File:Medical diagnosis for the student and practitioner (1922) (14784307712).jpg

Identifier: medicaldiagnosi00gree (find matches)
Title: Medical diagnosis for the student and practitioner
Year: 1922 (1920s)
Authors: Greene, Charles Lyman, 1862-
Subjects: Diagnosis
Publisher: Philadelphia, Blakiston
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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esence of its classical symptoms, nor morefrequently overlooked when these are absent. (See Roentgenography.) * The results of the Wassermann and luetin tests have greatly strengthened the beliefthat practically all such cases represent the effect of past syphilitic infection. This etio-logic relationship of aneurysm on the vascular side to syphilis is practically parallel to thatof locomotor ataxia on the side of the nervous system. (See Cardiovascular Syphilis.) Devotees of Venus. Traumatism. Valuable aid. 774 MEDICAL DIAGNOSIS Old divisions. Importantpoints. Sadden death. Clinical Divisions.—The old clinical divisions were: (i) Aneurysm withsigns and symptoms; (2) aneurysm with symptoms but no signs; (3) aneurysmwith neither symptoms nor signs. It should be remembered that (a) classical symptoms develop only in certaincases and then usually when the terminal stageis reached; (b) that large aneurysmsmay exist without them; (c) that in cases of sudden death from this cause aneurysm
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Fig. 417.—Luetic mesaortitis. An enormous aneurysm of the ascending portion ofthe arch. One of three such abnormal areas seen by the author. + = only point ofmarked pulsation. Patient died of external rupture succeeding necrosis of thoracic tissues. is frequently unsuspected, both ante- and post-mortem, in the absence of anautopsy; (d) that ordinary diagnostic resources are oftentimes unsatisfactory,inefficient and inadequate; and (e) that the fluoroscopic picture or X-ray photo-graph offers usually the only certain means of early diagnosis at our command. Statistics of Aneurysm.—Roughly speaking, 60 per cent, of all recognizedaneurysms are aortic, and 85 per cent, of these involve the thoracic aorta. Ofthese, 90 per cent, are saccular; from 80 to 90 per cent, affect tJte male, and 60per cent, occur after the age of thirty and kill before fifty * The people whose habits most largely represent intemperance in food anddrink and occupations which involve the maximum of such intempera

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