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Medical ArticlesCopy Of Certificate
These may Inform all whom it might Concern, that Mr. J...
Spine Weakness Of The
See Children's Healthy Growth. ...
Examination Of The Trachea And Bronchi
All bronchial orifices must be identified seriatim; because ...
See Alcohol; Narcotics. ...
These occur in hands and feet where the circulative power is f...
is a specific for _Itch and Scald Head,_ applied in form of a...
It is essential that the patient on whom the examination is t...
Piles - Hemorrhoids
One important matter in all cases of habitual piles, is, to k...
This trouble is simply a loss of command of the vocal organs, ...
The author wishes to caution the reader not to rely merely on...
These are often performed in cases in which proper treatment o...
This disease generally comes on at night, in hot weather, and...
Bruises Case Xvii
An old man, aged 60, received a bruise upon the occiput from ...
I shall give a couple of illustrations: In the winter of 1...
Oxygen Tank And Tracheotomy Instruments
Respiratory arrest may occur from shifting of a foreign body,...
Alice was a middle-aged woman who couldn't understand why she...
On The Treatment By Eschar And Poultice
In many cases in which it is impossible to adopt either the m...
The immediate conditions to meet are the rapid fluttering hea...
Physical Signs Of Tracheal Foreign Body
If fixed in the trachea the only objective sign of foreign bo...
Bronchoscopic And Esophagoscopic Grasping Forceps
are of the tubular type, that is, a stylet carrying the jaws...
Source: Disturbances Of The Heart
This rarely, if ever, occurs alone; it is generally a sequence of
other valvular defects, and represents an overworked, dilated right
ventricle. It may, however, occur from lesions of the lungs which
impede the blood flow through them. Such are fibroid changes in the
lungs, emphysema, prolonged chronic bronchitis, the last stages of
pulmonary tuberculosis, old neglected pleurisies with cirrhosis or
fibrosis of the lung, and repeated attacks of asthma--anything,
whether valvular defect or pulmonary circulatory disturbance, which
increases the pressure ahead and the work of this ventricle.
The symptoms are those of loss of compensation as described under
other valvular lesions. There may be jugular pulsation, especially
evident in the external jugular on the left side. The liver enlarges
and may pulsate. There are edemas, dropsies, ascites and perhaps
hemorrhages. The heart is enlarged and there is a soft systolic blow
heard at the lower end of the sternum. The dyspnea is sometimes very
great, and cyanosis may be present, especially during paroxysms of
This lesion of the heart is always benefited by digitalis, but the
continuance of the improvement and its amount depend, of course, on
the cause of the dilatation of the ventricle. Strychnin is often of
advantage. These patients should rarely receive vasodilators, and
hot baths, overheating, overloading the stomach and vigorous purging
should never be allowed. Sometimes improvement will not take place
until ascitic or pleuritic fluid, if present, has been removed.
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