What to observe at the bed-side and after death in medical cases.

  • London Medical Society of Observation
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: What to observe at the bed-side and after death in medical cases. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    movements. pulsation. iliictuation. respiratory movements. surface of ab- domen. Measurement— chest- measurer, Palpation— temperature, resistance. sense of thick- ening. sense of thin- ness. elasticity, tumour, moveabicness of wall, movement. vibration. gaseous. friction. crepitation. ! tortuosity;—course of blood iu enlarged veins.—Move- ment*: vermicular, resenibliug movements of fetus, etc.; their seat.—Pulsation: its scat, extent, vio- lence ;—circumstances under which it occurs.—Fluctu- ation on percussion.— .\bdomiiial respiraton/ move- ments, including those of lower ribs, amount generally or locally.—State of surface of abdomen; smooth, shining; —fissures;—linea- albicantes;—brown line from navel to pubes ;—local redness ;—surface dry or moist; cuticle desquamating; eruptions (H. p. 15).—Abnormal openings oil surface, their scatdischarge from them; I its ap|)carancc, odour, etc.; effect of pressure or of respi- I ration upon it.—Sloughing (018 etseq.); ulcers (024). I 109. Measurement:—circular and semicircular; at I level of umbilicus, of greatest abdominal jiromincnce;— I variations of each with ordinary and deep inspiration. I —^Measurement between umbilicus and lower extremity i of sternum; between umbilicus and pubic symphysis. —Application of chest-measurer to determine respi- ratory movements of abdomen, anteriorly and laterally; of lower ribs, etc. 110. Patpaiion: — Indications afforded confinna- tory of the results of inspection (108).—Temperature of surface.—Resistance to jiressure unusually great; . generally, or locally ? its exact limits, if local; con- I fined to one side, or observed upon both symmetri- : call}’? confined to recti muscles, on one side or on both ? disappearing under steady pressure;—knotted feel of wall.—Sense of resistance less than natural, generally or locally P parietes flaccid.—Sense of thickening of the soft parietes of the abdomen ;—its apparent cause, de- i position of fat, wdeina, thickening of decpiT tissues;— sense of unusual thinness of wall.—Elasticity of wall; increased, diminished.—Tumour (130).—Moveableness of abdominal parietes diminished;—sense of adhesion of soft wall to deep parts.—ScTtse of movement beneath the hand;—its character; gradual elevation or depres- sion, vermieular movement, fluttering, resembling that of living Iwdy in abdomen, etc.;—its seat; readiness of ])erccption; apparent dejith from surface; activity; frequency, etc.— Vibration : arising from passage of iuteslimd gas;—frictiou-vibration; its locidity (over a tumour or not); perceptible with or without exerting Jiressure ; during acts of respiration ; its character.— Sense of crepitation or grating under pressure;—