A Text book On Chiropractic Symptomatology Or the Manifestations of Incoordina
A Text book On Chiropractic Symptomatology Or the Manifestations of Incoordina
James N Firth
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This dilatation may be adaptative to mitral incompetency, in which there is pulmonary congestion, and in which the right ventricle aims to overcome it by hypertrophy. Or this may occur as a part of the right ventricular dilatation. Less fre- quently it is the result of deformity of the valve segments or contraction of the cordae tendineae. Symptoms. There is regurgitation of the blood from the right ventricle into the right auricle during the systole of the ventricle, which increases the endoca...rdial pressure of the auricle, and soon results in hypertrophy or dilatation of the auricle walls. Resistance is offered to the flow of blood from the pre and post cava, which is manifested in edema of both lower and upper extremities. There is pulsa- tion of Jhe juglar veins and of the liver, which can be felt upon palpation. The viscera becomes congested and the liver palpably enlarged. The signs of h^pe. Rthophy are marked upon the right side. The area of cardiac dullness is increased vertically and to the right, the apex beat may be normal or displaced slightly to the left, and auscultation reveals a soft, low-pitched, blowing murmur, systolic in time, over the tricuspid area.
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