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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    hair. Tumours— scat. inobllit.v. consisienoe. ciiaracters. murmurs. integument over. pain. Auscultation. SensthilUy. Pain in head— iiow indicated, antecedents. scat. characters. accompani- ments. circumstances affecting. time, duration, other pains. abrasions; ulcers (024); eruptions (77 et neq).—Hair; its arrangement, erect, flat or depressed ? disordered ; —rubbed otT certain parts. 264. Tumours:—number; precise seat, over sutures, foutanelles, bone; size ; peduncidated or sessile ? mo- bility; fixity to skull; consistence; elasticity; fluctua- tion ; — if perforating skull, uote state of edges of opening, smooth or rough, surrounded or not by au elevated rim ;*—tumour diminished in size or reducible by steady pressure; pressure productive of cerebral symptoms;—tumour erectile, pulsating (effect of pres- sure oiicarotidon these phenomena).—^turmurs audible over tumour, arterial, venous.—Precise condition of integument over tumoim, its colour ; oedema.—Pain ; tenderness, etc. 265. Auscultation in course of sinuses, especially over torcular llerojfhili; venous hum. Alterations of Sensibility. 266. Pain in the head:—complained of verbally, indicated by patient putting hand to head or other- wise ?—antecedents of pain, a fall, a blow, a strain of any kind, dietetic irregularities, unusual intellectual work, moral excitement, sexual excesses, etc.;—precise seat of pain; symmetry (bemicraniid ?);—character of pain, sense of weight, throbbing pain, expansile, burst- ing, lancinating; di'ep-seatcd or su{>erficial ? its in- tensity ; sense of intense heat; characters changeable or not ?—accompanied or not by undue carotid pulsa- tion ? by sense of sickness or vomiting ?—Affected by prcssiu^, by light or sound ; by movement of muscles of face or scalp; by movement of head or body; by res])iration, by deep inspiration or deep expiration ; by postnre; by mnseular effort, coughing, etc.; by pres- sure on carotid arteries, one or both; by stimulants.— Time when pain most felt, in morning, evening, on waking, after eating, etc.—Duration of pain, its con- stancy ; periodicity.—Connected or not with neuralgic or rheumatic pains elsewhere ? • This “ elevated rim may exist without perforation, as in suh-pericranial ccphalhsematoma and in collections of bloo<l in the adult, producing a deceptive sensation of per- foration.