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Provided the patient is not greatly disturbed or exhausted by getting into and out of the bath, even a patient with cardiac dilatation may get some benefit f rom such a bath, as there is no question, in such a condition, that anything which brings the blood to the muscles and skin relieves the passive internal congestion. Sometimes these baths increase the kidney excretion.
The vital reaction induced by such irritation results in dilatation of the vessels of the part, emigration of leucocytes, transudation of lymph, and certain proliferative changes in the fixed tissue cells. These changes are common to the processes of inflammation and repair; no hard-and-fast line can be drawn between these processes, and the two may go on together.
The treatment of this acute or gradual dilatation is absolute rest, with small doses of digitalis gradually but slowly increased, and when the proper dosage is decided on, administered at that dosage but once a day. Cardiac stimulants should not be given, except when faintness or syncope has occurred, and if strychnin is used, it should be in small closes.
If the fibrillation occurs with or was apparently caused by the dilatation of the ventricles, the prognosis of improvement may be good. If the dilatation of the ventricles occurs following auricular fibrillation, the prognosis is not good.
Signs of danger are extremely uncommon so long as dilatation of the womb is not complete, for any strain which labor may impose upon the child will usually occur during its passage through the pelvis. Most often, therefore, the head has reached the outermost part of the birth canal before extraction becomes advisable.
It is bound to that like any physical phenomenon to its condition, like dew to the chilliness of a surrounding atmosphere, like dilatation to heat. Couples exist in the moral world as they exist in the physical world, as rigorously linked together and as universally diffused.
And surely you noted the warm flush of his cheek, the dilatation of his eye, and its phosphorescent glow? Dr. Thorne would soon enough tell you what these things signify. The boy is not crazy, Ned, but drunk, drunk in the decorous delirium of a Damascene Pacha, propped against a Georgian maid, and fanned by Houris of Bethlehem Judah.
Precautional—"I show emotion quickest by the eye, and so, generally speaking, do most people; some change colour very quick; some reveal it in the mouth; but the sudden dilatation and contraction of the eye, the expression it is capable of, make it on the whole the safest guide.
After full dilatation has been accomplished and the membranes can serve no further purpose, they rupture; as the midwife puts it, "the bag of waters breaks." The quantity of fluid which escapes will vary.
Two types are met with: one in which dilatation of a large superficial vein and its tributaries is the most obvious feature; the other, in which bunches of distended and tortuous vessels develop at one or more points in the course of a vein, a condition to which Virchow applied the term angioma racemosum venosum. The two types may occur in combination.
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