A treatise on the practice of medicine, for the use of students and practitioners (1882) (14593201468)

Identifier: treatiseonpracti00bart_0 (find matches)

Title: A treatise on the practice of medicine, for the use of students and practitioners

Year: 1882 (1880s)

Authors: Bartholow, Roberts, 1831-1904

Subjects: Medicine

Publisher: New York, D. Appleton and company

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

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he point of contact being small, the remedy must be verypersistently employed. The iodide of ammonium may be administeredin a solution with the carbonate also, and usually with good results.Other alkalies possess the same power, but to a less extent. The mostgenerally useful is the phosphate of soda, in drachm-doses, three timesa day, used for many weeks. As, however, prompt and speedy actionis needed to avoid the serious structural alterations which occur soquickly, the ammonia preparations are preferable to any other havingthe same effects. DISEASES OF THE HEAHT. INFLAMMATION OF THE PERICARDIUM—PERICARDITIS. Definition.—The term pericarditis means an inflammation of thepericardium. The inflammation may be limited to the parietal orvisceral layer, or to a part of either, or it may involve the whole ofboth surfaces. In the former case, it is partial or circumscribed; inthe latter, general or diffused. The inflammation may also be eitheracute or chronic. * Uhle and Wagner, op. cit.

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PERICARDITIS. 247 Causes.—Idiopathic or primary pericarditis may arise from trau-matism or from cold. In those cases supposed to be produced bychanges of temperature there is usually, probably, a diathetic condi-tion—as albuminuria—which escapes notice. Secondary pericarditisis more common, and is due to two causes : to an extension of inflam-mation from neighboring parts—pneumonia, left pleurisy, pulmonarytuberculosis, caries of the sternum or ribs, aneurism of the aorta, endo-carditis, etc. ; to the rheumatic dyscrasia. The dependence of peri-carditis on rheumatism has been very differently stated by the differentauthorities. That in about one third of all the cases this complicationarises is the opinion of Bamberger, and is doubtless a close approxi-mation to the truth, but Thompson* says sixteen per cent. Theseverity of the cases, but not the position of the joints affected, hassome influence in determining the frequency of the complication. Thefirst attack is more liable

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1882

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