A clinical introduction to the practice of auscultation, and other modes of physical diagnosis : intended to simplify the study of the diseases of the lungs and heart / By H.M. Hughes.

  • Hughes, Henry Marshall, 1805-1858.
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: A clinical introduction to the practice of auscultation, and other modes of physical diagnosis : intended to simplify the study of the diseases of the lungs and heart / By H.M. Hughes. Source: Wellcome Collection.

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    conjointly with advantage at the bed-side of the patient by even the tyro in medicine; yet some general knowledge of the ordinary symptoms and results of morbid processes is requisite for the student of auscultation at even the very com- mencement of his course. If he possess not such information, if his conclusions are derived alone from what he hears, he will find himself frequently mistaken. He may in consequence be induced to regard physical diagnosis as of little practical value, and to desist from the pursuit of that which may become to him a most important acquisition in his future discrimination of disease. 8. It is also clear that the student should have some general acquaintance, derived from reading, lectures, or clinical instruction, with the connection existing between certain sounds and certain forms of disease. He should know, for example, that dul- ness on percussion, a crepitating rattle and in- creased resonance of the voice, usually accompany particular stages of pneumonia, and that a rubbing noise is attendant upon some forms of pleuritis and pericarditis. That he may escape the danger of forming too hasty an opinion, and avoid the error, so common with young and inex- perienced auscultators, of incorrectly designating . a particular sign, and consequently of misinter- preting its import, it is highly desirable that he should in the first place have pointed out to him, either by his clinical instructor, or by some more