The Diagnostics of Internal Medicine: A Clinical Treatise Upon the Recognised Principles of Medical Diagnosis, Prepared for the Use of Students and Practitioners of Medicine

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D. Appelton and Company, 1902 - Diagnosis - 1059 pages
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Page 910 - There is an increasing indisposition to exertion, with an uncomfortable feeling of faintness or breathlessness on attempting it ; the heart is readily made to palpitate ; the whole surface of the body presents a blanched, smooth, and waxy appearance ; the lips, gums, and tongue seem bloodless ; the flabbiness of the solids increases ; the appetite fails ; extreme languor and faintness supervene, breathlessness and palpitation being produced by the most trifling exertion or emotion ; some slight oedema...
Page 910 - It makes its approach in so slow and insidious a manner, that the patient can hardly fix a date to his earliest feeling of that languor, which is shortly to become so extreme. The countenance gets pale, the whites of the eyes become pearly, the general frame flabby rather than wasted ; the pulse, .perhaps, large, but remarkably soft and compressible, and occasionally with a slight jerk, especially under the slightest excitement ; there is an increasing indisposition to exertion, with an uncomfortable...
Page 162 - ... a sharp nose, hollow eyes, collapsed temples; the ears cold, contracted, and their lobes turned out: the skin about the forehead being rough, distended, and parched; the color of the whole face being green, black, livid, or lead-colored.
Page i - REEVE BUTLER, AM, MD Chief of the Second Medical Division, Methodist Episcopal Hospital ; Attending Physician to the Brooklyn Hospital ; Consulting Physician to the Bushwick Central Hospital ; formerly Associate Physician, Departments of Diseases of the Chest and Diseases of Children, St.
Page 693 - In other cases, including those in which the exudate is confined to the larynx, avoiding the tongue, pass the swab far back, and rub it freely against the mucous membrane of the pharynx and tonsils. Without laying the swab down, withdraw the cotton plug from the...
Page 593 - Directions for Preparing Specimens of Blood. — The skin covering the tip of the finger is thoroughly cleansed and then pricked with a clean needle deeply enough to cause several drops of blood to exude. Two large drops are then placed on the glass slide, one near either end, and allowed to dry without being spread out on the surface of the slide. After they have dried, the slide is placed in the holder and returned in the addressed envelope to a culture station, or mailed to the laboratory. The...
Page 910 - ... bed, the mind occasionally wanders, he falls into a prostrate and half-torpid state, and at length expires: nevertheless to the very last, and after a sickness of perhaps several months' duration, the bulkiness of the general frame and the amount of obesity often present a most striking contrast to the failure and exhaustion observable in every other respect.
Page 243 - Both cords moderately abducted and motionless. One cord moderately abducted and motionless, the other moving freely, and even beyond the middle line in phonation.
Page 4 - The man of science, in fact, simply uses with scrupulous exactness the methods which we all, habitually and at every moment, use carelessly...
Page 896 - Most common between the ages of 40 and 50 years. Most common in men. Attacks brought on by exertion. Attacks rarely periodical or nocturnal. Not associated with other symptoms. Vaso-motor form are rare.

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