Sajouss Analytical Cyclopaedia of Practical Medicine volume 2

Cover Sajouss Analytical Cyclopaedia of Practical Medicine volume 2
Sajouss Analytical Cyclopaedia of Practical Medicine volume 2
Sajous, Charles E. De M. (Charles Euchariste De Médicis), 1852-1929
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Often the second and weaker of these twin cardiac impulses fails to reach the radius in perceptible strength. In- spection of the cardiac region shows no such bulging as may be present in cases of hypertrophy, except when the pre- cedent hypertrophy has left its traces behind it. It may. Be difficult to locate the apex-beat by the eye, or the impulse may seem to be diffuse and not to im- pinge upon exactly the same point with every beat.
Over other portions of the heart than the apex the interc
...ostal spaces may some- times be seen to protrude and recede with the action of the heart, and sometimes an extensive wavy motion may be ob- served over the cardiac area. When the right ventricle is dilated, there is more than a usual amount of impulse in the epigastrium below and to the right of the xiphoid cartilage.
DILATATION OF THE HEART. DIAGNOSIS.
485 Upon palpation the heart-beat is found not to be of a strong and heaving char- acter, but feeble and resembling a quick tapping or slapping of the chest, some- times with more or less of a tremulous sensation imparted to the hand.


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