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Medical ArticlesScarlatina Anginosa Or Sore-throat Scarlet-feverWherever the _throat_ is affected, which is almost always the... Changing Treatment To wisely alter and arrange the treatment in any case is of th... Weakness Often there follows, after the cure of an inflammatory disease... Small Pox - Variola This disease begins with pain in the head and back, chilly se... Inflammation Deep-seated Often inflammation occurs in the centre of, or beneath, a mass... Decline See Consumption. ... Beverages The Popularity of Beverages. For some curious reason, the h... Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever In _scarlatina anginosa_, or _sore-throat scarlet-fever_, whi... The Royal Touch Malcolm. Well; more anon.--Comes the king forth, I pray ... Lessons From Nutritional Anthropology The next logical pair of questions are: how healthy could goo... Morning Sickness Of Pregnant Females The most efficient and certain remedy for this symptom is _Ma... Symptoms Of Prolonged Foreign Body Sojourn In The Bronchus 1. The time of inhalation of a foreign body may be unknown ... Sunshine Is a most valuable aid to health, acting as a physical and men... The Heart Structure and Action of the Heart. Now what is it that keeps ... Abscess Of The Lung If of foreign-body origin, pulmonary abscess almost invariab... Diphtheria The most striking symptom of diphtheria is the growth of a sub... Errors To Avoid In Suspected Foreign Body Cases 1. Do not reach for the foreign body with the fingers, lest... Amenorrhea Suppressed Menstruation Treat as for chlorosis. But if the case be recent--the effect... To Prevent Diarrhoea Where it is prevailing as an _epidemic_, _Ipecac_ at night, a... Water For Drinking Every care should be taken to have drinking water absolutely p... |
Aortic Insufficiency Aortic RegurgitationCategory: Uncategorized 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 work. Next: Tricuspid Insufficiency Previous: Aortic Stenosis Aortic Obstruction
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