Internal Medicine Classic Reprint

Author : Joseph L. Miller
Publisher : Forgotten Books
ISBN 13 : 9781334883491
Total Pages : 196 pages
Book Rating : 4.8/5 (834 download)

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Download or read book The Archives of Internal Medicine, Vol. 17 written by Joseph L. Miller and published by Forgotten Books. This book was released on 2017-01-04 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from The Archives of Internal Medicine, Vol. 17: January 15, 1916 At thirteen the patient had had scarlet fever, and six months later diphtheria, followed by more or less extensive paralysis. In other respects she had been a healthy woman and had had several children. For ten or twelve years, however, there had been some shortness of breath on exertion, and for eight months, frequent bleeding from the nose. For two months she had had peculiar periods of dizziness in which it had been noticed that her pulse was slow and irregular. Two weeks before she had had a sudden attack characterized by loss of consciousness and repeated slight convulsive seizures. Immediately after the attack the pulse was very slow, about 18 to the minute, and fairly regular. On the morning preceding the attack it had been 44; since the attack it had ranged between 28 and 35. Examination showed a fairly healthy looking woman, lying on her back in bed. The pulse was regular, 36 to the minute. On inspection of the neck, by a rather poor light, there was a well-marked impulse in the jugular with each beat of the pulse, together with a second impulse, occurring at a point about midway between each beat. A satisfactory analysis of the jugular undulation was impossible because of the dim ness of the light. The heart was slightly enlarged; the sounds were clear throughout. There was heard, however, between each regular beat, a slight but yet distinctly audible sound. This occurred constantly about midway between the regular heart sounds, and had the general character of the sound which one commonly hears in association with the auricular con traction in heart block. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.