SECTION V 

 MISCELLANEOUS 



LESSON XVII 



I. DIGESTION 

 Swallowing. 



1. Swallow a mouthful of water or saliva and, with the finger, 

 determine the changes in the position of the tongue, hyoid bone 

 and larynx. 



2. Swallow some milk or some water coloured with methylene 

 blue, and then examine the posterior aspect of the epiglottis with 

 the laryngoscope (p. 11). 



3. Try to swallow with the mouth empty, and note the result. 



4. Listen with a stethoscope over the left side of the 10th dorsal 

 vertebra when a large mouthful of water is being swallowed, and 

 note the sounds that are heard. These, like the breath sounds (p. 73), 

 are best heard with the clothes removed. 



5. Try this again after a rapid series of swallows. 

 (Read Swallowing in Text Book.) 



Passage of intestinal contents through the ileo-coecal valve. 



About 4 to 6 hours after breakfast listen for some time with a 

 binaural stethoscope in the right iliac region, and note any sounds 

 observed. 



II. TEMPERATURE 



The student should provide himself with a one-minute clinical 

 thermometer. 



1 . (a) Take the temperature in the axilla and in the mouth, and 

 (b) take the temperature in the mouth night and morning for a 

 week, and record your results on a chart. 



2. Take the temperature of (a) the palm of the hand, and (6) 

 the anterior surface of the chest, placing the thermometer under a 

 layer of flannel, and (c) take the temperature between the shirt and 

 waistcoat. 



3. Take the temperature in the mouth and axilla after a spell of 



74 



