Practical medicine and medical diagnosis / by Byrom Bramwell.

  • Byrom Bramwell
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Practical medicine and medical diagnosis / by Byrom Bramwell. 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.

    11/164 (page 3)
    o Plan and Scope of the Course.—Tlie instnictioii I propose to give you will be as practical as possible, and will relate more to the diagnosis than to the treatment of’ disease. I shall, in the first place, de.scribe to you the method of investigating and recording medical casesf Casc-fakinrj and CaHC-recording). 1 will next consider the important subject of the body heat or temperature (Medical Thermometry). I will then take up the examination of the various sys- tems and organs in detail. In treating this part of the subject, I will:— (1) Briefly recall to your memories the medical anatomy and the physiology of the organ under consideration. (2) Describe the clinical methods by which we ascertain the condi- tion of that organ, giving you a detailed description of tlie instruments employed in the investigation of medical cases, their mode of application, and the information to be derived from their u.se. (3) I’oint out the normal ])hysical signs, i.e. the signs appreciable to the senises (unaided and aided) of the physician, which result from the physical condition of the organ in its healthy state. (4) Consider the pathological physical signs, i.e. the signs M'hich result from the physical condition of the organ when diseased. (5) Detail the more important abnormal sensations or .symptoms, which the patient feels as the result of such pathological conditions, taking care to explain, whenever it is possible, the relationshij) of the symptoms to the lesion, i.e. the manner in which the lesion produces the .symptom.s. (6) Tell you how the different di.sorders and lesions are to be di.s- tinguished (Diarjnosis and Differential Diaejnoms). This will constitute a considerable, and an important part of the course. If time permits, T will (7) indicate the points to which attention is to be directed in forming the prognosis; and (8) enumerate the chief indications for treatment. A course of lectures of this de.scription would be very incompleteM'ith- out practical instruction. I shall therefore divide the chnss into small sections for practical tutoriahwork ; and will in this manner give you the opportunityof making yourselves practically familiar with the methodsof investigation, and with the different instruments used inclinical research. Importance of Practical Knowledg'e.—The kind of knowledge which I shall do my best to communicate to you in this course of lectures is, in my opinion, of the first importance to the student. As I have already said, medicine is a vast subject, and it is fpiite impossible for any of you to hope to master (i.e. to get a real, sound, and personal knowledge of) all the details of individual diseases during the brief