Untitled - eCommons@Cornell - Cornell University

214
THE MEDICAL COLLEGE.
of the class receives the personal assistance of the demonstrator.
At the conclusion of the course, a written examination is held, upon
the result of which, as well as upon the character of the work done,
each successful student is given a certificate to the effect that he has
completed the course. Upon the presentation of this certificate to the
demonstrator in charge, the student is allowed the use of the labora
tory and its apparatus for the study
of cases in the wards. When
assigned to cases at the general medical clinic, the student is required
to report the result of his examination of the sputum, blood, urine,
etc. Students reporting at the medical conferences, for which longer
time is allowed for preparation, make more extended research in the
laboratory. Students are also, from time to time throughout the year,
assigned to study cases in the hospital and dispensary ; records are
kept of these cases from which valuable clinical deductions may be
made.
The apparatus employed is of such simple nature that it can readily
be transported to the bedside, the work being thus essentially practi
cal and such as is a direct guide to diagnosis. The student himself
uses the apparatus so that he may become familiar with its care and
application.
Following is a brief outline of the course :
Blood. Technique of obtaining blood specimens ; normal con
stituents of blood ; blood formation in bone marrow ; corpuscle count
ing and haemoglobin estimation ; technique of fixing and staining
specimens ; diseased conditions determined by differential counting ;
study of blood-serum diagnosis ; leucocytosis ; malarial and other
blood parasites ; medico-legal value of blood stains.
Sputum. Collection and examination of the gross specimen ; dis
infection of sputum cups, etc. ; specimens of sputum in asthma, pneu-
monoconiosis, tuberculosis, gangrene and hemorrhage from the lungs,
pneumonia, etc. ; diphtheria and other bacilli.
Gastric Contents. Examination of vomitus ; administration of
test meals ; method of obtaining and examining gastric contents ;
lavage.
Faeces. Methods of obtaining and examining ; intestinal parasites
and ova.
Urine. Microscopic examination with reference to diagnosis ;
gonococci, tubercle bacilli, etc., seminal fluid in its medico-legal
aspect, crystalline deposits.
Exudations and Transudations. Ascitic and pleuritic effusions,
cystic contents, vaginal discharges.
Each student is furnished typical specimens which he stains and