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Medical ArticlesBallooning Esophagoscopy
By inserting the window plug shown in Fig. 6 the esophagus m...
Nervous Strain In Pain And Sickness
THERE is no way in which superfluous and dangerous te...
An infant's clothing should be soft, warm, and light in weight...
To Prevent Scarlet Fever
Give Belladonna at the 3d attenuation, three to six pellets, ...
Strangulation Or Hanging
Often accidentally caused in children or intoxicated persons. ...
Mitral Insufficiency: Mitral Regurgitation
This is the most frequent form of valvular disease of the hea...
Putrid Symptoms Gargle Solution Of Chloride Of Soda Drink: Chlorate Of Potass Liquor Calcii-chloridi
Should _putrid symptoms_ make their appearance (21), I would ...
Clothing should be light yet warm, and sufficiently free so as...
Cancer In Face
Treat as far as possible as recommended for breast cancer. ...
If a chronic endocarditis has followed an acute condition, so...
Symptoms Of Laryngeal Foreign Body
1. Initial laryngeal spasm followed by wheezing respiration...
Growth Of Body
See Limb, Saving a. ...
A little oil only should be applied to the skin at once. Any s...
Bowels Glands Of
Symptoms of glandular trouble in the bowels are--weariness and...
THERE was once a family who had a guest staying with ...
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...
Practice On The Rubber-tube Manikin
This must be carried out in two ways. 1. General practice...
Telephones And Telephoning
MOST men--and women--use more nervous force in speaki...
The first question in any case of sore throat, is, What is the...
Lungs Bleeding From
This is usually taken as a most alarming, and even hopeless, s...
Source: Disturbances Of The Heart
If pneumonia or gonorrhea is supposed to be the cause of the
endocarditis, injections of stock vaccines should perhaps be used.
If the form of sepsis is not determinable, streptococcic or
staphylococcic vaccines might be administered. It is still a
question whether such "shotgun" medication with bacteria is
advisable. Patients recover at times from almost anything, and the
interpretation of the success of such injection treatment is
difficult. Exactly how much harm such injections of unnecessary
vaccines can produce in a patient is a question that has not been
definitely decided. Theoretically an autogenous vaccine is the only
vaccine which should be successful. The vaccine treatment of
ulcerative endocarditis was not shown to be very successful by Dr.
Frank Billings [Footnote: Billings, Frank: Chronic Infectious
Endocarditis, Arch. Int. Med., November, 1909, p. 409.] in his
investigation, and more recent treatment of this disease, when
caused by the Streptococcus viridons, by antogenous vaccines has
confirmed his opinion.
Other treatment of malignant endocarditis includes treatment of the
condition which caused it plus treatment of "mild" endocarditis, as
previously described, with meeting of all other indications as they
occur. As in all septic processes, the nutrition must be pushed to
the full extent to which it can be tolerated by the patient, namely,
small amounts of a nutritious, varied diet given at three-hour
Whether milk or any other substance containing lime makes fibrin
deposits on the ulcerative surfaces more likely or more profuse, and
therefore emboli more liable to occur, is perhaps an undeterminable
question. In instances in which hemorrhages so frequently occur, as
they do in this form of endocarditis, calcium is theoretically of
benefit. Quinin has not been shown to be of value, and salicylic
acid is rarely of value unless the cause is rheumatism.
Alcohol has been used in large doses, as it has been so frequently
used in all septic processes. If the patient is unable to take
nourishment in any amount, small doses of alcohol may be of benefit.
It is probably of no other value. It is doubtful whether ammonium
carbonate tends to prevent fibrin deposits or clots in the heart, as
so long supposed. In fact, whenever the nutrition is low and the
patient is likely to have cerebral irritation from acidemia,
whenever the kidneys are affected, or whenever a disease may tend to
cause irritation of the brain and convulsions, it is doubtful if
ammonium carbonate or aromatic spirit of ammonia is ever indicated.
Ammonium compounds have been shown to be a cause of cerebral
irritation. Salvarsan has not been proved of value.
Intestinal antisepsis may be attained more or less successfully by
the administration of yeast or of lactic acid ferments together with
suitable diet. The nuclein of yeast may be of some value in
promoting a leukocytosis. It has not been shown, however, that the
polymorphonuclear leukocyte increase caused by nuclein has made
phagocytosis more active.
Malignant endocarditis may prove fatal in a few days, or may
continue in a slow subacute process for weeks or even months.
Next: Chronic Endocarditis