DOCSLIB.ORG

Physical Examination of Palpation Part 1, 1876–1907

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Physical Examination of Palpation Part 1, 1876–1907 Clinical Medicine & Research Volume 16, Number 3-4: 83-91 ©2018 Marshfield Clinic Health System clinmedres.org History of Medicine Abdominal Physical Signs and Medical Eponyms: Physical Examination of Palpation Part 1, 1876-1907 Vaibhav Rastogi, MD; Devina Singh, MD; Halil Tekiner, PhD; Fan Ye, MD; Nataliya Kirchenko, MSc; Joseph J. Mazza, MD; and Steven H. Yale, MD Background: Abdominal palpation is a difficult skill to master in the physical examination. It is through the tactile sensation of touch that abdominal tenderness is detected and expressed through pain. Its findings can be used to detect peritonitis and other acute and subtle abnormalities of the abdomen. Some techniques, recognized as signs or medical eponyms, assist clinicians in detecting disease and differentiating other conditions based on location and response to palpation. Described in this paper are medical eponyms associated with abdominal palpation from the period 1876 to 1907. Data Sources: PubMed, Medline, on-line Internet word searches, textbooks and references from other source text were used as the data source. PubMed was searched using the Medical Subject Heading (MeSH) of the name of the eponyms and text words associated with the sign. Conclusion: We present brief historical background information about the physician who reported the sign, original description of the sign, and its clinical application and implication in today’s medical practice. Keywords: Palpation; Abdomen; Signs; Eponyms alpation, or the Latin verb palpates, meaning to touch, Using the dorsum of the hand, palpation is able to detect is a tactile sensation and an important but often changes in skin temperature and texture; it is performed using overlooked part of the physical examination of the both superficial and deep techniques. P 1 abdomen. It is the third skill performed in the systematic sequence of the physical examination preceded by inspection Superficial palpation focuses on detecting abnormalities and auscultation and followed lastly by percussion. within the abdominal wall, feeling for crepitation, masses, Auscultation precedes palpation in the abdomen due to spasms or eliciting tenderness.3 Superficial palpation for concerns related to stimulation of bowel movement, thereby detecting spasm of the recti muscle is identified using a two- falsely enhancing bowel sounds. Palpation uses the flat flexor hand technique whereby the flexor surface of the fingers of surface of the fingers with the forearm maintained in a strict the left hand are in contact with the muscle and depressed horizontal position, feeling for abnormalities in the abdomen with the right hand. Deep palpation using the flexor surface of such as tenderness, consistency, induration, and detecting the fingers with the hand tilted at a slight angle is particularly 2 depth and fixation of organs, hematomas, and abscesses. useful for detecting and evaluating a mass and is performed Corresponding Author: Steven H. Yale, MD, MACP, University of Central Florida Received: March 17, 2018 College of Medicine, 6850 Lake Nona Blvd, Orlando, FL 32827, Revised: June 2, 2018 Email: [email protected] Accepted: July 17, 2018 doi:10.3121/cmr.2018.1423 83 using a one hand or two hand technique. To localize an area Rosenbach (1876) (Table 1) described his finding when of tenderness, gentle systematic palpation of the abdomen stroking the skin of the abdominal wall in a patient with using the index finger is employed.4 This paper describes cerebral hemiplegia as “If the method described is applied to medical eponyms associated with palpation of the abdomen. hemiplegia of cerebral origin, there is no such abdominal Presented are brief historical aspects, performance, clinical reflex on the paralyzed side as I would call the phenomenon, application, and implication of these signs. The signs are while on the healthy side it remains unchanged and prompt.”12 presented systematically based on the year they were (p. 846; emphasis added) We are unaware of any study that evaluated originally described. the sensitivity or specificity of this sign. Data Sources McBurney Sign PubMed, Medline, online Internet word searches, and Dr. Charles Heber McBurney (1845-1913) was born in bibliographies from source text and textbooks were used. Roxbury, Massachusetts, graduated from Harvard University PubMed was searched using the Medical Subject Heading in 1866, and received his MD degree from the College of (MeSH) of the name of the eponyms and text words Physicians and Surgeons at Columbia University, New York in associated with the sign. 1870.13,14 After completing an internship at Bellevue Hospital in New York City, he traveled to Vienna, Paris and London for Rosenbach Sign additional medical training.14 In 1873, he returned to the Ottomar Ernst Felix Rosenbach (1851-1907) was born in College of Physicians and Surgeons serving as Assistant Krapkowice, Schlesien Prussian County in Silesia, completed Demonstrator in Anatomy.9 In 1880, he was appointed assistant his medical studies in Breslau and Berlin, and received his surgeon in Bellevue and in 1888, surgeon-in-chief at Roosevelt medical degree in Breslau in 1874.5 He was an assistant from Hospital, New York City.9 He was Professor of Surgery at the 1874 to 1887 at the University Hospital in Jenna in the College of Physicians and Surgeons from 1889 to 1894.14 He medical hospital and dispensary. He served as head physician described the sign that bears his name at the New York at Breslauer Allerheiligen Hospital from 1887 until 1893 and Surgical Society in 1889, soon after Dr. Reginald Fitz reported moved his medical practice to Berlin in 1896, further the pathologic finding of the vermiform appendix at the allowing him to pursue his research interests and scientific Association of American Physicians first meeting in 1886, work.5,6 Rosenbach published 278 books, monographs, naming the condition appendicitis.14 McBurney also described treatises, and papers, and among his many accomplishments, the incision for appendectomy that became known as the he was first to recognize functional disease of the stomach. McBurney incision, which involved splitting rather than He authored the book Über musikalische Herzgeräusche- cutting the muscle bundles of the external and internal oblique, Nebst Bemerkungen über die Entstehung pseuddokardialer aponeurosis, and tranversalis muscles to access the appendicitis Geräusche (About Musical Heart Noises-Along with Remarks in patients with acute, non-perforated appendicial disease.15 on the Origin of Pseudo-Cardiac Noises) describing the pathophysiology of heart murmurs based on his clinical In his 1889 paper, "Experience with Early Operative experience, postmortem investigation, and experimental Interference in Cases of Disease of the Vermiform Appendix," research.7 Using these skills, he developed the first animal Dr. McBurney reported: model for endocarditis in 1887 and was the first, along with The seat of greatest pain, determined by the pressure of one Karl Koester, to recognize the relationship that abnormalities finger, has been very exact between an inch and half and two of the cardiac valves predispose to the development of this inches from the anterior spinous process of the ilium on a disease.8 He also described the findings of vocal cord straight line drawn from that process to the umbilicus.16 (p. 678; paralysis after partial or complete paralysis of the recurrent emphasis added) (Table 1) laryngeal nerve.9 A Rose, MD (1907) described him as one whom: It is of historic interest that Ludwig Taube described in 1871 a (…) always considered it one of his principal tasks to case in "Entzündung des Bindegewebes und des Peritonäum in support the unification of the medical practice as opposed der Umgegend des Coecum mit Fäcal-Obstruction des Colon" to the ever-increasing division into special branches, thus (Inflammation of Connective Tissue and Peritoneum in the favoring the idea of allotting to the general practitioner the Area of the Cecum with Fecal Obstruction of the Colon) of a entire domain of medicine.10 (p 859) previously healthy man, aged 32 years: It began with a body-pain, which at first appeared in the As a tribute to Dr. Rosenbach, A Rose, MD (1907) wrote: lower half of the abdomen, between the middle of the [a]ll will agree that among the prominent men of our anterior superior spine and navel, at first moderately, but profession and our time, Rosenbach was, more than any already reaching a great severity later, and continuing to other, an original thinker, observer and investigator, who increase in intensity by late noon yesterday.17 (p. 55) made no concessions to the extravagant fashions in medicine of the present day.11 (p. 367) Two days later he wrote, “Abdomen is very much distended, tense, and sensitive everywhere to pressure, to the right more strongly, to the point mentioned above between iliac spine and 84 Abdominal palpation signs 1876-1907 CM&R 2018 : 3-4 (December) Table 1. Summary of Abdominal Physical Signs of Palpation from 1876 to 1907. Sign Year Description Sensitivity Specificity In cerebral hemiplegia, absence of the abdominal wall skin Rosenbach 1876 reflex when stroking the skin of the abdomen on the Unknown Unknown paralyzed side. Pain on abdominal palpation caused by applying pressure of one finger located between an 1 ½" and 2 ½” based on a McBurney 1889 83% 45% straight line drawn from the anterior spinous process of the ilium (ASIS) to the umbilicus. The absence of gallbladder dilation caused by a gallstone 26%-55% 83%-90% Courvoisier 1890 and its presence as due to other causes of obstruction (eg, (for (for malignancy). malignancy) malignancy) Pressure point tenderness located at the 12th thoracic vertebra extending to a region 2 or 3 finger-breadths distant Boas 1890 7% Unknown from the vertebral bodies; spreading from this point to the right, and in some case to the posterior axillary line. (1) Pain on deep palpation located just below the right 9th costal cartilage or at a point located at the junction of a vertical line drawn from the middle of the inguinal ligament to the 9th costal cartilage.
Load more

Recommended publications
  • 2005 Iowa Orthopedic Journal
    Designed for Wear Reduction • Improved Function • Optimal Kinematics4 VOLUME 25 2005 THERE IS A DIFFERENCE The Iowa Orthopaedic Journal DEPUY ROTATING PLATFORM KNEE 1 REDUCED WEAR BY 94% Polyethylene wear has been associated with osteolysis in the knee.2,3 * The rotating platform knee, used with GVF JOURNAL ORTHOPAEDIC THE IOWA polyethylene, reduced wear by 94% when compared to a fixed bearing knee. Results based on knee simulation testing. Available only from DePuy Orthopaedics. Trusted Innovation. 1 ASTM Symposium on Cross-linked Thermally Treated Ultra High Molecular Weight Polyethylene for Joint Replacements (data on file). Miami Beach, Florida Nov. 5 and 6, 2002. 2 Lewis, Peter; Cecil H. Rorabeck, Robert B. Bourne and Peter Devane. “Posteromedial Tibial Polyethylene Failure in Total Knee Replacements.” CORR Feb. 1994: 11-17. 3 Cadambi, Ajai, Gerard A. Engh, Kimberly A. Dwyer and Tuyethoa N. Vinh. “Osteolysis of the Distal Femur After Total Knee Arthroplasty.” The Journal of Arthroplasty Dec. 1994: 579-594. * GVF - Gamma Vacuum Foil IMPORTANT • The presence of osteomyelitis, pyrogenic infection or other overt infection of the These include: This Essential Product Information sheet does not include all of the information nec- knee joint; essary for selection and use of a device. Please see full labeling for all necessary infor- • Patients with loss of musculature or neuromuscular compromise leading to loss of •Vascular deficiency at the bone site; mation. function in the involved limb or in whom the requirements for its use would affect •Inadequate bone stock to assure both a firm press fit and close apposition of the cut recommended rehabilitation procedures.
    [Show full text]
  • Historical Overview of Hip Arthroplasty
    Orthopedic Reviews 2021; volume 13:8773 Historical overview of hip archeologists who found signs of this arthroplasty: From humble pathology in Homo Neanderthalensis skele - Correspondence: Dan-Viorel Nistor, “Iuliu tons. 1,2 Also, skeletons from ancient Britain Haţieganu” University of Medicine and beginnings to a high-tech and medieval times 3,4 were found with signs Pharmacy, Calea Manastur Street, nr. 38-40, future of hip arthritis. In those times, the orthope - sc.2, ap.20, Cluj Napoca, Romania. Tel.: +40.752171202. dic treatment was the only one available, E-mail: [email protected] Nicolae Ciprian Bota, Dan-Viorel Nistor, surgery for arthritis being yet to be devel - oped. Naturally, patients could ambulate Sergiu Caterev, Adrian Todor Key words: Total hip arthroplasty, direct ante - with the use of a cane and crutches, eventu - rior approach, hip replacement, history, histor - Department of Orthopedics, ally becoming permanently immobilized in ical approach. Traumatology and Pediatric bed. No more innovations in degenerative Orthopedics, “Iuliu Haţieganu” hip disease were developed until modern Contributions: NCB, DVN and AT were University of Medicine and Pharmacy, times. More recently, at the beginning of the responsible for the conception and the design th of the study. All authors contributed in data Cluj-Napoca, Romania 18 century, surgeons used to excise the collection and manuscript preparation. All femoral head, basically performing the authors gave their approval for publishing of excision hip arthroplasty. At the time, this this final version. All authors had equal con - was groundbreaking surgery, especially in tributions. an age when limb amputation was common. Abstract The first surgeon to report such an operation Conflict of interest: The authors declare no potential conflict of interest.
    [Show full text]
  • History of The
    HISTORY OF THE AMERICAN GYNECOLOGICAL SOCIETY 1876-1981 AND AMERICAN ASSOCIATION OF OBSTETRICIANS AND GYNECOLOGISTS 1888-1981 EDWARD STEWART TAYLOR Denver, Colorado The C. V. Mosby Company ST. LOUIS, MISSOURI 1985 Copyright © 1985 by The C. V. Mosby Company All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or trans- mitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America The C. V. Mosby Company 11830 Westline Industrial Drive, St. Louis, Missouri 63146 Library of Congress Cataloging in Publication Data Taylor, E. Stewart (Edward Stewart), 1911- History of the American Gynecological Society, 1876- 1981, and the American Associate of Obstetricians and Gynecologists, 1888-1981. Includes index. 1. American Gynecological Society—History. 2. American Association of Obstetricians and Gynecologists—History. I. American Gynecological Society. II. American Association of Obstetricians and Gynecologists. III. Title. [DNLM: Gynecology—history—United States. 2. Obstetrics— history—United States. 3. Societies, Medical—history— United States, WP 1 A512T] RG1.A567T39 1985 618'.06’073 85-4768 ISBN 0-8016-5101-8 GW/OB/RR 9 8 7 6 5 4 3 2 1 01/C/088 Contents Preface. ......................................................................................................................................................... 5 Introduction. ................................................................................................................................................
    [Show full text]
  • John Benjamin Murphy, MD
    An American Original: John Benjamin Murphy, MD By: Ron Sims, Special Collections Librarian In late December 2010, the Galter Library was pleased to accept donated materials from Barbara Miller, the great granddaughter of J. B. Murphy. Among the treasures are photographs, newspaper clippings, an oil portrait and copies of Dr. Murphy’s Clinics. One of the more interesting items is a letter of introduction dated January 5, 1891, addressed to German authorities in Berlin from the Cook County Hospital administration, requesting assistance in obtaining “Koch lymph” for the Hospital. These and other items will be on display in the Eckenhoff Reference Room and the second level reception area of Special Collections through early fall 2011. John Benjamin Murphy, MD, LLD, MSc was Professor of surgery at Northwestern from 1901 to 1905. Following a brief hiatus at the University of Illinois College of Medicine, he returned to Northwestern in 1908. He was chief of surgery at Mercy Hospital, Northwestern’s first teaching hospital, from 1895 until his death in 1916. Born in a log cabin near Appleton, Wisconsin in 1857, John Murphy was to become an American surgical marvel of national and international fame. After attending a country grade school, he continued his education in Appleton, where a recent graduate of the University of Wisconsin, R. H. Schmidt, taught him logic and chemistry. Mr. Schmidt was a forceful speaker and was a great influence on young John and his classmates. Dr. H. W. Reilly, the Murphy family physician, became one of young John’s heroes, as well as his preceptor in medicine.
    [Show full text]
  • Merican College of Antrgeone'
    merican College of AntrgeonE‘ FOUNDED SY SURGEONS OF THE UNITED STATES AND CANADA, 1913 40 EAST ERIE STREET, CHICAGO II, ILLINOIS INDEX TO THE PUBLICATIONS OF THE AMERICAN COLLEGE OF SURGEONS SINCE ITS FOUNDING 1913-1945 PREPARED BY THE DEPARTMENTS OF PUBLIC RELATIONS AND PUBLICATIONS N INDEX is to all appearances a dull and life- terial, the number of authors, and the scope and less piece of printed matter, with utilitarian variety of subjects listed. A value only. The one which.appears in the fol- The lack of an index to the publications of the lowing pages will, however, have for most readers of College has been keenly felt for many years and the BULLETIN an intriguing quality that will work on it has been done spasmodically over a long prompt them to read it fairly carefully and to treas- period. A large number of requests have been re-. ure it for frequent reference. The reason is that even ceived, particularly from libraries, for such a guide, in this driest possible form of presentation, there is and the need for it within the organization as well told the absorbing story of the beginnings and growth has spurred the task on to completion. While the of what is now a great institution. This index to the main endeavor has been to cover the contents of the publications is a key to the biography of the Ameri- BULLETIN during its thirty years of existence, it can College of Surgeons, in whose development seemed desirable to include a considerable number these very readers have in many instances played of references to the College Year Book, the Manual an important part.
    [Show full text]
  • Department of Surgery 2020 Annual Report
    Department of Surgery 2020 Annual Report On the cover: Resident Brandon Alba, MD, MPH, performs a microsurgery procedure with Deana Shenaq, MD, director of Rush’s Integrated Plastic and Reconstructive Surgery Residency program. | Department of Surgery Letter from the Chair For much of the world, 2020 has been a year of monumental challenges. But for the Rush Department of Surgery, this has been a year of immense opportunity. In the first months of the year, our teams carefully monitored the global outbreak of COVID-19 and capitalized on the opportunity to collaborate with one another, reshape our clinical spaces and transform our care delivery in just a few weeks’ time. Clinical spaces and building entrances transformed into socially distant havens where patients would be met with not only a temperature screening, but a kind face to assure them that they were in good hands for their care. As we shifted other visits to telemedicine, our team saw opportunities for maintaining connections with our patients throughout the pandemic and beyond. Virtual visits became one of our most powerful tools and we saw unprecedented growth in our new telemedicine platform. Support groups and webinars quickly followed suit, bringing the expertise of Rush providers directly into the homes of our patients. Our team efforts paid off and, even when state and local regulations led to a postponement of elective surgical cases, our patients continued to get the care they needed. When urgent operations were needed, our teams embraced the opportunity to deliver lifesaving care, even to patients who were suffering from COVID infections.
    [Show full text]
  • FUTURE of HEALTH SERVICES RESEARCH Advancing Health Systems Research and Practice in the United States
    A NATIONAL ACADEMY OF MEDICINE SPECIAL PUBLICATION THE FUTURE OF HEALTH SERVICES RESEARCH Advancing Health Systems Research and Practice in the United States Danielle Whicher, Kristin Rosengren, Sameer Siddiqi, Lisa Simpson, Editors WASHINGTON, DC NAM.EDU NATIONAL ACADEMY OF MEDICINE • 500 FIFTH STREET, NW • WASHINGTON, DC 20001 NOTICE: This publication has undergone peer review according to procedures established by the National Academy of Medicine (NAM). Publication by the NAM signifies that it is the product of a carefully considered process and is a contribution worthy of public attention, but it does not constitute endorsement of conclusions and recommendations by the NAM. The views presented in this publication are those of individual contributors and do not represent formal consensus positions of the authors’ organizations; the NAM; or the National Academies of Sciences, Engineering, and Medicine. Support for this publication was provided by AcademyHealth, American Association of Colleges of Nursing, American Board of Family Medicine, American Society of Anesthesiologists, Association of American Medical Colleges, and the Federation of American Hospitals. Support for this publication was also provided in part by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation. Library of Congress Cataloging-in-Publication Data Names: Building the Evidence Base for Improving Health Care: Contributions, Opportunities, and Priorities (Workshop) (2018 : Washington, D.C.), author. | Whicher, Danielle, editor. | Rosengren, Kristin, editor. | Siddiqi, Sameer, editor. | Simpson, Lisa (Of AcademyHealth), editor. Title: The future of health services research : advancing health systems research and prac- tice in the United States / Danielle Whicher, Kristin Rosengren, Sameer Siddiqi, Lisa Simpson, editors.
    [Show full text]
  • Broadly Specialized New Urology Chair Excels at Wearing Many Hats
    Winter 2015–16 Volume 03, Number 01 A publication for the alumni and friends of Northwestern University Feinberg School of Medicine, Northwestern Memorial HealthCare and the McGaw Medical Center of Northwestern University P.18 Broadly Specialized New urology chair excels at wearing many hats P.12 P.22 P.25 Celebrating Tomorrow’s Better another therapies measures, tremendous year here today better care ADDRESS ALL CORRESPONDENCE TO: Northwestern University Call or e-mail us at 312.503.4210 or Feinberg School of Medicine [email protected] Office of Communications ©2016 Northwestern University. 420 E. Superior Street Northwestern Medicine® is a federally Rubloff 12th floor registered trademark of Northwestern Chicago, IL 60611 Memorial HealthCare and is used by Northwestern University. LIVE FROM CHICAGO, IT’S FEINBERG NIGHT! ASPIRING DOCTORS SATIRIZED THE MEDICAL SCHOOL EXPERIENCE AT THE 37TH ANNUAL STUDENT SKETCH COMEDY SHOW IN VIVO TO RAISE FUNDS FOR CHICAGO YOUTH PROGRAMS. ENTITLED “FEINBERG NIGHT LIVE, “ THE SHOW WAS HELD NOVEMBER 14. READ MORE ONLINE AT MAGAZINE.NM.ORG. Northwestern Medicine 02 Northwestern Medicine Leadership Message WINTER 2015–16 Magazine Reflecting on Our Values as a Shared Enterprise VOLUME 03, NUMBER 01 Campus News MAGAZINE.NM.ORG 03 Hospira Gift Creates Unique Professorship 04 Faculty Awards and Honors 06 Expanding Proteomics Research Northwestern Medicine Magazine is 07 Milestone for New Curriculum published quarterly for alumni and friends 08 Research Briefs of Northwestern University Feinberg 10 Media Spotlight School of Medicine, Northwestern 12 Features Memorial HealthCare, and the McGaw Medical Center of Northwestern University. Ward Rounds (Alumni) News 28 Alumni Board President’s Message Material in Northwestern Medicine Magazine may not be reproduced without prior consent and 30 Progress Notes proper credit.
    [Show full text]
  • John Benjamin Murphy- “The Surgical Genius.” Surgery Section
    DOI: 10.7860/IJARS/2016/19512:2144 Editorial Article John Benjamin Murphy- “The Surgical Genius.” Surgery Section MURALI UTHAMALINGAM John Benjamin Murphy popularly known as Murphy was America” until 2008 [2,7]. While at Mercy hospital, Murphy born on 21st December 1857 in Appleton, Wisconsin, USA was appreciated by the former President of United States [1]. He was brought up in a farm house by his parents (USA), Theodore Roosevelt, for removing the bullet from his who were Irish immigrants and completed his schooling body on his assassination attempt in 1912 [5]. from Appleton High school in 1876 [2]. He used to work Murphy was the first person to suture a severed femoral in a pharmacy part-time during his high school period and artery due to a gunshot wound (1896) as well as the first used to remember his mother’s advice: “If you are educated, from US to artificially immobilize and collapse the lung in the there are no man’s achievements which you cannot equal treatment of pulmonary tuberculosis (1898) [2,5]. He was or excel provided you have industry and integrity and are also a pioneer in bone grafting methods for management temperate”. On completion of high school graduation he got of jaw tumors and ankylosis (1899) [2,5]. His other ventures access to medical text books with the help of local physician were in neurroraphy, newer innovative methods for surgical and started studying with him [3]. He used to dissect birds correction of prostatic cancer, end-to-end anastomosis of and rabbits that were in his farm.
    [Show full text]
  • Proceedings for 1960-61
    ~~~ Scottis~ So'i~tr of t~~ ']·Cistorr of m~bldn~ (Founded April, 1948) I REPORT OF PROCEEDINGS SESSION 1960-61 (!ClJt Stotttsb Soctd!1: of tbr ~tstor!1: of :fflcbtctnt. I Honorary President Dr. DOUGLAS GUTHRIE President Professor ADAM PATRICK Viee-Presidents Dr. W. S. MITCHELL Mr T. B. MOUAT Hon. Seeretary Dr. H. P. TAIT, 26 C1uny Drive, Edinburgh, to Tel.: Edin. MORningside 7009 Hon. Treasurer Dr. W. A. ALEXANDER, 9 Randolph Cresc.ent, Edinburgh, 3 Couneil Dr. R. S. DEWAR retires by rotation, 1961 Dr. H. W. Y. TAYLOR 1961 Dr. W. N. BOOG WATSON 1961 Mr R. B. WRIGHT 1961 Dr. ROBERT Mc.GREGOR 1962 Dr. R. J. PETERS 1962 Professor STANLEY ALSTEAD 1963 Dr. C. H. KEMBALL 1963 THE SENIOR PRESIDENT, ROYAL MEDICAL SOCIETY (exoffic.io). • THE MEDALLION OF THE MOUAT SCHOLARSHIP tQChe ~cOtti5h ~o£itt~ .of the ~i6torJ1 Df t#ltbicint REPORT OF PROCEEDINGS I 1960-61 It is satisfactory to record that the Society completed another full programme for the session. Membership remains steady and the support given to the meetings has been most encouraging. The papers delivered have been of a high order and in the ensuing discussions time only has been the limiting factor. The Annual General Meeting was held in October at Glasgow when Dr. Armstrong Davison spoke on the Development of Abdominoal Surgery. We had greatly looked for­ ward to greeting Mr. W. J. Bishop at our Thirty-eighth ordinary meeting in March at Edinburgh, but unfortunately illness prevented him coming north to address us, but in his absence his paper on the History of Auto-Surgery was read by his friend and colleague, Mr.
    [Show full text]
  • Lecture Notes- General Surgery
    Lecture Notes: General Surgery Companion website The book is supported by a website containing a free bank of interactive questions and answers. These can be found at: www.testgeneralsurgery.com The website includes: • Interactive Multiple-Choice Questions for each chapter • Interactive Short Answer Questions for each chapter Lecture Notes: General Surgery Harold Ellis CBE DM MCh FRCS Emeritus Professor of Surgery, Guy’s Hospital, London Sir Roy Calne MS FRCS FRS Emeritus Professor of Surgery, Addenbrooke’s Hospital, Cambridge Christopher Watson MD BChir FRCS Reader in Surgery and Honorary Consultant, Addenbrooke’s Hospital, Cambridge Twelfth Edition A John Wiley & Sons, Ltd., Publication This edition fi rst published 2011© 1965, 1968, 1970, 1972, 1977, 1983, 1987, 1993, 1998, 2002, 2006, 2011 © 2011 Harold Ellis, Sir Roy Y. Calne, Christopher J. E. Watson Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientifi c, Technical and Medical business to form Wiley-Blackwell. Registered offi ce: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offi ces: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offi ces, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell The right of the author to be identifi ed as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.
    [Show full text]
  • Hannah Lerew
    Preserving the History of the Healing Arts Fall 2019 e-newsletter Check out our website. From the Executive Director: Hannah Lerew (www.edwardhandmedicalmuseum.org) As mentioned in our Summer e-newsletter, you should Our website lists 15 subsections of Lancaster medical expect to see some big changes in 2020, the biggest history, including 228 items ranging from original being our upcoming move to 410 N. Lime street! articles and lectures to newsletters and oral histories. You can read about Gen. Edward Hand, Lancaster This move will allow our collection to grow and become Medical Legacies and Lineages, or enjoy histories of a real asset to the Lancaster community. The added Medical Specialties and Infectious Disease. exhibit space will give us the opportunity to share more of our collection and the designated archives and library A recent addition is a section of oral histories on various will give us a space to allow researchers and historians to topics. Included are interviews with Drs. Argires, May, access our records. Ratcliffe, Ripple, Weber, Wentz and Zervanos. Thanks to Dr. Larry Bonchek from The Journal of LGH for his help The newest additions to our collection include several with this area. LGH nursing uniforms from the 1930s and 1950s, as well as, a pair of Civil War-era crutches. We hope to An example of the information on the website can be cycle these items through the new displays. Our website seen in the abstracts of the research by the summer now has an artifact donation form and our collections interns highlighted in this newsletter.
    [Show full text]