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Cold baths, while greatly to be recommended to those who are s...
If pneumonia or gonorrhea is supposed to be the cause of the ...
Pulse Counting The
Most valuable information as to the nature and progress of dis...
By this term is meant that condition of pulse in which, thoug...
The most striking symptom of diphtheria is the growth of a sub...
Testing For Electric Defects
These tests should be made beforehand; not when about to com...
A Summing Up
GIVE up resentment, give up unhealthy resistance. ...
See Nostrils. ...
Use Of The Long Cord
It is often desirable to bring the entire parts of the patien...
Wounds And Bruises
On this subject, I must necessarily be very brief. When a wou...
Period Of Eruption Or Appearing Of The Rash
Commonly, on the second day, towards evening, sometimes on th...
Causes And Dangers Of Polluted Water
Wells--the Oldest Method of Supplying Water. It was long ago ...
The Healing Crisis And Retracing
Certain unpleasant somatics that occur while fasting (or whil...
The most successful procedure in the management of intestinal...
The dilatation of cicatricial stenosis of the esophagus can ...
This is substantially the same thing as trismus, except that ...
Diseased bone is not incurable. Bone is indeed constantly bein...
It is sometimes desired to make traction on an irregularly s...
Use the A D current, moderate force. Give general tonic treat...
Running The Human Automobile
The Body-Automobile. If you were to start to-morrow morning...
Acute Cardiac Symptoms Acute Heart Attack
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
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
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