A System of medicine v. 4, 1877, Volume 4

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Sir John Russell Reynolds
J.B. Lippincott, 1877
 

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Page 707 - ... the two most ready solutions appear to be, either that the altered quality of the blood affords irregular and unwonted stimulus to the organ immediately; or, that it so affects the minute and capillary circulation, as to render greater action necessary to force the blood through the distant sub-divisions of the vascular system.
Page 571 - ... now know that this typical angina is only the culminating form of a group of symptoms, which in their less pronounced, less definitely painful, and more complicated forms, are found to permeate the whole field of cardiac pathology and diagnosis (p. 570). From his own personal experience he says : — There is often an element of subjective abnormal sensation present in cardiac diseases which, when it is not localised through the coincidence of pain, is a specially indefinable and undescribable...
Page 571 - ... localised through the coincidence of pain, is a specially indefinable and undescribable sensation (p. 565). A sensation which can only be called anxiety or cardiac oppression (p. 566). To this group of symptoms he gave the special title angina sine dolore, recognising thereby what he believed to be " its true diagnostic and pathological significance and its alliance with the painful angina of Heberden.
Page 185 - Collin, nor those proceeding from pericarditic with valvular murmur, but a mixture of the various attrition murmurs with a large crepitating and a gurgling sound, while to all these phenomena was added a distinct metallic character. In the whole of my experience I never met so extraordinary a combination of sounds. The stomach was not distended by air, and the lung and pleura were unaffected, but the region of the heart gave a tympanitic bruit de pot feU on percussion ; and I could form no conclusion...

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