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Medical ArticlesPreparation Of The Patient For Peroral Endoscopy
The suggestions of the author in the earlier volumes in regar...
Raw Food Healing Diets
Next in declining order of healing effectiveness is what I ca...
It is essential for the welfare of the patient, especially af...
Conditions Causing Change In Blood Pressure
Woolley [Footnote: Woolley, P. G.: Factors Governing Vascular...
Sitz-bath Anchor Of Safety
If there be much delirium, the sitz-bath may be required long...
Influenzal infection, not always by the same organism, sweep...
Chloroform Or Ether (inhaled)
Fresh air. Pull tongue forward, and begin artificial respirati...
A piece of fine new flannel made to cover the whole back, and ...
Actinomycosis Of The Esophagus
Esophageal actinomycosis has been autoptically discovered. It...
Instructions To The Patient
Before beginning endoscopy the patient should be told that h...
Papillomata Of The Larynx In Children
Of all benign growths in the larynx papilloma is the most fre...
Nervous Strain In The Emotions
THE most intense suffering which follows a misuse of ...
The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi
Annular Edema Such objects as marbles, pebbles, corks, etc.,...
The Curative Influence Of The Imagination
At the present day the remarkable benefit which often resul...
is a most efficient remedy applied to old irritable _varicose...
Intermittent Fever Ague And Fever
Use the A D current. First, give general tonic treatment. (Se...
Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies
The bronchoscopic problems considered in the previous chapter...
Contraindications To Esophagoscopy
In the presence of aneurysm, advanced organic disease, exten...
Legs Pricking Pains In
Sometimes curious pricking pains are felt in the legs, becomin...
Spasmodic Stenosis Of The Esophagus
Etiology - The functional activity of the esophagus is depend...
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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