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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    PAKT I.] EXAMINATIOK OF THE SPLEEX. [§ IV. 1>. pitted, etc.;—form of organ tuberous ;—sense of adhe- sion toparietes; friction palpable over it (110);—con- sistence of liver; hard, soft; presenting boggincss or flnetuation (connected with tumour or not f)—Gall- bladder : is its form palpable ? tumour in its situa- tion, its physical characters (130); presenting fluctua- tion fgenerally or in centre only?); condition of sur- rounding tissues as to hardness, etc.; crepitation. 115. Percustion.—Extent of dnlness (superficial and deep); vertical (in line of nipple, of axilla, and pos- teriorly) j transverse ;—eflect of inspiration, posture, or varying states of stomach or colon on extent of duluess;— lower outline of dulucst \ amount of stomach or intestinal note near margins of liver.—Resonance- over liver, generally (the dulness being quite lost);— locally; its special character.— Hydatic fremitns. 116. Jtucullalion:—Breath sound, aodible or not over liver ? its special characters;—voice and cough sounds audible, their special characters ;—gurgling ; how developed, by respiration, cough, or pressure 1 Pkjfsical examinalion of the Spleen. 11”. hupeclion :—Fulness or bulging (in left hypo- chondriiuu, epigastrium, left side of abdomen, etc.) ; well defined ?—eflect of change of posture upon it;— condition of intercostal spaces over region of spleen. 118. PaljMtion:—Spleen felt below margin of left false ribs; extent of tumour ;—direction of long axis; form ; outline and characters of anterior and pc^rior margins ;—moveabicness of tumour; effect of posture on its position;—condition of its surface, smooth, nodulated ;—consistence; fluctuation. 119. Perctutiom:—Extent of dulness, vertical and transverse (variation in its extent during and between paroxysms of a^ae);—form of organ as traced out by- percussion ;—hydatic fremitns. 120. Juicultation : — Splenic murmur; its exact scat, characters, etc. (19-1). consistence of liver. gall-bladder. i I i Percussion— dulness. resonance. I Auscultation— - Pkpti'caJ rseasi- I nf Spken. ' InspectioQ. Palpatiun Percossion. Auscultation.