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The treatment of shock will probably always be unsatisfactory...
You Have No Idea How I Am Rushed
A WOMAN can feel rushed when she is sitting perfectly...
Treatment Of Cicatricial Stenosis
A careful direct endoscopic examination is essential before ...
has great power as a local remedy in _Erysipelas_, to be appl...
Radium and the therapeutic roentgenray are today our only ef...
The Development Of My Own Constipation
The history of my own constipation, though it especially rela...
SYMPATHY, in its best sense, is the ability to take another's...
This is inflammation of the Pleura of one or both lungs, gene...
At the outset, it must ever be remembered that this is not a d...
The lodgement of foreign bodies in the esophagus is influenc...
Breath And Blood
Often difficulty of breathing, especially in close air, mistak...
Arterial hypertension may be divided into stages. In the fi...
Aortic Stenosis Aortic Obstruction
Valvular disease at the aortic orifice is much less common th...
The immediate conditions to meet are the rapid fluttering hea...
From The Hygienic Dictionary
Cure.  There is no "cure" for disease; fasting is not a cur...
There is a vast variety of ailments associated with what is ca...
Head Sounds In
As the result and accompaniment of deafness these are sometime...
The Sixth Sense. Though we usually speak of having five sens...
Papillomata Of The Larynx In Children
Of all benign growths in the larynx papilloma is the most fre...
Period Of Eruption Or Appearing Of The Rash
Commonly, on the second day, towards evening, sometimes on th...
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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