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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    specting the coarse of events while patient has been nnder obaervation, respecting the day of the week, the period of the last meal, etc., by questions in multiplica- tion table;—s]ieclal impainuent of memory, forget- fulness of receut events, rather than of others long passed, of the names of persons and things (note amount of assistance m-cessory for their recollection), of dates, of periods of time, of the sounds of printed characters (hence, the inability to read;;—does memory ap[N'ar to improve under emotion or exdtcment plea- surable or the reverse ? — Perverted; hallacinations of memory (persons, events, etc., being presumedly re- collected which were never, at any Unie, under the notice of the individual). 291. Speech (as an inteUectnal nd.—for Artic%l*tion, see 280i: -limited to monosyllables;—speechtessness, from want of volition, from trouble in speaking, from loss of memory of words; speech replaced or aided by signs;—ability to write words and answers to questions which patient is unable to prunonnre.—Confusion of words (e. g., yes for no, shoulder for head, etc.); when iiaticnt has used a wrong word, is he coUK-ious of hs being wrong? if so, how is consciousness of it exhi- bited, by auger, by laughing at himself, etc ?—More or less constant rejwtition of syllables, of words, of sen- tences, of the same idea in different words, of the words of a question, of the words of the patient’s own answer.—Peeuluir eriet, screams, moaning, etc. 292. CoHvereaiion:—individual exhibiting reserve, indisposition to enter into conversation; replies to questions, short, hasty, rude; obstinate taciturnity.— Individual entering readily into conversation; gar- rulous; freely opening his thoughts, exhibiting au absence of prudent reserve upon jiersonal or family matters, etc.— Conversation coherent; its subject and character; constant disposition to introduce some one subject or class of subjects on all occasions; -constant reiietition of the same words and phrases;—indecency of conversation ; swearing;—cccentiic, silly, or absurd reasoning or association of ideas; absurd theorizing ands|)ecttlation (wherepossible,trace thechainofideas; see also Duordered Judgment, 294).—Conversation hurried; rapid change of subjects (if |»o8siblc, trace the general character of their association).—Conversation incoherent and unintelligible.—Soliloquitm, its subject and chameters; accompanied or not by gesticulations ^ 63 special defects. perverted. Speech— peculiarities. cries. CooverssUon— j raaerre. ' fsrrullty. I j coherent. i hurried incoherent. suliloquism.