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THEOPHRASTUS BOMBASTUS VON HOHENHEIM, commonly known as Parac...
I was practicing in Cincinnati during the prevalence of Chole...
Demonstrations Of The Nature Of Congenital And Infantile Inguinal Herniae And Of Hydrocele
PLATE 39. Fig. 1--The descent of the testicle from the loins ...
Preparation Of Medicine
As it often becomes necessary for the practitioner to make mo...
How Fasting Heals
Its an old hygienic maxim that the doctor does not heal, the ...
The first decision to be made is what constitutes a slow puls...
See Bleeding; Wounds. ...
Relaxed And Atrophied Conditions
I alluded, above, to a distinction between a relaxed and an ...
This is a severe pain in the lower back, shooting sharply down...
The Three Great Classes Of Food-fuel
Food is Fuel. Now what is the chief quality which makes one k...
Eyes Cataract On
This disease has been arrested, and in earlier stages even cur...
During the years it takes for a body to degenerate enough to ...
In many cases of severe illness, the stomach rejects all food,...
You Have No Idea How I Am Rushed
A WOMAN can feel rushed when she is sitting perfectly...
See Abscess. ...
The Care Of An Invalid
TO take really good care of one who is ill requires n...
The Surgical Form Of The Superficial Cervical And Facial Regions And The Relative Position Of The Principal Blood-vessels And Nerves
When the neck is extended in surgical position, as seen in Pl...
In Excessive Heat And Continuous Delirium A Half-bath May Be Given
also, every time the packing sheet is changed. The rule is that...
Inspection of the hypopharynx and upper esophagus is readily...
Lessons From Nutritional Anthropology
The next logical pair of questions are: how healthy could goo...
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
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