An analytical study of certain of the clinical phenomena observed in 112 consecutive cases of chorea / by John Lindsay Steven, M.D., Physician and Lecturer on Clinical Medicine, Glasgow Royal Infirmary.

  • Steven, John Lindsay, 1859-1909.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: An analytical study of certain of the clinical phenomena observed in 112 consecutive cases of chorea / by John Lindsay Steven, M.D., Physician and Lecturer on Clinical Medicine, Glasgow Royal Infirmary. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    with the chorea, in 9 particulars: of the cases the following are O Bronchitis, - 2 cases. Diseased bone, 2 „ Convulsions, . 1 case. Adenitis, - - 1 „ Idiocy, - - - - 1 Headaches, - - 1 Psoriasis, Total, 1 „ 9 cases. (8) Condition of the Heart. In 50 of the 87 cases the heart was stated not to have been affected; and in 5 no definite information as to the condition of that organ was recorded. In 32 cases there was evidence of an abnormal condition of the heart, and the following table shows the state of the cardiac sounds in these: CD Accentuated second sound at base, Prolonged first sound at apex, Systolic murmur at apex, - Presystolic and systolic murmurs at apex, - Systolic and diastolic murmurs at apex, Irregularity of cardiac sounds, 5 5 16 3 2 cases. 5 > ?) 5) 1 case. Total, - - 32 cases. These figures show that in 39 per cent, of the cases examined the cardiac condition was abnormal, and if we exclude those in which the second sound was accentuated we get about 31 per cent, in which it may be admitted there was definite evidence of valvular disease. (9) Condition of the Urine. An analysis of the urine was made at least once in 4-5 out of the 87 cases at present under review, and gave the following results: Albumen was detected in - 4 cases. Albumen was not detected in - - - 41 „