Clinical lectures on the principles and practice of medicine . ertain finer sounds which may bedetected by the naked ear; to remove the head of the practitioner arespectable distance from the bodies of persons not distinguished forcleanliness; and lastly, as the most delicate method of auscultating thechest anteriorly in women. You should regard the stethoscope merelyas a means to an end—that end being the right appreciation of thepathological changes indicated by certain sounds. 2. In the choice of a stethoscope, you should observe, 1st, That theear-piece fits your own ear; 2d, That the trump
Clinical lectures on the principles and practice of medicine . ertain finer sounds which may bedetected by the naked ear; to remove the head of the practitioner arespectable distance from the bodies of persons not distinguished forcleanliness; and lastly, as the most delicate method of auscultating thechest anteriorly in women. You should regard the stethoscope merelyas a means to an end—that end being the right appreciation of thepathological changes indicated by certain sounds. 2. In the choice of a stethoscope, you should observe, 1st, That theear-piece fits your own ear; 2d, That the trumpet-shaped extremity is not above an inch and a half indiameter, and is rounded so as not to injure thepatients skin when pressure is made upon it; 3d,That it is light and portable. The instrumentsrecently made of gutta percha fulfil all these condi-tions. The forms of stethoscopes vary infinitely: thoserepresented (Figs. 37 to 39) are the most convenient,that having the smaller trumpet-shaped end beingbest for emaciated subjects, or for limiting the sounds.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
