This serious trouble in slighter forms affects one side of the...
Lessons From Nutritional Anthropology
The next logical pair of questions are: how healthy could goo...
Acute Cardiac Symptoms Acute Heart Attack
It is not proposed here to describe the condition of sudden...
Is a most valuable aid to health, acting as a physical and men...
Sometimes mere internal inflammation is mistaken for this dise...
Direct laryngoscopy, bronchoscopy, esophagoscopy and gastrosc...
Breast Swelling In
A blow on the breast, or the drain of nursing a child, along w...
Disorders Of Muscles And Bones
The Muscles and Bones Have Few Diseases. Considering how comp...
Relaxation Of Treatment Towards The End Of The Third Period Continuation Of Packs During And After Desquamation
When the patient is through the first part of the period of ...
The Electric Circuit
The Electric Circuit is made up of any thing and every thing ...
Inflammation Of The Finger Case Xxxi
A young man, aged 18, came to me with a painful swelling of t...
Benign Neoplasms Of The Esophagus
As a result of prolonged inflammation edematous polypi and gr...
Nephritis Inflammation Of Kidneys
1. Acute. If the urinary secretion be reddish and scant, with...
To cure a swelling on the knee-joint is, as a rule, easy. Rest...
Affection Of The Cerebellum And Spine
In affections of the _cerebellum_ and _spinal marrow_, the pa...
Delicacy of touch and manipulation are an absolute necessity...
Home Methods Of Purifying Water
Boiling. Where the water that you are obliged to drink is not...
There is no absolute contraindication to careful esophagosco...
Diets To Heal The Critically Ill
A critically ill person is someone who could expire at any mo...
The abdomen is formed of a series of rings containing the bowe...
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.
Next: Tricuspid Stenosis Tricuspid Obstruction
Previous: Aortic Insufficiency Aortic Regurgitation