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 . olence, and the sufferer falls into short, unrefreshing naps,which are disturbed by dreams, and from which he awakes with astart. The skin is not infrequently bedewed by a cold sweat,which about the head and neck may be so copious as to run off intrickling streams. Stasis within the renal veins leads to scantiness of the urine,which is dark in colour, loaded with urates, and often containsalbumin and casts. The action of the bowel becomes ir
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 . olence, and the sufferer falls into short, unrefreshing naps,which are disturbed by dreams, and from which he awakes with astart. The skin is not infrequently bedewed by a cold sweat,which about the head and neck may be so copious as to run off intrickling streams. Stasis within the renal veins leads to scantiness of the urine,which is dark in colour, loaded with urates, and often containsalbumin and casts. The action of the bowel becomes irregular andconstipated, or as the dropsy invades the abdominal structures thepatient may be annoyed by frequent scanty, liquid stools. Con-gestion of the hemorrhoidal veins sometimes gives rise to addi-tional distress. Disorders of the pelvic viscera are common atthis time in the female; the catamenia are apt to be scanty andirregular, and leucorrhcea is not uncommon. Day by day the dis-tress of the patient increases ; during his waking hours he longs forthe relief of sleep at night, and by night his discomfort makes him17 258 DISEASES OF THE HEART. rendering mg boured. long in turn for the days. Days drag on into weeks, and not infre-quently weeks into months, with ever-augmenting dropsy, whichat length invades the serous cavities (Fig. 43). Ascites andtumefaction of the abdominal walls intensify pressure upon the diaphragm andabdominal vessels,.breath-still more la-The pres-sure thus occa-sioned still furtherimpedes the re-turn flow from theveins of the low-er extremities, andcauses an increaseof anasarca. Ifhydrothorax nowsets in, the pa-tients shortness ofbreath becomes ex-treme, and he i&obliged to supporthis body by restinghis arms on a tablein front of him. Ihave known a suf-ferer from mitraldisease in thisstage to remain thus for several weeks, not venturing to leave herchair. Fortunately for these patients, nature is not able long tomaintain the unequal struggle, and u
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