A manual of clinical medicine and physical diagnosis / by Thomas Hawkes Tanner.

  • Thomas Hawkes Tanner
Date:
1869
Catalogue details

Licence: Public Domain Mark

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

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    In the Examination of Male Organs of Generation we should note the condition of the inguinal canal; vasadeferentia; spermatic cord; tunica vaginalis; testes; penis; prostate gland. In the Examination of Female Organs of Generation, the state of the labia; nymph* ; clitoris; urethra ; hymen; vagina; uterus—lips, size of cavity, thickness of walls ; Fallopian tubes; ovaries ; pelvic tumours. The microscopical examination of parts of the different tissues should be made as soon as possible. A little gly- ceriue and water will be found a useful medium. Portions of tissue may be scraped off with a knife, or the sections made with a double-edged blade wetted with water or glycerine. As it is of course requ:site that the details of the morbid appearance should be strictly accurate, the notes should be taken at the time of making the autopsy. SECTION VII. THE CLINICAL EXAMINATION OF THE INSANE. The clinical examination of a man supposed to be insane differs very materially from that adopted in the diagnosis of corporeal diseases. To inquire of a lunatic of what he complains—or where he suffers pain—or how long he has been ill ?—is in the majority of cases useless; since he will only reply that he has no pain, that he is quite well, and that he wishes to know by what authority you venture to question him. Neither does the appearance of the tongue, the nature of the pulse, nor the character of the secretions afford us any valuable indications; but we are obliged to rely upon the information gained from a close examination of the physiognomy, ictions, conversation, powers of judgment and memory, &c. The state of the general health is, however, by no means to be neglected, since, as is well known, the body affects but too closely the state of the mental faculties: want of vitality and of nervous tone, deficient healthy action of the skin and internal organs, and torpidity of the primaa vim, are more- over, exceedingly common in the insane. The various varieties of unsound mind may be thus classified:-—(1) Amentia, including Idiocy and imbecility. (2) Dementia. (3) Mania, general or partial, moral and intellectual; and (4) Monomania. Now, idiocy and imbecility are allied. In both there c 2
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