Diseases of the heart : their diagnosis and treatment / by Albert Abrams.

  • Albert Abrams
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the heart : their diagnosis and treatment / by Albert Abrams. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    close of the disease. Insanity may develop in aortic and mitral disease in the stage of compensa- tion. Makasmus.—^In the terminal stages of chronic diseases, thrombosis may occur in the sinuses (marantic thrombus). Neueasthenia. — Cardio-vascular symptoms often predominate. Palpitation, irregular and rapid action of the heart with cardiac pains. Slightest emotional disturbances excites heart and it is difficult to dissuade neurasthenics that there is no organic lesion. A throbbing aorta is a prominent symptom and is so pronounced as to suggest aneurism. Flushes of heat and hyperemia of skin common as vaso-motor phenomena. Phthisis.—False or cardio-pulmonary murmurs result from the contraction of a lung cavity caus- ing heart dislocation. The indurated lung inten- sifies the murmur. A systolic murmur at the apex may simulate mitral regurgitation. The murmur is usually caused by the impact of the heart upon partially consolidated lung tissue driving out the air. A murmur of this kind is superficial, most distinct during expiration and is inaudible when the patient lies down. In neurotic phthisical per- sons a false systolic murmur is heard at the apex when the heart action is excited. Chronic valTular cases, the mitral being most frequently involved (17 times in 20 cases). Congenital stenosis of pul-
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