Clinical Lectures: Delivered Before the Students of the Imperial Moscow University (Classic Reprint) - Tapa dura

Excerpt from Clinical Lectures: Delivered Before the Students of the Imperial Moscow University

IT is the purpose of these lectures to serve, as far as it is pos sible to do so in print, the same aims as are pursued by clinical iristruction, namely: by proceeding from the picture of the mor bid condition as it presents itself in the patient and as obtained by interrogation, physical examination and from the collected data concerning his past, to diagnosticate this morbid state, in Whatever peculiar and complex form it may appear, to prescribe a plan of treatment for the same, and to execute this plan before and With the participation of the students. In rela tion to these last and to the practising physician, the clinical lecture is also intended to serve as a specimen of methodical practical activity, teaching the processes of interrogation. Diagnosis, treatment and observation of the given disease or of the given class of diseases. Aiming first of all to make of his students practical physicians, the clinical instructor should offer to the future practitioners only What is essential. Preeminently practical and absolutely requisite: methods of doubtful utility, Whether of diagnosis or treatment, unneces sary superfiuity of details and supposititious theorizing, have no place in the teaching of the true, conscientious clinician. The printed clinical lecture _is distinguished by the same characteristics.

The following reasons induced the author to devote to the first case a much greater number of pages (35 - 120) than to any other: being the first case presented, it required z'pso facto a detailed circumstantial analysis - as regards both diagnosis and treatment and observation to the very end; it was moreover, a complex case, presenting a combination of various morbid conditions; further, the space was largely devoted to the mineral waters, a. Subject of great importance in therapeutics, which is unfortunately _very little appreciated or even entirely neglected in the United States. The reader will find these reasons more fully explained by the author in his Introduction to Clinical Exercises.

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