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The surface of the body should be kept clean, as far as possi...
Direct Laryngoscopy In Children
The epiglottis in children is usually strongly curled, often...
The treatment under Glands, Swollen, should be followed. But b...
These are often piled on the front of the body, while the far ...
Mitral Stenosis: Mitral Narrowing
This particular valvular defect occurs more frequently in wom...
See Armpit Swelling and Bone. ...
Bruises Case Xvi
J. Jennings, bricklayer, aged 26, fell through the roof of a ...
The Black Hole of Calcutta is an object lesson of how necessary...
On The Treatment By Eschar And Poultice
In many cases in which it is impossible to adopt either the m...
Normal Blood Pressure For Adults
Woley [Footnote: Woley, II. P.: The Normal Variation of the S...
The Dissection Of The Oblique Or External And The Direct Or Internal Inguinal Herniae
The order in which the herniary bowel takes its investments f...
Extraction Of Tacks Nails And Large Headed Foreign Bodies From The Tracheobronchial Tree
In cases of this sort the point presents the same difficulty...
The Surgical Dissection Of The Principal Bloodvessels And Nerves Of The Iliac And Femoral Regions
Through the groin, as through the axilla, the principal blood...
The Fundamental Principle
If you are a true believer in any of the above food religions...
Natural Polarization Of Man's Physical Organism
The electro-vital fluid, in the animal economy, is subject to...
It is rarely, if ever, advisable to use alcohol. In certain ...
Ulcers Case Xxviii
Mrs. U. aged 60, has been subject to ulcerated legs for sever...
Esophagoscopic Extraction Of Foreign Bodies
It is unwise to do an endoscopy in a foreign-body case for th...
JEROME CARDAN, an Italian physician, author, mathematician an...
SYMPATHY, in its best sense, is the ability to take another's...
Source: Disturbances Of The Heart
If the patient is weak, the circulation depressed, the blood
pressure low, and the heart rapid, the drug advisable to produce
rest and sleep is almost always morphin or some other form of opium.
Morphin, with few exceptions, is a cardiac tonic and a cardiac
stimulant, unless the dose is much too large. As long as the bowels
are daily moved and the food is not given at the time of the full
action of the morphin, when digestion might be delayed or interfered
with, in most patients the action of this drug during serious
illness is entirely for good. The greatest mistake in using morphin
for the production of sleep, or for physical and mental rest and
comfort when there is not severe pain, is in giving too large a
dose. If pain is not severe, or due to inflammatory distention of
some undilatable part, to pressure on some nerve, to distention of
some tube by a calculus or to some serious injury to the nerves,
large doses of morphin are not needed. Small doses will act much
more efficiently. It is excessively rare that a hypodermic of one-
fourth grain of morphin sulphate is needed, except for the
conditions enumerated. It is often a fact that so small a dose as
one-eighth grain of morphin or even one-sixth grain will cause
sufficient stimulation of a nervous patient, because its primary
stimulant effect on the spinal cord is greater than its depressant
effect on the brain, to require another dose (one-fourth grain
altogether) to give such a patient rest. On the other hand, this
patient may many times be quieted by one-tenth grain of morphin
sulphate on account of the size of the dose being not sufficient to
stimulate the spinal cord. Many a time clinically when one-eighth
grain has failed, a dose of one-fourth grain having been apparently
necessary, a change to one-tenth grain has proved entirely and
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