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Medical ArticlesBiliary Calculi Gravel In Liver
Take A C current, strong as can be borne; and treat the infla...
Foreign bodies that have penetrated the chest wall and lodge...
When compensation has been restored, the patient may be allow...
The Temperature Of The Room However Should Be A Few Degrees
higher than in scarlatina, as none of these other eruptive dise...
Period Of Eruption Or Appearing Of The Rash
Commonly, on the second day, towards evening, sometimes on th...
Choice Of Time To Do Bronchoscopy For Foreign Body
The difficulties of removal usually increase from the time of...
Fatty degeneration of the heart muscle may be caused by acute...
Symptoms And Signs Of Cardiac Disturbance
It is now recognized that any infection can cause weakness an...
The development of permanent injury to one or more valves o...
No Cutting Short Of The Process Of Scarlatina The Morbid Poison Must Be Drawn To The Skin As Soon As Possible
Scarlet-fever is a disease, which cannot be cut short. Any at...
Frequently a failure of some kind shows itself in the limbs of...
Water-treatment As Used By Currie Reuss Hesse Schoenlein &c
Beside the above modes of treatment _cold_ and _tepid Water_ ...
Various affections of the eyeball muscles cause this. To cure ...
The Development Of My Own Constipation
The history of my own constipation, though it especially rela...
Diet For Middle Age And The Aged
In advancing years when less exercise is, as a rule, taken, a ...
For slight burns, immerse the injured part in cold water, and ...
There are two opposite causes of unconsciousness. One is conge...
To Prevent Colds
Keep the _arms_, _hands_ and _chest_ well clothed and warm. ...
One of the most common causes of hypertension is clue to exce...
ALTHOUGH so much time and care are given to the vario...
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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