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Updated: July 3, 2025
The proper procedure in these circumstances is first properly to reduce the blood pressure, or what I have, quoting Hare, ventured to call the over plus pressure. The relation of osmosis, lymphagogue activity, absorption of edema, capillary contractility and decreased affinity of ocular colloids for water to the reduction of increased intra-ocular tension.
The haziness of the cornea and slight turbidity of the aqueous contribute greatly to the apparent change in the color of the iris. In cases of simple chronic glaucoma there is but little evidence of edema of the iris. As the disease progresses, the stroma of the iris atrophies and contracts. There is very little evidence of small-cell infiltration or the formation of cicatrical tissue.
Other causes given are: Edema and congestion closing the lumen of the appendix, thus preventing drainage; constipation; digestive disturbances; traumatism; eating too freely while in an exhausted condition. "Whatever the predisposing causes may be in any given case, the exciting cause is always some infectious material.
To be able to distinguish between the generalization of a septic infection in its incipiency, and a more or less benign edema, is largely possible by digital manipulation alone. An extremity may be greatly swollen because of the existence of chronic lymphangitis, influenza, or an acute septic infection occasioned by the introduction of pathogenic and aerogenic organisms.
Chronic dilatation of the heart, However, perhaps not sufficient to cause edema, slowly and insidiously develops from persistent strenuosity, or from the insidious irritations caused by absorbed toxins due to intestinal indigestion. A fibrosis of the heart muscle and of the arterioles gradually develops, and the heart muscle sooner or later feels the strain.
The constipation which followed this, however, as well as the meteorism, must be attributed to a hypotonia and paralysis of the musculature of the intestine by collateral edema." Words well woven together are captivating and frequently dethrone reason. If I didn't happen to know better I might really believe the author of this contribution to medical science knew exactly what he was talking about.
He believes that dionin not only does not reduce the tension but hinders the filtration through the anterior lymph channels by the pressure of the edema which is produced on the veins and by the increased secretion of the ciliary processes.
The symptoms are vague, possibly palpitation, vertigo, edema of the limbs and eyelids. The primary stage begins with the initial lesion, which consists of a papule which may be found most anywhere on the body. This papule ulcerates. The secondary stage commences about a fortnight after the papule has healed.
If there are such serious conditions as edema, ascites, lung congestion, cyanosis and great dyspnea, the prognosis is dire. Obesity being a cause of high blood pressure, it should be treated more or less energetically, even if the individual does not continue to add weight. Int.
If, however, he has a slowly developing insufficiency of the heart muscle, his first symptoms are more or less indefinite cardiac pains, slight shortness of breath, slight attacks of palpitation, a dry, tickling, short cough occurring after the least exertion, some digestive disturbances, often sluggishness of the bowels, gastric flatulence, possibly nosebleeds, and sooner or later some edema of the lower extremities at the end of the day.
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