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 . ering 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 t
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 . ering 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-gastrium and from left toright nipple. There w^as ashort, weak systolic thrill insecond left interspace, 1 inchfrom sternum. Absolute dul-ness was increased from thelevel of the second costal carti-lage to the lower border of thefifth rib, and from 1-| inch toright of sternum to ^ inch in-side of left mamillary line(Fig. 79). The hearts rhythm wasregular and accelerated, the Fig. 80,-Location or Thrill and Systolic sonnc[s ^{^ very feeble, the Murmur in Case of Pulmonary Steno- sis (p. 380). first muffled and dull, while the. 382 DISEASES OF THE HEART second, in the third left interspace, was short, high-pitched, and sofeeble as to be rudimentary. A harsh systolic murmur was audible,having its maximum intensity in the second left interspace, 1 inchfrom sternum, and corresponding in position to the soft systolicthrill previously mentioned (Fig. 80). It was transmitted withspecial clearness upward and outward towards the left shoulderand around the left side to the back, but could be distinguishedfeebly even in the right half of the thorax. The liver was notappreciably enlarged. Tubercle bacilli were discovered in thesputum. The diagnosis was made of pulmonary stenosis with secondaryhypertrophy and dilatation of the right ventricle; tuberculosis ofboth lungs and moderate venous and visceral congestion consecu-tive to the cardiac lesion. This was thought to
Size: 1395px × 1791px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishern, booksubjectheart
