The Diseases of the Heart and of the Aorta Volume 2 download PDF, EPUB, Kindle

The Diseases of the Heart and of the Aorta Volume 2 by Thomas Hayden

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Author: Thomas Hayden
Page Count: 222 pages
Published Date: 01 Mar 2012
Publisher: Rarebooksclub.com
Publication Country: Miami Fl, United States
Language: English
ISBN: 9781130120677
Download Link: The Diseases of the Heart and of the Aorta Volume 2
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1875 Excerpt: ... dilated; it contained a good deal of blood-clot and decolorized fibrin, part of which was entangled in the tricuspid opening. The mitral orifice was still more contracted than the tricuspid, admitting only the point of the index finger. The left auricle was thickened and dilated in a high degree, and the orifices of the pulmonary veins were dilated. The left ventricle was not dilated or hypertrophied; it was remarkably thin at the apex, near the septum. The point of greatest diagnostic importance in this case was the existence of two centres of presystolic murmur; one occupying the usual situation at the apex of the heart, and the other corresponding to the sternal end of the fifth costal cartilage and fourth intercostal space on the left side. Around these points, and within a circle of about two inches and a-half in diameter, the murmurs were respectively audible; but between and at an equal distance from them, there was a space where neither murmur could be distinctly heard. This constituted the principal element on which the differential diagnosis was based. Corroborative evidence was, however, afforded by the difference in quality and in length of the murmur heard at the two points mentioned, a difference which I incline to attribute to the entanglement of fibrin in the edges of the tricuspid valves; and also by the existence of general venous turgescence and cyanosis. This latter condition is so exceptional in cases of mitral constriction, that, if copious effusion into both pleurae were not likewise present, I should regard it as presumptive evidence of the existence of the double lesion. In none of the published cases of mitral and tricuspid narrowing combined, was the second sound reported to have been accentuated or doubled; a circumstance to be ...

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