Contributions to Medical And Biological Research volume 2
Contributions to Medical And Biological Research volume 2
Osler William
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On physical examina- tion he was tall, well built, and a strong-looking man. The pulse was always rapid. The heart was slightly enlarged. There was a soft, short systolic murmur at the apex not considered to be organic. The lungs were negative. The blood pressure was 116-80. Exercise response was poor. There was rapid pulse, pounding heart, and anxious expression. The vasomotor in- stability was marked. Diagnosis: irritable heart, hypochondriasis. Frequently in the histories of these cardiovasc...ular defectives there will be fainting spells, attacks of dizziness, when everything gets black, or there will be convulsive seizures and unconscious periods lasting for hours or days. Attacks of nervous prostration in children are not uncommon. Such abnormal conditions can only occur on a marked neuropathic basis. The cases which date their symptoms from some infectious disease have not given such his- tories. They complain only of the symptoms which follow exertion and which they are certain were not present previous to the illness.
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