Inaugural dissertation on enlargement of the heart : submitted to the medical faculty of the university of Edinburgh in conformity with the rules for graduation by authority of the very reverend principal Baird and with the sanction of the senatus academicus / by William Robertson, Surgeon ; candidate for the degree of doctor in medicine.

  • Robertson, William, active 1839.
Date:
1839
Catalogue details

Licence: Public Domain Mark

Credit: Inaugural dissertation on enlargement of the heart : submitted to the medical faculty of the university of Edinburgh in conformity with the rules for graduation by authority of the very reverend principal Baird and with the sanction of the senatus academicus / by William Robertson, Surgeon ; candidate for the degree of doctor in medicine. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    TABLE OF CASES. Name. Age. Date. Pulse. Physical Signs. General Symptoms. Post Moftem. Alexander Campbell. 60. Nov. 1838. 96, large, irregular. Cardiac region dull. Double bruit over sternum. Apex below sixth rib. Impulse strong, and felt in Epigastrium, carotids, and subclavians. Dyspnoea, anasarca, livor. Fluid in pericardium. General enlargement, but especially hypertrophy of left ventricle. Aorta dilated. Valves of do. slightly diseased. Margaret Rodney. 50. Jan. 1838. Feeble, intermitting. Apex low. Action of heart diffuse, feeble. First sound flapping. Pneumonia, anasarca, dyspnoea, &c. Dilatation of left cavities and of aorta, without thickening. Valves sound. William Macleod. 40. Dec. 1838. Quick, regular. All the signs of Phthisis. None of Morbus cordis. Those of Phthis is. Concentric hypertrophy of left ventricle. Cavity easily restored by pressure. Robert Clarke, 40. Not. 1838. Irregular and intermit- ting. Lower part of chest dull. Impulse diffuse, felt in Epigastrium, and to right of sternum. Jugulars pulsate. Sounds confused. No bruit. Liver, dyspnoea , bronchitis. §xxx. fluid in pericardium. Great dilatation of right auricle. Hypertrophy of the left ventricle—less of the right do. Mitral and Tricuspid valves diseased. Mary Elmslie. 24. Nov. 1838. 130, hard, irregular. Cardiac region dull. First sound rough. Violent impulse. Cough, pain in dyspnoea. cardiac region, Pericardium adherent. Old and recent pericarditis. Left ven- tricle thickened. Left auriculo-ventricular orifice contracted and patulous. 14 Tnlv 1838 Strong, jarring, regular. Cardiac region very dull. Impulse violent, diffuse, felt in Epi- gastrium. Both sounds accompanied by bruit, loudest over upper sternum. Interval observed. Rheumatism, p pncea, hcemo tion. ericarditis, dys- ptysis, palpita- £iv. fluid in pericardium, some adhering lymph. All the cavities, but especially the left ventricle, dilated and hypertrophied. Aortic and mitral valves insufficient. Membrane fining left ventricle white and thickened. Heart weighed gxxii. Jane Slater. 22. Dec. 1838. Regular, 90. Chest unusually clear on percussion. Apex low. Impulse strong in Epigastrium, and veins of neck are very turgid. No bruit. Sounds loud. Palpitation, dyspnoea, livor, em- physema pulmonum appa- rently. ^ij. in pericardium. Both ventricles hypertrophied, particularly the right one, which, as well as right auricle, was dilated. Mitral valve, with excrescences, but sufficient. George Reid. 38. Dec. 1838. Strong, jarring, regular. Cardiac region dull. Double sawing sound. Impulse very vio- lent below sixth rib, in Epigastrium, carotids, and subclavians. Veins of neck pulsate. Cough, dyspnce of feet. Diec a, slight cedema very suddenly. Both ventricles dilated, and hypertrophied, especially the left one. Valves of aorta insufficient and puckered. Aorta and large vessels dilated and roughened. George Dear. 38. Dec. 1838. Large, regular, jarring. Dulness in cardiac region. Impulse strong. Apex obscure. Some interval. Second sound with faint bruit. First sound short and flapping. Rheumatism, d anasarca. yspncea, cough, Pericardium contained much fluid. Heart, particularly left ven- tricle, much dilated, and moderately hypertrophied. Aorta rough, its valves insufficient. Mitral valve rough. Liver large. Mary Ainslie. 50. March 1839. Irregular, about 100. Cardiac dulness. Bruit and fremissement with first sound. Im- pulse diffuse, rather violent in carotids and subclavians. Dropsy,livor, cough, and bloody sputa. Died very suddenly. gij. fluid in pericardium. Ventricles dilated, the left also hyper- trophied. Aortic valves insufficient, but slightly so. Left auriculo-ventricular orifice contracted. James Prichard. 32. Jan. 1839. 60, large, jarring. Apex low. Cardiac dulness. Some interval. See-saw bruit over the aortic valves. Pulsation strong in cardiac region, and in great vessels. Old rheumatism, dropsy, dys- pnoea. Died very suddenly. Heart of enormous size, all the cavities being dilated and hyper- trophied. Aorta rough and dilated. Valves of aorta permitted much regurgitation. • John Stewart. 36. < June 1839. Large, jarring, regular. Extensive cardiac dulness. Apex very low. Much and diffuse impulse, and fremissement. Carotids and subclavians pulsate very violently. Interval. See-saw bruit over sternum. (Edema, dyspn num. Died hausted. ]ea, morbus re- gradually ex- 5viii. in pericardium. Heart enormous. Right side dilated, the ventricle thickened. Left ventricle much dilated and thick- ened. Aortic valves puckered and insufficient. Margaret Walker. 13. April 1839. 130, strong, regular. Dulness over heart. Action violent, tumultuous. Frottement very distinct. Bruit with first sound over aortic valves. Pericarditis, cough, dyspncea, pain in cardiac region. Old and recent pericarditis, ^iv. of fluid in pericardium. Both ventricles dilated, and the left hypertrophied. Mitral valve thickened. Aortic orifice small. Lydia Haslind. 28. April 1839. Large, strong, regular. Dulness. pulse servec Apex low. Double bruit over upper sternum. Im- diffuse, violent, felt in Epigastrium. An interval ob- Old rheumatism, extreme dys- pncea, occipital headache, cedema. Died suddenly. Dilatation of all the cavities. Right do. hypertrophied. Aorta rough. Aortic valves rough and insufficient. John Hodge. 41. May 1839. Irregular in force. Intervalreadily observed. Pulsation felt in Epigastrium. Much dulnas over heart. Double bruit over sternum. Impulse mode-ate. Dyspncea, livor, anasarca, faint- ings, palpitation. Died rather suddenly by asphyxia. Aneurism of ascending aorta of small size, communicating with pulmonary artery. Insufficiency of aortic valves. Right ven- tricle hypertrophied and dilated.. Right auricle and left ven- tricle dilated, and slightly thickened, giiij. in pericardium. M