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Treat exactly as in acute diarrh[oe]a, except that P. P. shou...
Eyes Failing Sight
This often comes as the result simply of an over-wearied body ...
There is a usual (normal) temperature in all the blood and tis...
The Digestibility of Fats. We have now come to the last group...
The Vegetable Kingdom
As to the vegetable kingdom, there is here, so far as we can ...
If in the head, first give face-bath, as in common colds, exc...
The Blood Vessels
Where the Body Does its Real Eating. When once the food has b...
This trouble appears in two opposite characters. In the one it...
Suck the wound, and apply a drop or two of strong ammonia to t...
See Bleeding; Wounds. ...
WATCH the faces as you walk along the street! If you ...
Where the juices and organs of the body are thoroughly healthy,...
Ulcers Case Xxxi
Mr. S. aged 30, had a sore two inches in length in the groin,...
This may with advantage to the health of the skin and body in ...
Cold Affusions And Rubbing
After the pack, the patient is placed in an empty bathing or ...
The pathology of arteriosclerosis is a thickening and diminis...
A most effective preventive and cure for this is the inhaling ...
Bruises Case Xv
The following case was far more severe, but the mode of treat...
This results from severe damp chills, usually following exhaus...
of children, where there is a discharge of yellow and watery ...
Stokes Adams Treatment
Source: Disturbances Of The Heart
The treatment of true Stokes-Adams disease is unsuccessful. If
general arteriosclerosis is present, that condition should be
treated. Digitalis would seem almost invariably contraindicated,
although it is of value in extrasystoles without heartblock, or in
conditions which are not Stokes-Adams disease; but if this disease
was considered present, digitalis would probably do harm. Sometimes
strychnin is of benefit.
Atropin has sometimes caused stimulation of the heart to more normal
rapidity. Its benefit is generally only temporary, as most patients
cannot take atropin regularly without having it cause a disagreeable
drying of the throat and skin, a stimulation of the brain, and an
undesired raising of the blood pressure, to say nothing of its
action on the eyes.
The only value of the nitrites is when the blood pressure is high
and the nitrite action is desired on that account.
Coffee or caffein often causes these hearts to become irritable; it
certainly raises the blood pressure, and therefore is not generally
advisable. Both tea and coffee should generally be prohibited.
During the acute faint attack, camphor is one of the best
stimulants. Alcohol may be of benefit. If syphilis is a cause of the
condition, iodids are always valuable. If syphilis is not a cause
and arteriosclerosis is present, small doses of iodid given for a
long period are beneficial, although it may not much reduce the
blood pressure or decrease the plasticity of the blood. Iodid is a
stimulant to the thyroid gland, and therefore it is on this account
An excellent stimulant to the heart is thyroid secretion or thyroid
extract. Theoretically thyroid extracts should be the treatment for
a slow-acting heart. It sometimes seems of benefit to these
patients, but it often causes such nervous excitation and
irritability as to preclude its use. The dose of thyroid for this
purpose would be small, about one-fourth to one-half grain of the
active substance three times a day. To be of any value, the
preparation must be good.
Epinephrin has been shown by Hirtz [Footnote: Hirtz: Arch d. mal. du
coeur, February, 1916] to overcome experimental heart block. It is
not clear just how it acts, but it could well be tried in heart
block when the blood pressure is not too high. A few drops of an
epinephrin solution 1:1,000 may be placed on the tongue, and
repeated three times a day, or from 5 to 10 minims of a weaker
solution may be given hypodermically.
The usual precautions against overeating, overdrinking, severe
physical exercise, sudden movements, overuse of tobacco, etc.,
should all be urged on the patient. The disease is sooner or later
fatal, although the patient may live some years. Death is generally
It is understood that this disease must he separated from the
condition of bradycardia inherent in a few persons who have a slow
pulse throughout their life, without any untoward symptoms.
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