Diagnostic symptoms in nervous diseases / by Edward Livingston Hunt.

  • Hunt, Edward Livingston, 1871-1967.
Date:
1914
Catalogue details

Licence: In copyright

Credit: Diagnostic symptoms in nervous diseases / by Edward Livingston Hunt. Source: Wellcome Collection.

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    down, in, and out. Test for the presence of double images. Have more special bottles for the examination of taste, such as solutions of sugar, salt, and vinegar. Use a camel’s-hair brush for examining the sensations of the face. Examine the motion of the eyeball outward, the symmetry of the face, the patient’s ability to close the eye, to open the mouth, and the direction in which he protrudes the tongue. Examine the hearing; if affected, determine as to the character of the deafness, tubal or nerve. Test the tongue from both a motor and a sensory point of view. Examine the larynx and vocal cords, the muscles of the neck and tongue. Measure the arms and legs to determine the presence or absence of atrophy. If any paralysis, determine its exact nature and distribution, the strength of flexion and extension. Test the strength of the patient s grip. For this purpose use a dynamometer. Test his ability to raise the arms, to hold them at right angles, out- stretched, and above the head. Test his ability to squat, to stoop, and to pick up articles. Test the ability of the patient to stand on one foot alone; on his toes and heels. These latter methods serve to try the various leg muscles. Then test his ability to rise from a prone position. Examine him for the presence or absence of tremors and fibrillary twitchings. These methods have been fully described in the chapter on Tremors. Inspect for Trophic Change.—To do this begin with the skin and then pursue a systematic method so as to include the joints, muscles, etc. In this connection do not disregard both inspection and palpation of the dor- sal artery of the foot. It seems to help in the diagno- sis of trophic disorders of the foot.