Indurative mediastino-pericarditis / by Thomas Harris.

  • Harris, Thomas.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Indurative mediastino-pericarditis / by Thomas Harris. Source: Wellcome Collection.

    71/78 (page 65)
    The cmise of death in oases of indurative mediastino-pericarditis varies, but in the majority of oases it appears to be due to gradual cardiac dilatation and heart failure. Bronchitis and catarrhal pneumonia frequently assist in bringing about the fatal termination. Attacks of pleurisy appear to be very common in the course of the aflfection, and must assist in reducing the powers of resistance of the sufferer. In other cases we may have the developement of acute tuberculosis or the extension of a pre-existing phthisis as the principal cause in producing death. Treatment.—There is little to be said on the question of treatment of cases of this aflfection. No special treatment can be of much avail, and the management of such cases is the same as that required for the majority of cases of cardiac dilatation produced by any other cause. Many of the symptoms and complications met with in cases of indurative mediastino-pericai'ditis are undoubtedly due to cardiac failure, and although we may frequently have to treat such symptoms and complica- tions as they arise, our chief attention has to be directed to support and maintain the strength of the heart and to postpone as long as possible the onset of cardiac muscle failure. The following references may be of help to any one interested in this subject:— BIBLIOGRAPHICAL REFERENCES. The author is indebted to many of these publications for much help in the preparation of the above communication. Those publications marked with a t have not been accessible ;— ^ KussMATJL (A.). Ueber schwielige Mediastino-Pericarditis und den paradoxen Puis.—Berliner Minische Wochenschrift, 1873. X. Jahrg, S. 433, ii5, 447, and 461, ^ Neumann (D. H.) Ueber die Bronchialdriisen-tuberculose und ihre Beziehungen zur Tuberculosa im Kindesalter.—Deutsche medicinische Wochenschrift, 1893, S. 376. ' Harris (Thomas). A method of collecting and preserving urinary casts and other organic urinary sediments.—British Medical Journal, Vol. I., 1894, p. 1356. * NiDJsMANN (A.). tBeitrag zur Diagnose der Mediastiuisis.—Dissert: inaug. Tubingen, 1856. See also a detailed account of the case inKussmaul's communi- cation in the Berliner klin. Woch., 1873, S. 434. ' WiLKS (S.). Adherent pericardium as a cause of cardiac disease.—Guy's Hospital Reports, 1871 (third series). Vol. XVL, p. 196. * Hare (H. A.). Affections of the mediastinum.''—Philadelphia : 1889, p. 95. ' Fox (A. W.). Case of indurated mediastino-pericarditis.—British Medical Journal, 1877. Vol. II., p. 470. 8 Faqqe (C. Hilton). Text-Book of the Principles and Practice of Medicine. By the late C. Hilton Fagge, M.D., F.R.C.P. ; and Philip H. Pye-Smith, M.D., F.R.S. Third Edition. Vol. IL, pp. 317, 318, 327, 369, 873, and 374.