. Diseases of the heart and arterial system; Designed to be a practical presentation of the subject for the use of students and practitioners of medicine. )ite of free hydragogne catharsis,his condition was still worse. The pulmonic second tone was re-placed by a soft diastolic murmur, and he was cyanosed. Eventurning him in bed produced profound cyanosis, feebleness of thepulse, and difficulty of breathing. The morphine was continuedhypodermically in doses of ^ once or twice in twenty-four hours toprevent restlessness and unnecessary suffering, while the interval. Fiu. 62.—Relative Dvlness an
. Diseases of the heart and arterial system; Designed to be a practical presentation of the subject for the use of students and practitioners of medicine. )ite of free hydragogne catharsis,his condition was still worse. The pulmonic second tone was re-placed by a soft diastolic murmur, and he was cyanosed. Eventurning him in bed produced profound cyanosis, feebleness of thepulse, and difficulty of breathing. The morphine was continuedhypodermically in doses of ^ once or twice in twenty-four hours toprevent restlessness and unnecessary suffering, while the interval. Fiu. 62.—Relative Dvlness and LowekBorder of Liver shortly beforeDeath. Same case as Figs. 60 and 61. AORTIC* REGURGITATION 317 between the injections of nitroglycerin and strychnine was short-ened to two instead of four hours. He then rallied for a fewhours and the cyanosis almost disappeared, but the heart-findingsremained about as before. Morphine gave him a fairly comfort-able night and Thursday came. The pulmonic second sound wasnow audible again, but the pulmonic diastolic murmur persistedand the external jugulars and liver pulsated unmistakably, whilea soft systolic bruit, evidently tricuspid, could be heard at rightof the sternum near its extremity. The pulse now began to slow down, from 96 to 90, then to 88,and by noon to 80, yet did not grow stronger. On the contrary,it seemed to grow smaller and weaker, while the jugular pulsationincreased, and distention of the right auricle caused absolute dul-ness to reach across the sternum and beyond. He had now re-ceived 24 doses of
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