. Annals of surgery . hatif such a routineprocedure is fol-lowed there willbe very few of theso-called border-line cases. Realizing thata universal humantendency is to ob-ject to detail and that most of our errors could he traced to omissions on thepart of the initial examiner, we have instituted the use of an examination card,outlining the essentials with suliicient sjjace to register repeated examinations. Imporlancc of Accurate History.—While it is difficult and, at times,impossible to obtain an accurate history, an effort should be made to do two different occasions in my recent expe
. Annals of surgery . hatif such a routineprocedure is fol-lowed there willbe very few of theso-called border-line cases. Realizing thata universal humantendency is to ob-ject to detail and that most of our errors could he traced to omissions on thepart of the initial examiner, we have instituted the use of an examination card,outlining the essentials with suliicient sjjace to register repeated examinations. Imporlancc of Accurate History.—While it is difficult and, at times,impossible to obtain an accurate history, an effort should be made to do two different occasions in my recent experience a ]ialients life could havebeen saved, in all i^robability. had this ])rinci])le been adhered to. The following points are of jirime ini])ortance: 1. To determine whether there has been a previous period of lucidity. 2. If there have been jjrevious operations on the cranium or on partsinnervated by cranial nerves. 3. If the ])atient has previously been subjected to epileptiform or otherconvulsive seizures. 4H. Fig. 9.—Case V. E. B, Defect following frontotcmporal decompression. lOHX f). BOWER
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885