On rheumatism, rheumatic gout, and sciatica : their pathology, symptoms, and treatment / by Henry William Fuller.

  • Fuller, Henry William, 1820-1873.
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: On rheumatism, rheumatic gout, and sciatica : their pathology, symptoms, and treatment / by Henry William Fuller. Source: Wellcome Collection.

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    CHAPTER VII. RHEBMATIC INFLAMMATION OF THE HEAKT.—ITS PATHOLOGICAL EFFECTS.—ITS SYMPTOMS, PROGRESS, AND TERMINATIONS. PAGE Anatomical character, of the pericardium : uature of, and products resulting from, the inflammation to which it is subject. Influence ■which the mechanism of the pericardium exerts on the progress and termination of pericarditis .... 162, 163 Terminations of pericarditis. Pathological effects observed when the disease terminates favorably, and also when unfavorably. Condition of the parts varies greatly according to the period which has elapsed since the commencement of inflammation . 163—169 Pericardium when once inflamed, rarely restored to the condition of health ....... 165, 166 Pathological changes produced by endocarditis. Where chiefly observed ....... 169, 170 The appearances presented by fibrinous vegetations vary in different cases, and at different stages of their existence . . 170, 171 Result of the microscopic examination of fibrinous vegetations . 171, 172 Consecutive changes which follow the deposition of fibrin on tlie valves ....... 172, 173 Comparative danger of pericarditis and endocarditis, and the con- sequences to which they give rise .... 173—17G Possibility of complete recovery after an attack of endocarditis . 176—179 Great improbability of complete recovery when fibrinous deposits have taken place on the valves, and why . . . 178 Physical signs of pericarditis. Priction sound. Referable to the altered mechanism of the parts. Its extreme value as a diagnostic sign. Two different causes of its cessation . . 180—184 Precordial dulness. Not pathognomonic of effusion, but valuable as an accessory symptom of pericarditis, and as indicating the increase or decrease of effusion . 184 Priction thrill. Its usual position. Under what circum- stances present . . . . . 184, 185 Undulation. Does not always exist, and why . . 185 Practical inferences to be deduced from these signs, more especially in reference to the nature of the prognosis . , . 186, 187 Physical signs of endocarditis. Bellows murmur. Referable to the altered mechanism of the valves, and how . 188,189 Mode of distinguishing between disease of the different valves . 189—192 )) Difficulties which occasionally present themselves in formiug a diagnosis. How to be overcome . . 193—196