The signs of internal disease, with a brief consideration of the principal symptoms thereof . Fig. S5—Mitral systolic murmur—seat of greatest intensity and direction ofpropagation with diminishing intensity. hypertrophy is manifest. The muscular endowment of the ventriclewalls allows it to attain a degree of hypertrophy which surpasses thatpossible in the case of any other portion of the heart. Cases have beenrecorded in which a heart weight of forty-eight ounces was long as the two processes go on harmoniously equilibrium is main-tained ; no eyil results follow, and the discovery o
The signs of internal disease, with a brief consideration of the principal symptoms thereof . Fig. S5—Mitral systolic murmur—seat of greatest intensity and direction ofpropagation with diminishing intensity. hypertrophy is manifest. The muscular endowment of the ventriclewalls allows it to attain a degree of hypertrophy which surpasses thatpossible in the case of any other portion of the heart. Cases have beenrecorded in which a heart weight of forty-eight ounces was long as the two processes go on harmoniously equilibrium is main-tained ; no eyil results follow, and the discovery of the condition maybe PLATE XIV. Aortic Diastolic Murmur, seat of greatest intensity and direction ofpropagation. AP. Position of Apex, DISEASES OF THE HEART 211 The difficulty experienced by the left auricle in ridding itselfof its contents, owing to the raised pressure in the ventricalar chamber^causes it to dilate and then to hypertrophy, and to increase the lengthof its systole. The raised pressure within thd veins of the lungs thus-produced must be counter-balanced by increased pump-work on thepart of the right ventricle, hence inevitably, after a longer or shortertime, the right heart shows secondary dilatation and hypertrophy, inwhich the dilatation is finally paramount. The student will under-stand that pathologic results are not always easily distinguished from
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