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| On 16th November, 1870, Mr. Shchapoff, a Russian squire, the narrator, came home from a visit to a country town, Iletski, and found his family in some disarray. There lived with him his mother and his wife's mother, ladies of about sixty-nine,... Read more of The Dancing Devil at Scary Stories.ca | Informational Privacy |
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Medical ArticlesBronchoscopy In Malignant Growths Of The TracheaThe trachea is often secondarily invaded by malignancy of the... Tapeworm The only sure sign of the presence of this parasite in the int... Croup This is a disease of children. Comes on in consequence of a s... Bruises Case Xv The following case was far more severe, but the mode of treat... Heat Internal There is a usual (normal) temperature in all the blood and tis... The Half-bath The Sitz- Or Hip-bath Should the half-bath or shallow-bath (which are technical ter... Punctures Case Xii A servant maid was bitten by a dog in four places--severely o... Additional Rules For The Treatment Of Eruptive Diseases In all these eruptive diseases, especially small-pox, all I h... Headache There is a vast variety of ailments associated with what is ca... Nose Bleed - Epistaxis If it arises from fullness of the vessels of the head, with t... Nourishment Heat In Heat is absorbed in building up the bodily tissues, and given ... Constant Complaints Alice was a middle-aged woman who couldn't understand why she... Eyes Squinting Various affections of the eyeball muscles cause this. To cure ... Potato Poultice Potatoes boiled and beaten up with buttermilk, spread out in t... Skin Care Of Among the vast majority of people air and water far too seldom... Digestion Digestion is the process whereby the food we eat is turned int... Hemorrhage Take B D current, strong force. Apply P. P. to the open blood... Esophagoscopy For Foreign Body ... Food And Mental Power Unsuitable or ill-cooked food has a most serious effect on the... Acquiring Skill Endoscopic ability cannot be bought with the instruments. As ... |
Acute Mild EndocarditisCategory: Uncategorized Source: Disturbances Of The Heart This inflammation of the endocardium is generally confined to the region of the valves, and the valves most frequently so inflamed are the mitral and aortic. There may be a slight inflammation or actual ulceration and loss of tissue. Vegetations more or less constantly occur on the inflamed surfaces, with more or less danger of particles becoming loosened and moving free in the blood stream, causing embolic obstruction in different parts of the body. There is also more or less probability of serious adhesions or contractions occurring from the healing of the ulcerated surfaces. The future health and welfare of the valves depend on the fact that the inflammation has healed without contractions or adhesions. It is often difficult to decide when acute endocarditis has developed; but with the knowledge that the endocardium often becomes inflamed during almost any of the acute infections, the physician should repeatedly examine the heart for murmurs, for muffled closure of the valves, or for other evidences of endocarditis or myocarditis during the acute infective process. It has been shown positively that acute endocarditis is due to micro-organisms, generally streptococci, staphylococci or pneumococci, and, more frequently than once believed, gonococci. The most frequent causes are acute rheumatic fever, diphtheria, pneumonia, cerebrospinal meningitis, scarlet fever, erysipelas, influenza, chorea, gonorrhea, sepsis and typhoid fever. It may also follow a follicular tonsillitis or some infection of the mouth or throat with or without arthritis. Tuberculosis may also occasionally cause an endocarditis. Organisms may be found in a terminal simple endocarditis due to a chronic disease, as tuberculosis or cancer; such inflammations may have been caused by circulating toxins. It will be noticed by the foregoing classification that the terms "mild" and "malignant" endocarditis are used. The purpose is to convey the fact that there may be no etiologic distinction between the two forms, and it is impossible to decide clinically in the beginning of an endocardial inflammation which form is present. In the malignant form the infection is probably more serious or the infective germs are more active, the ulcerations deeper, and the likelihood of emboli and the seriousness of such embolic infarcts more serious and more dangerous. The differences in inflammation in the two cases is really one of degree, and the classification is made to coincide with this probable fact. it is, of course, clinically recognized that endocarditis following certain diseases, especially rheumatism, is of the simple or mild type, while that termed ulcerative endocarditis may occur apparently as a primary or general infection, and the causative bacteria, as a rule, are readily discovered in the blood. The Streptococcus viridans is one of the most dangerous of these bacteria. Next: Endocarditis A Secondary Affection Previous: Endocarditis
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