. Medical diagnosis for the student and practitioner. ng. Anyone who has-::::::-: \i-z::. k-:~s —ell :he e~::e~e ef::: rezuirei. _-ie: :he ;:.:::: _li:conditions present. His not at all unlikely that some transient antecedent infection mayhave played a part. The drop hearts or those of individuals in poor health dilate far moreeasily and with less dran 1:: c ~y~z:: ms in ma st instances J The author has been struck by the frequency with which he has encountered cases ofdistinct physical impairment in men of athletic records who have suddenly been translatedto sedentary pursuits


. Medical diagnosis for the student and practitioner. ng. Anyone who has-::::::-: \i-z::. k-:~s —ell :he e~::e~e ef::: rezuirei. _-ie: :he ;:.:::: _li:conditions present. His not at all unlikely that some transient antecedent infection mayhave played a part. The drop hearts or those of individuals in poor health dilate far moreeasily and with less dran 1:: c ~y~z:: ms in ma st instances J The author has been struck by the frequency with which he has encountered cases ofdistinct physical impairment in men of athletic records who have suddenly been translatedto sedentary pursuits but still seek to pursue sporadically and fitfully athletic pursuits of anextremelv strenuous sort. DIAL OVERSTRAIN 655 The Commonest Cause of Minor Heart Strain.—The placid state ofphysicaPunpreparedness represented by middle age. a sedentary occupation, Middle a daily life in which the accustomed exercise is represented at best by around of golf and a walk to the orhce. is often disturbed by an abrupt autumnal indUn summer Fig. 349.—Plate made nineteen days after acute dilatation of a supposedly normaheart. Fibrillation was present during eighteen hours after attack. Some precordialdistress still present when exposure was made. Total transverse diameter of cm. (See also Figs. 350 and 351.) rejuvenescence taking the form of a tendency to play tennis with mistakenstrenuosity and perseverance; to climb mountains; take an oar or a paddleto show them. or hunt the deer over heavy going; all these plunges beingtaken without sensible moderation or previous preparation. Such unwisdomresults in a host of cardiac overstrains, for the most part, spontaneously 656 MEDICAL DIAGNOSIS readjusted, but in some instances working great damage if undetected andunaided. The Asthenic Heart.—Considerable attention has already been paid tothe peculiar heart of the congenital asthenic (drop heart) and one need only


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922