See Digestion; Nourishment. ...
This should always be managed so as to soothe and not excite t...
The Journey Down The Food Tube
The Flow of Saliva and Appetite Juice. We are now ready to st...
Why People Get Sick
This is the Theory of Toxemia. A healthy body struggles conti...
Cooling In Heating
Often it is difficult to get a sufficient cooling effect by me...
For slight bruises, such as children frequently get by falling...
Bruises Case Xiv
The first case of bruise which I shall detail was not severe,...
THERE was once a family who had a guest staying with ...
Muscular Action Weak
The heart is the most important of all muscles. Sometimes the ...
Emetic, followed by white of egg. Keep very warm. ...
Strabismus Discordance Of The Eyes
If neither of the rectus muscles have been cut and cicatrized...
Biliary Calculi Gravel In Liver
Take A C current, strong as can be borne; and treat the infla...
Endoscopy On The Human Being
Dog work offers but little practice in laryngoscopy. Because...
Knee Swelling Of Or Pain In
For ordinary slight injuries, complete rest, and rubbing with ...
One of the most common causes of hypertension is clue to exce...
Apthae - Thrush
This is a disease peculiar to nursing children. The mouth bec...
Blood Pressure In Children
May Michael, [Footnote: Michael, May: A Study of Blood Pressu...
Delicacy of touch and manipulation are an absolute necessity...
Endoscopy In Malignant Disease Of The Larynx
The general surgical rule applying to individuals past middle...
To Prevent Colds
Keep the _arms_, _hands_ and _chest_ well clothed and warm. ...
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