The Physiological Factor in Diagnosis: A Work for Young PractitionersBaillière, Tindall and Cox, 1883 - 256 страници |
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Страница 8
... cause . The general appearance will tell us , indeed , how far the patient is ' ill ' from the malady - broadly , that is . Some- times the features wear a fixed look of pain in organic disease producing persistent suffering ; or there ...
... cause . The general appearance will tell us , indeed , how far the patient is ' ill ' from the malady - broadly , that is . Some- times the features wear a fixed look of pain in organic disease producing persistent suffering ; or there ...
Страница 24
... cause of iritis . Or a tubercle may be seen protruding into the pupil ; or a scar may tell where inflammation once has been ; or the size and shape of the pupil may be altered . The eye is also an organ of expression , and as such may ...
... cause of iritis . Or a tubercle may be seen protruding into the pupil ; or a scar may tell where inflammation once has been ; or the size and shape of the pupil may be altered . The eye is also an organ of expression , and as such may ...
Страница 26
... causes of caries ; or that these are favoured by the practices of the individual , as excessive indulgence in sweets with the acid formed therefrom . The teeth may look well , but the molars may be largely decayed ; and herein lies much ...
... causes of caries ; or that these are favoured by the practices of the individual , as excessive indulgence in sweets with the acid formed therefrom . The teeth may look well , but the molars may be largely decayed ; and herein lies much ...
Страница 31
... cause of local injury . But on examining his other hand , it will be found there too to a less extent . Sir James Paget holds such pathological condition to be due to gout ; indeed is pathognomonic thereof . In rheumatic gout there is ...
... cause of local injury . But on examining his other hand , it will be found there too to a less extent . Sir James Paget holds such pathological condition to be due to gout ; indeed is pathognomonic thereof . In rheumatic gout there is ...
Страница 53
... cause of per- sistent intractable cough . It may be absent , having been snipped off by the surgeon , or eaten off by syphilis . The Fauces . Here again there may be evidence of syphilis . Or there may be follicular ulceration , or ...
... cause of per- sistent intractable cough . It may be absent , having been snipped off by the surgeon , or eaten off by syphilis . The Fauces . Here again there may be evidence of syphilis . Or there may be follicular ulceration , or ...
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abdominal acid action acute affected albumen albuminuria anæmia aortic aortic regurgitation appetite arterial blood bowels brain breath Bright's disease bulk of urine cachexia carbonic acid cardiac cause cerebral chronic cold commonly condition Consequently contraction cough defervescence degeneration diabetes diagnosis diaphragm diarrhoea diathesis dilatation distension disturbance dyspnoea effort emphysema enlarged epithelium especially examination excited fatty feeling fever fibres flatulence fluid give glycosuria gout gouty heart hypertrophy impaired indications instance intestinal irregular irritation kidney lesion liver lung malady matter mitral morbid mucous muscles muscular nerve nervous neuralgia observation occur pain palpitation paralysis paraplegia patient persons phthisis physiological practice present pressure probably prognosis pulse pyrexia rapid regurgitation respiration rheumatic seen sensation side significance skin sleep sometimes spasm sphygmograph spinal stomach strumous symptoms syphilis teeth tell temperature thoracic tion tissues tongue typhoid ulcer urate uric acid urine usually ventricle viscus vomiting woman young practitioner
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Страница 237 - A' made a finer end and went away an it had been any christom child; a' parted even just between twelve and one, even at the turning o' the tide: for after I saw him fumble with the sheets and play with flowers and smile upon his fingers...
Страница 63 - It consists in the occurrence of a series of inspirations, increasing to a maximum, and then declining in force and length, until a state of apparent apnoea is established. In this condition the patient may remain for such a length of time as to make his attendants believe that he is dead, when a low inspiration, followed by one more decided, marks the commencement of a new ascending and then descending series of inspirations.
Страница 160 - Once the temperature, when taken, was 104°, yet she was not at all "feverish;" it was just excitement, and too evanescent to produce any distinct consequences. Further, listen to what Austin Flint says: "The physician is liable to be misled by placing too much reliance on the laws of temperature. They are not infrequently interfered with by complications and accidental events. As an illustration, a young girl had passed through typhoid fever, convalescence being declared, in connection with other...
Страница 27 - ... rounded, and peg-like ; their edges are jagged and notched. Owing to their smallness, their sides do not touch, and interspaces are left. It is, however, the upper central incisors which are the most reliable for purposes of diagnosis. When the other teeth are affected, these very rarely escape, and very often they are malformed when all the others are of fairly good shape. The characteristic malformation of the upper central incisors consists in a dwarfing of the tooth, which is usually both...
Страница 207 - It must be recollected that, in every organic disease of the heart, when palpitation becomes extremely violent and prolonged, both the impulse and the sounds may be diminished : in other words, the heart becomes gorged and incapable of adequately contracting on its contents, sometimes yielding a struggling convulsive impulse, with little sound and a feeble pulse, and, in an ulterior degree, especially during dissolution, scarcely producing either impulse, sound, or pulse. Suffocative dyspnoea, lividity,...
Страница 137 - The quantity of the albumen ; and the occurrence and character of a deposit of renal derivatives. • 3. The presence or absence of any disease outside the kidneys which will account for the albuminuria.
Страница 34 - in the early stage the limb is usually straight, carried slightly forward, or perhaps somewhat abducted, owing to the irritation and contraction of the capsular muscles on the anterior and outer aspects of the joint. As the disease advances the limb becomes adducted, so that the knee is carried against the lower part of the sound thigh
Страница 138 - ... false albuminuria, in which some other albuminous body, but not serum-albumin, is present. In true albuminuria there is always some change either in the circulation through the kidney, or in the structure of the kidney itself. In false albuminuria the albuminous body passes out through the kidney, "without there being any alteration either in circulation or structure. The chief albuminous bodies occurring in false albuminuria are haemoglobin, eggalbumin, and Bence-Jones's albumin.
Страница 137 - Of this nature was the case of a student mentioned by Sir Robert Christison, in whom a large amount of cheese or pastry produced albumen in the urine. Apart, however, from errors of diet, as Dr. Parkes has stated, temporary albuminuria will occur in persons with very slight disease. Beneke, when suffering from dyspepsia, noticed albumen in his own urine four times in four weeks. Clemens, Rayer, Martin Solon, and many other physicians, have made similar observations.