GlnUpg? of pijfgHtrtattH nnh ^ttrgpnna i&tftxmtt Stbranj Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/classifiednomencOOpost A CLASSIFIED NOMENCLATURE OF DISEASES DESIGNED FOR USE AS A DIAGNOSIS INDEX IN THE CENTRAL FREE DISPENSARY RUSH MEDICAL COLLEGE Compiled by WILBER E. POST, M.D, CHICAGO COPTEIGHT, 1909 by Wilbee E. Post INTRODUCTION. The purpose of this classified nomenclature is to form a basis for a diagnosis index of patients treated in dispensary and hospital work, the immediate objects being to make the clinical material of the Central Free Dispensary more available for study and demonstration and to stimulate students to greater care in the use of diagnostic terms. In the present state of medical knowledge a perfect scientific classification or nomencla- ture of diseases is impossible. The aim has been to furnish a practicable, uniform terminology to be used in all of the departments of the Dis- pensary. The two chief divisions are the General Diseases and the Diseases of Systems and Organs. The former are grouped according to etiology and include diseases caused by Animal Parasites, General Infectious Diseases, with a complete outline of organs affected by Gonorrhea, Syphilis and Tuberculosis; the Constitutional Diseases, including many of obscure etiology; Poisons and Intoxications; General Injuries, and Tumors. The diseases of Systems and Organs are arranged alphabetically under each organ, and the organs of each system are arranged in anatomical order, except where an alphabetical order would lead to no incongruity, as under the Blood and Ductless Glands. The diseases of the Nervous System are in alphabetic order, although advantage is taken of the terms to group the diseases of the meninges, cerebrum, cerebellum, bulb, spinal cord, etc. The diseases of the skin are grouped upon a pathologic basis. The names of symptoms are used frequently. These serve three pur- poses : first, no other diagnosis can be made in some instances ; second, a certain symptom may be so prominent a feature in some cases as to make it desirable to keep an account of it for future reference; third, they are a means of registering complications. For example, in hemorrhage of intes- tines in typhoid fever, the case may be registered under typhoid fever and also under hemorrhage of intestines. Symptoms should never be used, however, as the chief diagnosis when a more complete one can be made. Obviously the same term may occur in the list of diseases of a single organ and also under the General Diseases, e. g., "Abscess, Amebic (see Animal Parasites)" is under Diseases of the Liver and also under Animal Parasites, and "Rheumatism, Acute Articular (see Infectious Diseases)" is among the diseases of joints and also in the General Infectious Diseases. INTRODUCTION. In such instances the parenthetical reference is made to one place. Thus all cases of amebic abscess of the liver are registered under Animal Para- sites, and all cases of Acute Articular Rheumatism under General Infec- tious Diseases. Again, among the diseases of the Nervous System is found "Rib, Cervical (see also Bones, Malformations)." This indicates that a case of cervical rib showing involvement of the nerves should be registered under this heading in the nervous system and also under this heading in malformations of bones. When a term has been used in more than two places, all are referred to the same one in order that all cases of that kind shall be registered one card and readily found. All General Diseases whose names may occur in a system or organ are to be registered also under their respective title in the list of General Diseases. Gonorrhea, Syphilis and Tuberculosis are thought to be of sufficient special interest to warrant a separate registration in groups according to the organs in which the disease occurs and should always be registered not only under the systems and organs but also in this special outline. Malformations and malpositions are listed under the various organs involved, under the diseases of the New-Born Infant, and under Constitu- tional Diseases. The following details do not apply to hospital work, but illustrate the mode of procedure in the dispensary. Upon entering the Dispensary for the first time a patient receives a ticket which he is always to bring with him on later visits. Upon this ticket is a number, there being but a single series of numbers for the whole Dispensary. Upon this ticket are also the patient's name, address and the name of the department to which he is first referred. From the record clerk he receives a large card upon which is written his number, name, age, address, occupation, and department and upon which his record is to be written and signed by the physician. Upon a small card is written his name, number and address, and the date, this card to be kept in alphabetical order in a separate name index. When the patient returns, after examination, to the record clerk, the latter files the history in the order of its number, and the number of the case is written upon the card from the diagnosis index which repre- sents the disease named on the history card. This results in establishing three files : First, the file of the history cards themselves in the order of their numbers, forming a chronological index; second, the diag- nosis index consists of one card for each disease named in the nomenclature and arranged in the exact order of the nomenclature, and upon each card is the number of all cases of that disease; third, the alphabetical name index, each card representing a patient with his name, address and number, and the date of his admission. For the successful application of this scheme for record keeping, it is found essential that a diagnosis be made as soon as possible; that the INTRODUCTION. terms of the diagnosis conform to the terms of the nomenclature; that the physician sign the record; that the history card he returned to the office of the Dispensary, that the records of later examinations in various departments be attached to the original history card. In the compilation of this nomenclature free reference has been made to the Manual of International Classification of Causes of Death as adopted by the United States Census Bureau, to The Nomenclature of Diseases drawn up by a Joint Committee appointed by the Royal College of Phy- sicians of London and to various text books and monographs. The pleasure and value of the work has been greatly increased by the hearty co-operation of various members of the Faculty of Rush Medical College and to them I extend my sincere thanks. Chicago, March 27, 1909. CONTENTS. GENERAL DISEASES. pAGB ANIMAL PARASITES 5 INFECTIOUS DISEASES 7 General Infectious Diseases 7 Gonorrhea 9 Syphilis 11 Tuberculosis 13 CONSTITUTIONAL DISEASES 15 POISONS AND INTOXICATIONS 17 GENERAL INJURIES 20 TUMORS 22 DISEASES OF SYSTEMS AND ORGANS. BLOOD AND DUCTLESS GLANDS 24 Blood 24 Carotid Glands 24 Hypophysis 24 Parathyroids 24 Spleen 24 Suprarenals 25 Thymus Gland 25 Thyroid Gland 26 CIRCULATORY SYSTEM 27 Arteries 27 Heart 29 Veins 29 DIGESTIVE SYSTEM 30 Lips 30 Mouth Cavity 30 Tongue 31 Teeth, Gums and Alveoli 32 Jaws 32 Salivary Glands and Ducts 33 Esophagus 34 Stomach 34 Intestines (Including Appendix Vermiformis) 36 CONTENTS. PAGE. Rectum and Anus 39 Liver 40 Gall Tracts 41 Pancreas 42 Mesentery 42 Omentum 43 Peritoneum 43 Hernia 43 Umbilicus 44 EAR 45 Auricle 45 Meatus 45 Membrana Tympani 46 Middle Ear 46 Internal Ear 46 EYE 48 Chorioid 48 Conjunctiva 48 Cornea 50 Crystalline Lens 51 Glaucoma '51 Iris 52 Iris and Ciliary Body 52 Lacrimal Apparatus 53 Lids 53 Muscles and Motility 54 Optic Nerve 55 Orbit 55 Refraction and Accommodation 56 Retina 56 Sclera 57 Vitreous Humor 57 GENITOURINARY SYSTEM— FEMALE 58 Breast 58 Kidney 59 Ureter 61 Bladder 61 Urethra 62 Urinary Disorders 63 Ovaries 64 Fallopian Tubes 65 Peritoneum and Cellular Tissue 65 Uterus 65 CONTENTS. 3 I'AOE. Vagina and I lymen 67 Vulva 07 Pelvic Floor 68 Functional and Symptomatic Disorders 08 Abdominal Wall 69 Pregnancy 69 Labor 70 Puerperium 70 New-born Infant 70 GENITOURINARY SYSTEM— MALE 71 Breast 71 Kidney 71 Ureter 73 Bladder 73 Urinary Disorders 74 Penis and Prepuce 75 Urethra 75 Prostate 76 Seminal Vesicles 76 Spermatic Cord 77 Tunica Vaginalis 77 Epididymis 77 Testicle 78 Scrotum 78 Miscellaneous 79 LOCOMOTION, ORGANS OF 80 Bones, Periosteum and Cartilages (excluding Spine) 80 Joints ( excluding Spine ) 81 Skull 83 Spine 84 Muscles ., 85 Fasciae 86 Tendons and Tendon Sheaths 86 Bursas 87 Malformation of Limbs 87 LYMPHATIC SYSTEM 88 Lymph Nodes 88 Lymph Vessels 88 NERVOUS SYSTEM 90 RESPIRATORY SYSTEM 121 Nose 121 Accessory Sinuses 122 CONTENTS. PAGE. Nasopharynx 122 Pharynx 123 Palate and Fauces 123 Tonsils 124 Larynx 124 Trachea and Bronchi 125 Lungs 126 Pleura 127 Mediastinum 128 SKIN AND ITS APPENDAGES 129 Atrophies 129 Degenerations 129 Hemorrhages 129 Hyperemias and Inflammations 129 Hypertrophies 131 Infections, Bacterial 132 Infections, Granulomata 133 Parasitic Affections 133 Pigment Anomalies 134 Sensory Dermato-Neuroses 134 Tumors (including all New Growths) 134 Hairs and Hair Follicles 136 Nails 136 Sebaceous Glands 137 Sweat Glands 137 ANIMAL PARASITES PROTOZOA. AMEBA COLI. Abscess of Liver. Abscess of Lung. Amebic Dysentery. PLASMODIUM MALARIA. Estivo-Autumnal. Quartan. Tertian. PSOROSPERMS. TRYPANOSOMES. INFUSORIA. BALANTIDIUM COLI. TRICHOMONAS HOMINIS. TRICHOMONAS INTESTINALIS. DISTOMA (FLUKES). BILHARZIA HEMATOBIA (AND OTHER BLOOD FLUKES). DISTOMUM CRASSUM (AND OTHER INTESTINAL FLUKES] DISTOMUM HEPATICUM (AND OTHER LIVER FLUKES). DISTOMUM PULMONALE (AND OTHER LUNG FLUKES). CESTODA (TAPEWORMS). BOTHRIOCEPHALUS LATUS. ( TENIA ECHINOCOCCUS ) . Hydatid of Tenia Echinococcus. TENIA SAGINATA ( MEDIOCANELLATA ) . TENIA SOLIUM. Cysticercus of Tenia Solium. Elephantiasis. NEMATODA (ROUND WORMS). ANGUILLULA ACETI. ANGUILLULA INTESTINALIS. ANKYLOSTOMA (HOOKWORM). Ankylostoma Duodenale (Old World). Uncinaria Americana (New World). G ANIMAL PARASITES. ASCARIS LUMBEICOIDES. FILARIA BRONCHIALIS ( STRONG YLUS BRONCHIALIS ) , FILARIA SANGUINIS HOMINIS. Chyluria. Elephantiasis. Lymph Scrotum. OXYURIS VERMICULARIS (PINWORM). TRICHINA SPIRALIS. TRICHOCEPHALUS DISPAR (THREAD WORM). HIRUDINEI (LEECHES). ACARINA. DEMODEX FOLLICULORUM (HAIR -FOLLICLE MITE). INSECTA. Cimex Lectularius (Bedbug). Compsomyia Macellaria (Screw Worm Fly). Culex ( Mosquito ) . Culex Pipiens ( Gnat ) . Hypoderma Bovis (Cattle "Bot"). Musca Caesar ( Sheep Fly ) . Musca Domestica (House Fly; Maggots). Musca Vomitoria (Blue-Bottle Fly). Pediculus Capitis. Pediculus Corporis. Pediculus Pubis. Pulex Irritans ( House Flea ) . Pulex Penetrans (Sarcopsylla Penetrans; Jigger). Ctenocephalus Canis (Cat and Dog Flea). IXODID.E (TICKS). LEPTUS IRRITANS (HARVEST BUG). LINGUATULHXE ( TONGUE WORMS ) . MYRIAPODA. SARCOPTES SCABEI (ITCH MITE). GENERAL INFECTIOUS DISEASES ACTINOMYCOSIS. ANTHRAX. BERIBERI. BLASTOMYCOSIS. CHOLERA (ASIATIC). DENGUE. DIPHTHERIA. DYSENTERY AMEBIC (SEE ANIMAL PARASITES). DYSENTERY, EPIDEMIC (SHIGA'S BACILLUS). ERYSIPELAS. FOURTH DISEASE (DUKE'S). GLANDERS. GLANDULAR FEVER. HYDROPHOBIA (SEE RABIES). INFLUENZA, GASTROINTESTINAL. INFLUENZA, NERVOUS. INFLUENZA, RESPIRATORY. JAUNDICE, EPIDEMIC (WEIL'S DISEASE). LEPROSY. MALARIA (SEE ANIMAL PARASITES). MALIGNANT EDEMA. MILK SICKNESS. MENINGITIS, EPIDEMIC CEREBROSPINAL. MORBILLI (MEASLES). MOUNTAIN FEVER. PAROTITIS, EPIDEMIC (MUMPS). PERTUSSIS (WHOOPING COUGH). PLAGUE, BUBONIC. PNEUMONIA, LOBAR. GENERAL INFECTIOUS DISEASES. PYEMIA. RABIES. RELAPSING FEVER. RHEUMATISM, ACUTE ARTICULAR. ROCKY MOUNTAIN FEVER. ROETHELN (GERMAN MEASLES). SAPREMIA. SCARLET FEVER. SEPTICEMIA. TETANUS. TYPHOID FEVER. TYPHUS FEVER. VACCINIA. VARICELLA (CHICKEN POX). VARIOLA (SMALLPOX). VARIOLOID. YELLOW FEVER. GONORRHEA CIRCULATORY SYSTEM. HEART. VEINS. DIGESTIVE SYSTEM. LIVER. MOUTH. RECTUM. EAR. EYE. GEKITO-URINARY SYSTEM— FEMALE. KIDNEY. URETER. BLADDER. URETHRA. OVARIES. FALLOPIAN TUBES. PERITONEUM AND CELLULAR TISSUE (PELVIC ABSCESS). UTERUS. VAGINA AND HYMEN. VULVA. GENITO-URINARY SYSTEM— MALE. KIDNEY. URETER. BLADDER. PENIS AND PREPUCE. URETHRA. PROSTATE. SEMINAL VESICLES. TESTICLES, EPIDIDYMIS AND SPERMATIC CORD. LOCOMOTION, ORGANS OF. BONE, PERIOSTEUM AND CARTILAGE. JOINTS, TENDON SHEATHS AND BURS^. MUSCLES AND FASCIAE. 10 OONOBRHE1. LYMPHATIC SYSTEM. BUBO. MESENTERIC OR RETROPERITONEAL NODES. NERVOUS SYSTEM. BRAIN. MENINGES. NERVES. SPINAL CORD. RESPIRATORY SYSTEM. SKIN. VERRUCA ACUMINATA. ULCERS. SYPHILIS ACQUIRED SYPHILIS. PRIMARY (CHANCRE). Genital. Extragenital. (Insons) . ( Reinfection ) . PRIMARY ADENOPATHY. SECONDARY. Adenopathy. Mucous Patches. Syphilide ( Com mon ) . (Macular, papular, pustular.) Syphilide (Rare). (Gummatous, tubercular, ulcerative.) Syphilide, Pigmentary. Syphilitic Fever. TERTIARY. CIRCULATORY SYSTEM. Arteries. Heart. DIGESTIVE SYSTEM. Mouth. Tongue. Esophagus. Rectum. Liver. DUCTLESS GLANDS. Spleen. Suprarenals. Thymus. Thyroid. EAR. EYE. GENITO-URINARY SYSTEM— FEMALE. Breast. Kidney. Bladder. Urethra. Uterus. 12 SYPHILIS. Vagina. Vulva. GENITO-URINARY SYSTEM— MALE. Kidney. Bladder. Penis. Testicle and Epididymis. LOCOMOTION, ORGANS OF Bones, Periosteum and Cartilages. Joints, Tendons, Tendon Sheaths and Bursas Muscles and Fasciae. LYMPHATIC SYSTEM. NERVOUS SYSTEM. Adenopathy. Brain. Meninges. Nerves. Spinal Cord. RESPIRATORY SYSTEM. Nose and Pharynx. Larynx. Lungs and Pleura. SKIN AND ITS APPENDAGES. Hair and Hair Follicles. Mucous Membranes. (See Larynx, Mouth, Nose, Pharynx, Rectum ) . Nails. Syphilide, Gummatous. Syphilide, Nodular (Tubercular). Syphilide, Palmar and Plantar. Syphilide, Pigmented. Syphilide, Superficial (Late). Syphilide, Ulcerative. CONGENITAL SYPHILIS. INHERITED SYPHILIS. TUBERCULOSIS CIRCULATORY SYSTEM. Arteries. Heart. Pericardium. Veins. DIGESTIVE SYSTEM. Lips. Mouth. Tongue. Jaws. Palate. Tonsils. Salivary Glands. Esophagus. Stomach. Intestines. Appendix. Rectum and Anus. Liver. Call Tracts. Pancreas. Peritoneum. DUCTLESS GLANDS. Spleen. Suprarenals. Thyroid. EAR. EYE. GENITOURINARY SYSTEM— FEMALE. Breast. Kidney. Ureters. Bladder. Ovaries and Fallopian Tubes. Uterus. Vagina. GENITO -URINARY SYSTEM— MALE. Breast. Kidney. 14 TUBERCULOSIS. Ureters. Bladder. Penis and Urethra. Prostate. Seminal Vesicles. Testicles, Epididymis and Spermatic Cord. LOCOMOTION, ORGANS OF Bones, Periosteum. Joints and Cartilages. Muscles and Fasciae. Tendons and Tendon Sheaths. LYMPH NODES. Axillary. Cervical. Inguinal. Mediastinal. Mesenteric and Retroperitoneal. General Lymphadenitis. NERVOUS SYSTEM. Brain. Meninges. Nerves. Spinal Cord. RESPIRATORY SYSTEM. Nose. Pharynx. Larynx. Lungs. Pleura. Mediastinum ( inchiding Pick's Disease ) . SKIN. (For varieties see also Diseases of Skin.) GENERALIZED OR MILIARY TUBERCULOSIS. CONSTITUTIONAL DISEASES ACROMEGALY. ADDISON'S DISEASE. ARTHRITIS DEFORMANS I SEE JOINTS— OSTEOARTHRITIS | . ATROPHY, INFANTILE (SEE MARASMUS). BARLOW'S DISEASE (SEE SCURVY, INFANTILE). CAISSON DISEASE. DIABETES INSIPIDUS. DIABETES MELLITUS. DIATHESIS, EXUDATIVE. DIATHESIS, SPASMOPHILIC. ERYTHROMELALGIA (SEE NERVOUS SYSTEM— ANGIONEUROSIS). FATIGUE (SEE OVERWORK). GOUT, ACUTE. GOUT, CHRONIC. HEAT EXHAUSTION (SEE SUNSTROKE) . HYGIENE, BAD. MALFORMATIONS AND MALPOSITIONS. TRANSPOSITION OF VISCERA. VISCEROPTOSIS (GLENARD'S DISEASE). MALINGERING (SEE NERVOUS SYSTEM). MALNUTRITION. MARASMUS. NOSTALGIA (SEE NERVOUS SYSTEM). OBESITY. OVERWORK. 16 CONSTITUTIONAL DISEASES. PURPURA. IDIOPATHIC. Hemorrhagic. Henoch's. Rheumatic ( Peliosis ) . Simple. SECONDARY. Infectious. Toxic. Cachectic. Neurotic. Mechanical. RAYNAUD'S DISEASE (SEE ANGIONEUROSIS— NERVOUS SYSTEM). RHEUMATISM, MUSCULAR. RICKETS. SCURVY. SCURVY, INFANTILE (BARLOW'S DISEASE). SENILITY. STARVATION. SUNSTROKE AND HEAT EXHAUSTION (SEE INSOLATION— NERV- OUS SYSTEM). UREMIA (SEE KIDNEY). VAGRANCY. POISONS AND INTOXICATIONS ANIMAL POISONS. PTOMAINS. Cantharides Poisoning. Fish and Shellfish Poisoning. Meat and Sausage Poisoning. Milk, Cheese and Milk Products (Ic3 Cream, Etc.). SERUM INOCULATION (STATE VARIETY). SNAKE VENOM AND OTHER ANIMAL VENOMS. CHEMICAL POISONS. ALCOHOLISM (SEE ALSO NERVOUS SYSTEM). Abnormal (Pathologic Drunkenness). Acute. Chronic. Delirium Tremens. Dipsomania. Neuritis, Alcoholic. Psychosis, Alcoholic. CORROSIVES. Acid, Carbolic. Acid, Hydrochloric. Acid, Nitric. Acid Oxalic. Acid, Sulphuric. Ammonium Hydroxid. Caustic Potash. Caustic Soda. Quicklime. GASES. Ammonia Poisoning. Carbon Disulphide. Carbonmonoxide. Coal Gas Poisoning. Methane (Fire Damp). Nitric Acid Fumes. Nitrous Oxide. HALOGENS. Bromine Poisoning. Chlorine Poisoning. Iodine Poisoning. 18 POISONS AND INTOXICATIONS. MINERALS. Antimony Poisoning. Arsenic Poisoning. Copper Poisoning. Lead Poisoning. Mercury Poisoning. Phosphorus Poisoning. Silver Poisoning. Zinc Poisoning. SYNTHETIC DRUGS. Acetanilid Poisoning (Bromo-Seltzer, Etc.). Benzene Poisoning. Chloral Poisoning. Chloroform Poisoning. Orthoform Poisoning. Ether Poisoning. Formaldehyde Poisonnig. Iodoform Poisoning. Phenacetin Poisoning. Sulphonal Poisoning. Trional Poisoning. Veronal Poisoning. VEGETABLE POISONS. ACIDS. Hydrocyanic Acid Poisoning. Cyanide Poisoning. Tartaric Acid Poisoning. ALKALOIDS. Aconite Poisoning. Atropine, or Belladonna Poisoning. Cocaine Poisoning. ( Cocaine Habit ) . Colchicum Poisoning. Morphine, or Opium Poisoning. (Morphine Habit). Nicotine, or Tobacco Poisoning. Strychnine, or Nux Vomica Poisoning. Theobromine Compounds (Caffein, Etc.). NON-ALKALOIDAL VEGETABLE POISONS. Camphor Poisoning. Croton Oil Poisoning. Digitalis Poisoning. Podophyllin. POISONS AND INTOXICATIONS. 19 GRAINS AND PLANTS. Ergot Poisoning. Lathyrus Poisoning. Pellagra Poisoning. Poisonous Mushrooms and Other Fungi. GENERAL INJURIES ( Specify if Homicidal or Suicidal. ) ASPHYXIATION (SEE SUFFOCATION). BURNS, CHEMICAL (SEE ALSO DERMATITIS— SKIN) . BURNS, ELECTRIC. BURNS, HEAT (SEE DERMATITIS— SKIN) . BURNS, X-RAY (SEE DERMATITIS— SKIN) . DECUBITUS