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Medical ArticlesCondition Of The Throat And Other Internal Organs
The condition of the _throat_ requires the most constant atte...
Demonstrations Of The Origin And Progress Of Inguinal Herniae In General
PLATE 41, Fig. 1.--When the serous spermatic tube is oblitera...
Direct Laryngoscopy In Children
The epiglottis in children is usually strongly curled, often...
The Three Great Classes Of Food-fuel
Food is Fuel. Now what is the chief quality which makes one k...
The Use Of The Brain
LET us now consider instances where the brain alone i...
Infections And How To Avoid Them
What Causes Disease. The commonest and most dangerous acciden...
The study of the blood pressure has become a subject of gre...
Vital Forces Animal And Vegetable
Upon these points I must be permitted to offer a few words. ...
Bowels Glands Of
Symptoms of glandular trouble in the bowels are--weariness and...
When the tracheal incision is placed below the first ring, n...
Conclusive Remarks Obstacles
Before concluding my article, I shall attempt to remove a few...
Alice was a middle-aged woman who couldn't understand why she...
Stabbing of the cricothyroid membrane, or an attempted stabb...
Angina Pectoris Management
While a number of causes of true cardiac pain may be eliminat...
Cancer In Face
Treat as far as possible as recommended for breast cancer. ...
These are often piled on the front of the body, while the far ...
When a child is suffering after vaccination, we should have hi...
Importance Of Noting The Central Point
From the above observations, it will be plain that, when we w...
Angioneurotic edema manifests itself by a pale or red swolle...
This is a severe pain in the lower back, shooting sharply down...
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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