InformationalPrivacy
| To dream of doing crochet work, foretells your entanglement in some sillyaffair growing out of a too great curiosity about other people's business.Beware of talking too frankly with over-confidential women.... Read more of Crochet Work at My Dreams.ca | Informational Privacy |
 |
Home |
Medical Articles |
Mother's Remedies |
Household Tips |
Medicine History |
Search |
Medical ArticlesChronic Back PainBarry was a carpenter who couldn't afford to lose work becaus... Malaria Is now known to be conveyed by the bite of a certain kind of m... Children's Nerves The nervous system of children is often damaged by shock or fr... Coronary Sclerosis While disease of the coronary arteries may occur without ge... Cancer Swellings in the breast often arouse fear of cancer, but are g... Physical Signs In Esophageal Foreign Body There are no constant physical signs associated with uncompli... Symptoms Of Gastric Foreign Body Foreign body in the stomach ordinarily produces no symptoms. ... Stage 2 Passing the cricopharyngeus is the most difficult part of es... Affection Of The Brain When the _brain_ is affected, the patient suddenly complains ... Thumb Bruised And Broken Frequently a tradesman will strike the thumb or finger a serio... Haemorrhage See Bleeding; Wounds. ... The Relative Anatomy Of The Male Pelvic Organs As the abdomen and pelvis form one general cavity, the organs... Methods Of Treatment Irritating applications probably provoke recurrences, becaus... Scarlatina Sine Exanthemate There are also mild cases of scarlet-fever, when little or no... The Various Forms And Positions Of Strictures And Other Obstructions Of The Urethra False Passages Enlargements And Deformities Of The Prostate Impediments to the passage of the urine through the urethra m... Polarization Of The Circuit I have said, in effect, a little above, that, while the curre... Accidents And Emergencies Ordinarily, Accidents are not Serious. Accidents will happe... Beverages The Popularity of Beverages. For some curious reason, the h... Chloroform Or Ether (swallowed) Emetic; enema of hot coffee; keep awake. If necessary, artific... Acidity Of The Stomach Often caused by unwholesome food, bad or deficient teeth, or b... |
Angina Pectoris SymptomsCategory: Uncategorized Source: Disturbances Of The Heart The pain of true angina pectoris generally starts in the region of the heart, radiates up around the left chest, into the shoulders, and often down the left arm. This is typical. It may not follow this course, however, but may be referred to the right chest, up into the neck, down toward the stomach, or toward the liver. The attack may be coincident with acute abdominal pain, almost simulating a gastric crisis of locomotor ataxia. There may also be coincident pains down the legs. It has been shown, as mentioned in another part of this book, that disturbances in different parts of the aorta may cause pain and the pain be referred to different regions, depending on the part affected. Instances occasionally occur in which a patient had an anginal attack, as denoted by facial anxiety, paleness, holding of the breath, and a slow, weak pulse, without real pain. This has been called angina sine dolore. The patient has an appearanece of anxious expectation, as though he feared something terrible was about to happen. The position of the patient with true angina pectoris is characteristic. He stops still wherever he is, stands perfectly erect or bends his body backward, raises his chin, supports himself with one hand, leans against anything that is near him, and places his other hand over his heart, although he exercises very little pressure with this hand. The position assumed is that which will give the left chest the greatest unhampered expansion, as though he would relieve all pressure on the heart. Besides the feeling of constriction, even to some spasm, perhaps, of the intercostal muscles, respiration is slowed or very shallow, because of the reflex desire of the patient not to add to the pain by breathing. The face is pale, the eyes show fear, and the whole expression is almost typical of cardiac anxiety. The patient feels that he is about to die. The pulse is generally slowed, may be irregular, and may not be felt at the wrist. The blood pressure has been found at times to be increased. It could of course be taken only in those cases in which there were more or less continued anginal pains; the true typical acute angina pectoris attack is over, or the patient is dead, before any blood pressure determination could be made. When there is more or less constant ache or frequent slight attacks of pain, the blood pressure may be raised by the causative disease, arteriosclerosis. During the acute attack with inefficient cardiac action and a diminished force and frequency of the beat, the peripheral blood pressure can only be lowered. The duration of an acute attack, that is, the acute pain, is generally but a few seconds, sometimes a few minutes, and rarely has lasted for several hours. In the latter cases some obstruction to an artery has been found at necropsy, but not sufficient to stop the circulation at a vital point. Repeated slight attacks, more or less severe, may occur frequently throughout one or more days, or even perhaps a series of days, caused by the least exertion, even that of turning in bed. While most cases of sudden death with cardiac pain are due to a local disease in or around the heart, it is quite probable that some disturbance in the medulla oblongata may cause acute inhibitory stoppage of the heart through the pneumogastric (vagi) nerves. The power of the pneumogastric reflex to inhibit the action of the heart is, of course, easily demonstrated pharmacologically. Clinically reflexes down these nerves interfering with the heart's action cause faintness and serious prostration, if not actual shock, and perhaps, at times, death. The most frequent cause of such a reflex is abdominal pain, perhaps due to some serious condition in the stomach, to gastralgia, to an intestinal twist, to intussusception or other obstruction, or to hepatic or renal colic. A severe nerve injury anywhere may cause such a heart reflex. Hence serious nerve pain must always be stopped almost immediately, else cardiac and vasomotor shock will occur. In serious pain morphin becomes a life saver. Next: Angina Pectoris Management Previous: Angina Pectoris
Viewed 609 |
||||||||||||||||||||
