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Cholera Malignant

As in cholera morbus, keep the patient on his back, still as ...

Varix And Angioma Of The Esophagus

These lesions are sometimes the cause of esophageal hemorrhag...


Its Cause and Prevention. The other great disease of the lung...


Esophagoscopy is demanded in every case in which a foreign b...


This is an affection of the bowels of the nature of diarrhoea,...


An ulcer is an "eating sore": that is, a sore containing matte...

Removal Of Double Pointed Tacks

If the tack or staple be small, and lodged in a relatively l...


This is neuralgia in an ischiatic nerve, commonly the great i...

Technicalities Of The Pack And Bath

Let me give you its technicalities, and the rationale of its ...

The Royal Touch

Malcolm. Well; more anon.--Comes the king forth, I pray ...

Acidity Of The Stomach

Often caused by unwholesome food, bad or deficient teeth, or b...

Nourishment Heat In

Heat is absorbed in building up the bodily tissues, and given ...

Resume Of After-care Of A Tracheotomic Case

1. Always bear in mind that tracheotomy is not an ultimate ...


It is a mistake to try to force a foreign body into the stom...

Artistic Considerations

ALTHOUGH so much time and care are given to the vario...

Home Methods Of Purifying Water

Boiling. Where the water that you are obliged to drink is not...

Torpid Reaction Asthenic

The more violent the contagious poison, and the weaker the or...

Length Of Pack Perspiration

To make quite sure of the reaction, the single sheet may be t...

The Triviality Of Trivialities

LIFE is clearer, happier, and easier for us as things assume ...

Burns Case Xxxv

The following case will present a specimen of my trials of th...

Endocarditis A Secondary Affection

Category: 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

Next: Pathology

Previous: Acute Mild Endocarditis

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