|I'd like to be a baker, and come when morning breaks, Calling out, "Beeay-ko!" (that's the sound he makes)-- Riding in a rattle-cart that jogs and jolts and shakes, Selling all the sweetest things a baker ever bakes; Currant-buns and brand... Read more of THE BAKER at Children Stories.ca|| Informational|
Medical ArticlesDimensions Of The Trachea And Bronchi
It will be noted that the bronchi divide monopodially, not d...
Punctures Case Ii
Mrs. Middleton, aged 40, wounded her wrist, on the ulnar side...
Punctures Case V
Mr. Cocking's son, aged 12, received a stab in the palm of th...
As the patient should have a constant supply of pure air for ...
Sitz-bath Anchor Of Safety
If there be much delirium, the sitz-bath may be required long...
Difficulties In The Introduction Of The Bronchoscope
The beginner may enter the esophagus instead of the trachea:...
The Malignant Forms Of Scarlet-fever
are caused by the character of the epidemy, but, perhaps, mor...
Signs Of Heart Weakness
It should be remembered that a normal heart may slow to about...
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See Bleeding; Wounds. ...
A few of the anatomical details must be kept especially in mi...
The Use Of The Will
IT is not generally recognized that the will can be t...
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Anything which tends to increase the acidity of the tissues a...
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Home Methods Of Purifying Water
Boiling. Where the water that you are obliged to drink is not...
Cardiovascular Renal Disease Treatment
While it is urged, in preventing the actual development of th...
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Breath And The Skin
The organs of breathing remove much waste from the system, but...
Chronic Myocarditis Fibrous
Source: Disturbances Of The Heart
Chronic myocarditis may develop on an acute myocarditis, but is
generally a slowly progressive chronic process from the beginning;
it occurs mostly in persons past middle life, and as a rule is not
primarily associated with rheumatism or valvular disease of the
heart. Perhaps generally the term "chronic myocarditis" is
incorrect, as a real inflammatory condition is not present and has
not been present; it is really a degenerative process with the
development of connective tissue, a fibrosis and more or less
hardening of the arterioles, a cardiosclerosis. In many instances
this fibrosis is associated with fat deposits or fatty degeneration.
The disease is often caused by a narrowing or obstruction or
calcareous degeneration of the coronary arteries, thus diminishing
the blood supply to the heart muscle. This chronic myocardial
degeneration is often a part of the general arteriosclerosis, and is
an important factor in what is termed cardiovascular-renal disease.
In simple chronic renal diseases the heart first normally
hypertrophies to overcome the increased blood tension and increased
The principal causes of this degeneration are normal old age, or
premature age caused by various conditions. In other words, anything
which hastens arteriosclerosis will cause myocardial degeneration.
The causes recognized as most frequently producing this condition
are syphilis; gout; repeated attacks of rheumatism; excess in the
use of alcohol (meaning repeated daily too large amounts, as well as
actual dipsomania); the overuse of tobacco; excess in drinking tea
or coffee; general overeating, and excessive eating of meat in
particular, if the organs of elimination do not work perfectly and
if such eating causes or allows putrefactive changes in the
intestines; and progressive, prolonged wasting diseases, such as
tuberculosis and cancer. It has also seemed in some cases that the
only cause was excessive, hard physical labor, including excessive
athletic work, and in other cases that prolonged anxiety and worry
have been causes of cardiac degeneration and actual cardiac failure.
Prolonged absorption of toxins from mouth and tonsil infections may
be a not infrequent cause.
These myocardial changes are sometimes associated with chronic
pericarditis and chronic endocarditis, and may accompany or follow
valvular disease of the heart. Failure of compensation in valvular
disease and dilatation of the heart are sequences which occur sooner
Next: Myocarditis Fibrous Symptoms And Signs
Previous: Acute Myocarditis