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.

    55/166 (page 31)
    ture;—daring act of defa'cation.— Its immediate cause; —apontancous;— induced by coughing; the tickling of an elongated uvula; bodily effort mental emotion or passion ; the intlneuce of [>aiu ; the inflneuoe of bad lalours (arising from the patient himself or near him); the taste and smell of eructated gases or liquids, of discliarges from the uarcs, etc.— Is it accom|ianied or preceded by nausea, or by any other abnormal sensa- tion?— is it accom]>am(^ by coughing?—Charac- ters ; facility; painful or not r accompanied by strain- ing efforts.—Does it relieve any uneasy sensations temporarily or jiermaiientlyP—Has tlie jiatient any contrivance fur obviating its occurrence ? 139. Vomited Moiiers: * — quantity ; taste as perceived by patient; odour; colour, uniform or j various? “changed by exposure to light;” aeration; yeasty appearance.—ContenU :—fotyi; its state erf' division ; special articles of food distinguishable ; indi- gestible substances ; degree of chy miheation of vomited food ;—“foreign subttoMcet recognisable by the eye , organic (e.g. portions of seeds, leaves, elytne), their “ dutracters, etc.; mineral (crystals, etc.) —feces; their uonsistcnce, cobjur, and other characters, its quautity, consistence, aeration ; pure or mixed with other matters?—sooty matters; coffee-ground matters; —oily matters; watciy fluid; uiucos; pus; bile; worms, hydatids ; calculi, etc.—Microscofiieul examin/Uiun of vomited matters of matters picked out; of liquid (645 et seq.);—8|)ccial inquiry to be made for bk^, pus, cxudation-oor[iU8cles, cancer-cells, sarcime.- CAcwieaf examinationi of vomited matters; their reaction, befon- nod after cvmioralum;—of matters picked out; of liquid ;—snecial examination fur bile, sugar, ammuuit, “ urine; the vegetable or mineral poisons.”^ 140. Eructation or regurgitation ;—time of occur- rence ; rdatiou to quantity or quality of food; time which clapst^s after food;—accumpani(s] or not by nausea?—Eructated or regurgitated matters; gas, liqiiui, fix>d ;—their quautity, taste, odour;—if liquid, its apparent tcmperatarc and physical characters. (I'urtlier |>orticulars as Vomited matters, 139.) * These particulars appl; also to matters remuvwt b; stomach-pump. ♦ In this and every other “ chemical examioatiuD,” note accurately the process adopted. I •• I’olsmis to be sought for, also, in articles of dress etc. on which vomited matters may have fallen.’* 31 lU immediate cause. acoompani meats. relief it affords. Vomited mat- ters— appearance, etc. contents. mirrosropicai examination. chemical exa- miuatioa. Eructation— nature of eruc- tated matters.