. Medical diagnosis for the student and practitioner. n carrying beneath her fatthe basic asthenic stigmata. Transverse measurement cm. toxemias is especially Uable,remittently or persistently, to show a diminutionof reserve and consequent limitation of the field of symptomless forcedresponse. In the heart both periods of impaired tonicity and even of actual minor THE DROP-HEART 625 but pathologic dilatation are extremely common. See Figs. 329 and 330and, especially, Figs. 356 and 357. Finally, that these periods have, in the past, almost wholly been over-looked and disregarded. Fundamenta
. Medical diagnosis for the student and practitioner. n carrying beneath her fatthe basic asthenic stigmata. Transverse measurement cm. toxemias is especially Uable,remittently or persistently, to show a diminutionof reserve and consequent limitation of the field of symptomless forcedresponse. In the heart both periods of impaired tonicity and even of actual minor THE DROP-HEART 625 but pathologic dilatation are extremely common. See Figs. 329 and 330and, especially, Figs. 356 and 357. Finally, that these periods have, in the past, almost wholly been over-looked and disregarded. Fundamental Assumption.—It is obvious that one would not awaitthe onset of pulmonary or renal congestion, hepatic engorgement, markeddyspnea, ascending edema and flagrant and obtrusive dilatation, beforefeeling justified in active therapeutic interference in heart disease if he pos*sessed the means of recognizing with some degree of certainty the minorgrades of actual insufficiency. These major symptoms represent the expression of serious or extreme cardiac. Fig. 328.—Heart of a fat male asthenic with poor resisting power and heart typical save that it gives evidence by its contour of a musculaturefar above the normal for that type. Total transverse measurement only 9. 2 cm. weakness, a dangerously narrowed field of myocardial response, and, fortunatelyfor the patient, often serve him both as danger signals and emergency brakes,but they should not constitute the sole criteria of therapeutic initiative. Unavoidable Effects of Cardiovascular Lesions.—However chronic andslowly progressive the condition, crippling valvular lesions, progressive myo-cardial degenerations, sclerosis of the coronary arteries or of the entirevascular system, high arterial tension and the like, once established, aftera variable but usually greatly prolonged period of adequate balance inevit-ably embarrass and hamper the intricate, exquisitely responsive and deli-cately balanced mechani
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1922
