A treatise on orthopedic surgery . r inoutline, or they may be lost in a peculiar blur. By countingfrom above and below the boundaries of the disease may bemade out, but inferences as to its character and quality must bemade from the rational and physical signs (Fig. 35). Thetuberculin test is considered in Chapter V. The Record of the Case.—The history and the results of theexamination of the patient should be recorded somewhat in thefollowing order: 1. The family and the personal history. 2. The history of the disease, with especial reference to itsmode of onset, its probable duration, to th
A treatise on orthopedic surgery . r inoutline, or they may be lost in a peculiar blur. By countingfrom above and below the boundaries of the disease may bemade out, but inferences as to its character and quality must bemade from the rational and physical signs (Fig. 35). Thetuberculin test is considered in Chapter V. The Record of the Case.—The history and the results of theexamination of the patient should be recorded somewhat in thefollowing order: 1. The family and the personal history. 2. The history of the disease, with especial reference to itsmode of onset, its probable duration, to the noticeable symp-toms, and to previous treatment. 3. The physical examination. This should include the gen-eral condition of the patient, the height and weight, the attitude,the character of the disease, whether progressive, as indicatedby muscular spasm and pain on motion, or quiescent, the pres-ence of abscess or paralysis as a complication, and, finally, theposition and extent of the disease. This is best shown by a Fig. Tracings of the spine illustrating recession of deformity under treatment byttie convex frame. tracing, made by means of a strip of lead or pure tin, of suchthickness that it may be readily moulded on the spine and yethold its shape when removed (Fig. 28). The tracing should be of the entire spine, made while thepatient lies extended in the prone position, and the exact loca-tion of the most prominent spinous process should be markedupon it. In determining the position of the disease it is well tocount the spinous processes from below upward, beginning with5 66 OETHOPEBIC SUBGEEY. that of the fourth lumbar vertebra, which lies on a line drawnbetween the highest points of the iliac crests. There are otherlandmarks that are approximately correct. Sometimes the lastrib may be traced to its origin; the scapula covers the secondand seventh ribs, the root of the spine of the scapula and themiddle point of the glenoid cavity being on a line with the third,a
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