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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    gurgling;—their exact locality ; apparent depth from surface; connexion with palpable tumour.—Fluctua- tion (or boggineas): postnre in which discovered; scat; deep or sujwrlicial? following iinraediately the impulse given to surface or not? apimreul sixe of waves;—effect of intervening pressure upon it; effect of ehauge of posture upon its seat and readiness of [lerception;— pcri])heric fluctuation.—Repercuuion (stating posture in which [>erceived).—Fultaiutn ; scat; transmitted fromheart? connecte»l or not with tumour (186;? super- ficial or deep?—in course of aorta or other known vessel, within abiloineu, or in its wall ? extent of v»rssel over which perceived;—its abmptness; exjiansile force; direction, merely elevating hand or presenting lateral expansion also?—time of day or circumstances under which it occurs; its permanence;—accompanied or not by increased pulsation of femoral arteries?— TkriU: connected or not with tumour (186,i ? continuous or intermittent ? synchronous with arterial systole or dia- stole? seat;—extent over which felt.—Effect of tudden deep preteure in various parts; tumour perceptible ? 111. Pereuttion: — after determining boundaries of liver (115), sph-cn (119), and stomach (123).— Abdominal retonance: uniuually extensive upwards; diminished in extent (m cither case note exact limits) replacing dulness of liver;—nnusually nuiform in pitch over all parts of surface;—pitch and special characUrs of resonance; tubidar, tym[>anitic, with metallic tinkling or humoric sound (notiugexact seat of these and theirde- gree of pennanence).—Dulnet* (noting postun- in which observed): exact seat, extent, and limits;—prcseuting or not a line of level ? limited by a curved or irregular line ?- -reidaced by resonance on deep pressure; effect of change of j>ostmre on results of |>ercussiun ; is the dulness the same ou deep or superficial percussion?— Sense of retistanee or elasticity perceived by percussing fingers;—hydatic fremitus; redness of jicrception. 112. Auscultation;—(not including signs noted under spleen (120), and stomach (124).—Borborypmi: locality ; louducss (heard at a distance from patient); 8|iecial character ;—circumstances under which they occur; permanence;—intestinal sonnds inaudible under all circumstances over abdomen (note extent and whe- ther over tumour or not).—Frict ion sound; (particu- lars as friction-vibration, 110); its special similitude. j gurgling, fluctuation. repercuaslen. (Hiisatlun. tUrUl. effect of sudflei i deep preseun. Percussion— resonanoe, dulness. resistance. : Auscultation— borborygml. i ! frlctlun-mund.