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Medical ArticlesHow To Be Ill And Get Well
ILLNESS seems to be one of the hardest things to happ...
When a limb becomes swelled and white, pouring hot water very ...
Limb Saving A
The proper growth of the body in any part depends on the power...
The Frightening Heart
Heart disease is one of the major causes of death among North...
Head Skin Of The
The nerves of sensibility are very largely supplied to the ski...
Breathing In Going Uphill
See Breath, and Nerve. British Cholera is to a certain ext...
Breath And Blood
Often difficulty of breathing, especially in close air, mistak...
Bruises Case Xiv
The first case of bruise which I shall detail was not severe,...
Keep the patient still as possible on his back. Use A D curre...
Nourishment Cold In
If a person is in fever, and is burning with internal heat, a ...
Eyes Failing Sight
This often comes as the result simply of an over-wearied body ...
Urgent dyspnea in diphtheria when no membrane and but slight...
Some most distressing troubles come as the result of frights. ...
Purple Spots On Skin
These arise first as small swellings. The swellings fall, and ...
The flat rubber bags of various shapes, to be had from all rub...
Tests Of Heart Strength
If both systolic and diastolic blood pressure are taken, and ...
The Form Of The Thoracic Cavity And The Position Of The Lungs Heart And Larger Bloodvessels
In the human body there does not exist any such space as cavi...
Fixation of the crico-arytenoid joints with an approximation...
The proper cooking of this root is so important for health, ow...
Breast Swelling In
A blow on the breast, or the drain of nursing a child, along w...
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