Volume 2

Virtue's Household physician : a twentieth century medica a practical description in plain language of all the diseases of men, women and children with the latest discoveries in medicine and most approved methods of treatment / by a corps of eminent specialists, practising physicians and surgeons ; Herbert Buffum [and others].

Date:
[1905]
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: Virtue's Household physician : a twentieth century medica a practical description in plain language of all the diseases of men, women and children with the latest discoveries in medicine and most approved methods of treatment / by a corps of eminent specialists, practising physicians and surgeons ; Herbert Buffum [and others]. Source: Wellcome Collection.

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    Disease of the Semilunar Valves. The inflammation of the lining of the heart makes sad work with the valves. The semilunars are subject to various changes in their structure. Physical Signs. — Obstructive Murmur. — In disease of the semi- lunars, the first beat of the heart is accompanied or obscured either by the bellows murmur, or a sawing, rasping, or filing sound. The unnatural murmur, whatever it is, appears superficial or near. The second beat is natural. When the opening into the aorta is contracted, or in any way ob- structed by unhealthy growths, so that the blood is subjected to more than a natural degree of f riction in passing, this sound will be heard. It is called obstructive, because it arises from the obstruction of the blood in its forivard course. Regurgitant Murmurs.— First beat of heart natural. Second beat accompanied or replaced by bellows murmur. There is some- times a musical murmur. Explanation. — The regurgitant murmurs arise from the valves being too small, or defective in some way, and allowing the blood to flow back through the orifice. This murmur is loudest opposite the semilunar valves, and is more audible above these valves than below them. When the aortic valves are contracted or shortened, and the open- ings are not guarded by them, so as to prevent the backward passage of the blood, there is a double bellows murmur, — one when it is driven through the orifice, and another when it flows back. Disease of the Mitral Valves. Physical Signs. — Obstructive Murmur. — First beat of heart natural. Second beat accompanied or replaced by bellows murmur. Regurgitant Murmurs. — The first beat of the heart accompanied by a loud and rough bellows murmur. This sound is like sawing or filing. It is loudest above or below the nipple, between the fourth and seventh ribs. There is occasionally a musical murmur. The second beat of the heart is natural. Sometimes there is a purring tremor. General Symptoms of Valvular Disease.—Cough, in many cases with watery expectoration; difficulty of breathing; frightful dreams and starting from sleep; congestion of the lungs; expectoration stained with dark and grumous blood ; swelling of the jugular veins ; a livid look of the face ; a feeling as if a cord were tied tight around the lower part of the chest; general dropsy, of the legs and feet in