This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 edition. Excerpt: ... minute attention should be paid to all the normal, as well as to the abnormal, appearances. It is only by an accurate knowledge of the normal that the senses of sight and touch are able to appreciate those delicate changes which may be all-sufficient to account for cerebral disease. All gross lesions should be accurately described, the various forms of local softenings, hemorrhages and their effects, cicatrices of former lesions, tumors, etc. Their situations should be described as well as mapped upon the diagrams. The consideration of the minute changes in the structure and composition of the brain, belonging, as they do, to works on pathology, are out of the range of the present subject. For their study and for special methods of determining abnormal conditions of the brain the reader is again referred to the list of works at the end of the Manual. SPINAL CORD. Unless the examination of the spinal cord is of especial importance, it may be deferred until the thoracic and abdominal organs have been examined and the cavities closed. The body must be turned over and a block placed under the chest, while the head hangs over the end of the table. An incision is then made from the occiput to the sacrum, exactly over the spinous processes of the vertebra?. The skin and muscles are neatly dissected from the processes and spinal grooves the whole length of the incision, and the vertebral laminae are sawn, or cut through near their junction with the transverse processes. The most rapid and usual way of exposing the spinal canal is as follows: After the soft parts have been cleared away from the processes, the inferior lumbar vertebrae are separated with a large knife or chisel sufficiently to admit the points of the large curved bone forceps; the laminae...
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