Medical Times Volume 34

Medical Times Volume 34

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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. 1906 edition. Excerpt: ...a large pouch. The contracted opening was stretched with the fingers, passed in through an incision in the long axis of the organ. This opening was closed by three rows of sutures, the first and second being continuous chain stitch and the third Lembert. The patient made an excellent recovery. Valvular Heart Disease.--Crawford, in a valuable paper (Practitioner, Nov., '05), declares that so long as compensation is maintained in mitral insufficiency treatment consists in a quiet, well-regulated life, with only such restrictions as are applicable to all forms of valvular disease. Too much rest in heart disease leads to obesity, by means of which another burden may be laid upon this organ, further weakening it. Modified diet should not be depended upon alone to correct this; the best results will be obtained from a mixed diet, restricted in amount and without alcohol. With incipient failing compensation, ' specific cardiac tonics should not be employed; it is likely that at this period irritability needs treatment rather than weakness. Bromide of ammonium, with arsenic are then appropriate-Diet should be regulated so as to avoid dyspepsia; there should be no cardiac irritants, such as tea, coffee and alcohol. Tobacco should be restricted. The bowels must receive attention. Mental tranquility must be insured. Digitalis is indicated when the feeble and irregular heart becomes manifest. This drug helps to unload the veins and thus enables systole to act at a greater mechanical advantage. The arteries fill better and the amount of mitral reflux is diminished. Digitalis should be given circumspectly when there is high pressure, or when the arterial walls are degenerate. If given at all it should be combined with a nasodilator, such as liquor...show more

Product details

  • Paperback | 544 pages
  • 189 x 246 x 28mm | 962g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 123675428X
  • 9781236754288