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The treatment of shock will probably always be unsatisfactory...
Paralysis Of The Esophagus
The passage of liquids and solids through the esophagus is a ...
Punctures Case Iii
A female servant punctured the end of the finger by a pin; th...
1 Is Water Applicable In All Typhoid Cases?
The question has been raised, whether in typhoid cases, and i...
To Prevent Diarrhoea
Where it is prevailing as an _epidemic_, _Ipecac_ at night, a...
An ordinary bed which has not been slept in for some weeks, al...
Diet For The Lean
To a large extent the preceding article will suggest what is s...
Often a state of the nerves exists, without any apparent unhea...
Punctures Case X
Mr. Worth's daughter, aged six, was thrown down by a dog and ...
Breath And Blood
Often difficulty of breathing, especially in close air, mistak...
Pimples On The Face
See Face. ...
Ulcers Case Xxx
C. Cocking, aged 17, has an ulcer of the size of half-a-crown...
This is inflammation of the Pleura of one or both lungs, gene...
Before Perspiration Comes On There Is A Little More Excitement For
a few minutes (41), which must not induce the friends of the pa...
Rules For Endoscopic Foreign Body Extraction
1. Never endoscope a foreign body case unprepared, with the...
It is true that ethical medical doctors use the least-risky ...
Varieties Of Forms Of Scarlatina
The above is the description of scarlet-fever, as it most fre...
Extraction Of Open Safety-pins From The Esophagus
An open safety pin with the point down offers no particular ...
Treatment Of Endocarditis
As mild endocarditis rarely occurs primarily but is almost al...
Cramp In The Limbs
The treatment of this is to apply cold cloths to the roots of ...
Source: Disturbances Of The Heart
Whether any drug should be used which acts directly on the heart is
often a question for decision. As endocarditis is generally
secondary to some acute disease, the patient has become weakened
already, and the circulation is not sturdy; therefore such a drug as
aconite is probably never indicated. The necessary diminished diet,
catharsis, hypnotic, salicylic acid and alkalies all tend to quiet
the circulation and diminish any strenuosity of the heart that may
be present. Unfortunately, during fever processes, digitalis in
ordinary doses rarely slows the heart; and while it might slow the
heart if given in large doses, it would also cause too powerful
contractions of the ventricles. Digitalis is inadvisable if there is
much endocardial inflammation, and especially if there is supposed
or presumed to be acute myocardial inflammation. If a patient had
already valvular disease from a previous endocarditis, and during
this attack insufficiency of the heart was evidenced by pendent
edemas, digitalis Should be administered; but it probably should not
be given to other patients during the acute period of inflammation.