. The science and practice of medicine . taken in a case of aortic patency, complicated with senile change inthe PATIIOLOGY OF (CHRONIC) VALVE DISEASE. 617 Dr. Sanderson gives a somewhat different explanation of the samelesion and pulse-tracing (Brit. Med. Journal, July 20, 1867, p. 40). Fig. 81 represents the pulse of a middle-aged man, who had acuterheumatism eight years ago, and sev-eral times since. AVhen the tracingwas taken, he was suffering from ex-treme orthopncea and precordial impulse of the heart was to theleft of the mammary line, and occupieda space as large as
. The science and practice of medicine . taken in a case of aortic patency, complicated with senile change inthe PATIIOLOGY OF (CHRONIC) VALVE DISEASE. 617 Dr. Sanderson gives a somewhat different explanation of the samelesion and pulse-tracing (Brit. Med. Journal, July 20, 1867, p. 40). Fig. 81 represents the pulse of a middle-aged man, who had acuterheumatism eight years ago, and sev-eral times since. AVhen the tracingwas taken, he was suffering from ex-treme orthopncea and precordial impulse of the heart was to theleft of the mammary line, and occupieda space as large as the palm of oneshand. A loud diastolic bruit was heardat the fourth cartilage, and a systolicbellows-sound over the aorta. Poste-riorly, there was dulness at both bases, and abundant in inspiration. There could, therefore, be no doubt as to thenature of the case, which soon terminated fatally. After death, itwas found that the aortic valve was so altered that the most copiousregurgitation of blood must have taken place during each diastolicperiod. In this case the pulse exhibits characters which D
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