Adherent PericardiumW. Wood, 1896 - 126 من الصفحات |
طبعات أخرى - عرض جميع المقتطفات
Adherent Pericardium (Classic Reprint) <span dir=ltr>John F. H. Broadbent</span> لا تتوفر معاينة - 2018 |
Adherent Pericardium (Classic Reprint) <span dir=ltr>John F. H. Broadbent</span> لا تتوفر معاينة - 2015 |
عبارات ومصطلحات مألوفة
adherent peri adherent pericardium Admitted to St albumen aortic apex beat area of cardiac attack of pericarditis audible auscultation autopsy axilla become adherent break-down cardiac dilatation cardiac dulness extends cardiac systole cardium cause chest wall child condition of dilatation cyanosis diagnosis of adherent diaphragm diastolic diastolic murmur dilated dilated and hypertrophied dulness extends upwards dyspnoea endocarditis enlarged epigastric pulsation evidence felt fibrous tissue fifth space fingers fluid forcible friction rub heart Heart.-Apex beat hyper hypertrophy inch intercostal spaces inwards jugular left ventricle legs liver lower extremities lung marked Mary's Hospital Mitral orifice admits mitral regurgitation mitral stenosis murmur is heard myocarditis normal oedema patient pericardial adhesions pericardial cavity pericardial rub pericardium and chest præcordium presence presystolic murmur Respiration right of sternum right ventricle failure shortness of breath sternum symptoms of right System.-Pulse systolic murmur systolic recession systolic retraction Temperature umbilicus valves valvular disease valvular lesions veins vertical nipple line Vieussens
مقاطع مشهورة
الصفحة 27 - ... diaphragm but probably also to a large area of the fleshy or muscular portion of the diaphragm, and, it may be, to the anterior thoracic wall as well ; as it contracts it drags upwards and inwards the less resistant fleshy part of the diaphragm towards the central tendon or anterior chest wall ; hence the points of attachment of the digitations of the diaphragm to the lower ribs and costal cartilages are dragged inwards and downwards. It will always be found in such cases that the retracted positions...
الصفحة 26 - In cases of adherent pericardium, marked systolic retraction of some of the lower ribs on the lateral or posterior aspect of the thorax may sometimes be seen. This phenomenon is best seen when the patient is sitting up in a good light, and the movements of the chest are carefully observed from a short distance off, first from the front, and then from the lateral aspect. When a pulsatile movement is seen over the lowest part of the left side of the chest posteriorly, it may at first sight appear to...
الصفحة 26 - ... posteriorly, it may at first sight appear to be expansile. On a more careful scrutiny it will be found that there is a tug on the false ribs during the cardiac systole, and a sharp rebound during diastole, which can be felt as well as seen when the hand is laid flat upon the chest-wall at the spot ; it is more marked when a deep inspiration is made ; it may be seen occasionally not only on the left side but also on the right, especially if the patient leans over to the left.
الصفحة 22 - ... due to the fact that it has been left in a condition of dilatation after the original attack of pericarditis, and that while in this condition of dilatation the pericardium has become adherent ; then the adhesions becoming organized, the heart is effectually prevented from again recovering its normal size. Subsequently it undergoes some hypertrophy.
الصفحة 51 - During the systole, the ventricles, f'vn looked at in front, contract from all sides towards a given » litre, which is situated on the right ventricle a little to the right of the septum, about midway between the origin of the pulmonary artery and the lower boundary of the ventricle, where it rests upon the diaphragm. The contraction of the right ventricle, owing to its position at the front of the heart, and its consequent complete exposure, is marked and vigorous. The whole right margin of the...
الصفحة 26 - The heart is, by means of the pericardium, adherent not only to the central tendon of the diaphragm but probably also to a large area of the fleshy or muscular portion of the diaphragm, and, it may be, to the anterior thoracic wall as well ; as it contracts it drags upwards and inwards the less resistant fleshy part of the diaphragm towards the central tendon or anterior...
الصفحة 15 - ... region forward. Another sign, and perhaps the most characteristic of all, is, an abrupt, jogging or tumbling motion of the heart, very perceptible in the praecordial region with the cylinder. It is more distinct when the heart is hypertrophous and dilated ; and, under these circumstances, I have found the jogs correspond with the ventricular systole and diastole respectively, that of the diastole being sometimes nearly as strong as the other, and having...
الصفحة 57 - When symptoms of cardiac failure, more especially of right ventricle failure occur of greater severity than the physical signs present would seem to warrant, or where compensation breaks down unaccountably, adherent pericardium must be suspected.
الصفحة 51 - The point of rest towards which these various movements converge corresponds closely with the attachment of the anterior papillary muscle.
الصفحة 62 - IT may be useful here to give a brief summary of the chief points of interest in the cases appended below.