An Index of Symptoms as a Clew to Diagnosis

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Wood, 1907 - Symptoms - 399 pages
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Page 5 - AID to DIAGNOSIS. By RALPH WINNINGTON LEFTWICH, MD, late Assistant-Physician to the East London Children's Hospital.
Page 108 - There is a modified hightension— ie, the artery is small, but is full between the beats and can be rolled under the finger.
Page 297 - The fibres arise within the cortex of the precentral convolution and the paracentral lobule, pass through the knee and anterior two-thirds of the posterior limb of the internal capsule, form the middle threefifths of the basis pedunculi, and continue to the medulla oblongata and the spinal cord.
Page 121 - A chronic unhealthy flush, such as patients commonly complain of as being no guide to their condition, may usually be distinguished from a healthy colour by the presence of twigs of dilated arterioles and venules. To detect parasitic fungi, soak the hair or scales in ether, transfer them to the slip, and drop on them a little dilute liquor potassae before putting on the cover-glass. Jaundice may be distinguished from other yellow...
Page 148 - The indirect examination consists in interposing a lens of about two-inch focus; this is held an inch or so in front ^of the patient's eye with the finger and thumb of the disengaged hand, and steadied by resting the remaining fingers on his forehead. To see the optic nerve the patient is told to fix his gaze upon the tip of the surgeon's more distant ear, and the observer by means of a slight cireumductory motion of the lens is able to inspect the entire fundus.
Page 102 - ... axilla, care being taken that no portion of the clothing intervenes. The elbow is then again brought to the side, the fore-arm being flexed and the hand placed on the breast-bone. Should the instrument feel loose, pressure must be kept up on the outer side of the arm. At the end of...
Page 23 - If the suspicious patient will not put out his tongue, he will probably open his mouth when asked, and this will do nearly as well; the opportunity may then be taken to pass the finger rapidly over the gums. The chest should next be listened to, and if a...
Page 220 - Reaction.—Where it is necessary to ascertain the exact quantity of urine passed, the entire proceeds of twenty-four hours must be collected and measured. Its reaction is ascertained by dipping in it the end of a strip of litmus paper; if acid, blue litmus is turned red; if alkaline, red litmus is turned blue, and this blue, if due to ammonia, disappears when the paper is warmed.
Page 203 - To determine whether these are of equal length, fix one end of a tape measure against the anterior superior spine of the ilium, and the other against the tip of the inner malleolus. The arm may be measured from the acromion process to the base of the styloid process of the radius, the forearm being midway between pronation and supination.
Page 178 - The patient should be directed to say ' Ahhh !' and if necessary may also run through the vowel sounds and the gamut. To examine the posterior nares, the smallest-sized hand mirror is used, and the reflecting surface is turned upwards instead of downwards.

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