Medical ArticlesSpine Misshapen
Often in the case of delicate infants or children, the bones o...
Filling The Boiler Of The Body-engine
The Need of Water in the Body-Engine. If you have ever taken ...
Some years back my 70 years old mother came from the family ...
The Effect Of Athletics On The Heart
We can no longer neglect the seriousness of the effects of c...
Indications.--Tracheotomy is indicated in dyspnea of laryngot...
Bowels Glands Of
Symptoms of glandular trouble in the bowels are--weariness and...
Training For Motion
"IN every new movement, in every unknown attitude nee...
If a more malignant form of endocarditis develops on a mild ...
Benign Growths Primary In The Tracheobronchial Tree
Extension of papillomata from the larynx into the cervical tr...
Symptomatology And Diagnosis Of Foreign Bodies In The Air And Food Passages
Initial symptoms are choking, gagging, coughing, and wheezing...
The diet of the sick should he nutricious, but at all times s...
The first step is to get rid of the gastric secretions. Ther...
These are often performed in cases in which proper treatment o...
Although curative attributes were ascribed to the magnet in...
On The Adherent Eschar
It appears scarcely necessary to describe the immediate and w...
The following treatment will be found effective to heal less s...
Blood Pressure And Insurance
An epitome of the consensus of opinion of the risk of accepti...
When the conducting cords are of equal length, as commonly th...
Extraction Of Soft Friable Foreign Bodies From The Tracheobronchial Tree
The difficulties here consist in the liability of crushing or...
Endoscopic Operations For Laryngeal Stenosis
Web formations may be excised with sliding punch forceps, or...
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