Is now known to be conveyed by the bite of a certain kind of m...
Endoscopy In Malignant Disease Of The Larynx
The general surgical rule applying to individuals past middle...
Acute esophagitis calls for rest in bed, sterile liquid food...
Inflammation Of The Brain
See Brain. See also Knee; Limbs, Inflamed; Lungs, etc. ...
The simplest, best, and safest source of current is a double...
From The Hygienic Dictionary
Autointoxication.  the accumulations on the bowel wall be...
Anomalies Of The Tracheobronchial Tree
Tracheobronchial anomalies are relatively rare. Congenital e...
A few of the anatomical details must be kept especially in mi...
Enemas Cold Water
Prejudice often exists against cold treatment of any kind, but...
The spatular end of the laryngoscope is introduced in the ri...
Should be an indication that food in general or some certain k...
Contraction Of Sinews
This often occurs at the knee, bending the joint so that the p...
How To Give Yourself An Enema
Enemas have been medically out of favor for a long time. Most...
Plain Every-day Common Sense
PLAIN common sense! When we come to sift everything d...
Resume Of After-care Of A Tracheotomic Case
1. Always bear in mind that tracheotomy is not an ultimate ...
Wounds And Bruises
On this subject, I must necessarily be very brief. When a wou...
Hepatization Of Lungs
Take A D current, pretty strong force. Treat in front, over t...
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Foreign bodies that have penetrated the chest wall and lodge...
Sentiment _versus_ Sentimentality
FREEDOM from sentimentality opens the way for true sentiment....
Source: Disturbances Of The Heart
Arterial hypertension may be divided into stages. In the first stage
the arteries are healthy, but the tone, owing to contraction of the
muscular walls, is too great. This condition or stage has been
termed "chronic arterial hypertension." This condition may be due to
irritants circulating in the blood, to nervous tension, to incipient
chronic interstitial nephritis, or may be the first stage of
sclerosis of the arteries. If from any cause this hypertension
persists, the muscular coats of the arteries will become more or
less hypertrophied, and sooner or later degenerative changes begin
in the intima, and finally fibrosis occurs in the external coat of
the arteries; in other words, arteriosclerosis is in evidence. If
the patient lives with this arteriosclerosis, a later stage of the
arterial disease may occur which has been termed atheroma, with
thickening, and possibly calcareous deposits in some parts of the
walls of the vessels, while in other parts the coats become thinner
and insufficient. At this stage the heart, which has already shown
some trouble, becomes unable to force the blood properly against
this enormous resistance of inelastic vessels and the blood pressure
begins to fail as the left ventricle weakens.
Edema, failing heart, perhaps aneurysms, peripheral obstruction, or
hemorrhages are the final conditions in this chronic disease of
Riesman [Footnote: Riesman: Pennsylvania Med. Jour., December, 1911,
p. 193.] divides hypertension into four classes hypertension without
apparent nephritis or arterial disease; hypertension with
arteriosclerosis; hypertension with nephritis, and hypertension with
both arteriosclerosis and nephritis. These classes are given here in
the order of the seriousness of the prognosis.
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