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.

    84/166 (page 60)
    tongue. articulation. | deglutition. iitomach. rectum. anuii. Iliad (ler. laryni. Muscular irrita- bility- how tested. InteUeci and Moral Faculties. Consciousness- impaired, degree of. abolished, circumstances of abolition. —size of a])crtare of nares, tlappiiij;; of nares on either side ;—condition of cheeks and lips, com- parison of commissures of mouth, note manner of whistling, of blowing out cheeks, etc.; accu- mulation of food Iwhind teeth. Affrcdng the tongue: deviation of tongue, iU direction, amount, constancy;—alteration in form of tongue.; wasting of either side ;—induration or rigidity of either side; twitching of either side. —Articulation: thick, confused (noting class of consonants most difiicult of pronunciation), mum- bling, unintelligible, jerking, stammering. Affecting the muacle.s of deglutition ; state of deglu- tition ; stage of act at which difficulty is cxjicri- cnced (106);—abnormality in position of lan nx, etc., visible, cxtcnially, in respect to median line. Affecting the stomach : facility of vomiting (138). Affecting the rectum: fa-ccs retained, accumulating. Affecting the anus: stools involuntarj’paralysis accomjianicd by local loss of sensation ; fmees felt ou arriving outside anus, etc. (142). Affecting the bladder: reteution of urine; siillici- diuin urinsc (218). Affecting larynx: aphonia (156). 281. Muscular irritabilitj/ compared in paralysed and non-paralyscd parts : as tested by jwreussion ; as tested by galvanic current (stating force of pile and kind of instrument used), with current direct, reversed, continuous, or interrupted. Symptoms referable to the Intellectual and Moral Faculties.* 282. Consciousness:—impaired; indifference; dreami- ness ; hebetude; stolidity; doziness, readiness with which patient is roused; patient, after being roused, relapsing immediately, or after an interval of longer or shorter duration ? stupor ; somnolence ; coma ; coma- vigil.—Consciousness abolished ; abolition gradual or of sudden occurrence ? duration of loss of conscious- * This suMivision has especial, though not sole, reference to cases of Insanity. In the present state of our knowledge of the several mental conditions Included under this term, it ha.s been considered advisable, and more likely to conduce to pure observation, to group the manifestations of dlsor- dcreil inteliect and of the disorders of the moral faculty together, rather than to attempt their separation.