Practitioner (Volume 45) by Books Group at Bookstore UAE
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Practitioner (Volume 45)

Practitioner (Volume 45)


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: Clinic of Cheyne-Stokes Respiration.?'Dr. Samuel West reports an interesting case of Cheyne-Stokes breathing in association with granular kidney. The patient, a man of fifty-three, was seized one night six months before his admission to hospital with severe dyspnoea, but rallied in half an hour. In the course of a month he had two similar attacks; and then remained well for five months, when the worst attack of all occurred. Since that time his breathing had continued short. His arteries were thickened and tortuous; the heart was not manifestly hyper- trophied, without murmur; there were no retinal changes. The case was diagnosed as one of weak heart, the result of granular kidney. Cheyne-Stokes breathing now supervened, the cycles occurring about once a minute, and the pause lasting thirty seconds. During the pauses no change in pulse, pupil, or appearance was manifest. The remarkable respiratory phenomenon continued night and day for fourteen days; the pauses then disappeared. A week later the place of the pause was taken by intermission, about two or four respirations being missed. At the end of another week Cheyne-Stokes breathing returned; and after lasting again twenty days, the pauses again disappeared. This condition continued for four days, and was then replaced by Cheyne-Stokes breathing which continued until the patient's death. The patient was under observation three months, during which time the temperature was subnormal. No post-mortem examination could be obtained. (The Medical Press and Circular, i., p. 247, 1890.) Reflex Chorea.?Dr. C. H. Leonard narrates the case of a girl of eleven, who suffered from chorea which proved intractable to the usual remedial agents. On examination it was discovered that a condition of adherent prseputium clitoridis existed, an...


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Product Details
  • ISBN-13: 9781458896711
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 186
  • Spine Width: 10 mm
  • Width: 189 mm
  • ISBN-10: 1458896714
  • Publisher Date: 01 Jan 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 340 gr


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