Instructions for case-taking in the medical wards / London Hospital.

Date:
[1912?]
Catalogue details

Licence: In copyright

Credit: Instructions for case-taking in the medical wards / London Hospital. Source: Wellcome Collection.

    37/76 (page 29)
    IV.—Stomach. Inspection. Note any visible abnormality in the stomach region. Palpation. Examine for tenderness, tumour and splashing. Percussion. Define the position of the stomach-colon and stomach-liver boundaries. Naked eye and microscopic characters of vomit, if any. V.—Liver. Palpation. Feel for lower edge of liver. If edge is felt, note whether it is hard or soft, smooth or rough, and extent of mobility with respiration. Examine deep surface of liver in epigastric region, noting tenderness and character of surface, and ask whether the examination causes nausea. Special palpation in region of gall-bladder (if felt, describe as for tumour). Percussion. Define upper limit of deep dulness and superficial dulness in mammary, axillary and scapular lines, and lower limit of dulness in the mid, mammary and axillary lines. Special percussion over region of gall-bladder, ver- tically and transversely.