A System of Medicine, by Many Writers Volume 6

A System of Medicine, by Many Writers Volume 6

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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. 1898 edition. Excerpt: ...fever may prove to be significant of some complication. The use of such a name by less experienced physicians might, for instance, lead to confusion between chlorosis and pernicious or syphilitic anaemia, or some other anamia due to a toxic agent. I should be content to say that the temperature in chlorosis is not subnormal, as in anorexia nervosa, for instance; and that it may be apt to rise in trifling measure under the influence of occasional causes.1 The pulse, however, as Sydenham said, is generally quickened more or less, and is very impressionable by change of posture and the like. In opposition to some authors, I am scarcely disposed to admit that in chlorosis the arterial blood-pressure generally ranges above the normal standard; though no doubt it is characteristic of chlorotic anaemia that such a rise may be observed occasionally; and as a rule the mass of the blood is not diminished, the artery is well filled. Immermann seems to have given vogue to the opinion that in chlorosis the heart increases and arterial bloodpressure rises. Bihler, on the other hand, who has gone over this ground carefully, concludes that so far from the blood-pressure being raised it is usually under the normal mean. Estimations of blood-pressure made with the ordinary sphygmographs are of little or no value. As, generally speaking, the mass of the blood is not diminished, the output of the left ventricle is at least normal in amount, and the arteries are well filled; but this does not necessarily or even probably mean increased bloodpressure. Extension of cardiac dulness is generally towards the right, not towards the left side. As vascular tone increases, the heart returns 1 Dr. Stockman tells me later that he finds that all bloodless people are liable to...show more

Product details

  • Paperback | 500 pages
  • 189 x 246 x 26mm | 885g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • Illustrations, black and white
  • 1236590864
  • 9781236590862