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Excerpt from Outlines of Medical Diagnosis: Prepared for the Use of Students, at the Harvard Medical School, Boston; 1911Note the name of the patient, state (married or single), age, residence (town, street and number) and birthplace (malaria, hydatid, etc.), occupation (eye strain, writer's cramp, painter's colic, etc.) and the date on which he is seen.The family history and personal history should be taken, and the progress of the present illness obtained in detail. If the patient is very ill, depend largely on the friends for data and obtain other necessary information during later visits. Avoid embarrassing questions in the presence of a third person.As a rule, let the patient tell his story, simply guiding his narrative into profitable channels. Avoid leading questions. Do not be misled by his medical expressions. Lay diagnoses of meningitis, influenza, gastric catarrh, rheumatism and dysentery are untrustworthy and must not be allowed to interfere with a correct diagnosis on the part of.the examiner. Note the difference between chilliness and a true chill. Sometimes the history obtained is incorrect because of the dulness of the patient, either natural or due to the disease. Here repeated questioning may finally secure a satisfactory story.Histories obtained from hospital patients are proverbially untrustworthy. Such persons are for the most part ignorant and unobservant. No matter what methods are employed to obtain the history, it is well to be sceptical about its accuracy, especially when the physical examination furnishes contradictory evidence. In children this is particularly important. Most children are unable to furnish information about themselves, and their histories must be obtained from the people in charge.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works
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Outlines of Medical Diagnosis
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