The practice of pediatrics . uration. Therhythm of the heart becomes tic-tac, and both sounds may be redupli-cated. Fidampsia is liable to supervene when the heart is dilated andthe tension low. Later, hypertrophy of the left ventricle develops(Fig. 161), and the character of the pulse alters; the wave is now pro-longed and not easily compressible, and the arterial wall is slightlythickened. It is only in very exceptional cases that advanced arterio-capillary fibrosis and hypertrophy of the heart are met with in childhood. 758 DISEASES OF THE HEART AXD BLOODVESSELS Treatment.—Treatment consist
The practice of pediatrics . uration. Therhythm of the heart becomes tic-tac, and both sounds may be redupli-cated. Fidampsia is liable to supervene when the heart is dilated andthe tension low. Later, hypertrophy of the left ventricle develops(Fig. 161), and the character of the pulse alters; the wave is now pro-longed and not easily compressible, and the arterial wall is slightlythickened. It is only in very exceptional cases that advanced arterio-capillary fibrosis and hypertrophy of the heart are met with in childhood. 758 DISEASES OF THE HEART AXD BLOODVESSELS Treatment.—Treatment consists in arresting, if possible, the renaldisease. Rest is essential when there is dilatation. Although there isvery rarely any anxiety of a bloodvessel giving way from high arterialtension, still, the tension of the pulse should he kept at a judicious meanby an occasional dose of calomel and saline and by the restriction ofmeat in the diet. The anemia should be corrected by giving ironcomhined with a saline aperient. Fig. 161. (ardiac hyPer,roPhy. A section across the ventricles, showing great hypertrophy of the left one,the result of chronic nephritis in a child. (From the Museum of the Hospital for Sick Children,Great Ormond Street.) DISEASES OF THE ARTERIES. ANEURYSM. Diseases of the arteries are rare in childhood, aneurysm being one ofthe most important. Each case of aneurysm that I have seen myselfhas been of a different type. One was traumatic in origin, another wasthe result of malignant endocarditis, and a third was of doubtful nature. The traumatic case was that of a boy who fell on his head amidamaged the right internal carotid artery as it entered the carotidcanal. The aneurysm leaked into the throat and the child died afterrepeated hematemesis. The case due to malignant endocarditis was a very striking boy had been the victim of severe rheumatic carditis on more thanone occasion, and was now under treatment because of a swelling inthe right thigh, over the co
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190
