The Prognosis of Internal Diseases

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D. Appleton, 1916 - 1276 Seiten
 

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Seite xxx - Life is short, and the Art long; the occasion fleeting; experience fallacious, and judgment difficult. The physician must not only be prepared to do what is right himself, but also to make the patient, the attendants, and externals cooperate.
Seite 9 - A physician should not be forward to make gloomy prognostications, because they savor of empiricism, by magnifying the importance of his services in the treatment or cure of the disease. But he should not fail, on proper occasions, to give to the friends of the patient timely notice of danger, when it really occurs; and even to the patient himself, if absolutely necessary.
Seite 1 - It appears to me a most excellent thing for the physician to cultivate Prognosis; for by foreseeing and foretelling, in the presence of the sick, the present, the past, and the future, and explaining the omissions which patients have been guilty of, he will be the more readily believed to be acquainted with the circumstances of the sick; so that men will have confidence to entrust themselves to such a physician. And he will manage the cure best who has foreseen what is to happen from the present...
Seite 235 - Slight or no constitutional symptoms (particularly including gastric or intestinal disturbance or rapid loss of weight). Slight or no elevation of temperature or acceleration of pulse at any time during the twenty-four hours, especially after rest. Expectoration usually small in amount, or absent. Tubercle bacilli may be present or absent.
Seite 643 - So that this little wormlike body is often detected in the midst of the abscess, with a perforation at its extremity, or by ulceration higher up in its parietes. A considerable portion of it, nearly or entirely separated, is found in a disorganized condition amongst the pus and feces which fill the abscess.
Seite 534 - Two Cases of Disease and Enlargement of the Spleen, in which death took place from the presence of purulent matter in the blood".
Seite 447 - It ranks with subsultus tendinum, with optic neuritis, with the risus sardonicus and other ill-omened messengers. It is the faint cry of an anguished and fast failing muscle, which, when it comes, all should strain to hear, for it is not long repeated. A few months, a few years at most, and the end comes.
Seite 726 - ... typhoid fever, pneumonia, etc. In the prognosis the insidious changes which are produced in the immediate surroundings of the stone are of importance, as already shown in the preceding pages. These changes always depend upon a number of factors, the most important of which is infection. The number of stones held in the gall-bladder is not the important factor, for in the presence of hundreds of faceted gall-stones, closely packed within the thickened wall, there may be no subjective symptoms...
Seite 669 - ... that the disease is primarily started by poisons derived from the mother and conveyed to the liver of the fetus, and that a mixed cirrhosis and cholangitis are thus set up. The cholangitis accounts for the jaundice, and, by descending to the larger extrahepatic bile ducts, induces an obliterative cholangitis analogous to obliterating appendicitis.
Seite 643 - ... so that this little worm-like body is often detected in the midst of the abscess, with a perforation at its extremity; or by ulceration higher up in its parietes, a considerable portion of it, nearly or entirely separated, is found...

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