Much space is given to general inspection of a patient, with the formulation of various states, such as a pulmonary state or a cerebrospinal state. From such states a "hypothesis of examination" is derived; that is, the general impression guides the examiner initially to a given organ or organ system. When such a hypothesis is not possible, a primary systematic examination is in order. Taking of a complete history is deferred and detailed directions are given for the anamnesis.
The second part of the book deals with the differential evaluation of symptoms. The fourth chapter discusses eruptions of the skin, the fifth, diseases of the skin. Unconsciousness and disturbances of consciousness are treated in the sixth chapter. Hemorrhages are the subject of the seventh chapter, and anemia that of the eighth. Chapter 9 is devoted to cyanosis, chapter 10 to disturbances of respiration. Vomiting and diarrhea each have separate chapters,