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 . distress and ill health. Ina word, there are no symptoms peculiar to pulmonary stenosis ascontrasted with other valvular lesions. In the congenital form patients are apt to be weakly, under-sized, sometimes mentally deficient, and to manifest striking cya-nosis. This is not always present, however. In the chapter onCongenital Cardiac Affections will also be considered certainchanges in the blood that accompany marked cyanosis or the Mor-bus
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 . distress and ill health. Ina word, there are no symptoms peculiar to pulmonary stenosis ascontrasted with other valvular lesions. In the congenital form patients are apt to be weakly, under-sized, sometimes mentally deficient, and to manifest striking cya-nosis. This is not always present, however. In the chapter onCongenital Cardiac Affections will also be considered certainchanges in the blood that accompany marked cyanosis or the Mor-bus Ceruleus of older writers. Sufferers from pulmonary stenosis are very apt to die fromtuberculosis of the lungs, as is shown in the only instance of thiscardiac disease I have observed, and which was published in mypaper previously mentioned. A plumbers helper, aged twenty-three, was first seen by me at my clinic at Cook County Hospital,having been sent from Ward 4 as a case of pulmonary history was meagre. His father had died of some wast-ing disease with cough; his mother of cancer; two sisters living PULMONARY STENOSIS :;s; I. Fig. 79.—Belatiye Cardiac Dulness inCase of Pulmonary Stenosis (p. 380). and healthy. Patienl declared he was healthy in infancy andchildhoodj and had never suffered from dyspnoea on exertion prior to his presenl illness,and had qo1 exhibited cya-nosis. In fact he was healthyuntil his present illness beganthree months before his ad-mission to the hospital. Without entering too muchinto detail, it will suffice tostate that he presented theusual symptoms of consump-tion, emaciation, cough, pro-fuse muco-purulent expectora-tion, febrile temperature, anda rapid, feeble pulse, the func-tions of the digestive organsremaining good. There wasno cyanosis. The right apexwas retracted, and expanded poorly upon inspiration. Bothapices showed dulness, bronchial breathing, and moist rales. The prsecordium bulgedfrom the third rib to the epi-gast
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