Diseases of the heart: their diagnosis and treatment

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G.P. Engelhard, 1900 - Heart - 170 pages

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Page 6 - Polus — that cookery in my opinion is not an art, but only an experience ; and I said of medicine, that this is an art which considers the constitution of the patient, and has principles of action and reasons in each case...
Page 15 - This phenomenal case taught me one fact in particular, how easily the heart could be displaced by dilatation of the stomach. The individual in question could, by buccal insufflation of the stomach, cause his heart to disappear behind the lungs, so that percussion of the precordial region yielded no dullness on percussion.
Page 81 - The heart, like any other muscle, owes its vigor to the activity of respiration. The exceptional muscular strength of insects is no doubt due to the fact that they respire from nearly every part of their bodies. Individuals with organic heart disease enjoy the best health when they are able to live in open-air life."—Albert Abrams, MD "I can't endure very much exercise,
Page 29 - ... action ; (g) sound arteries, with a normal amount of blood and tension in the smaller vessels ; (h) a free course of the blood through the cervical veins ; (i) freedom from pulmonary, hepatic, or renal congestion.
Page 16 - Fig. i—Skiascopic picture of the outline of the heart and stomach before swallowing the seidlitz powder. sphincters of the stomach; the distended stomach pushes the diaphragm upward, dislocating the heart, and induces typical attacks of asthma. To quickly detect a dilated stomach encroaching on the chest organs, the following percussion method will be found practical. The circular tympanitic stomach-lung region formed by the stomach beneath the lower lobe of the left lung gradually disappears behind...
Page 120 - ... is met with in all conditions of the lungs which cause obstruction to the circulation, particularly with chronic bronchitis. The symptoms are those of obstruction of the lesser circulation, with venous congestion in the systemic veins. The signs of this condition are: Systalic regurgitation of the blood into the right auricle and the transmission of the pulse wave into the veins of the neck. If the regurgitation is slight, or the contraction of the ventricle is feeble, there may be no venous...
Page 31 - That the position of the cardiac apex is the key to the diagnosis of nearly all affections of the chest and heart.
Page 30 - HO inconvenience, and even with the most serious forms of valve lesion the function of the heart may be little, if at all, disturbed. Practitioners who are not adepts in auscultation and feel unable to estimate the value of the various heart murmurs should remember that the best judgment of the conditions may be gathered from inspection and palpation. With an apex beat in the normal situation and regular in rhythm the ausoultatory phenomena may be practically disregarded.
Page 122 - Aortic insufficiency or aortic stenosis exists more frequently in combination with mitral insufficiency than aortic stenosis with mitral stenosis or mitral stenosis with aortic insufficiency.

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