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Updated: June 24, 2025
Occasionally there are no symptoms other than the cardiac. Characteristic of this inflammation is the development of ecchymotic spots on the surface of the body, especially on the feet and lower extremities.
It lies near the middle line, directly under the primitive vertebral column, and reaches from the cardiac region to the cloaca. The right and left kidneys are parallel to each other, quite close together, and only separated by the mesentery the thin narrow layer that attaches the middle gut to the under surface of the vertebral column.
He never sought to analyze this peculiar cardiac condition. He only knew that at one time he hated the man, and that at another he would have laid down his life for him. Perhaps it was rather a passive jealousy which he mistook for hatred.
He finds that patients with uremia ordinarily should not be subjected to the Karell cure, such patients needing more fluid. As long as the patient remains in bed, and as long as his ability to exercise is at a minimum, gentle massage is advisable. In these cases of cardiac weakness, with or without dropsy, unless the diastolic pressure is very high, digitalis is valuable.
If the heart is weak and there have been signs of myocardial weakness or loss of compensation, the sudden loss of abdominal pressure after delivery may allow the blood vessels of the abdomen to become so overfilled as to cause serious cerebral anemia and cardiac paralysis.
Pulsus alternans, except when it is very temporary, Gordinier finds to be of grave import, as it shows myocardial degeneration, and most patients will die from cardiac insufficiency in less than three years from the onset of the disturbance.
"I thought so," continued the doctor; "some of the boys from our college were in last night to have their hearts examined, and I am expecting quite a number in again this evening. Every year when I begin my course of lectures on the heart the boys call singly and in droves to see me and have my assurance that they have no cardiac lesions.
The factors in the cases might simply be summarized as childlessness, anxiety, neglect, and loneliness, and in each case the main symptoms were anxiety, attacks of cardiac symptoms, fatigue, and sleeplessness. The young Jewish woman, thirty years of age, had been married since the age of twenty.
Gardiner mentions a woman of thirty-three who swallowed two false teeth while supping soup. A sharp angle of the broken plate had caught in a fold of the cardiac end of the stomach and had caused violent hematemesis. Death occurred seventeen hours after the first urgent symptoms.
Permanent cardiac weakness may follow, or compensation may again occur, to be more easily broken later. Slight cardiac pains and sensations referred to the cardiac region become frequent. Disliking to lie on the left side, when previously the patient has been able to sleep on this side without discomfort, is an evidence of cardiac disturbance.
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