An Index of Symptoms as a Clew to Diagnosis

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William Wood & Company, 1901 - Diagnosis - 267 pages
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Page 241 - ... with a handkerchief between his finger and thumb, thus avoiding the necessity for the use of a tongue-depressor. The surgeon then takes a medium-sized mirror from his waistcoatpocket, where it has been kept warm, and puts it far back into the patient's throat in such a way as to just avoid touching the pillars of the fauces, the uvula, and the posterior wall of the pharynx. The patient should now be directed to say
Page xiii - The order of the symptoms is approximately that in which a case is usually taken. That of the diseases is roughly alphabetical. A student, in consulting this little work, should have at hand a Dictionary of Medicine, and for this purpose none is better than Quain's, to the contributors to which the author is under great obligations, not only for their articles, but also for their separate published works. Should something more portable be desired, Tanner's ' Index of Diseases
Page 245 - There is a modified hightension— ie, the artery is small, but is full between the beats and can be rolled under the finger.
Page 38 - A little later, however, it is usually localized at a point between the anterior superior spine of the right ilium and the umbilicus.
Page ii - DB. JOSEPH LEIDY. An Elementary Treatise on Human Anatomy. By JOSEPH LEIDY, MD, LL.D., Professor of Human and Comparative Anatomy and Zoology in the University of Pennsylvania ; President of the Academy of...
Page 242 - Bile.—Bile-pigment is detected by putting a little of the urine on a porcelain plate in lateral contact with a few drops of strong nitric acid, when a play of prismatic colours will be observed between them. Bile acids are tested for by shaking up some of the urine with a little syrup until a froth is produced...
Page 240 - Eyes.—The reaction of the pupils to light is ascertained by first covering over the eyes with the hand, and then, with a bright light directly in front of the patient, suddenly removing the hand and noting the rapidity with which the pupils contract; it should be so great as to be difficult to follow.
Page 245 - ... 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 238 - Pain.—It is often difficult to estimate the degree of pain felt, for the patient's statement cannot always be relied upon. Some information may be obtained from a scrutiny of the expression, and some, too, from the time spent in sleep. If a patient profess to be in constant acute pain, and nevertheless sleep five or six hours at a stretch, credence must be withheld.

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