The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . ening, thelouder is the murmur, the latterportion of the assumption apply-ing especially well to cases ofmitral or tricuspid Murmurs.—Themurmurs associated with anemiaare systolic in time and blowingin character, are seldom widelytransmitted, and are usually bestheard over the pulmonary area (second left intercostal space).They are heard less frequently over the apex, and differ fromthe true murmur of mitral regurgitat
The medical examination for life insurance and its associated clinical methods : with chapters on the insurance of substandard lives and accident insurance . ening, thelouder is the murmur, the latterportion of the assumption apply-ing especially well to cases ofmitral or tricuspid Murmurs.—Themurmurs associated with anemiaare systolic in time and blowingin character, are seldom widelytransmitted, and are usually bestheard over the pulmonary area (second left intercostal space).They are heard less frequently over the apex, and differ fromthe true murmur of mitral regurgitation in the fact that theyhave not the same transmission to the axilla and back. So also when heard over the aortic area (second right inter-costal space), they lack the transmission into the carotids andsubclavian characteristic of true aortic stenosis. Their associa-tion with anemia and disappearance under appropriate treatmentfurther serve to differentiate them in practice. Such murmurs call for postponement until their cause hasbeen removed and the murmurs themselves have entirely disap-peared. Associated dilatation is uncommon, and when present,. Fig. 30.—Anemia- Systolic apex murmur. of cases.) -(Sansom.)(7 per cent. THE EXAMINATION Ol Mil. < ill l is slight. A tru cases of diastolic hemic murmur have beenreported. The Normal Circulation. Figure 31 shows that, practicolly, the lungs are interposed between the two sides of the right heart, receiving venous blood from the body, passes FromUpper Extremities.;
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