. The American journal of roentgenology, radium therapy and nuclear medicine . systolic murmur at the apex partly maskingthe 1st sound. Pulmonic 2nd sound very loud andreduplicated at the apex. Slight diastolic rumblewhen the patient lies down. is usually prominent in arch sclerosis eventhough it be partially obliterated by theshadow of the descending portion of thevessel. If the patient be rotated to the leftin the fluoroscope until the shadow of theascending aorta overlies that of the descend-ing aorta, the transverse dimension of theresultant shadow should not seem too large.
. The American journal of roentgenology, radium therapy and nuclear medicine . systolic murmur at the apex partly maskingthe 1st sound. Pulmonic 2nd sound very loud andreduplicated at the apex. Slight diastolic rumblewhen the patient lies down. is usually prominent in arch sclerosis eventhough it be partially obliterated by theshadow of the descending portion of thevessel. If the patient be rotated to the leftin the fluoroscope until the shadow of theascending aorta overlies that of the descend-ing aorta, the transverse dimension of theresultant shadow should not seem too is often possible to take plates in the leftoblique position which show the entire as-cending, transverse, and descending thoracicaorta. The heart illustrated in Figure 19might be said to be a sequela of cardio-renaldisease, but the nephritis is probably arterio-sclerotic in origin, and the sclerosis of thearch may have preceded the nephritis. Arteriorsclerosis is to be expected in theaged; but younger people sometimes have case of arteriosclerosis with hypertension. Fig. 13 Fig. 13. Double Mitral Disease and Aortic Regurgi-tation. O. P. D. 392730. P. H. Has had attacks ofrheumatic fever and sore throats during the pastyear. No other serious illnesses. P. I. Comes in complaining of pain in all of thejoints of the body which has been worse duringthe past three months. Dyspneic after climbing aflight of stairs. Occasional edema of the ankles. P. E. The patient is a white man of twenty-fourwho weighs 140 pounds. Heart sounds is a loud blowing systolic murmur heard allover the precordia with a maximum intensity atthe apex. The murmur is transmitted to the is accentuated. There is an early diastolic mur-mur heard just to the left of the sternum in the3rd interspace. The apex is felt in the 6th apex impulse is felt in the 6th space. Laboratory Tests. Wassermann negative. and a wide, tortuous, aortic arch is shown ina woman of thirty-nine in-F
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