
Click here and add this page to your favorites!

|
Encyclopedia Britannica - Main :: AUD-BAI |
|
|
AUSCULTATION (from Lat. auscultare, to listen) , a term in medicine, applied to the method employed by physicians for determining, by the sense of hearing, the condition of certain internal organs. The ancient physicians appear to have practised a kind of auscultation, by which they were able to detect the presence of air or fluids in the cavities of the chest and abdomen. Still no general application of this method of investigation was resorted to, or was indeed possible, till the advance of the study of anatomy led to correct ideas regarding the locality, structure and uses of the various organs of the body
Leopold Auenbrugger (17221809), a Viennese physician, published his Inventum Novum, describing the art of percussion in reference more especially to diseases of the chest. This consisted in tapping with the fingers the surface of the body
hammer
In 1819 the distinguished French physician R. T. H. Laennec (17811826) published his Traite de l'auscultation mediate, embodying the present methods of auscultatory examination, and venturing definite conclusions based on years of his own study. He also invented the stethoscope (ari Oos, the breast, and o-coaeiv, to examine). Since then many men have widened the scope of auscultation, notably Skoda, Wintrich, A. Geigel, Th. Weber and Gerhardt. According to Laennec the essential of a good stethoscope was its capability of intensifying the tonevibrations. ' But since his time the opinion of experts on this matter has somewhat changed, and there are now two definite schools. The first and older condemns the resonating stethoscope, maintaining that the tones are bound to be altered; the second and younger school warmly advocates its use. In America, more than elsewhere, there is a type of phonendoscope much used by the younger men, which has the advantage that it can be used when the older type of instrument fails, viz. when the patient is recumbent and too ill to be moved. By slipping it beneath the patient's back a fairly accurate idea of the breathing over the bases of the lungs behind can often be obtained.Stethoscopes have been made of many forms and materials. They usually consist of a hollow stem of wood
instrument to be more conveniently carried, the ear-plate can be unscrewed from the tube. The length of the stem of the instrument is of minor importance, but its bore should be as nearly as possible that of the entrance of the external ear. A flexible stethoscope in general use both in England and America transmits the sound from a funnel 'through tubes to the ears of the observer. This is the common form of a binaural resonating stethoscope. It is convenient and gives a loud tone, but is condemned by the older school, who say that the resonance is confusing, and that the slightest movement
special
ordinary binaural form being more useful in examining the lungs and other organs. In using the stethoscope, it must be applied very carefully, so that the edge of the funnel makes an air-tight connexion with the skin, and in the monaural form the ear must be but lightly applied to the ear-plate, not pressing heavily on the patient.The numerous diseases affecting the lungs can now be recognized and discriminated from each other with a precision which, but for auscultation and the stethoscope, would have been altogether unattainable. The same holds good in the case of the heart, whose varied and often complex forms of disease can, by auscultation, be identified with striking accuracy. But in addition to these its main uses, auscultation is found to render great assistance in the investigation of many obscure internal affections, such as aneurysms and certain diseases of the oesophagus and stomach. To- the accoucheur the stethoscope yields valuable aid in the detection of some forms of uterine tumours, and especially in the diagnosis of pregnancythe only evidence now accepted as absolutely diagnostic of that condition being the hearing of the foetal heart sounds. End of Article: AUSCULTATION (from Lat. auscultare, to listen) If you wish, you can link directly to this article.
<a href="http://jcsm.org/StudyCenter/Encyclopedia/AUD_BAI/AUSCULTATION_from_Lat_ausculta.html"> AUSCULTATION (from Lat. auscultare, to listen) </a> |
|
|
(Previous) AURUNCI |
(Next) AUSONIUS, DECIMUS MAGNUS (c. 310-395) |
Free & Cheap Cell
Phones |
Cheap Long Distance
Phone Service Carriers |
Talk America Local Phone Service
|
Ztel & MCI - Unlimited Long Distance
Compare
Cell Phone Plans & Companies |
International Calling Cards & Prepaid Phone Cards |
Voice Over IP Broadband Internet Phone
Service | Wireless
Phone Plans & Cheap Cell Phones
|
_____________________________________________________________________________
Online First Aid and CPR Certification . The Online Christ Centered Ministries . The Skeptic's Annotated Bible: Corrected and Explained . The Inerrancy Discussion Board . Free Email Accounts . Home Equity Loans . JasonGastrich.com . The Missions, Apologetics, and Creation Bible Conference . Young Earth Creation Science . San Diego Music Lessons . 10,000 Wise Quotes and Spiritual Sayings . Gastrich.net . Maximizing the Internet: 12 Keys to Success . Louisiana Baptist University . NKJV Web Hosting and Services . Michael Newdow . San Diego Soccer Training . Christian Guitar Lessons . Jesus Christ Saves Ministries . Eternal Security