In case of dullness or other abnormalities: Fremitus. Contents of pleura. Circulatory organs: Is there any palpitation? In attacks? Due to what? Subjective sensation of arhythmia? Heart: The impulse seen and felt in what area? Relative dullness (right, upper and lateral borders). Sounds and bruits (localized). Pay special attention to muffling of the first sound, to duplication; to change of murmurs in inspiration and by position. Rhythm and accentuation. Radial pulse: Rate, quality, on lying and sitting and standing. Special attention to variability through position or motion or exertion. If desirable, sphygmogram. Condition of radial, brachial and temporal arteries. Arcus senilis. Sclerosis of veins. Varicosities. Blood pressure. IV. _DIGESTIVE AND ABDOMINAL ORGANS_: Appetite, thirst, anorexia, nausea: Relative to quantity and quality of food. Vomiting (time and form), eructations and brashes; pain (locality, irradiation and time). Mouth and teeth. Fetor. Fauces and pharynx. Stomach (position, etc.). Digestion. Movement of bowels. Any subjective feeling of obstacle? Form of stools. Flatulence and distensions. Hemorrhoids and fistulas. Liver and spleen. If indicated, examination of stomach contents. V. _URINARY APPARATUS_: Micturition: Urine, amount in 24 hours, specific gravity, color, reaction, odor, albumen, sugar and indican, etc. Macroscopic and microscopic examinations of sediment, clouds and threads; casts, epithelia, erythrocytes, leukocytes, bacteria, threads, crystals, amorphous substances. VI. _GENITAL ORGANS_: Scars of genital organs. Menstruation: regular; profuse; scanty; accompanying symptoms. Discharges at intervals; constant; profuse; color. Internal examination. In men: Frequency and character of the sexual functions. Frequency of emissions, their occasional exciting causes and correlated symptoms. Diagnostic summary and indications for further observation and treatment. MENTAL EXAMINATION I. _ATTITUDE AND MANNER_: General appearance of the patient, adaptation to surroundings, patient's general attitude and behavior, attention and cooperation. Note any peculiarities of conduct or demeanor (peculiarity of dress, mannerisms, grimacing, affectations, etc.). Note the manner, gestures, form of intonation, rapidity or slowness of speech, or special peculiarities. Facial and general expression (sadness, anxiety, fear, restlessness, excitement, etc.). Psychomotor retardation or excitement (violence, destructiveness), care of person (whether cleanly or untidy, etc.). II. _STREAM OF MENTAL ACTIVITY_: