|Design I. We here present a farm house of the simplest and most unpretending kind, suitable for a farm of twenty, fifty, or an hundred acres. Buildings somewhat in this style are not unfrequently seen in the New England States, and in New ... Read more of Farm House at Scary Stories.ca|| Informational|
See Constipation. ...
As so many times repeated, real pain must be stopped, and mor...
A very useful and comparatively safe method is illustrated i...
Conclusion: Help Yourselves If Your Physicians Will Not Help You!
And I am none of your water-enthusiasts, who pretend to cure ...
Swellings in the breast often arouse fear of cancer, but are g...
Sitting (or Sitz) Bath
This bath, in whatever form administered, is essentially a sit...
How the Nose is Made. The nose began as a pair of little puck...
See Abscess; Ankle; Armpit; Bone, Diseased. ...
Enlargement Of Liver
Take A D current, with medium force. Place N. P., some three ...
In this rapid high tension age the physician should be as ene...
Digestion is the process whereby the food we eat is turned int...
Nephritis Inflammation Of Kidneys
1. Acute. If the urinary secretion be reddish and scant, with...
Knee Swelling Of Or Pain In
For ordinary slight injuries, complete rest, and rubbing with ...
See Band, Flannel. ...
The Surgical Dissection Of The Male Bladder And Urethra Lateral And Bilateral Lithotomy Compared
Having examined the surgical relations of the bladder and adj...
Cooling In Heating
Often it is difficult to get a sufficient cooling effect by me...
Breath And Blood
Often difficulty of breathing, especially in close air, mistak...
Myocarditis Fibrous Management
The advice he should receive is well understood: to avoid phy...
Bowels Locking Of
Sometimes when one part of the bowels is much more active than...
How To Conquer Consumption
Different Forms of Tuberculosis. The terrible disease tubercu...
Aortic Insufficiency Aortic Regurgitation
Source: Disturbances Of The Heart
This lesion, though not so common as the mitral lesion, is of not
infrequent occurrence in children and young adults as a sequence of
acute rheumatic endocarditis. If it occurs later in life it
generally is associated with aortic narrowing, and is a part of the
general endarteritis and perhaps atheroma of the aorta. Sometimes it
is caused by strenuous exertion apparently rupturing the valve.
This form of valvular disease frequently ends in sudden death. On
the other hand, it is astonishing how active a person may be with
this really terrible cardiac defect. This lesion, from the frequent
overdistention of the left ventricle, is one which often causes
pain. While the left ventricle enlarges enormously to overcome the
extra distention due to the blood entering the ventricle from both
directions, the muscle sooner or later becomes degenerated from poor
coronary circulation. Unless the left ventricle can do its work well
enough to maintain an adequate pressure of blood in the aorta, the
coronary circulation is insufficient, and chronic myocarditis is the
result. If the left ventricle has maintained this pressure for a
long time, edemas are not common unless the cardiac weakness is
serious and generally permanently serious: that is, slight weakness,
in this lesion, does not give edemas as does slight loss of
compensation in mitral disease, and unless the weakness of the
ventricle is serious, the lungs are not much affected.
The physical sign of this lesion is the diastolic murmur, which is
loudest of the base of the heart, is accentuated over the aortic
orifice, and is transmitted up into the neck and the subclavians,
and down over the heart and down the sternum with marked pulsation,
of the arteries (Corrigan pulse) and often of some of the peripheral
veins, notably of the arms and throat.
If the left ventricle becomes dilated the mitral valve may become
insufficient, when the usual lung symptoms occur, with hypertrophy
of the right ventricle; and if it fails, the usual venous symptoms
of loss of compensation follow. This lesion not infrequently causes
epistaxis, hemoptysis and hematemesis.
Digitalis is always of value in these cases, but it should not be
pushed. If a heart is slowed too much, the regurgitation into the
left ventricle is increased. Therefore such hearts should not be
slowed to less than eighty beats per minute, or sudden anemia of the
brain and sudden death may occur. These patients must not do hard
Next: Tricuspid Insufficiency
Previous: Aortic Stenosis Aortic Obstruction