Outlines for case taking and routine ward and laboratory work : as used in the medical clinic of the Washington University / by George Dock.

  • Dock, George, 1860-1951.
Date:
[1913], ©1913
Catalogue details

Licence: Public Domain Mark

Credit: Outlines for case taking and routine ward and laboratory work : as used in the medical clinic of the Washington University / by George Dock. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    17. Thorax: Emphysema; bronchitis; hydrothor- ax ; congestion ; infarct. 18. Heart: Inspection: Prominence in heart re- gion. Apex beat: location ; character ; diffuse pulsations; retraction. Epigastri- um ; pulsations in other parts of thorax (aneurism). Palpation: Strongest and most distinct lo- cation of apex beat; force; heaving im- pulse ; shock; rhythm. Thrill and friction fremitus ; location ; time ; character. Pal- pation of other pulsating areas in the thor- ax. Palpation of the back. Percussion: Absolute dulness, above, to left, to right, below, (liver dulness)*; relative or deep heart dulness. Percussion of cardiac dulness in the back. Auscultation: Note character (weak, strong. pure, impure, clear, murmurish, accentuat- ed, snapping) of sounds at apex; along left edge of sternum, on sternum, to right of sternum, in left axilla, to right of ensi- form, along carotids and subclavians, in back; rhythm; extrasystole; gallop rhythm; embryocardia. Adventitious sounds ; time, character ; where best heard ; transmission. Blood-vessels: Visible pulsations in arteries and veins: capillary pulse in nailbed, soft palate and pharynx, on forehead; pulsat- ing liver.