The physician's vademecum, or, A manual of the principles and practice of physic : containing the symptoms, causes, diagnosis, prognosis and treatment of diseases; accompanied by a select collection of formulae, with a table of the doses of all medicines now in use / by Robert Hooper.

  • Hooper, Robert, 1773-1835.
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: The physician's vademecum, or, A manual of the principles and practice of physic : containing the symptoms, causes, diagnosis, prognosis and treatment of diseases; accompanied by a select collection of formulae, with a table of the doses of all medicines now in use / by Robert Hooper. 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.

    40/414 (page 28)
    tended. When the pulsation is increased and permanent, it is a sign of hypertrophy. Stethoscnpic Signs in Diseases of the Heart—Hi/perlrophy : augmentation of impulse, diminution of sound, and of the ex- tent to wliich the actions of the heart can be heard. When the left ventricle is affected, the impulse is very strong be- tween the fifth and seventh ribs, and may be sufficient to elevate the observer's head: sound duller and more prolonged than natural; systole of the auricle very short and slightly sonorous. Wlien the right ventricle is affected, a stronger im- pidse beneath the lower portion of the sternum; sound obscure, but not so dull as in former variety. When the left ventricle is very much enlarged, it is more easily heard than in the left cardiac region, as the right becomes posterior and is not heard at all. The swelling and pulsation of the jugidar veins are always constant in hyiiertrophy of the right ventricle, but rarely when the left is affected; and therefore the diagnosis is easily formed. When both ventricles are simultaneously affected, the impulse is as well mai-ked in the right as in the left precordial regions. Bilafation of Left Feniricfe.—Impidse in left cardiac region diminished; sound augmented over a large surface. When right is affected, sound clear and distinct under the sternum, and between the fifth and seventh ribs of the right side; im- pulse feeble. Dilatation with Hypertrophj—This complication is more common than either of its constituents in a simple or idio- pathic form, and is characterised by impulse and sound at the same time. When the ventricles contract, systole of the au- ricles very sonorous. In these cases, the body of the parient, however calm, and- the bed-clothes, are shaken at every contraction of the heart. Hypertrophj of one Ventricle, with Dilatation of the other, is by no means rare. The diagnosis can readHy be formed by attention to the signs of both diseases. Hypertrophy and Dilatation of the Auricles are very rare, never isolated, and generaUy complicated mth contraction of the auriculo-ventricular orifices.