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Medical ArticlesHead Sounds In
As the result and accompaniment of deafness these are sometime...
The venous pressure, after a long neglect, is now again being...
Where this is recommended the cold-drawn oil is meant, not the...
Water For Drinking
Every care should be taken to have drinking water absolutely p...
Curing With Enemas
It is not wise to continue regular colonics or enemas once a ...
Eyes Failing Sight
This often comes as the result simply of an over-wearied body ...
Ablutions And Rubbing With Iced Water Or Snow
In a few very obstinate cases, when no rash would appear afte...
Polarization Of The Circuit
I have said, in effect, a little above, that, while the curre...
The Temples Of Esculapius
It has been truly said that temples were the first hospital...
Amenorrhea Suppressed Menstruation
Treat as for chlorosis. But if the case be recent--the effect...
Educate your eye and your fingers. Be sure you are right...
Ulcerative lesions in the larynx during typhoid fever are al...
Mechanical Effect Of Each Pole
The mechanical effect of the forward end of the current, or t...
Nephritis Inflammation Of Kidneys
1. Acute. If the urinary secretion be reddish and scant, with...
Rich Foods Brandy Beef-tea Etc
must be avoided. Involuntary starting, and the manifestation...
The cause of an irregularly acting heart in an adult may be o...
Chloride Of Lime
About the same opinion may be given on _Chloride of Lime_. As...
This condition is generally termed by the patient a "palpitat...
I have been treating several hundred cases of eruptive fevers...
Sudden attacks of this, though in a mild form, are very troubl...
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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