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Medical ArticlesStage 2
Passing the cricopharyngeus is the most difficult part of es...
Compression Stenosis Of The Trachea And Bronchi
Compression of the trachea is most commonly caused by goiter...
Often caused by children sucking matches. There is a burning i...
To Prevent Cholera
_Camphor_ (_pellets medicated_ with the pure tincture) _Verat...
WILLIAM LILLY, a famous English astrologer of yeoman ancestry...
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Cardiovascular Renal Disease Arrhythmia
While this terns really signifies irregularity and intermit...
Aortic Insufficiency Aortic Regurgitation
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See Band, Flannel. ...
Scarlatina Simplex Or Simple Scarlet-fever
In the _mildest form_ of the disease, called _scarlatina simp...
What Effect Could Be Expected From A Warm Wet-sheet?
The first impression of the wet-sheet is, as I stated before,...
Foreign Bodies In The Larynx And Tracheobronchial Tree
The protective reflexes preventing the entrance of foreign bo...
WATCH the faces as you walk along the street! If you ...
The regular bronchoscope is a hollow brass tube slanted at i...
Lungs Inflammation Of The
This is a common trouble in our climate, and, fortunately, one...
Limbs Disjointed Or Sprained
In the case of an overstretch, or sprain, which has resulted i...
For healing wounds, burns, ulcers, irritation of mucous membr...
Direct Laryngoscopy Adult Patient
Before starting, every detail in regard to instrumental equi...
The Temperature Of The Room However Should Be A Few Degrees
higher than in scarlatina, as none of these other eruptive dise...
An expectant mother should lead a quiet, orderly and healthful...
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