Life insurance and general practice / by E. M. Brockbank.

  • Brockbank, E. M. (Edward Mansfield), 1866-
Date:
1908
Catalogue details

Licence: In copyright

Credit: Life insurance and general practice / by E. M. Brockbank. Source: Wellcome Collection.

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    1. Congenital dextro-cardia. 2. Intrinsic or cardiac causes :— a. Displacement directly outwards is due to dilatation of the left ventricle ; h. downwards to pure hypertrophy of the left ventricle ; c. downwards and outwards, to dilatation with hypertrophy of the left ventricle ; d. the apex beat extending over the fourth and fifth spaces to the left edge of the sternum means dilatation of the right ventricle. e. Pulsation in the epigastrium under the left costal arch is met with in enlarge- ments of the right ventricle in which hypertrophy is a marked feature. 3. Extrinsic or extra-cardiac causes :— a. Thoracic: (a) Pushed out of position. 1. Pericardial effusion, fluid in pleural cavity, tumours of the lung, pneu- mothorax. 2. Intrathoracic aneurysm. (/3) Pulled out of position, fibrosis of lung, pleuropericardial adhesions. b. Abdominal : Tympanites, tumours, ascites; also flatulent distension of the stomach. Many of the above conditions which lead to