The Diseases of the heart and the aortaLindsay and Blakiston, 1854 - 689 pages |
Common terms and phrases
abdominal aneurism abdominal aorta acute affection anæmic aneurismal aortic orifice aortic valves apex appearance attack attended auricle bellows murmur blood cardiac carditis cause cavities character chest chronic circumstances condition connexion contraction death diagnosis diastolic dilatation dissection distinct double Dublin dulness dysphagia dyspnoea effusion empyema endocarditis enlargement excitement existence extreme fatty degeneration feeble fever friction sounds healthy heart heart's action hypertrophy impulse increased inflammation irregular left side left ventricle lesion liver loud lung maculated mitral valves muscular nature observed occur organic disease pain palpitation paroxysm Pathological patient percussion pericarditis pericardium period permanent patency phenomena physical signs pleura pleurisy portion present pressure probably produced pulmonary artery pulsation pulse region regurgitation remarkable respiration rheumatic right side right ventricle rupture second sound softening sternum stridor sudden suffering surface symptoms syncope systolic thoracic throbbing tion treatment tricuspid valves tumour typhus valvular disease valvular murmur veins weakened
Popular passages
Page 262 - It consists in the occurrence of a series of inspirations, increasing to a maximum, and then declining in force and length, until a state of apparent apnoea is established. In this condition, the patient may remain for such a length of time as to make his attendants believe that he is dead, when a low inspiration, followed by one more decided, marks the commencement of a new ascending and then descending series of inspirations.
Page 243 - For several days his breathing was irregular; it would entirely cease for a quarter of a minute, then it would become perceptible, though very low, then by degrees it became heaving and quick, and then it would gradually cease again: this revolution in the state of his breathing occupied about a minute, during which there were about thirty acts of respiration.
Page 147 - To the inexperienced the detailed descriptions of such phenomena as the intensification of the sounds of the pulmonary valves ; of constrictive murmurs as distinguished from non-constrictive ; of associations of different murmurs at the opposite sides of the heart ; of pre-systolic and post-systolic, pre-diastolic and post-diastolic murmurs, act injuriously — first, by conveying the idea that the separate existence of these phenomena is certain, and that their diagnostic value is established ;...
Page 237 - About three months after lying-in, while she was suckling her child, a lump of about the size of a walnut was perceived on the right side of her neck. This continued to enlarge till the period of my attendance, when it occupied both sides of her neck, so as to have reached an enormous size, projecting forwards before the margin of the lower jaw. The part swelled was the thyroid gland. The carotid arteries on each side were greatly distended ; the eyes were protruded from their sockets, and the countenance...
Page 367 - That the special group of symptoms described as angina pectoris by Heberden, Parry, Percival, and Latham, is but the occurrence in a defined manner of some of the symptoms connected with a weakened heart.
Page 253 - We remarked to-day, that on listening attentively to the heart's action, we perceived that there were occasional semi-beats between the regular contractions, very weak, unattended with impulse, and corresponding to a similar state of the pulse, which thus probably amounts to about 36 in the minute, the evident beats being only 28, so that there must be about eight of these semi-beats in the minute ; — but these signs are very indistinct.
Page 244 - He wus well enough to be about his house, and even to go out. but he was oppressed by stupor, having a constant disposition to sleep, and still a very troublesome cough. What most attracted my attention was, the irregularity of his breathing, and remarkable slowness of the pulse, which generally ranged at the rate of 30 in a minute. Mr. Duggan informed me that he had been in almost continual attendance on this gentleman for the last seven years ; and that during that period he had seen him, he is...
Page 22 - ... the rubbing sounds were distinctly perceptible by means of the stethoscope, the patient was quite unconscious of their existence. They had suddenly, however, become so loud and singular, that the patient and his wife, who occupied the same apartment, were unable to obtain a moment's repose. On examination, a series of sounds was observable which I had never before met with. It is difficult or impossible to convey in words any idea of the extraordinary phenomena then presented. They were not the...
Page 123 - Dublin, may be taken on this point of sudden death. He says : — " It will not be out of place to remark that sudden death in disease of the heart is by no means so frequent as is generally supposed. In the great majority of cases, death occurs in no sudden or extraordinary manner. . . ". So general is the belief that sudden death is the inevitable termination of disease of the heart, that the very suspicion of the existence of such an affection leads to great and injurious mental depression on...
Page 146 - ... with which sound the murmur is associated. The murmur may mask not only the sound with which it is properly synchronous, but also that with which it has no connection ; so that in some cases even of regularly acting hearts, with a distinct systolic impulse, and the back stroke with the second sound, nothing is to be heard but one loud murmur.