Pyrexia without Detected Physical Signs

The influence of pyrexia on the signs of shock.

A man of 60, whose bowels had not moved for three days, complained of the sudden onset of generalized abdominal pain at 11.30 a.m. At the same time he felt cold and had a series of shivering attacks. He was seen at 3 p.m. by his family doctor whose findings were as follows: Temperature 103^°F; pulse rate 84/min; blood pressure 160/80 mm Hg. Heart sounds were of good quality with no added sounds...

PHYSICAL SIGNS False localising signs

Neurological signs have been described as “false localising” if they reflect dysfunction distant or remote from the expected anatomical locus of pathology, hence challenging the traditional clinicoanatomical correlation paradigm on which neurological examination is based. False localising signs occur in two major contexts: as a consequence of raised intracranial pressure, and with spinal cord l...

Fever without Localizing Signs

The list of microbes that cause fever in children is extensive. Relative importance of specific agents varies with age, season, and associated symptoms. The focus of this chapter is the febrile child with occult bacterial infection. Table 14-1 shows the most common causes of serious bacterial infection in children younger than 3 months. The division at 1 month is not absolute; considerable over...

Symptoms and Physical Signs

This book contains, first, a scheme or syllabus to show the Pr?Per method for the systematic clinical investigation of disease, secondly, under the heading of the various organs, an index ? the chief symptoms and signs met with in different diseases. index also gives a brief account of some important symp?ms> of the alterations of the excretions in disease, and an ^planation of the scientific t...

Physical Signs in Clinical Surgery