On the Recent Improvements in the Art of Destinguishing the Various Diseases of the Heart; Being the Lumleyan Lectures: With Copper Plats

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1830 edition. Excerpt: ...the blood to the degree of the bellows-sound. A patient was some months ago in St. Thomas's Hospital, in whom the recumbent posture produced it. She was a young woman with chronic bronchitis, dyspnoaa, livid lips, and (edematous legs, and afforded no bellowssound while erect; but it became audible the moment she lay down. By a daily emetic for some time, her lungs were so relieved that she left the house. I have since noticed the same fact in other cases of dyspnaea: and it shows the necessity of carefully eggmining patients in both postures. By continuing the in. vestigation of this point, I have ascertained that the preternatural sound heard with the pulse, -the vem, -icu. lar, is generally louder, and often very much louder, in the recumbent posture: while the preternatural sound, when auricular, is louder, if any thing, in the erect. logglfncglsirzitlhg Ientricular bellows-sound being less then drawn downpms 'ml ls, perhaps, that the. ventricle ls b th _. ore intt a straight hire with the aorta y e gravitation of the heart, and an easier exit given to-the bl_od' _H the Prewrnatural sound is ever produced by @1it tllliltation of the right auricle causing a pressure "P0" 'hf "s"'5' "m, this pressure would necessarily be greater "1 we s"pi"B posture, and the difference might be explained in this way, if it never occurs but when this is its cause: and though I have now very frequently noticed the difference, I have not opened a case after such an observation where the obstruction was from disease of the aortic valves, and am therefore unable to say whether, in every cause of ventricular bellows-sound, the 'difference of posture has this effect. Perhaps in some cases the...