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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    267- AHrred sentibLlUy of ttin: — (note precise locality of altered sensibility, whether it is symmetrical or not; course pursued by it, upwards, downwards, or irregularly). — utcreated: degree of in- crease, stating how judged of; to pinching, to gentle friction, to touch ; (endearour to distinguish between acnteni'sa of touch, or hypenesthesiu, and augmented seiisihility to pain, or hyjieralgesia). — SnuiMity dimiitiaked: degree of diminution (stating bow judged of); results of application of Weber's test, with points of compasses placed parallel with axis of part or trans- versely r objects appearing separated from skin bv some intervening substance; inability to disiinguish form and character of surface of objects by the touch; onconsciousness of contact of bodies; (endeavoor to distinguish between diminution or loss of tonch, or ansesthesia, and diminisheil or abolished sensibility to ]iain, or analgesia); total aboUtiun of all sensibility.— HeaniUity pervfrtfd: sense of heat or of cold, (com- pare with indication of thermometer);—numbness; formication; prickling; tingling; itching, referred to surface, snbcutaneoiu parts, or decjier in limb;—anra. 268. MMCvliir *ett$e: diminished or lost; patient unconscious of position of limbs; inability to p^orm or continue muscular acts without coueeutrating atten- tion u{ion them. 269. Olhtr aJifftUifm* of umtibUUy:—pain in back, limbs, etc.; precise locality of jiain, its character; circurastanc(.8 inUucncing it; pain affecting course of special nerves (326); affecting musclca (87), bones (84), or joints (S3).—\S«e also 59.) AUcrationt qf MotiUijf. 270. :—('a erect posture; unsteadiness on centre of gravity, with eyes shut or opn successively. —Attitude iw deeumbeucy (57) : tendency to turn on one side, to turn round and round.—Attitude Msiffiag posture (.57).—Attitude during progression; walk staggering or faltering;—patient compelled to adopt a nuiuiug pace;—tendency to fall, from what cause (vertigo, not feeling the ground, weakness of either or ^th limbs)?—tendency to go irresistibly forwards, backwards, sideways, diagonally, to turn round and round.—Attitude of head in each posture (67). 57 I Sensibllitj' of I diin- I ! increased. I Jlmlmshed. j perrertsd. MusroUr bviim. Other sensations. i I Motility. Attitude— in erect pos- ture. decombsner. sitting. in progresdon. carriage of bead.