Auscultation and Percussion (Classic Reprint)

Auscultation and Percussion (Classic Reprint) PDF

Author: Frederick C. Shattuck

Publisher: Forgotten Books

Published: 2017-10-15

Total Pages: 156

ISBN-13: 9780265246498

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Excerpt from Auscultation and Percussion The primary object of the physical examination of the chest is the attainment of 'a knowledge of the physical condi tion of the important organs contained within it. Not until this knowledge has been obtained are we in a position to de termine with all possible accuracy the cause or causes which have led to, or which underlie, those deviations from the normal physical condition revealed to us by the methods about to be described. Essentially the same physical con dition may be encountered in widely difierent diseases - z'. E., as the result of quite difierent causes - to discriminate be tween which the family and previous history of the patient; the influences to which he has been exposed; the symptoms which he presents, with their mode of onset, progress, and sequence; a careful examination of the patient as a whole, of his other organs or systems of organs; and, finally, a thorough knowledge of the natural history of general and local morbid processes; must all likewise be duly noted and weighed. In a word, percussion and auscultation - the two chief modes of thoracic physical exploration - lead directly to the detection of diseased conditions, only indirectly to that of diseases. Health precedes disease; it is, therefore, incumbent on us to master healthy conditions first. Perfect familiarity with the anatomy of the healthy chest and its contents, with the structure of each separately and the mutual relations of all is of vital importance. Furthermore, the variations of size and relation within the limits of health which may occur in the same person at difierent periods of life or under difier ent conditions - as in activity and repose - as well as the limits of normal variation in difierent persons. Must beknown. Finally, the physiology of respiration and circula tion must be thoroughly understood. The possession of most of this knowledge is 'here presupposed, inasmuch as this series of Manuals is intended rather for physicians than for younger students. We may, consequently, now go on to consider the special methods of physical exploration and the results which they may be made to yield in health and dis ease. At the same time the accompanying plates, after Weil, may serve to refresh the memory as to the space occupied by the thoracic viscera and their mutual relations. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

Auscultation and Percussion, Together with Other Methods of Physical Examination of the Chest

Auscultation and Percussion, Together with Other Methods of Physical Examination of the Chest PDF

Author: Samuel Jones Gee

Publisher: Theclassics.Us

Published: 2013-09

Total Pages: 62

ISBN-13: 9781230198071

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1877 edition. Excerpt: ... CHAPTER IV. PERCUSSION. SECTION I. INTRODUCTORY. Article I.--Historical. PERCUSSION, or the art of striking a part of the body so as to beget a sound useful for the discovery of disease, has been practised from the earliest times. Employed at first in the diagnosis of abdominal diseases (to distinguish tympanites from ascites1), it was not until the middle of the last century that percussion was applied to the discrimination of the diseases of the chest. This important extension of the powers of percussion we owe to Auenbrugger, . who in 1761 published a small book descriptive 1 This most ancient means of diagnosis is probably at least as early as Hippocrates. During the three busy centuries after Hippocrates, the Greeks invented the word tympanites, which was in familiar use by the time of Celsus. of his method.1 When we hear of the reception which Auenbrugger'a contemporaries in the city of Vienna gave to his discovery it is difficult to restrain a feeling of anger. The medical dictators of the day, Van Swieten and De Haen,2 disregarded percussion altogether: less exalted personages carelessly confounded it with the Hippocratic method of succussion. Auenbrugger tells us that he was prepared to meet with envy, hatred, and calumny; we know that he did meet with what is harder to bear, simple neglect: however the scanty records of the man's life justify the belief that he passed from one social deed to another social deed, and found his happiness in doing so.3 It was worthy of Stoll that he at least should not fail to acknowledge the 1 Leopoldi Auenbrugger, M. D., Inventum novum ex percussione thoracis humani ut signo abstrusos interni pectoris morbos detegendi. Vindobons, 1761. This edition is very rare: a reprint was published at Graz in..