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Updated: June 2, 2025
Endocarditis having been diagnosed, especially if there is palpation or pain, an ice bag over the heart is often of considerable value, but not so efficient as in pericarditis. It often tends to quiet the heart, and may be of some value reflexly in slowing the inflammation. Children, in whom this complication so frequently occurs, generally do not bear the ice bag well.
Our new scientific nomenclature has plenty of words to explain these things; gastritis, pericarditis, all the thousand maladies of women the names of which are whispered in the ear, all serve as passports to the coffin followed by hypocritical tears that are soon wiped by the hand of a notary. Can there be at the bottom of this great evil some law which we do not know?
Small doses of raw linseed oil may be given if necessary. Horses that are exposed to cold, wet weather or worked after becoming sick, frequently suffer from pneumonia, pericarditis, gastro-enteritis and other diseases. Such complications should be given prompt treatment.
This freedom of the apex is probably due to the constant and more extensive motion of the apical portion of the heart, and is the reason that it has been suggested, as referred to under acute pericarditis, that, other conditions not contraindicating, the patient may be allowed to move about a little during convalescence to cause the heart to beat more actively.
Carbohydrate starvation is inexcusable with our present understanding of the danger from acideinia, and even from a diminished amount of alkalies in the blood. The cause of pericarditis being so varied, any anti-toxin treatment or any vaccine treatment could be indicated only if the cause of the inflammation rendered the serum or vaccine advisable. Stopping the Pain.
In pericarditis the symptoms of which are fever and sharp pain under left nipple, radiating to the armpit, use the "Cascade" daily while the condition is acute; the wet sheet should also be employed daily, the temperature varying with the degree of fever. It is usually the sequel of rheumatism.
These phenomena, however, are generally noticed after continued administration in repeated doses, the result being doubtless due to cumulative action caused by abnormally slow elimination by the kidneys. Traube observed the presence of skin-affection after the use of digitalis in a case of pericarditis.
The prognosis depends partly on the extent of the injury and the parts involved, but there is also risk from secondary hæmorrhage, and from such complications as pleurisy, pericarditis, and peritonitis. Death may result from shock, hæmorrhage, injury to brain or important nervous structures.
The symptoms of pericarditis may not be recognized at the very beginning when the disease occurs as a complication of influenza, or infectious pleuropneumonia. The manifestation of pain by moving about in the stall, refusing to eat and the anxious expression of the face are the first symptoms that the attendant may notice.
I am pleased, therefore, when I find so able and experienced a practitioner as Dr. Williams of this city proving that iritis is best treated without mercury, and Dr. Vanderpoel showing the same thing to be true for pericarditis.
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