Southern Medicine and Surgery, Vol. 106 PDF Download

Author: James M. Norhington
Publisher: Forgotten Books
ISBN: 9781334687396
Category : Medical
Languages : en
Pages : 520

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Book Description
Excerpt from Southern Medicine and Surgery, Vol. 106: Official Organ of the Tri-State Medical Association of the Carolinas and Virginia; December, 1944 The nervous form. Found in young persons, more frequent in the young physically and mentally uh stable woman, unhappily married. Genuine angina pectoris appears at a later age (45 to is in most cases independent Of psych genic factors and depends strongly upon physical exertion. Between the attacks the patients do not impress one as being ill or nervous. In the nervous forms, no pains are experienced at night and no attacks occur. Of great significance in the differential diagnosis are previous diseases. In these cases' the heart and vessels are usually normal. In true angina pectoris the vessels of the heart show organic changes by the ecg. Tracings. In the functional type no path ologic changes can be demonstrated. The accounts of the patient in the nervous forms are usually dramatic: I was sure death had struck me, or I was sure I was dying. These cases as a rule have a rapid heart rate. In organic diseases the pain is as of a dagger piercing the chest or Of a claw gripping the heart hard; with radiation of the pain to the left shoulder and arm, rarely to the right shoulder and arm and into the neck and back, or to either or both angles of the jaw. In a very short time the patient can perform considerable work. In contrast, a heart after a real attack of angina is not capable of carrying on its work in a normal way. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.