A case of open ductus arteriosus (Botalli), with necropsy / James L. Stoddard, M.D. Boston.

  • Stoddard, James L.
Date:
1915
Catalogue details

Licence: In copyright

Credit: A case of open ductus arteriosus (Botalli), with necropsy / James L. Stoddard, M.D. Boston. Source: Wellcome Collection.

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    Heart Examination Cast Age Sex Cyanosis Clubbini r Dyspnet Right Border Left Border Thrill Murmurs I 1 26 9 0 0 0? Incr. Normal Felt only once. “Machinery” mur¬ mur through whole cycle, loud¬ est in 3d It. space. 2 26 9 0 In crises Presystolic roll at apex. Short presystolic - over precordia. 3 32 cf Antemor- 0 with p alpi- tation. Ante- Normal Normal tern. mortem 4 35 d Slight 5 55 9 Marked Normal Faint systolic at apex. . 6 42 d Incr. Incr. Suggested at apex. Loud blowing systolic in 2d rt. space 7 17 9 Slight Present 0 Normal Normal Through cy¬ cle over pul¬ monic area. Rough systolic running into diastole over pulmonary area. II 8 6i/2* d Present 0 0 Systolic at base antemortem. 9 6* 9 Attacks 0 Normal Normal 10 ll1^* ? Moderate Present On exer¬ tion. Incr. ■ Incr. 0 11 ny2* 0 T 0 Incr. Normal Systolic over pul¬ monic area.1 t 12 9t 9 Slight Incr. Normal T < 0 Systolic loudest in 2d left space. attacks. 13 5t 9 Marked Incr. Incr. . 0 Systolic loudest 5th space 3 cm. out. 14 3t d Slight 0 Normal Normal 0 Rough systolic loudest near apex. 15 7f d Marked Present Normal Normal 16 61/2* d General Normal Normal 0 Systolic loudest opposite nipple. 17 17+ , , Present 0 18 2f Present 0 Incr. Normal 19 2i cT 0 Sawing systolic, loud at base. 20 5+ 9 Present Present Normal Normal — Ill 19 • • • • . . 6 6 Usually Incr 7 — systolic or continu¬ ous. Almost always ] loud systolic or continuous. IV — 34 .... 29% 2.9% 47% Systolic over pulm. area —29% Continuous -5.9% Systolic in pulm. I area—38%. Continuous in pulm. area—5.9% * Weeks. t Months. t Days. ? Female. d Male. 1. Mead, K. C.: Jour. Am. Med. Assn., 1910, lv., 2205. 2. Doufour, H., and Huber: Bull, et mem. Soc. med. d. hop. de Paris 1911 vnl =;in i’ wa,'!d l K': Deutsch, med. Wchnschr., 1913? xSx, 2037 ’ ' 6- H. G.. Am. Jour. Med. Sc., 1908, cxxxvi, 381. 7. 1 his paper. 8. Weber, F P.: Prcc Roy Soc., Sect. Study Dis. Child., 1908, p. 193. £?tley’ E;v PTrToc-T?oy Soc-> Sect. Study Dis. Child., 1908, p. 34. 10. D Espme, M. H.: Rev. de med., 1908, xxviii, 941.