Instructions to the Medical Examiners of the Provident Life And Trust Company of Philadelphia

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If the party have sufi:'ered from inflammatory rheuma- tism, especially in early life, the condition of the heart, for any evidence of organic disease, should be carefully examined.
, Concerning rheumatism, the Examiner should state whether it was acute or sub-acute ; how recently the at- tack occurred, and its duration. The hereditary disposi- tion to this disease should be considered. If it have occurred more than once, he should ascertain whether it is hereditary, or whether it is the result
... of an acquired INSTRUCTIONS. If rheumatic diathesis. The time of Hfe materially modifies the susceptibility to this disease, most cases occurring be- tween the ages of fifteen and thirty, and few after the age of fifty years.
A prematurely slow pulse (under 60), especially in a young subject, should always excite the attention of the Examiner. This, a harmless peculiarity in some indi- viduals and families, who enjoy perfect health, often, es- pecially if connected with cerebral discomfort and lack of vitality, points to incipient ramollissement or other serious disorder.


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