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Page 34 text:
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P alpation The law of epicritic pain should not be overlooked, otherwise, pain in the anterior may be misdiagnosed, with its origin actually being posterior. Palpation can be considered one of the great- est aids in a diagnosis, once the student has become proficient in the art of palpating. This can become his most valuable instrument when in practice. 28 Inspection Physical inspection of the patient oftentimes presents an underlying condition of physiologic perversion of organic pathology. In making an inspection, the doctor utilizes his knowledge of topographical anatomy in searching for the landmarks of disease. Areas of redness and whiteness, an inconspicuous rash, or muscle tension are the signposts by which the condition is correctly diagnosed.
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Page 33 text:
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li DR. CHESTER CHIN, D.C. Clinician MISS CHARLOTTE MARTIN Clinic Receptionist QDaysJ DR. GLENN L. OLSON, D.C. Clinic Director DR. HAROLD PAYNE, D.C. Dept. of Diagnosis Dept. of Radiology Q MISS AUDREY MARIN ER i Clinic Receptionist QNightsJ I DR. AMEDEO VAMPA, D.C.
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Page 35 text:
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Phys ical Diagnosis A doctor is the best fortune teller in the business. Watch the patient as he walks into your office. Does he cross his right or left leg, is his head cocked to the right, does he squint, is his skin dry and scaly, how is his enunciation, is he hypersensitive or phlegmatic? Each of these seemingly unimportant traits of the patient give the physician his clue as to causes of the present distress. The more careful the scrutiny, the more accurate the diagnosis. Use of the sphygomometer, stethoscope and other standard diagnostic devices is included in the course. Percussion The outline of the heart is determined for extern George Solberg by using both a long and short stroke. Areas of dullness and resonance are determined by a method similar to thump- ing a watermelon. Air in the ltuigs produces a report of drum-like quality. Au s toul tation Check for increased retromanubrial dull- ness: a diastolic shock over the aortic area and a ringing, tympanic aortic sound a force- ful, localized thrust at the apex of the heart: enlargement of the heart downward and to the left . . . '
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