Manual of pathology containing the symptoms, diagnosis, and morbid characters of diseases. Together with an exposition of the different methods of examination, applicable to affections of the head, chest, and abdomen ... / translated, with notes and additions, by Jones Quain.

  • Martinet, L. (Louis), 1795-1875.
Date:
1826
Catalogue details

Licence: Public Domain Mark

Credit: Manual of pathology containing the symptoms, diagnosis, and morbid characters of diseases. Together with an exposition of the different methods of examination, applicable to affections of the head, chest, and abdomen ... / translated, with notes and additions, by Jones Quain. Source: Wellcome Collection.

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    and quicker than the rest, or by a perceptible pause constituting an intermittence;—this should be con- sidered as indicative of disease. 196. Sometimes again, the contractions are so fre- quent and irregular, that it is impossible to analyse them ; this is always connected with some organic affection. 197. After having examined the heart, attention should be directed towards the region of the sternum and the first ribs on the right side, to ascertain whether there are any pulsations determined by an aneurism of the arch of the aorta. 198. Having thus concluded our remarks on the method of examination, applicable to the heart as the central organ of the circulation, we shall, in the next place, proceed to consider the varieties which the pulse presents, though these are not confined to affections of the chest, more particularly than to those of the other cavities. 199. The Method of examining the Pulse.—The observer should wait until any emotion, which his presence may have caused, has subsided. He may then proceed to examine the pulse at the woist, temple, lateral parts of the neck, or, in a word, in any other part where an artery of a certain size happens to be superficially seated. After having ascertained that the course of the blood is not interrupted in the arm, by tight clothes, or by a ligature, he takes the wrist of the patient, who ought to be either sitting, or lying in such a way as that the weight of his body may not incline more to one side than the other; the' arm being placed in extension and the fore-arm in pronation, supported by its ulnar border, w hile the radial is somewhat elevated, the artery is felt with the hand opposite to that of the patient. 200. The fingers should be laid in a right line on the course of the artery, the index finger on the an- terior, and the thumb on the posterior or dorsal side of the wrist, furnishing a support to the others.