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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    and expectorants. [Of one of these cases I am unable to record the result. The other was a very remarkable instance of tricuspid insufficiency from vegetations on the valve, referred to at p. 004. The patient, Mary P., iet. 12, had originally been affected with mitral disease, from which she had partially recovered, notwithstand- ing numerous attacks of bronchitis, one of which is re- ferred to in the chapter on Influenza (p. 97). She had also repeated and considerable hemorrhages from the lungs in the course of her disease, which lasted for several years. Ultimately, she became extremely cyanotic and permanently dropsical; and about the same time the mur- mur assumed the characters of tricuspid regurgitation.] In three cases there was a double murmur referrible to the aortic orifice, or aorta; in one, if not two of these, there is aneurism of the ascending aorta. In the third , . case (John W.), the murmur is of very Recent Aortic V . . valve Disease, recent origin (probably not more than Angina Futons, weeks’ standing), not due to rheu- matism. I think it not improbable that there has been a rupture of the valve in this man. The symptoms, on admission, were extremely threatening. The patient believed he had “ caught cold,” but was disappointed at not having received the speedy relief he expected, and was advised to come into the Infirmary. He was found to have a fluttering pulse, with extreme irregularity of the heart’s action, especially under excitement, and most alarming paroxysms of suffocative angina recurring every half-hour, sometimes every few minutes. In addition, the left back was absolutely dull to percussion