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Medical ArticlesSymptoms Of Laryngeal Foreign Body
1. Initial laryngeal spasm followed by wheezing respiration...
These begin like warts, and in the earlier stages poulticing a...
Sentiment _versus_ Sentimentality
FREEDOM from sentimentality opens the way for true sentiment....
Pulse Testing For Allergies
Coca's Pulse Tests are extraordinarily useful and simple tool...
Mechanical Problems Of Bronchoscopic Foreign Body Extraction*
* For more extensive consideration of mechanical problems...
Some things regarding this useful fruit require to be noted by...
Punctures Case Iii
A female servant punctured the end of the finger by a pin; th...
All too many of my cases are what I privately refer to as oni...
The Effect Of Athletics On The Heart
We can no longer neglect the seriousness of the effects of c...
The Brain In Its Direction Of The Body
WE come now to the brain and its direction of other p...
Eyes Paralysis Of
The partial paralysis of the muscles of one eye produces doubl...
Indications For Strychnin
Strychnin is a much overused drug. It is now given for almost...
See Erysipelas. ...
ONCE a young woman who had very hard work to do day a...
Cardiac Disease In Pregnancy
It is so serious a thing for a woman with valvular lesion or ...
This disease is a most difficult one to deal with, and any hea...
Tuberculosis Of The Esophagus
Esophageal tuberculosis is not commonly met, but is probably ...
Diverticulum Of The Esophagus
Diverticula may, and usually do, consist in a pouching by her...
Compression Stenosis Of The Trachea And Bronchi
Compression of the trachea is most commonly caused by goiter...
This distressing and most infectious trouble is due to a small...
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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