Clinical medicine : observations recorded at the bedside with commentaries / by W.T. Gairdner.

  • William Tennant Gairdner
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Clinical medicine : observations recorded at the bedside with commentaries / by W.T. Gairdner. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    had only a few hours to live. The deformity proceeded from old healed caries of the spine, with extreme angular curvature. All the organs were quite normal, except the lungs, and perhaps the heart, which was very slightly hypertrophied on the right side, and much distended with dark blood. III. Diseases of the Heart and Great Vessels, including Aneurisms.—Sixteen cases in all may he fairly included in this series, without reckoning cardiac murmurs un- attended by special symptoms of disorder of the circula- tion. Of these, five were fatal. The leading details of the sixteen cases may be thus stated :— In three cases, the mitral orifice was chiefly or ex- clusively the seat of a murmur: two of these cases being regurgitant, and one obstructive disease. The patient who is the subject of mitral obstruction (William L.) has the characteristic auricular-systolic murmur (pp. 575, 599) in its most marked form. lie has also moderate hyper- trophy of the right ventricle; but, on the whole, the disease is remarkably free from grave complications, and is productive of only slight suffering; it is of long standing, and veiy probably rheumatic. [William L. died in September 1860, under an accidental attack of bronchitis. The heart weighed 13 ounces. The right ventricle and the tricuspid orifice were dilated. The left ventricle was small. The mitral orifice just ad- mitted the point of the little finger, but its margins were smooth and the valve appeared capable of closing.] Neither of the two cases of mitral regurgitation has