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.

    71/642 (page 47)
    f i'Gkoup IV., when applied as piarticular indications referring to -.icasc in distinct organs, would include the whole ot the sub- ! ctive phenomena of disease. Here we can only point out one or 0 which are remarkable for their indirect indications:— i; !( aa. The contrast in genuine cholera between the corpse-like I coldness of the body and the sensation of heat wth which I the patient is oppressed ; in diarrhoea there is generally chil- ] liness. '! ^/3. As a sensation of an opposite kind, may be mentioned the common complaint of chilliness in fever when the skin is j burning hot. ' ’y. The sensations of the hypochondnac are opposed alike to the ' evidence of the senses and the conclusions of reason. ■ I d. A patient’s complaint of want of sleep is almost certain to be I exaggerated : the report of the nurse or attendant can alone ! bo relied on. 1 {t. The sympathetic pains form an important group. Thus pain i of the right shoulder may pi’oceed from disease in the liver ; j pain of the sacrum, from disease of the uterus ; of the thigh i and testicle, from nephritis or nephralgia; of the knee, from disease of the hip; of the meatus, from stone in the bladder, &c. . Complaints of pain are often exaggerated in persons of nervous susceptibility. Tn this enumeration let it be remembered tha,t _the iircumstannes detailed only give us bints of wbat WB^ nay suspect, that they afford no certainty : and I lihiuk it ■will be found that the physician who is most iimiliar with such indications, and who sometimes sstonishes by the rapidity with which he arrives at a orrect conclusion by catching up some such clue to :;he disease, is very often grievously in error.