Medical ArticlesSprains Or Racks
A sprain is usually the result of some involuntary stress comi...
Toxic Disturbances And Heart Rate
Under this head it is not proposed to consider disturbances...
A subacute or a chronic infective endocarditis should be trea...
Knee Swelling Of Or Pain In
For ordinary slight injuries, complete rest, and rubbing with ...
An attack of this disease generally begins with a feeling of w...
Take the A. D. current, medium force, in all forms of the dis...
Continuation Of Packs Convalescence
Whether the eruption appear or not, the packs should be conti...
This is chiefly observed in children. The most frequently en...
The Digestive System
How the Food Reaches the Stomach. Our body, then, has an open...
Influenzal infection, not always by the same organism, sweep...
A cold is often easily overcome. At other times it "sits down,...
Consumption Treatment Of
Turning now to the case when consumption has actually shown it...
An ulcer is an "eating sore": that is, a sore containing matte...
Treatment Of Compression Stenoses Of The Trachea
If the thymus be at fault, rapid amelioration of symptoms fo...
Muscular Action Weak
The heart is the most important of all muscles. Sometimes the ...
Use the A D current, moderate force. Give general tonic treat...
Radium and the therapeutic roentgenray are today our only ef...
Breath And Muscles
Sometimes difficulty of breathing is due, not to anything wron...
Healing-spells In Ancient Times
Neither doth fansy only cause, but also as easily cure ...
Exercise And Growth
Fatigue as a Danger Signal. The chief use of exercise in ch...
Malignant Endocarditis Ulcerative Endocarditis
Source: Disturbances Of The Heart
Since we have learned that bacteria are probably at the bottom of
almost any endocarditis, the terms suggested under the
classification of endocarditis as "mild" and "malignant" really
represent a better understanding of this disease. They are not
separate entities, and a mild endocarditis may become an ulcerative
endocarditis with malignant symptoms. On the other hand, malignant
endocarditis may apparently develop de novo. Still, if the cause is
carefully sought there will generally be found a source of
infection, a septic process somewhere, possibly a gonorrhea, a
septic tonsil or even a pyorrhea alveolaris. Septic uterine
disturbances have long been known to be a source of this disease.
Meningitis, pneumonia, diphtheria, typhoid fever and rarely
rheumatism may all cause this severe form of endocarditis.
Ulcerative endocarditis was first described by Kirkes in 1851, was
later shown to be a distinctive type of endocarditis by Charcot and
Virchow, and finally was thoroughly described by Osler in 1885.
Ulcerative endocarditis was for a long time believed to be
inevitably fatal; it is now known that a small proportion of
patients with this disease recover. Children occasionally suffer
from it, but it is generally a disease of middle adult life. Chorea
may bear an apparent causal relation to it in rare instances.
Ulcerative endocarditis may develop on a mild endocarditis, with
disintegration of tissue and deep points of erosion, and there may
be little pockets of pus or little abscesses in the muscle tissue.
If such a process advances far, of course the prognosis is
absolutely dire. If the ulcerations, though formed, soon begin to
heal, especially in rheumatism, the prognosis may be good, as far as
the immediate future is concerned. If the process becomes septic, or
if there is a serious septic reason for the endocarditis, the
outlook is hopeless. This form of endocarditis is generally
accompanied by a bacteremia, and the causative germs may be
recovered from the blood. One of the most frequent is the
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