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Updated: June 23, 2025
Something unusual that he could not quite grasp was in the air. Something disturbed his thoughts, ruffled his senses, made him at once languid, irritable, elated, dissastisfied and sportive. He was no diagnostician, and he did not know that Lent was breaking up physiologically in his system. Mrs. McQuirk had spoken of spring. Sceptically Tiger looked about him for signs. Few they were.
"There's some people in town that say the doc is a fair to middlin' diagnostician and prescription-writer, but let me whisper this to you but for heaven's sake don't tell him I said so don't you ever go to him for anything more serious than a pendectomy of the left ear or a strabismus of the cardiograph."
The diagnostician who treats the patient himself has ever new chances to remodel his diagnosis and to correct it under the influence of therapeutic effects. The danger is great that under the proposed conditions, the activity of the physician will be superficial, because he is deprived of his chief means, the constant observation. But we may abstract from this possibility of error.
Likewise, the various abnormal positions assumed, adduction, abduction, undue flexion or pointing have their own significance and are taken into account by the trained diagnostician in the course of an examination. In the examination of lame subjects, where the cause is not obvious, a systematic method of diagnosis is pursued even by the most expert practitioners.
This enigmatical term is frequently employed by the diagnostician when he is baffled in the matter of definitely locating the cause of lameness; when he has by exclusion and otherwise arrived at a decision that lameness is "high up." In some instances such inflammation is due to the manner of treatment of collar injuries.
He perceived that she was on the verge of turning away, but something withheld her. "There is no other physician within reach; my father is very ill. I only ask that you come as a diagnostician, doctor!" "But a ride to your ranch," he said miserably. "I presume you refer to riding a horse?" "Naturally."
Where palpation of parts is possible, one does not need to depend on visual examination alone, and it is always wise to take into consideration every factor that may influence conditions. Manipulation or palpation of the structures thought to be involved, should not be resorted to until a careful and thorough observation of the subject has revealed all that it can reveal to the diagnostician.
For instance, a fracture of the second phalanx would cause much more lameness than an injury to the lateral ligament of the coronary joint wherein there had occurred only a slight sprain, and though crepitation is not recognized, the diagnostician is not justified in excluding the possibility of fracture, if the lameness seems disproportionate to the apparent first cause.
There is need for the diagnostician, here, as well as in other conditions where physical examination is made, to approach the subject in a manner that will not excite or disturb to the extent that the animal will, in one way or another, resist or object to the approach of the diagnostician, thereby masking the symptoms sought.
The position assumed while the subject is in repose, is often characteristic of certain affections and this, of course, is noted at once. The manner in which the weight is borne by the animal at rest, should attract the attention of the diagnostician and if the attitude of the subject is abnormal or peculiar, the examiner tries to determine the reason for it.
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