Instructions for case-taking in the medical wards / London Hospital.

Date:
[1912?]
Catalogue details

Licence: In copyright

Credit: Instructions for case-taking in the medical wards / London Hospital. Source: Wellcome Collection.

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    Epigastric region. Presence or absence of pulsation. Umbilicus. Note protrusion, retraction, excoriation or displacement. Look for hernia. 2. Palpation. Resistance. General or local alterations of it. Tenderness. Its situation. Tumour. (1) Is it in the abdominal wall or the abdo- men proper ? (2) Is it pelvic or abdominal ? (3) Its size, shape, consistence and character of its surface. (4) Mobility. In what directions can it be moved ? Does it move spontane- ously with respiration ? Splashing and gurgling. Their presence or absence, and situation if present. If present, note length of time since last meal. Fluid Thrill. Palpation in knee-elbow position, if necessary. 3. Percussion. General degree of resonance and presence or absence of any local abnormality of note. If dulness is discovered, observe whether its situation alters with change of patient’s position. In cases of general abdominal swelling, note girth of abdomen at leyel of umbilicus.