A manual of medical diagnosis / by A.W. Barclay.

  • Andrew Whyte Barclay
Date:
1857
Catalogue details

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.

    69/642 (page 45)
    '22. Expression. aa. The face is remarkably anxious in disease of the heart, and in urgent dyspiuea, e. <j., laryngitis. It is at the same time pinched and contracted when there is much pain or suffering, especially in a vital organ. >y. Its immobility is most remarkable in catalepsy or in states of unconsciousness, and perhaps under the inllueuce of spasm, as in tetanus. c5. The opposite state exists in nervousness and hysteria. i£. The expression of the countenance is most materially altered by the swelling of tedema or erysipelas. (Many of its cha- racters have direct reference to the brain, iu treating of which they will be furtber discussed.) , Alterations of colour. ca. Tbe whiteness of the skin is remarkable in all tho varieties of amemia already noticed, and contrasts strongly in limbs anasarcous from albuminuria with those in which drop.sy is connected with disease of the heart. It is also very striking in phlebitis (phlegmasia dolens). .'/3. There is a certain yellowness of tho malignant aspect, which is distinguished from jaundice by the pearly lustre of the eyes. ]y. The yellowness of jaundice varies from a pale orange to a deep green-yellow. IS. Redness of skin, when local, indicates congestion ; when general, is more frecpiently due to measles or scarlatina, or simply to febrile heat. It is the marked characteristic of erysipelas, erythema, gout, and acute rheumatism. It. The skin has a muddy hue in disease of the .spleen. I It becomes blue in Asiatic cholera; it is also blue in morbus cjeruleus, and in forms of diseased heart anil bronchitis. IIt is li\dd in commencing gangrene ; and it might also some times be called livid in di.sea.se of liie heart. I 6. Spots and patches of discoloration arc of value in recogni- sing certain tevers, jmrpura and scurvy, colica jnctonum, syphilis, and most cutaneous affections. ’ From Group III. a very large nnnibcr of particular indications might be drawn ; we shall here enumerate only the more impor- int. . Position in bed. a. The head is elevated chiefly in disease connected with the heart, less frequently in diseases of the lungs. /3. The head is leant forward when there is pressure on the tracluea. y. The patient may be unable to lie down from pain of head or giddiness.