Gout and rheumatism in relation to disease of the heart / by A.W. Barclay.

  • Barclay, A. W. (Andrew Whyte), 1817-1884.
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: Gout and rheumatism in relation to disease of the heart / by A.W. Barclay. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    tion was not realised. She sank, as she should not have done had the heart really been un- affected; and on ]:)ost-raortem examination, the pericardium was found universally adherent to the heart's surface by a layer of recent lymph. Since that time I have always been in the habit of regarding it as the effect of altered muscular movement, and only in this sense valuable as an evidence 'cffM^/^rk is going on. In many casQs^no dSl^t it sul^rdes without further symptom)5l^Miidlt isH^fira. impossible to say with ceryta^ty'v^ffieF jt'^^p;^ caused by threatened inflamiila'Eiou, vfhiehnad completely subsided under treatment without effusion of lymph, or whether it was dependent on some other circumstance. But it is a sio^n to be watched and studied, as it certainly gives us more early information of what is about to occur than any other. Very shortly after the alteration of rhythm we can trace by auscultation the presence of some sound not heard at all in health. It is well, if possible, to preserve a distinction in words between the abnormal or accidental sounds, and those ordinarily heard, by employ- ing such terms as bruit, murmur, fric- tion-sound, &c., so as to avoid any con-