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Old Ulcers

Take the A D current. If torpid, treat with mild force. Treat...

Nourishment Heat In

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

Polarization

It may be proper, in this place, to spend a few words upon el...

A Collection Of Gallbladders

Gallbladder cases are rather ho-hum to me; they are quick to ...

The Real Truth About Salt And Sugar

First, let me remind certain food religionists: salt is salt ...

Punctures Case Xii

A servant maid was bitten by a dog in four places--severely o...

Water-treatment As Used By Currie Reuss Hesse Schoenlein &c

Beside the above modes of treatment _cold_ and _tepid Water_ ...

Hot Flushings

See Flushings. ...

Chronic Back Pain

Barry was a carpenter who couldn't afford to lose work becaus...

Diet For A Healthy Person

I doubt that it is possible to be totally healthy in the twen...

Buttermilk Poultice

Boiled potatoes beaten up with fresh buttermilk make an excell...

Local Applications

That medicines act locally, that is, manifest their symptoms ...

Poultice Bran

See Bran Poultice. ...

To Prevent Typhoid Fever

When exposed, as in nursing the sick, take _Baptisia_ 2d, and...

Bile Black

For this take two tablespoonfuls of hot water every five minut...

The Care Of The Heart-pump

The Effect of Work upon the Heart. Whatever else in this body...

Influenzal Laryngotracheobronchitis

Influenzal infection, not always by the same organism, sweep...

Contraindications To Esophagoscopy

In the presence of aneurysm, advanced organic disease, exten...

During And After Desquamation The Treatment Should Be Continued As

indicated in milder cases, except the throat continue troubleso...

Cayenne And Mustard

Mustard spread on a cold towel and applied to the spine or lum...



Prognosis And Convalescence





Category: Uncategorized
Source: Disturbances Of The Heart

The duration of acute endocarditis varies greatly; it may be two or
three weeks, or the inflammation may become subacute and last for
several months. Although mild endocarditis rarely causes death of
itself, it may develop into an ulcerative endocarditis, and then be
serious per se. On the other hand, it may add its last quota of
disability to a patient already seriously ill, and death may occur
from the combination of disturbances. As soon as all acute symptoms
have ceased, rheumatic or otherwise, and the temperature is normal,
the amount of food should be increased; the strongly acting drugs
should be stopped; the alkalies, especially, should not be given too
long, and the salicylates should be given only intermittently, if at
all; iron should be continued, massage should be started, and iodid
should be administered, best in the form of the sodium iodid, from
0.1 to 0.2 gm. (1 1/2 to 3 grains), twice in twenty-four hours, with
the belief that it does some good toward promoting the resorption of
the endocardial inflammatory products and can never do any harm.
Prolonged bed rest must be continued, visitors must still be
proscribed, long conversations must not be allowed, and the return
to active mental and physical life must be most deliberate.

No clinician could state the extent to which the valvular
inflammation will improve or how much disability of the valves must
be permanent. It is even stated by some clinicians that a rest in
bed for three months is advisable. While this is of course
excessive, certainly, when the future health and ability of the
patient are under consideration, and especially when the patient is
a child or an adolescent, time is no object compared with the future
welfare of the person's heart. It is one of the greatest pleasures
of a the clinician to note such a previously inflamed heart
gradually diminish in size and the murmurs at the valves affected
gradually disappear. Although they may have disappeared while the
patient is in bed, he is not safe from the occurrence of a valvular
lesion for several months after he is up and about.

While the discussion of hygiene would naturally be confined to the
hygiene of the disease of which the endocarditis is a complication,
still the hygiene of its most frequent cause, rheumatism, should be
referred to. Fresh air and plenty of it, and dry air if possible, is
what is needed in rheumatism, and a shut-up, over-heated and
especially a damp room will continue rheumatism indefinitely. It is
almost as serious for rheumatism as it is for pneumonia. Sunlight
and the action of the sun's rays in a rheumatic patient's bedroom
are essential, if possibly obtainable.

As so many rheumatic germs are absorbed from diseased or inflamed
tonsils or from other parts of the mouth and throat, proper gargling
or swashing of the mouth and throat should be continued as much as
possible, even during an endocarditis. The prevention of mouth
infections will be the prevention of rheumatism and of endocarditis.





Next: Malignant Endocarditis Ulcerative Endocarditis

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