. Medical diagnosis for the student and practitioner. Fig. 349.—Plate made nineteen days after acute dilatation of a supposedly normaheart. Fibrillation was present during eighteen hours after attack. Some precordialdistress still present when exposure was made. Total transverse diameter of cm. (See also Figs. 350 and 351.) rejuvenescence taking the form of a tendency to play tennis with mistakenstrenuosity and perseverance; to climb mountains; take an oar or a paddleto show them. or hunt the deer over heavy going; all these plunges beingtaken without sensible moderation or previous
. Medical diagnosis for the student and practitioner. Fig. 349.—Plate made nineteen days after acute dilatation of a supposedly normaheart. Fibrillation was present during eighteen hours after attack. Some precordialdistress still present when exposure was made. Total transverse diameter of cm. (See also Figs. 350 and 351.) rejuvenescence taking the form of a tendency to play tennis with mistakenstrenuosity and perseverance; to climb mountains; take an oar or a paddleto show them. or hunt the deer over heavy going; all these plunges beingtaken without sensible moderation or previous preparation. Such unwisdomresults in a host of cardiac overstrains, for the most part, spontaneously 656 MEDICAL DIAGNOSIS readjusted, but in some instances working great damage if undetected andunaided. The Asthenic Heart.—Considerable attention has already been paid tothe peculiar heart of the congenital asthenic (drop heart) and one need only. Fig. 350.—Same case of acute dilatation as is shown in Fig. 349. Patient, when apparently fully recovered, slipped and fell on the ice severely wrenching himself. A second attack of acute dilatation followed. Heart is still dilated from second seizure. [ Total transverse diameter cm. Both right and left borders are extended outward. (See Fig. 351.) repeat in this connection, that such hearts are among the commonest of clinicalfindings. They are peculiarly prone to transient or persistent loss of tonus oractual minor dilatation, and, to the production of subjective expressions ofinsufficiency, often remote from the heart itself. As stated previously, such hearts, even when both overstrained and decidedly MYOCARDIAL OVERSTRAIN 657 overlooked. dilated are, at present, almost universally disregarded, because of the fact that even when greatly enlarged (hey need not equal in transverse diameter the area constantly of the normal heart of a non-asthenic individual and further because
Size: 1435px × 1741px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
