|The student may also get very great help in ascertaining details about the likely marriage of the person whose hands he is examining by the following: Fine Influence Lines seen joining the Line of Fate, relate to persons who come into and af... Read more of Influence Lines To The Fate Line On The Mount Of Venus Connection With Marriage at Palm Readings.org|| Informational|
If the operator has no refractive error he will need two pai...
Errors To Avoid In Suspected Foreign Body Cases
1. Do not reach for the foreign body with the fingers, lest...
The Royal Touch
Malcolm. Well; more anon.--Comes the king forth, I pray ...
Piles - Hemorrhoids
One important matter in all cases of habitual piles, is, to k...
The Half-bath The Sitz- Or Hip-bath
Should the half-bath or shallow-bath (which are technical ter...
Gabriel Tucker modified the regular side-curved forceps by a...
The Curative Influence Of The Imagination
At the present day the remarkable benefit which often resul...
In every person there is a certain amount only of force which i...
Technic Of Laryngeal Operations
Preparation of the patient and anesthesia have been mentione...
Lungs Congestion Of The
Treatment as below. Read preceding and succeeding articles. ...
Mineral Acids Muriatic Acid Prescriptions
have also been used with good effect in some epidemics. _Muri...
TO be truly at peace with one's self means rest indeed. Th...
WORK for the better progress of the human race is most effect...
Practice On The Dog
Having mastered the technic of introduction on the cadaver a...
The Surgical Dissection Of The Deep Structures Of The Male Perinaeum The Lateral Operation Of Lithotomy
The urethra, at its membranous part, M, Fig. 1, Plate 53, whi...
The Surgical Dissection Of The Popliteal Space And The Posterior Crural Region
On comparing the bend of the knee with the bend of the elbow,...
Quacks And Quackery
Quackery and the love of being quacked, are in human nat...
See Rash. ...
Brain Inflammation Of
This arises often from over-schooling of young boys and girls....
Auricular Fibrillation Prognosis
The prognosis depends on the condition of the myocardium of t...
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