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Medical ArticlesMechanical Problems Of Bronchoscopic Foreign Body Extraction** For more extensive consideration of mechanical problems... Period Of Incubation Or Hatching The time which passes between the reception of the contagious... Temperature Of The Water Double Sheet Changing Sheet The water for the wet-sheet pack, in this violent form, ought... Dwining We give this name to a trouble from which we have been able to... The Healing Crisis And Retracing Certain unpleasant somatics that occur while fasting (or whil... Malignant Disease Of The Esophagus Cancer of the esophagus is a more prevalent disease than is c... Armpit Swelling Often this comes as the result of a chill, or of enfeeblement ... Fever Influenza This is a slow, smouldering kind of fever. For treatment, pack... Diseases And Disturbances Of The Skin Their Chief Causes. Skin troubles are of two main kinds accor... The Care Of An Invalid TO take really good care of one who is ill requires n... Bandaging See Veins, Swollen, etc. ... Burns Case Xxxiii A little girl, aged 10, scalded her breast a week ago and has... Children And Teachers Children are of the utmost value to society; through any one o... Running The Human Automobile The Body-Automobile. If you were to start to-morrow morning... Rubbing Sheet Substitute For The Half-bath It cannot be difficult to procure a wash-tub. Should you be s... Itch I shall say but little about this very common and very obstin... Diet And Corpulence A tendency to obesity should always be carefully checked by at... Neck Twisted This arises from the undue contraction of some of the muscles ... Eyes Healthy Cheap, ill-printed literature is responsible for much eye trou... Bruises Case Xx It frequently occurs to surgeons to receive slight wounds upo... |
SymptomsCategory: Uncategorized Source: Disturbances Of The Heart In hypertension, as long as the heart, which is probably hypertrophied, remains perfectly competent, there are few symptoms, and the person does not seek advice until he notices one or more of several possible conditions. He may be dizzy, his head may feel full and tight, he may have headaches, or he may have some cardiac pain or distress. Other persons do not seek advice until there is a slight weakening of the heart, showing the strain under which it is laboring. In most of these high tension cases, the patients have rather a slow heart, provided the heart is sufficient. Eyster and Hooker [Footnote: Eyster and Hooker: Am. Jour. Physiol., May, 1908.] found that the slowing of the heart in high blood pressure is due to action through the vagus nerves either from the inhibitory center in the medulla or reflexly by stimulation of the peripheral nerves of the vessels. Another symptom for which the patient frequently seeks advice is that he is unable to relax from his business cares, when off duty. He also finds that he works at a higher tension, and that coffee and tea, alcohol and tobacco stimulate him more than usual. He sleeps restlessly, and dreams at night. He has an increased frequency of urination in the morning, especially after taking coffee, and sometimes gets up once or twice at night to urinate. He is irritable at times; short breathed on exertion, and sometimes has indigestion. He may have pains or aches in his heart. He may find that he dislikes to lie on his left side. However much it may upset the patient and render him more nervous to inform him that his blood pressure is too high, it is necessary to give him this information. People now suspect the condition, and they frequently seek their physicians to determine if the blood pressure is too high and, from reading health journals, more or less realize some of the things, at least, that must be done to decrease the pressure. Consequently, the very things that are advised or ordered give the patient the diagnosis, whether he is told directly or not. Hence, we must talk freely with the patient, much as we do in heart defects, and get his cooperation, stating how frequent the condition is, how often it is readily improved, and how little it may interfere with long life. Wiener and Wolfner [Footnote: Wiener, Meyer, and Wolfner, M. L.: A Reaction of the Pupil, Strongly Suggestive of Arteriosclerosis with Increased Blood Pressure, THE JOURNAL A. M. A., July 17, 1915, p. 214.] state that they have found with blood pressure that the pupils of the eyes are larger than normal, and that they readily contract to the stimulus of light, but immediately return to their previous size. Next: Prognosis Previous: Etiology
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