. Medical diagnosis for the student and practitioner. Fig. 321.—Same heart as shown in Fig. 319 showing increase of diameter cm. following the undertaking of heavy work against physicians orders. Thisenlargement was associated with a renewal of the old symptoms which had disappearedunder treatment. Note that even when thus dilated the heart falls well within the so-called normaltransverse cardiac diameter. into army service these safeguards, consciously or unconsciously establishedbv them, were of necessity abolished. As a result large numbers could notwithstand the hikes and drills eve
. Medical diagnosis for the student and practitioner. Fig. 321.—Same heart as shown in Fig. 319 showing increase of diameter cm. following the undertaking of heavy work against physicians orders. Thisenlargement was associated with a renewal of the old symptoms which had disappearedunder treatment. Note that even when thus dilated the heart falls well within the so-called normaltransverse cardiac diameter. into army service these safeguards, consciously or unconsciously establishedbv them, were of necessity abolished. As a result large numbers could notwithstand the hikes and drills even of the opening days or weeks of theirperiod of military training. Others with greater reserve weathered the 6i8 MEDICAL DIAGNOSIS training period only to become unfitted for service under conditions of actualcampaigning across the water or the yet more strenuous demands, psychicand physical alike, of actual fighting at the Fig. 322.—Soldiers heart in civilian. Another example of the drop heartwhich played so important a part in the cardiac disabilities of our troops in Armyservice. This individual was able to do heavy farm work up to the age of 18. Collapsedwhile working in hayfield during very hot weather. At the time this exposure was made,showing a heart only cm. in total transverse diameter, decompensation symptomswere pronounced, there being marked dyspnea on exertion, subjective persistingdyspnea and precordial discomfort. Patients recovery was reasonably prompt undertreatment and all active symptoms disappeared. Nevertheless his reserve is per-manently impaired and heavy work cannot how be undertaken. Myocardial Toxemia.—Aside from this, it should be remembered that avery large proportion of these individuals carried concealed septic foci orI larval tuberculous infection such as might be, and often were, relighted underI conditions of army service. nn: drop in: \u r 619 Furthermore, many
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
