Modern Medicine, Its Theory And Practice 2

Cover Modern Medicine, Its Theory And Practice 2
Modern Medicine, Its Theory And Practice 2
Osler, William, Sir, 1849-1919
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The disappearance of an accentuation is often a sign of ominous import, pointing to the fact that the overburdened right heart is giving way and an acute dilatation impending. When the upper lobes are the seat of the disease, the character of the second sound is less reliable, for the reason that a neighboring consolidation may cause a weak sound to seem 572 INFECTIOUS DISEASES clear and intense. As in other forms of pulmonary infiltration, the heart sounds are often transmitted very dbtinctly ...to distant parts of the chest.
Cardiac weakness in pneumonia may arise from a number of causes; the commonest and most important of these are toxsemia, extensive pulmonary consolidation and hyperpyrexia. The first of these may result eitner from a direct action of the poison upon the muscle itself — cloudy swelling, myocar- ditis — or indirectly through a paresis of the vasomotor system. Romberg and Paessler have shown that heart weakness in animals in the course of septicaemia due to the pneumococcus, B.


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