The British and Foreign Medico-Chirurgical Review or Quarterly Journal of Practical Medicine and Surgery Volume 8
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1851 edition. Excerpt: ...of the pulmonary second sound from augmented recoil of the column of the blood, is not, according to Dr. Walshe, of much value, and, in some cases, an apparent intensification of this sound is caused simply by diminution in the aortic second sound. The next chapter is on the method of examining the great arteries, by Inspection, Application of the Hand, Percussion, and Auscultation. By Inspection, we discover pulsation of arteries, which may depend " on general or local excitement of the circulation, on special disease of the heart, or on disease of the vessel itself." (p. 238.) "Highly marked and extensive visible pulsation," (being, of course, permanent, ) has never been observed by Dr. Walsbe without coincident aortic regurgitation. Nor has Dr. Walshe ever seen well-marked aortic regurgitation without such pulsation. If, however, arteries are calcified and tortuous, there may be a certain amount of movement, particularly if the left ventricle be hyper-trophied, but the cause of this is easily detected. Arterial thrill, also, may accompany such pulsation, if the artery be dilated, and especially if it be calcified; a spaneemic condition of the blood also tends to make this more considerable. Spanssmia, without organic disease, may produce thrill, which, then, is generally more diffused. We have observed, also, that contraction of an artery, particularly if the lining membrane is rough, will give rise to great thrill. We have seen the thyroid apparently in this condition; at least, although there was no examination after death, the artery was small, intensely thrilling, and there was extensive old valvular disease of the heart, with the signs of dilatation and roughness of the aorta, over which thrill was also perceptible. The organic and...
- 189 x 246 x 20mm | 667g
- 13 Sep 2013
- United States
- black & white illustrations