Pocket-Book of Medical Practice; Including Diseases of the Kidneys, Skin, Nerves, Eye, Ear, Nose and Throat, and Obstetrics, Gynecology, Surgery (Paperback)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: SECTION III. DISEASES OF THE HEAET AM THORACIC AORTA. PERICARDITIS. Varietfei.?FibrinousjSero-fibrinous; Purulent ;Hemor- rhagic; Tuberculous. Diagnosis.?Before effusion:?A "to-and-fro" friction- sound, made more distinct on pressure with the stethoscope, or on the patient's leaning forward. After effusion:?Palpation: Apex beat feeble or absent; heart's impulse absent. Percussion:?Triangular flat area. Auscultation:?First sound distant, and muffled. Friction, if present, confined to the base. Prognosis.?Generally favorable; modified by the nature and severity of the primary disease. TREATMENT. Aconite.lx?Especially for pericarditis complicating acute rheumatism. Fever; great anxiety and restless-' ness; precordial pain. Spigelia.Tr?This is an important remedy for pericarditis. Pain and violent action of the heart are its chief characteristics. Violent palpitation, so severe that the walls of the chest are raised; severe stitching or stabbing pains; great oppression, the least motion almost producing suffocation; irregular pulse. Colehicin.2x?Given in the course of an attack of rheumatism, it acts as a prophylactic against the development of pericarditis. Arsenicum.3x?The chief remedy in the stage of effusion; restlessness and anxiety; suffocative attacks; violent and irregular palpitation; cold surface; thirst; anguish and apprehension of death. Digitalis.3x?For the stage of effusion, with feeble heart's action. Insidious approach of the pericarditis. Short duration of friction sound; pain; palpitation; pulse feeble, intermittent, not synchronous with the heart's action; face livid, with blue lips; hyperemia of the liver; great anxiety, but without restlessness. Bryonia.l?Pericarditis complicating pleurisy or pneumonia, with plastic exudation. I...