File:Diseases of the chest and the principles of physical diagnosis (1920) (14594015238).jpg

Identifier: diseasesofchestp1920norr (find matches)
Title: Diseases of the chest and the principles of physical diagnosis
Year: 1920 (1920s)
Authors: Norris, George William, 1875-1965 Landis, Henry R. M. (Henry Robert Murray), 1872-1937, joint author Krumbhaar, E. B. (Edward Bell), 1882-1966
Subjects: Chest Diagnosis Thoracic Diseases Diagnosis
Publisher: Philadelphia, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
^ habits does not suffer from local^ Moiiatsch. f. Geburtsh. u. Gyn., .June, 1912. 778 DISEASES OF THE PERICARDIUM, HEART, AND AORTA disease of the aortic region of the heart unless it be in consequence ofsome extraordinary muscular stress, or of rheumatic fever, or of syphilis;if then such muscular stress and rheumatism be dismissed, we fall backupon syphilis, as we do with a like assurance in the case of aortic aneurismin such a person (Allbutt).
Text Appearing After Image:
Fig. 415.—Syphilitic aortitis. In this specimen the syphilitic process has extendeddownward along the aortic wall and involved the coronary orifices and the aortic leaflets.The smooth, more or less sharply circumscribed rubbery appearance of the lesions is shown.Also the absence of calcification. In a smaller percentage of cases syphilitic aortitis occurs in an acuteform with substernal pain, a sense of constriction in the chest, dyspneaand at times angina like attacks of pain. According to Blumer^ the faciesin the syphilitic patients is often quite different from that seen in theother forms of aortic insufficiency. Instead of the vivid coloring ofrheumatic aortic disease, there is often pallor, with a yellow tinge ap-^ Albany Med. Annals, August, 1914. DISEASES OF THE AORTA 7.79 preaching the subicteric. Psychic manifestations are also more frequentin the syphiHtic type. In cases of this type a murmur is usually absentbut a gradual weakening of the first sound, indicative of slight

Note About Images