File:Diseases of the heart and arterial system - designed to be a practical presentation of the subject for the use of students and practitioners of medicine (1907) (14753360966).jpg

Identifier: diseasesofhearta1907babc (find matches)
Title: Diseases of the heart and arterial system : designed to be a practical presentation of the subject for the use of students and practitioners of medicine
Year: 1907 (1900s)
Authors: Babcock, Robert H. (Robert Hall), b. 1851
Subjects: Heart Arteries Heart Diseases Arterial Occlusive Diseases
Publisher: New York and London : D. Appleton and Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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:
prominent, particularly at theleft of the sternum, but was not pigeon-breasted. The apex-beatwas in the sixth left interspace, 2 inches from the sternum, strongand diffused. There was a soft, not very distinct thrill in the second andthird left interspaces close to the sternum, which was not syn-chronous with either systole or diastole, but was most pronouncedat the end of expiration and beginning of inspiration. It seemedto follow the apex-shock by a very brief instant, and to run intothe long pause. Absolute cardiac dulness was but slightly in-creased, whereas the relative appeared rather too broad. Theheart-sounds were feeble and obscured by a loud harsh murmurthat seemed to be systolic and audible throughout the entire prse- CONGENITAL DISEASES OK THE HEART 009 cordia, but most plainly at the base, and was transmitted to thelower angle of the left scapula. I (tun closer observation it was perceived that at the site ofthe thrill the murmur became a continuous remitting roar, having
Text Appearing After Image:
Fig. 107.—Heart from Case on p. 698, showing Concentric Hypertrophy of LeftVentricle and Sound passed through Patent Ductus Arteriosus. its maximum intensity just after the first sound and its minimumtowards the end of the long silence, but never entirely ceasing. TOO DISEASES OP TIIE HEART Everywhere the quality of the bruit seemed to be the same. Thelungs, abdomen, and urine were negative, but the blood examina-tion showed a pronounced reduction in the percentage of haemo-globin. The precise nature of this lesion was not clear, but was evi-dently congenital. In time, however, the affection was decided tobe either patency of the foramen or of the ductus arteriosus. Ascompensation appeared threatened, appropriate treatment was in-stituted, and soon a satisfactory degree of hypertrophy became re-established. To make a long story short, this patient ultimately marriedand was delivered of a child, passing through both pregnancyand labour without special difficulty. Unfortunately she be

Note About Images