314 



MUSGRAVE AND SISON. 



tion of how to expand the chest but it is often very difficult to induce 

 individuals to do so under instruction. 



The tuberculosis clinic of the Free Dispensary of the Philippine 

 General Hospital is the first clinic specially for tuberculosis to be estab- 

 lished in the Philippine Islands. 



It has been in operation for nine months, and of the 1,047 people who have 

 applied for treatment, 914 were suffering from phthisis and their records are 

 tabulated in this paper. The system used in the clinic is very similar to that 

 in operation in many countries. At the first visit a careful history is obtained 

 and a complete examination of the patient is made and recorded on a suitable 

 blank form ( see figs. 1 and 2 ) . 



P. M. S. No. 37. 



FREE DISPENSARY OP THE PHILIPPINE GENERAL HOSPITAL. 



TUBERCULOSIS CLINIC. 



Fisc.il year rgz.. 



No. , Name 



Date - - , xgi 



, Tuberculosis No. . 



Previous Nos. 



Complains of .-- _ 



Diagnosis 



Complications 



Age , male, female, M. S. W. Nativity 



Occupation , Employed by 



Persona dependent on you for support , Sent by . 



, Wages . 



FAMILY HISTORY. 



, 



_, 







Vocal mn nance: 



Nor 1. 



Increased. 

 DoerOHHed. 







LlVINf! (UEA1.TH). 



DeaMCaum:). 



^HI5§ 



^))\ Depression— Thrill— Tenderness— ^ , -^ 

































Rilles moist i ' fft. 

 Inspection: Chesl— normal— rial— YfA 











m 



' i" CD 











A^| Ex [illusion— normal— diminished— \ff. 

 ""NkS^ i absent. 1 "^ 



Perctirtton: Auscultation: 

 Normal. Norm ul. 

 Impaired resonance. Broncho vesicular. 

 Dullness. Bronchial. 

 Flatness. Amphoric. 

 Tympany. Cavernous. 

 Feeble. 











/ 









Palpitation: 



Tactile fremltiiB 

 Normal, 

 Increased. 

 Diminished. 













































Personal History - 



Residence when cough began No. and T. B. history of oilier residents . 



Present residence — No. and T. B. history of other residents. 



How many sleep in your room? , How many of them cough? 



Examination: 



Laboratory reports . 

 Remarks: 



Disposition; discharged) lost; transferred to 



transferred to -- 



Clinic, 



. Hospital, 



91 ; retransferrcd to 



(OVER.) 



Fig. 1. 



