Medical ArticlesPrussic Acid
Almost hopeless. Emetic; artificial respiration. ...
This should always be managed so as to soothe and not excite t...
The Electric Circuit
The Electric Circuit is made up of any thing and every thing ...
Anomalies Of The Tracheobronchial Tree
Tracheobronchial anomalies are relatively rare. Congenital e...
Heat And Weakness
We have over and over again shown in these papers how heat pas...
Radium and the therapeutic roentgenray are today our only ef...
3 Treatment Of Torpid Forms Of Scarlatina Difference In The
TREATMENT POINTED OUT. When the _reaction_ is _torpid_, the ...
Healing-spells In Ancient Times
Neither doth fansy only cause, but also as easily cure ...
This condition is generally termed by the patient a "palpitat...
Punctures Case Iii
A female servant punctured the end of the finger by a pin; th...
These will be found treated under the various heads of Colds, ...
Much more than is readily believed depends on the state of the...
Aortic Insufficiency Aortic Regurgitation
This lesion, though not so common as the mitral lesion, is of...
In search of sleep men do many things both dangerous and fooli...
Inflammation Of The Brain
_Brain Fever._ Though this affection is not strictly what ...
In many cases of severe illness, the stomach rejects all food,...
The nervous system of children is often damaged by shock or fr...
Direct Laryngoscopy Adult Patient
Before starting, every detail in regard to instrumental equi...
Breast Swelling In
A blow on the breast, or the drain of nursing a child, along w...
Modifications Of Electricity
In the present stage of electric science, the conviction has ...
Acute Cardiac Symptoms Acute Heart Attack
Source: Disturbances Of The Heart
It is not proposed here to describe the condition of sudden cardiac
failure, or acute dilatation during disease, or after a severe heart
strain, but to describe the terrible cardiac agony which occurs,
sometimes repeatedly, with many patients who have valvular lesions.
These patients may not have the symptoms of loss of compensation.
Probably some one or more chambers of the heart become overdistended
and act irregularly, or the blood is suddenly dammed up in the
lungs, with the oppression and dyspnea caused by such passive
congestion, or perhaps it is the right ventricle that is suddenly in
A physician receives an emergency call, and knows, if it is not a
patient who has hysteria, that it is his duty to see the patient
immediately. The friends of the patient all anxiously await the
physician's arrival; front doors are often wide open, and the
servants and the whole household are in a great state of excitement
and anxiety. The position in which the patient will be found is that
which he has learned gives him the greatest comfort. If the
physician knows his patient, he will know how he will find him. He
may lie sitting up in bed; he may be standing, leaning over a chair;
he may be sitting in a chair leaning over a table or leaning over
the back of another chair; but he is using every auxiliary muscle he
possesses to respire. He is generally bathed in cold perspiration;
the extremities are often icy cold; he calls for air, and to stop
fanning all in one breath; he wishes the perspiration wiped off his
brow, and nearly goes frantic while it is being done; there is agony
depicted on his face; his eyes stare; his expirations are often
groaning. Sometimes there is even incontinence of urine and feces,
often hiccup or short coughs, perhaps vomiting, and possibly sharp
pangs of pain in the cardiac region. A patient with these symptoms
may die at any moment, and the wonder is that so many times one
lives through these paroxysms.
The patient can hardly be questioned, can certainly not be carefully
examined; and herein lies the advantage of the family physician who
knows the patient and his heart, and in whom the patient has
In fact, this confidence which such a patient has in the physician
who has more or less frequently aided him in weathering these
terrible attacks is alone the greatest boon the patient can have.
Next: Paroxysm Management
Previous: Pulmonary Stenosis Pulmonary Obstruction