Swallowed foreign bodies

If swallowed, sharp, jagged or pointed items have different physical effects to smooth, rounded ones. Sharp objects tend to get stuck somewhere in the throat, thus increasing the risk of perforation, bleed- ing and inflammation of the upper part of the gastrointestinal tract. The casualty usually feels a sudden stinging pain. Giving the casualty something … Read more

Hazards of X-rays

The pioneers of X-ray imaging soon realized that X-rays could damage the body. Indeed, high-power X-rays precisely focused are used to destroy malignant tissue. Because of the dangers of radioactivity of all kinds, strict safety precautions are observed by those working with irradiating equipment. The staff wear protective aprons and headgear, or retire behind a … Read more

Ultrasound

Ultrasound imaging uses no radiation and is believed to be free from risks. Very high-frequency sound waves, inaudible to the human ear, are transmitted into the body by a probe in contact with the skin. Echoes are reflected back to a receiver in the probe from the junctions between tissues of different types. For instance, … Read more

Nuclear scanning (NMR)

This recently-developed technique involves placing the person in a strong magnetic field that aligns or ‘polarizes’, the protons (positively-charged atomic particles) in his or her tissues. When the magnetic field is switched off the protons return to their normal positions; as they do so they emit tiny pulses of electromagnetic energy that can be detected … Read more

ECG and EEG

Like many sophisticated machines, the human body uses electricity to send messages from one part of the body to another in order to control and co-ordinate its many activities. The ‘wires’ along which these messages are passed are the nerve cells and their long connecting axones. The voltage of these stimuli is minute – as … Read more

Electrocardiogram (ECG)

An ECG is a recording of the electrical activity of the heart. The normal heart displays a specific pattern of activity during each beat. A wave of nerve stimulation that causes the heart to contract starts in the natural pacemaker of the left atrium (upper chamber) and spreads to the right atrium, and then passes … Read more

Surgical examination

The diagnosis of certain illnesses frequently requires special (microscopic) examination of samples of the organ or tissue involved. These examinations are carried out in the laboratory by a pathologist, who has specialized in the study of disease processes. Two sub-specialists within pathology are involved: the cytologist , who concentrates on small numbers of individual cells … Read more

Endoscopy

When the problem area lies within a body cavity, special techniques may be needed for inspection and biopsy. Techniques for looking inside the digestive and respiratory passages are called endoscopy. In contrast with the first endoscopes, which were rigid metal tubes (still in use for special cases), recent v developments in fibre-optic cables have allowed … Read more

First aid

Accidents always happen, whether one has taken preventive measures or not. If an accident is serious it is obvious that the help of someone who has undergone a first aid course is of value. Such a person literally can save lives. When accidents are only minor, a knowledge of the principles of first aid is … Read more

Whether – and how – to move a casualty

If you are the only one at the scene of an accident, and there are many casualties, it may be that the most you can do is to check that everyone’s airway is clear and put those who are unconscious into the recovery position. First aid should be given at the site of an accident: … Read more

Accidents and their prevention

Many people die and are injured every year because of accidents that could have been prevented. Statistics in Western countries show that approximately an equal amount of people die in road accidents as in accidents at home; and out of all those who seek hospital treatment for injuries resulting from home accidents, half are children. … Read more

Laboratory tests

Laboratory tests have many uses in confirming or disproving a diagnosis. The most important are tests on specimens of blood and urine, although other body fluids may be examined. Microscopic examination and chemical tests are used to examine both types of sample. Routine tests take a few days to produce results, but some can be … Read more

Going to hospital

Roughly 11 per cent of the population are admitted to hospital for a period longer than 24 hours a year. This figure may seem rather high but it also includes the many babies born in hospital and the babies who need postnatal treatment. The reasons for the latter might be to carry out corrective surgery … Read more

Medical examination

Before a doctor starts a treatment, it should be clear which disease is the cause of the patient’s symptoms. In other words, a diagnosis should be made. The examination methods a doctor can use to achieve this are in theory practically limitless, and it is one of the most important tasks of a doctor to … Read more

Diagnosis

Diagnosis is the process of determining the nature and the cause of a person’s symptoms, within the framework of existing medical knowledge. The diagnosis may be obvious to all, such as a simple physical injury – a broken bone, for instance – or it may be a complicated disorder with many and variable manifestations, such … Read more

Differential diagnosis and prognosis

This first term refers to a range of diagnoses when several possibilities are suggested by the patient’s symptoms and the findings of the investigations. The differential diagnosis usually narrows as the doctor proceeds from taking the patient’s history to examina- v A computer can be used in making a diagnosis. The patient sits in front … Read more

Autopsy

Autopsy, or post-mortem examination, is an examination of a deceased person to determine or clarify the disorder or injury that caused death. It is sometimes called ‘diagnosis of death’. It is performed by a pathologist, and includes dissection and inspection of the organs, possibly accompanied by examination of tissues under a microscope. In some cases … Read more

Physical examination

When a doctor conducts a consultation, the questions he asks and the examination he makes broadly follow a set pattern, which of course varies according to the particular circumstances. Each doctor usually develops his own personal methodology. In contrast to a general practitioner who wants to inform himself as broadly as possible about the patient’s … Read more

Physical examination

Percussion This part of the physical examination is usually only of practical use for the chest and abdomen. In the former case, its principal value is in establishing the nature of lung disorders. To give two examples: when one lung has collapsed suddenly, the percussion note over that side of the chest sounds more resonant … Read more

Self-examination

Many serious illnesses begin with what often seem like minor or localized symptoms, which if recognized early can alert the individual into taking action in time for the disorder to be cured or controlled. Most disorders can be recognized by self-examination if we take time to understand the normal workings of our bodies. If any … Read more

Muscles, bones and joints

This area is covered by a number of specialisms. The rheumatologist is a specialist in rheumatoid arthritis and similar diseases of the locomotion system. The general surgeon operates on some kind of disorders that are not too specialized, such as torn ligaments. Fractured bones and menisci. The orthopaedic surgeon is called upon when the damage … Read more

The genito-urinary tract

The nephrologist is a superspecialized internist who concerns himself with diseases of the kidney and urinary tract and knows all about renal processes. Surgical operations are performed by the urologist. He also operates on the male genital tract. Cystoscopy. In which the bladder can be directly examined is performed by the general surgeon. The venerologist … Read more

Medical science

From the earliest times, disease and ill-health have plagued mankind. And from those early days, healing has been part of the human condition. True, many animals act instinctively to help heal or cure themselves – dogs and cats lick their wounds, for instance. Also, social animals, such as dolphins, gather to protect and aid one … Read more

The endocrine system

Many bodily processes – from digestion to reproduction – are controlled by hormones, and defects in the endocrine system can have dramatic effects. Retarded growth in children, the swollen neck of goitre, the growth of facial hair in women and even impotence in men can all have a hormonal cause. An endocrinologist, a specialist in … Read more

Modern advances in medicine and surgery

Modern medicine has tremendous resources. Advances in ‘spare part’ surgery have meant that replacement with bioengineered organs, rather than repair, is a viable alternative for many damaged organs. Hearing can often be restored by replacing the tiny ossicles of the ear by man-made components, and artificial lenses are available for insertion in the eye after … Read more

Other specialisms

Whenever operations are needed, the problem of pain arises. The anaesthesiologist is specialized in all methods of painkilling, but he also manages and supervises breathing functions and blood circulation during operations. A paediatrician deals with the special problems of childhood. The geriatrician specializes in the care of the old. There are specialists in the diseases … Read more

Diagnosis and treatment

As knowledge about how and why the body malfunctions increases, there is a widening gap between knowing the cause of a disorder and being able to cure it. People sometimes think that the diagnosis of a certain disorder guarantees a cure, but this is not true. The number of medicines available today is confusingly high, … Read more

Nursing

Nursing is taking care of the physically or mentally sick, and looking after covalescents or those who cannot take care of themselves. If we put it this way it is clear that nursing does not have to be a profession. Indeed, in earlier times no professional education was needed to become a nurse. Nowadays, however, … Read more

Medical ethics

When treating a patient, a doctor has to consider not only what is possible, but also what is ethical. A doctor’s code of practice is founded upon a modern restatement of the Hippocratic Oath, known as the Declaration of Geneva, that defines a doctor’s duties towards his patients. This was first formulated in 1947 and … Read more

Hospitals

A hospital provides care for patients who cannot be nursed and treated effectively at home, either because they have no one to give them nursing care, or because their condition requires special nursing or facilities that are not available at home. Patients who have potentially dangerous and highly infectious diseases should also be nursed in … Read more

Medical science

Whose responsibility? There is no real reason why these matters should be the responsibility of the medical profession, but it is a responsibility that they seem to have shouldered because society in general has not yet accepted it. But there are many reasons why such ethical questions, except in the narrowest medical sense, should be … Read more

Doctor and patient

The ideal doctor-patient relationship should be a partnership: the patient gives information that enables the doctor to use his professional skills to best advantage, and the patient then provides feedback so that they can both assess what has been achieved. For best results there should be mutual trust and respect. It is as important for … Read more

Overmedication

The modern Western society has become, to a large extent, a consumer society; and it is hardly surprising that this should be reflected in the consumption of healthcare. For many people, health seems to be something that can be ‘bought’ at the doctor’s, and taking pills seems to be more important than adjusting life-style. Our … Read more

Patient responsibility

Another reason for an increasing dissatisfaction on the part of patients with what they see as an indiscriminate prescribing of drugs by doctors, is the growing realization of the role that the mind plays in health. Although true psychosomatic disorders are rare, it would appear that a patient’s mental outlook can affect the progress of … Read more

Medical specialization

Medicine, like any other profession, has its individual subject areas or specialisms. The speed with which medical and allied discoveries are made is tremendously high and so the need to specialize and super-specialize stands to reason. No individual doctor can hold in his mind all of medical knowledge, particularly with the information explosion through medical … Read more

The brain and nervous system

There are four specialisms that deal with the brain and nervous system. The neurologist specializes in dis- eases of the brain and nervous system. He has a wide knowledge of the functional anatomy of the nervous system and expertise in interpreting all kinds of reflexes. Some specific investigative methods in neurology are the lumbar puncture, … Read more

Psychotherapy

Increasingly, mental disorders, phobias, neuroses, depression and other aspects of mental dysfunction are not seen as an embarrassing inability to cope with life’s demands – a weakness or flaw in the personality -but as illnesses, a number of which can be cured in the same way that a fractured leg can be reset. At the … Read more

The heart and circulation

The principal consultant in diseases of the heart and some disorders of blood circulation is the cardiologist. Apart from being an expert interpreter of heart murmurs and other sounds through the stethoscope, there are some other important methods of investigation open to him. The electrocardiogram is paramount in establishing the degree and location of disorders, … Read more

Chest and lungs

In most countries there are specialists in lung diseases. The specialism dates from the days when tuberculosis was still widespread. Nowadays the scope of this specialism has moved towards asthmatic conditions and lung cancer. Special tests to detect lung diseases are X-ray pictures, lung-function tests such as spirometry and bronchoscopy, in which a flexible periscope … Read more

The digestive tract

Internal medicine concerns itself with all kinds of internal disorders, including those that involve the digestive organs. Even more specialized is the gastroenterologist who deals solely with the digestive organs. Operative treatment is carried out by the surgeon, but invasive diagnostic procedures can be carried out by the internist or the gastroenterologist. Special methods to … Read more

Examination and treatment

The doctor has stepped down from his pedestal, or – to put it differently has been forced to step down. For a patient there should no longer be any objection to his having a voice in deciding about an examination or a treatment that has to be performed. On the other side it seems that … Read more

Firs Aid Basics

Safe Use Of Home Medicines Your medicine cabinet contains many powerful poisons; relatively safe if taken properly, but very dangerous if taken by a young child. Painkillers are potentially lethal, and undiluted disinfectants can cause severe internal burning if taken by mouth. Many prescribed drugs are even more dangerous. Commonsense tells you to keep all … Read more