GENERAL CONTENTS.

Introductory.—Symptoms and Physical Signs—Importance of Inspection—Method of Examining a Patient—Case-taking. Symptoms for the most part Subjective in Character.—Symptoms indicating Disturbance of the Functions of the Nervous System—Indicating Disturbance of the Functions of the Respiratory and Circulatory Organs—Indicating Disturbance of the Functions of the Digestive Organs—Indicating Disturbance of the Urinary Organs. Examination of the Surface of the Body.—Changes in Size and Shape—Expression of Face—Attitude—Walking. Temperature.—Temperature in Health—in Disease. Examination of the Skin and its Appendages.—Changes in the Colour of the Skin—The Moisture of the Skin—Cutaneous Eruptions:—I. General Diseases with Cutaneous Lesions; II. Diseases of the Skin due to Parasites; III. Local Diseases of the Skin not due to Cutaneous Parasites—Abnormal Conditions of the Nails. Examination of the Respiratory System.—Artificial Divisions of the Chest—Inspection—Palpation—Percussion—Auscultation—The Sputum—The Examination of the Larynx. Examination of the Circulatory System.—Anatomical Relations of the Heart—Inspection and Palpation—Percussion-Auscultation—The Pulse. Examination of the Blood. Examination of the Digestive System and of the Abdominal Organs.—The Tongue—The Teeth—The Gums—The Mucous Membrane of the Mouth—Saliva—The Soft Palate, Fauces and Pharynx—The Œsophagus—The Abdomen—-The Stomach—Examination of Vomited Matters—Investigation of the Contents of the Stomach and of its Activity during Digestion—The Intestines—Examination of the Fæces—-The Liver and Gall Bladder—The Spleen—The Pancreas—The Omentum—The Mesentery and Retroperitoneal Glands—The Kidneys. Examination of the Urine.—Variations in the Quantity of the Urine—In the Colour—Odour—Consistence—Translucency—Specific Gravity and Reaction of the Urine—Chemical Examination of the Urine—Sediments and Microscopical Examination of the Urine:—(a) Unorganised Sediments; (b) Organic Deposits. Examination of Puncture Fluids.—Exudations—Transudations—Contents of Cysts. Examination of the Nervous System.—Anatomical and Physiological Introduction—Investigation of the Symptoms Produced by Diseases of the Nervous System:—Disorders of Muscular Action; of Sensation; of Reflex Action; of Language; of Vision; of Hearing; of Taste; of Smell.


By Prof. von JAKSCH.

Fig. 86.—a, b. Cylindroids from the urine in congested kidney.

CLINICAL DIAGNOSIS:

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