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Medical ArticlesMalignant Endocarditis Ulcerative EndocarditisSince we have learned that bacteria are probably at the botto... Upper-lobe-bronchus Forceps Foreign bodies rarely lodge in an upper-lobe bronchus, yet w... Remedy Finding A It will sometimes occur, in the case of those endeavouring to ... 1 Is Water Applicable In All Typhoid Cases? The question has been raised, whether in typhoid cases, and i... The Care Of The Heart-pump The Effect of Work upon the Heart. Whatever else in this body... Pathologic Physiology The development of permanent injury to one or more valves o... List Of Instruments The following list has been compiled as a convenient basis f... Bilious Colic This disease, in addition to the symptoms of cutting, crampin... Fever In all fevers, to cool down the excessive heat of the patient ... Copper Emetic, white of egg to follow. ... Aconite Often in cases where our treatment fails to cure, the failure ... Cardiac Disease In Pregnancy It is so serious a thing for a woman with valvular lesion or ... Why Fuss So Much About What I Eat? I KNOW a woman who insisted that it was impossible fo... Sick Headache See Headache. ... Gangrene Of The Lung Pulmonary gangrene has been followed by recovery after the e... Anomalies Of The Tracheobronchial Tree Tracheobronchial anomalies are relatively rare. Congenital e... Amputations These are often performed in cases in which proper treatment o... A Rampaging Infection At the age of 40, John, an old bohemian client of mine, came ... Hemorrhage Take B D current, strong force. Apply P. P. to the open blood... Laryngoscopes The regular type of laryngoscope shown in Fig. I (A, B, C) i... |
Endocarditis A Secondary AffectionCategory: Uncategorized 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 endocarditis. Next: Pathology Previous: Acute Mild Endocarditis
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