The Colorado Medical Journal, (Colorado's Local Medical Journal), 1898, Vol. 4
Idioma: inglés
Editorial: Forgotten Books, 2024
- Tapa blanda
- Nuevo
Librería: Forgotten Books, London, Reino UnidoForgotten Books
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Print on Demand. This book explores the myriad ways that immigrant communities have shaped American society. It discusses immigrant labor, social ideas, politics, and cultural influences, arguing that these have all been crucial to the development of modern America. The author draws on a wide range of sources, including personal narratives, government documents, and historical scholarship, to provide a comprehensive and nuanced account of the immigrant experience in the United States. This book offers a fresh and thought-provoking perspective on the role of immigration in American history. This book is a reproduction of an important historical work, digitally reconstructed using state-of-the-art technology to preserve the original format. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in the book.
N° de ref. del artículo 9780243394753_0
- Título
- The Colorado Medical Journal, (Colorado's Local Medical Journal), 1898, Vol. 4
- Autor
- E. R. Axtell, E. A. Sheets
- Editorial
- Forgotten Books
- Año de publicación
- 2024
- Estado
- New
- Tipo de libro
- print-on-demand item
- Encuadernación
- Paperback
- Idioma
- inglés
- ISBN 10
- 0243394756
- ISBN 13
- 9780243394753
- Catálogos de vendedores
- General Medicine
Gentlemen - I wish to show you to-day an instance of the rarest of the valvular diseases of the left side of the heart, aortic stenosis, accompanied, in this case, with mitral insufficiency. After the close of the lecture the patient will pass around the room, that you may have an opportunity to examine him.
M. D 68 years of age, without family history of interest in this connection, has been a miner in this state for nearly forty years. He has experienced, at intervals of several years, several attacks of acute articular rheumatism There is no history of syphilis or of alcoholism, but the patient has done much severe manual labor.
He complains of dyspnoea, palpitation, faintness and dizziness, but almost solely after some sudden change Of posture, notably from the recumbent one to the erect position, or upon exertion.
Upon physical examination we find extensive atheroma in all of the accessible arteries, - a feature of some importance in making the diagnosis of aortic stenosis. We may briefly state that the ex amination Of organs other than those involved in carrying on the circulation has been negative. The impulse of the heart is found in the fifth Space, somewhat outside Of the mamillary line. The area of dullness is decidedly increased, as you may see by follow ing the blue lines drawn upon the patient's chest, and which have been verified by some of those present. The increase in area is almost wholly in a transverse direction, extending from the right edge of the sternum to a line one inch to the left Of the left nipple.
Upon palpation we feel a marked systolic thrill over the sec ond right interspace. The pulse is seventy to the minute, small, but of fair tension. There is no visible pulsation in the arteries of the neck.
With the stethoscope we hear a loud, sawing, systolic murmur over the aortic area. But transmitted beyond the area of the thrill, for it is to be heard in the arteries of the neck and in the femoral and radial arteries as well. With the fingers holding the bell of the stethoscope one easily feels the thrill transmitted through the wall of the chest to the instrument.
About the Publisher
Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com
This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
“Sinopsis” puede pertenecer a otra edición de este título.
Reseña del editor
Gentlemen - I wish to show you to-day an instance of the rarest of the valvular diseases of the left side of the heart, aortic stenosis, accompanied, in this case, with mitral insufficiency. After the close of the lecture the patient will pass around the room, that you may have an opportunity to examine him.
M. D 68 years of age, without family history of interest in this connection, has been a miner in this state for nearly forty years. He has experienced, at intervals of several years, several attacks of acute articular rheumatism There is no history of syphilis or of alcoholism, but the patient has done much severe manual labor.
He complains of dyspnoea, palpitation, faintness and dizziness, but almost solely after some sudden change Of posture, notably from the recumbent one to the erect position, or upon exertion.
Upon physical examination we find extensive atheroma in all of the accessible arteries, - a feature of some importance in making the diagnosis of aortic stenosis. We may briefly state that the ex amination Of organs other than those involved in carrying on the circulation has been negative. The impulse of the heart is found in the fifth Space, somewhat outside Of the mamillary line. The area of dullness is decidedly increased, as you may see by follow ing the blue lines drawn upon the patient's chest, and which have been verified by some of those present. The increase in area is almost wholly in a transverse direction, extending from the right edge of the sternum to a line one inch to the left Of the left nipple.
Upon palpation we feel a marked systolic thrill over the sec ond right interspace. The pulse is seventy to the minute, small, but of fair tension. There is no visible pulsation in the arteries of the neck.
With the stethoscope we hear a loud, sawing, systolic murmur over the aortic area. But transmitted beyond the area of the thrill, for it is to be heard in the arteries of the neck and in the femoral and radial arteries as well. With the fingers holding the bell of the stethoscope one easily feels the thrill transmitted through the wall of the chest to the instrument.
About the Publisher
Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com
This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
“Acerca de” puede pertenecer a otra edición de este título.
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