. Medical diagnosis for the student and practitioner. Fig. 320.—Gastroptosis associated with insufficient drop heart shown in Fig. 319. Obligatory Exposure to Adverse Influences.—The adverse influencesoperating upon the victim of universal congenital asthenia who had beeninducted into army service varied greatly with the type of service demandedof him but embraced on the whole everv factor calculated to break down THE DROP HEART 617 the reserve of a considerable proportion of the young adults carrying thisconstitutional defect. As has been stated, the element of self-protection often unconscio


. Medical diagnosis for the student and practitioner. Fig. 320.—Gastroptosis associated with insufficient drop heart shown in Fig. 319. Obligatory Exposure to Adverse Influences.—The adverse influencesoperating upon the victim of universal congenital asthenia who had beeninducted into army service varied greatly with the type of service demandedof him but embraced on the whole everv factor calculated to break down THE DROP HEART 617 the reserve of a considerable proportion of the young adults carrying thisconstitutional defect. As has been stated, the element of self-protection often unconsciouslyplays a large part in the ability of large numbers of the congenital asthenicsto endure such stress and strain of life as falls upon them, but when brought. Fig. 321.—Same heart as shown in Fig. 319 showing increase of diameter cm. following the undertaking of heavy work against physicians orders. Thisenlargement was associated with a renewal of the old symptoms which had disappearedunder treatment. Note that even when thus dilated the heart falls well within the so-called normaltransverse cardiac diameter. into army service these safeguards, consciously or unconsciously establishedbv them, were of necessity abolished. As a result large numbers could notwithstand the hikes and drills even of the opening days or weeks of theirperiod of military training. Others with greater reserve weathered the 6i8 MEDICAL DIAGNOSIS training period only to become unfitted for service under conditions of actualcampaigning across the water or the yet more strenuous demands, psychicand physical alike, of actual fighting at the front.


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922