Clinical manual compiled for the use of students in the Madras Medical College

Front matter

25 14 dition a magnified figure of the frond or distinctive structure.

Balfour’s (E. G.) The Timber Trees, Timber and Fancy woods, as also of Forests of India and of Eastern and Southern

Balfour's (E. G.i Eminent Medical Men of Asia, Africa, Europe and America, who have advanced Medical science for the use of Students and for the Yydians and Hakims of India. 0 Balfour’s (E. G.) The Vydian and Hakim, what do they know

Preface

much assistance, particularly Surgeon-Maior R W Cooke bill, Professor of Surgery, for revising the c tapter on taking Surgical cases ; Surgeon Major E. F. Drake-Brockman, F.R.C.S., Professor of Ophthalmology and Surgeon A. M. Branfoot, M B Professor of Midwifery, for the kind manner in which they acceded to my request to contribute a chapter on the Clinical aspects of their own subjects ; Surgeon J. Maitland, M.B. for his useful chapter on the antiseptic method of Surgical Dressing and for much willing help in correcting the

The illustrations have been well copied bv Mr

Paczenskf, of the Mount Road, Madras. J

Fort St. George, 1 Madras, January 1883. J

C. SIBTHOPtPB,

Surgeon- Major, I.M.D.

,LIST OF ENGRAVINGS,

Fig. 1 & 2. — Plates showing the regions of the body anteriorly

TAGE,

and posteriorly

• •• ••• • • •

Fig. 3. — Plate showing the area of the cardiac region, &c. ...

Fig. 4. — Oblique or focal illumination of the eye

Fig. 5. — Blood, pus, and crystals of triple phosphate from the urine

Fig. 6. — Mucus and Epithelium

• • • • • • • • •

Fig. 7.-— Renal castes, various

••• ••• •••

Fig. 7 (a). — Spermatozoa and crystals of phosphate of lime...

Fig. 8. — Uric acid crystals

••• ••• ...

Fig. 9.— Urates ...

Fig. 10. — Oxalate of lime crystals

• • • • • • • • •

Fig. 11.— Stellar phosphates and triple phosphates

Fig. 12. Mode of holding test tube when boiling urine ...

Fig. 13. — Human blood corpuscles

Fig. 14. — Filaria Sanguinis Hominis

* * • • • • • • •

Fig. 15.— Fragment of areolar and elastic tissue of the lun°>

found in phthisical sputum

Fig. 16. — Sarcinse ventriculi

• • • • • • ...

Fig. 17. — Ovas of different intestinal worms ...

Fig. 18. — Cholesterine ...

Fig. 19. — Tseuia Echinococcus ...

Ml ••• in

Fig. 20. — Young of Guineaworm ...

••• ••• •••

Fig. 21. — Trichophyton Tonsurans

Fig. 22.— Acarus Scabiei

••• •••

Fig. 23. — Head louse ,,, ,,,

• • • ••• •••

Fig. 24. — Pubic louse ... ...

••• ••• ...

Fig. 25. — Body louse ... ...

Fig. 26.— Trichinm Spiralis ...

Fig. 27.— Fungus found in Madura Foot-

-Chionyphe Carteri,

PAGE.

Contents

I? .A. X£ T X.

General Hospital rules regarding the Compounding and Dispensing of Medicines Directions to be observed in the use of the Ward Book. Rules for Dispensing iu Out-patient Department List of Stock Medicines

FORMULAE USED AT THE GENERAL HOSPITAL, MADRAS.

Part II

Directions for carrying out the antiseptic method of dressing.

Steam Spray Apparatus ; Solutions of carbolic acid in water; Solutions of Chloride of Zinc ; Drainage Tubes; Sponges; Protective; Antiseptic Gauze; Mackintosh; Catgut Ligatures; Boracic Lotion, Lint, and Ointment; General Directions; Operations; Recent Accidental Wounds ; Excisions and removal of dead bone; Ulcers; Skin-grafting; Operations on the Penis ; Operations on the face...

Part III. Rules Regarding Diet And Extras

Hospital Rules.

Table of diets for European and East Indian Patients. Do. do. Natives. ... ••• •••

Nomenclature of Diets and Extras in use in the General Hospital.

Native Diets and Native Extras, Wines and Spirits. European Diets and European Extras, Wines and Spirits.

Formulae of Extras.

Arrowroot Conjee ; Arrowroot Jelly ; Barley Water ; Beef Tea; Blancmange; Bran Biscuits; Bread Pudding; Chicken Broth ; ChickenCurry ; Chicken Cutlets; Chicken Grilled ; Chickou Jelly.

PAGE.

36 & 37

45 & 46

46 & 47 48 & 49

50 & 51

CONTENTS.

Xlll

Chickeu-Pepperwater ; Chicken Roast; Chutney; Coffee; Conjee-water; Cornflour Conjee; Curry-paste; Curry-powder; Custard Pudding; Ginger Tea; Jugged Beef Tea; Lemonade; Mutton Broth-

Mutton Chops; Mutton Curry; Mutton Cutlets; Partridge Roast; Pepper-water ; Pigeon Roast ; Raw Beef Juice; Rice Pudding; Sago Conjee; Sago Jelly; Sago Pudding; Sheep’s-foot Jelly; Soojee Coujee; Tea; Vegetable Curry.

Table showing amount of Nitrogen and Carbon contained in different articles of food

Quantities of the alimentary groups of Nitrogen and Carbon required in health ...

Alcohol Table

Anstie’s allowance of absolute Alcohol for a man in health

PAGE.

Hints on the Clinical Examination of Patients. CHAPTER I.

Suggestions regarding Clinical Study ... ... 06 to 60

Appendix

Sponge Grafting...

Mr. Bar well’s Method of preparing Carbolised Catgut Ligatures from the Aorta of an ox

Area of Absolute Cardiac Dullness

Position of the Valves of the Heart

Viscera seated in the different regions of the Abdomen.

PAGE.

I

ERRATA.

55 Line 95

M

3>

In the Nomenclature of diets for Natives, omit ‘ Full with coffee.’

From top read ‘60° F.’ instead of £68° F.’

Parasitic diseases correct ‘ Tinea favosa due to achorion Schonleinii. Tenia Jcerion due to microsporon furfur. Tenia Sycosis due to microsporon mentagraphytes .’

From top omit the word ‘other’ before ‘ narcotics.’

Omit the word ‘ no’ before * loss of reflex action.’

Instead of ‘ about the second teething,’ read ‘ between th9 ages of six months and two years, at the time of the first dentition more especially, and it is the grand source of shrivelled, half dead limbs, club feet, and other sad deformities.’ (0. T. Radcliffe, M. D., A System of Medicine by Russel Reynolds, Yol. II.)

From top read ‘ them’ instead of ‘ than.’

» » ‘tilting’ „ of ‘titling.’

From below read ‘ drab’ instead of ‘ drap.’

From above „ „ *„ „

From below read ‘their exterior’ instead of ‘ this exteriors.’

From below read ‘ set up the same’ instead of ‘ the same set up.’

From top omit the word ‘ even,’ before enough to solidify.

COMPILED FOR THE USE OF STUDENTS

IN THE

MADRAS MEDICAL COLLEGE.