A manual of clinical medicine and physical diagnosis / by T.H. Tanner.

  • Thomas Hawkes Tanner
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: A manual of clinical medicine and physical diagnosis / by T.H. Tanner. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    functions of sight and hearing; the ability or inability to sleep, to take exercise, and to make use of the mental facul- ties. Or, perhaps, the seat of disease may appear to bo in the thorax. We then make— An Examination of the Thoracic Viscera, resorting to inspection, palpation—or the application of the hand, mensu- ration, percussion, and auscultation, in the manner to be hereafter noticed. We then endeavor to ascertain the presence or absence of cough and its nature ; the characters of the expectoration; the amount of facility or of difficulty of breathing, both when the body is quiet and when undergoing exertion; the nature of the heart's action, whether there be palpitation or no; and the presence or absence of such general symptoms as emaciation, purging, night-sweats, &c. An Examination of the Abdomen, when any of the abdominal viscera appear affected, must be made by inspec- tion, measurement, palpation, percussion, and auscultation, ine boundaries of the liver, spleen, and stomach must be ascertained; the nature, duration, and seat of pain, if any • the presence or absence of tumors, and hernial protrusions \ the condition and number of the alvine evacuations; the mode in which digestion is performed, and the state of the appetite; and the characters of the renal secretion. Present General Condition of the Patient.—It then remains for us to endeavor to ascertain accurately the present condition of the patient, the state of his skin as to its tempe- rature, &c., the condition of the tongue, and the nature of the pulse. His real age, profession, whether married or single, constitution, habits and mode of living, usual state of health &c., are then to be inquired into, and we conclude by ascer- taining the causes of the disease, whether it be hereditary or TSZ 'Krf thefJe P**sent is the first attack or otherwise, and the ability of the sufferer to undergo the necessary treat- There are, of course, many circumstances which often £3wT ?htn? ^ eXamination in *e exact manner ust much of n,P / T7 insta,nces> ™ have to depend for much of our information on the testimony of relatives or friends or we may even be called to a perJon who is Ike ThTlful'jf We T-ay ^ U\iab]e t0 0btai «7 history a ah 1 he educated practitioner, however, will be at no loss how best to proceed on such an emergency.1 Pa^m,VUet°L^de^VbvBf%°n'My ** V° ,e Mode interrogating a Translation of Sal^^l^'fej^,^ ™dactOry chapter of git