The practice of pediatrics . e in these laterstages is scanty and albuminous. When death occurs in a first attack of carditis—a rare event—theseare the symptoms to be expected, and the actual cause of death isgenerally sudden cardiac failure. The temperature for days may besubnormal. Fortunately the more usual course of pericarditis is toward no DISEASES OF THE HEART AND BLOODVESSELS recovery, and then the general condition improves, the face looks lesspinched and is a better color, the pulse and respiration rate diminishthe area of cardiac dulness lessens, and the temperature quietlyapproache
The practice of pediatrics . e in these laterstages is scanty and albuminous. When death occurs in a first attack of carditis—a rare event—theseare the symptoms to be expected, and the actual cause of death isgenerally sudden cardiac failure. The temperature for days may besubnormal. Fortunately the more usual course of pericarditis is toward no DISEASES OF THE HEART AND BLOODVESSELS recovery, and then the general condition improves, the face looks lesspinched and is a better color, the pulse and respiration rate diminishthe area of cardiac dulness lessens, and the temperature quietlyapproaches the normal. The liver becomes smaller and the urinefree from albumin, if any has been present. The recovery, it is true,may be slow and interrupted by relapses, but it is far more commonthan the fatal result. Yet it must be admitted that this recovery is nut,as a rule, a perfect one, for the opposing endothelial surfaces of diepericardium have been damaged, and adhesion, more or less complete,is to be expected. - V ^r Endocarditis, chorea, and rheumatic fever. Numerous diplococci are present in the valve vegetations are small as in simple rheumatic endocarditis, but there are numerous diplococci. Lastly, it should be clearly recognized that at the bedside rheumaticpericarditis must often be looked upon as only one manifestation ofthe rheumatic infection, and that the true history of the illness is onein which this pericarditis is only an incident. The temperature chart(Fig. 151) shown on page 703 is a good illustration of this truth. (SeeFigs. 149, 152 and 154.) Myocardial Damage.—This can be divided roughly into two groups:the first a small one in which are placed the rare, acute, and fatal casesof rheumatic myocardial disease, which will be treated of later; thesecond a larger one, difficult to recognize with confidence, but probablymore common than is usually supposed. In these the damage is lesssevere, but the cardiac valves and pericardium esca
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190
