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Medical ArticlesNstrumentariumDirect laryngoscopy, bronchoscopy, esophagoscopy and gastrosc... Van Helmont JOHANN BAPTIST VAN HELMONT, a celebrated Belgian physician, s... Gravel Sometimes mere internal inflammation is mistaken for this dise... Physics Of Aortic Lesions Next in frequency to mitral insufficiency is aortic insuffici... Mineral Acids Muriatic Acid Prescriptions have also been used with good effect in some epidemics. _Muri... Punctures Case Iv The present case is somewhat more severe than those which hav... What Is It That Makes Me So Nervous? THE two main reasons why women are nervous are, first... Buttermilk Poultice Boiled potatoes beaten up with fresh buttermilk make an excell... The Real Truth About Salt And Sugar First, let me remind certain food religionists: salt is salt ... Clinical Interpretation Of Pulse Tracings A moment may be spent on clinical interpretation of pulse tra... Haemorrhage See Bleeding; Wounds. ... Oxalic Acid Neutralise by chalk or lime water, but not by soda or any alka... Cephalagia Headache 1. "Nervous headache." Take the B D current--moderate force. ... Decannulation When the tracheal incision is placed below the first ring, n... Cicatricial Stenosis Of The Esophagus Etiology.--The accidental swallowing of caustic alkali in sol... Bronchial Stenosis Stenosis of one or more bronchi results at times from cicatr... Simple Hypertrophy Like any other muscular tissue, the heart hypertrophies whe... Nerves Troubled Often a state of the nerves exists, without any apparent unhea... The Digestive System How the Food Reaches the Stomach. Our body, then, has an open... Other People_ HOWEVER disagreeable other people may be,--however un... |
Acute Cardiac Symptoms Acute Heart AttackCategory: Uncategorized Source: Disturbances Of The Heart It is not proposed here to describe the condition of sudden cardiac failure, or acute dilatation during disease, or after a severe heart strain, but to describe the terrible cardiac agony which occurs, sometimes repeatedly, with many patients who have valvular lesions. These patients may not have the symptoms of loss of compensation. Probably some one or more chambers of the heart become overdistended and act irregularly, or the blood is suddenly dammed up in the lungs, with the oppression and dyspnea caused by such passive congestion, or perhaps it is the right ventricle that is suddenly in serious trouble. A physician receives an emergency call, and knows, if it is not a patient who has hysteria, that it is his duty to see the patient immediately. The friends of the patient all anxiously await the physician's arrival; front doors are often wide open, and the servants and the whole household are in a great state of excitement and anxiety. The position in which the patient will be found is that which he has learned gives him the greatest comfort. If the physician knows his patient, he will know how he will find him. He may lie sitting up in bed; he may be standing, leaning over a chair; he may be sitting in a chair leaning over a table or leaning over the back of another chair; but he is using every auxiliary muscle he possesses to respire. He is generally bathed in cold perspiration; the extremities are often icy cold; he calls for air, and to stop fanning all in one breath; he wishes the perspiration wiped off his brow, and nearly goes frantic while it is being done; there is agony depicted on his face; his eyes stare; his expirations are often groaning. Sometimes there is even incontinence of urine and feces, often hiccup or short coughs, perhaps vomiting, and possibly sharp pangs of pain in the cardiac region. A patient with these symptoms may die at any moment, and the wonder is that so many times one lives through these paroxysms. The patient can hardly be questioned, can certainly not be carefully examined; and herein lies the advantage of the family physician who knows the patient and his heart, and in whom the patient has confidence. In fact, this confidence which such a patient has in the physician who has more or less frequently aided him in weathering these terrible attacks is alone the greatest boon the patient can have. Next: Paroxysm Management Previous: Pulmonary Stenosis Pulmonary Obstruction
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