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I shall give a couple of illustrations: In the winter of 1...
Few vital processes are more remarkable than that by which foo...
JOHANN BAPTIST VAN HELMONT, a celebrated Belgian physician, s...
Symptoms And Signs Of Cardiac Disturbance
It is now recognized that any infection can cause weakness an...
Choice Of Time To Do Bronchoscopy For Foreign Body
The difficulties of removal usually increase from the time of...
All too many of my cases are what I privately refer to as oni...
Autodrownage is the name given by the author to the drowning...
Our Relations With Others
EVERY one will admit that our relations to others sho...
The venous pressure, after a long neglect, is now again being...
The abdomen is formed of a series of rings containing the bowe...
The Malignant Forms Of Scarlet-fever
are caused by the character of the epidemy, but, perhaps, mor...
Enemas Versus Colonics
People frequently wonder what is the difference between a col...
In some cases the bran in whole wheaten bread and Saltcoats bi...
Inflammation Of The Eyes - Ophthalmia
For common Ophthalmia, in the early stages, while there is mo...
To Prevent Cholera
_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...
See Paralysis. ...
Anomalies Of The Tracheobronchial Tree
Tracheobronchial anomalies are relatively rare. Congenital e...
Extraction Of Foreign Bodies From The Strictured Esophagus
Foreign bodies of relatively small size will lodge in a stri...
Physics Of Mitral Stenosis
Mitral stenosis, though less common than mitral regurgitation...
This is neuralgia in an ischiatic nerve, commonly the great i...
Endocarditis A Secondary Affection
Source: Disturbances Of The Heart
Mild endocarditis is rarely a primary affection, and is almost
invariably secondary to one of the diseases named above. Nearly 75
percent of secondary endocarditis occurs as a complication of acute
articular rheumatism and chorea, or subsequently. On the other hand,
about 40 percent of all patients with acute articular rheumatism
develop endocarditis, sometimes perhaps so mild as to be hardly
discoverable. This complication is most likely to occur during the
second or third week of rheumatic fever. It is not sufficiently
recognized that a subacute arthritis, recurring tonsillitis, open
and concealed infections in the mouth, and even a condition of the
system with acute, changeable and varying joint and muscle pains may
all develop a mild endocarditis, even with subsequent valvular
lesions. Therefore in all of these conditions the decision can be
made only as to how much rest the patient must have or how serious
the condition is to be considered by careful examination of the
heart in every instance.
Children are more liable than adults to this complication,
especially with rheumatism. Therefore, acute mild endocarditis with
future valvular lesions occurs most frequently during childhood and
adolescence, and if one attack has occurred, a subsequent infection,
especially of rheumatism, is liable to cause another acute
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