A bedside manual of physical diagnosis / [Charles Cowan].

  • Cowan, Charles, 1806-1868.
Date:
1842
Catalogue details

Licence: Public Domain Mark

Credit: A bedside manual of physical diagnosis / [Charles Cowan]. Source: Wellcome Collection.

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    where the greatest energy in the pulsations is per- ceived below. (Barthe and Roget.) Compound pregnancy. It requires considera- ble attention to be, able to pronounce with any degree of accuracy upon this point. The diag- nostic sign would be, the presence of pulsations, whose greatest intensity corresponded to two dis- tinct points of the uterus. It would be rendered more conclusive should the pulsations of both foetuses not be synchronous, as has actually been observed. In the Lancet, 1840-41, p. 941, a case of triplets is recorded, where the diagnosis was successful. | For the detection of either complicated, pseudo, or semulated pregnancy, the negative and positive evidence of auscultation cannot be too highly valued. Movements of the fetus. ‘They become audi- ble towards the fourth month; the eye may often recognise distinct jerking motions in various points of the abdomen. The stethoscope detects the shock from the child’s sudden movements, and also a rustling friction sound, conveying clearly the idea of a spontaneously shifting body under- neath. Noegele states that these effects can sometimes be detected several weeks before the mother feels the movements of the embryo. Their presence is a sure sign of a living foetus.