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2003, Number 2

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Gac Med Mex 2003; 139 (2)

Laennec and the Creation of Auscultatory Signals.

Merino JG
Full text How to cite this article

Language: Spanish
References: 7
Page: 165-168
PDF size: 38.27 Kb.


Key words:

Semiology, history of medicine, XIX Century.

ABSTRACT

Toward the end of the 18th century, clinical diagnosis in medicine shified its focus from reliance on symptoms, which translates to subjective experience of illness, to signs, objective manifestations of pathologic changes. Several techniques were developed to elicit signs in clinical practice, and Laennec used them routinely. He palpated and prodded his patients to get an idea of changes in internal organs. He also applied his ear directly to his patient’s chest to hear their heartbeat. On one ocassion, he was unable to use these techniques and had the happy occurrence of rolling up a notebook to hear his patient’s chest. This led him to hear a great number of new sounds. Through detailed observations, he was able to describe, classify, and correlate these sounds with autopsy findings, thus creating a new semiology of chest diseases. In this essay explore how in which Laennec created his instrument and system of signs of chest diseases, and how he was able to transmit his inventions to his colleagues.


REFERENCES

  1. Laennec RTH. De l’auscultation mediate ou trité du diagnotique des maladies des poumons et du cœur, fondé principalmente sur ce nouveau moyen déxploration. Paris, France: Brosson et Chaude Libraires; 1819.

  2. Ackernect E. Medicine at the Paris Hospital, 1794-1848. Baltimore MD, USA: Johns Hopkins University Press; 1967.

  3. Latour B. Science in action. How to follow scientists and engineers through society. Cambridge, MA, USA: Harvard University Press; 1987.

  4. Foucault M. The birth of the clinic. an archeology of medical perception. London: Tavistock Publications; 1973.

  5. Duffin J. Vitalism and oranicism in the philosophy of RTH Laennec. Bull Hist Med 1988;62:525-545.

  6. Bishop CL. Reception of the stethoscope in Laennec’s book. Thorax 1981:36:487-492.

  7. Weisz G. The posthumous Laennec: creating a modern medical hero. Bull Hist Med 1987;61:541-562.




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Gac Med Mex. 2003;139