental obliteratiou. c. The tongue. a. The thin white even layer is generally indicative of slight' gastric disorder. (i. The thicker coating, from accumulation, exists to its greatest extent in affections of the fauces, and less remarkably in conditions of general debility; it has a creamy look in deli- rium tremens. y. A peculiar buff leather appearance is presented in cases of enteritis and hepatitis. S. A patchy tongue is often indicative of considerable irritation, or even partial inflammation of the stomach. t. Its yellow colour is generally believed to be bilious; a dark I brown colour exists only in malignant fever, and in haunor- ‘ rhage from the mouth. The shining and glazed tongue, especially when chapped, is very common in ulceration of the bowels. t]. The papillic project most remarkably in scarlatina; the general surface being either coated or unusually red (the strawberry tongue). 9. A less degree of projection through a thin white coating often accompanies hysteria. K. Aphthae and ulcerations indicate imperfect nutrition, and tendency to diarrhoea. d. 1. The character of the stools. a. Motions simply watery are the characteristic of diarrhoja, and their opposite, of a condition of constipation. /3. Undigested food is sometimes seen in the stools, y. 4 hey are of an ochrey colour, as well as thin aud watery, in fever.](https://iiif.wellcomecollection.org/image/b24989812_0066.jp2/full/800%2C/0/default.jpg)
