None
Treatment of the Acute Stage. — Though convulsions sometimes come on without warning, there are frequently premonitions of its advent and it is then that prompt action is demanded. V. Jaksch mentions prom- inently among these the appearance of diacetic acid in the urine. In this stage hygienic treatment is out of the question, and only those drugs which act energetically and powerfully must be employed. To this end free purgation must be produced, and in this elaterium is applicable because of its rapid action. The hot pack may also be used to induce sweating. Better than this in some cases is the use of pilo- carpine in its effect on gland secretion. To obtain the full physiological effect of profuse sweating, ptyalism, and increased kidney activity, it must be administered either by mouth or hypodermically in doses rang- ing from gr. -jig- to gr. ^. The great drawback to the use of this drug lies in its very depressing effect on the heart, so that its use in asthenic cases is contraindicated. It is best to administer strychnine and whiskey whenever the drug is administered to patients who are not robust or those who have disabled hearts. Veratrum viride in sthenic cases acts well, and is especially efficacious when given with morphine. It is rec- ommended especially in puerperal eclampsia, but has the same disad- vantage as the preceding drug. It is a great depressant, and cannot be safely employed in asthenic cases. It may be given hypodermically in doses of 5-10 minims, and may be repeated until the arterial tension is near the normal. Dry and wet cups and hot fomentations over the kidneys should 901 a l-o li« resorted to in order to bring about activity on the part of these organs. Wlicn the convulsion is well established it is inijK'nitive to diminish the nervous discharges and terminate the paroxysm as quickly as po— i- ble, el-e death may ensue. For this purpose the administration of chlo- rot'nrm by inhalation has been recommended. As Loom is states, " its only clinical effect is to control muscular spasm, and in a large propor- tion of cases it tails to give more than temporary relief to those patients who pass from >IH-< •» — ive convulsions into complete coma, and die with- out any apparent neutralixing effect from the chloroform;" and he claims that it is prejudicial to ultimate recovery. I may add that it produces the additional disadvantage of inducing renal congestion, and this to the kidneys already overtaxed is far from advantageous ; but the condition can be so urgent that its employment may be sanc- tioned until the effect of other remedies of greater curative value can be felt. Bromide of potash should not be considered for reasons already given. Bromide of soda and chloral are both good, but their action is too slow. Kinnicutt and Peabody recommend the use of urethane. They rec- ommend the administration of from 6—7 drachms in twenty-four hours. They claim that it is less irritating and less depressing to the heart than is chloral. The drug may be administered hypodermically or by enema. In plethoric subjects suffering with an acute attack of uremia no remedy is so quick, so efficient, and so rational as venesection. It re- moves from the system a large amount of poisons in the blood, and as much as from one to two pints may be withdrawn. When this is done it is well to inject normal salt solution either into the blood stream or subcutaneously by means of Allen's surgical pump, or into the rectum. Bloodletting in plethoric subjects is most efficient, but in those suffering with chronic uremia it is at best a makeshift, and many patients are so weak from exhaustion that they are not able to stand the depletion. The drug which gives, perhaps, the most satisfactory results in the convulsions of uraemia is morphine, administered hypodermically, in doses ranging from gr. ^ to gr. ^, and repeated every two hours if necessary to control the convulsions. Loomis has given as the advan- tage- possessed by morphine — Kirst, that morphine can be given hypodermically to some if not to all patients with acute uremia without endangering life. Second, that the almost uniform effect of morphine so administered is, first, to arrest muscular spasm, and, secondly, to establish profu.-e diaphoresis. The drnir surely does not interfere with elimination, is in nowise irritating to the kidneys, and in my experience has given all the grati- fying results that he has enumerated. Treufnti-iit <,( the St<it, <»f Cm, HI. — In this stage all the drugs that we have found to l>c of -crvice in the chronic stage must be pushed to their physiological limit. To thi- end purgative- mn-t l»e u-ed to produce watery stool infusion of digitalis in A-ouuer do-r- every three hours to increa-e the -rrivtion of the kidney-, and Bouchard has suggested 902 UREMIA. the high rectal injection of cold water to constringe the vessels in the abdominal cavity, and thus increase the tension in the renal arteries and capillaries. Dry cups and hot fomentations over kidneys are frequently of service and should he applied. Finally, in sthenic cases pilocarpine or blood- letting may be employed. INDEX TO VOLUME II. A BDOMINAL aorta, aneurysm of, 567 A. ligation of, for aneurysin, 578 Abductor paralysis, diagnosis, 78 diagram of, 78 etiology, 78 laryngeal, 77 prognosis, 78 symptoms, 78 treatment, 78 unilateral, 78 symptoms, 78 Abortive pneumonia, 208 Abscess in broncho-pneumonia, 219, 238 in fibrous pneumonia, 238 of kidney. See Renal Abscess. of liver and lung, 238 of lung, 237 and pneumonia, 201, 202 mediastinal. See Mnluutinal Abscess. perincphritic, and hydronephrosis, 787 perirenal, 800 Abscesses and myocarditis, 440 Acetonuria. 871 Acid, hippuric, 862, 876 uric, X60, 875 Acids, bile, 863 Aciiiiomyces bovus in sputum, 122 Actinomycosis and abscess of mediastinum, 610 Addison's disease and arterio-sclerosis, 544 Adductor paralysis, bilateral, 79 unilateral, 71* Adenoid growths and asthma, 168 Adenoniala of bladder, 833 of kidney, 790 of larynx, 7'J nasal, 37 Adherent pericardium. See Pericardium, JCgophonv, 117 Albumin in urine, 865 Albuminuria, 865, 866 in pneumonia. 207 Allurrliytliinia Ammoiiirinia theory of anemia, 887 Ammonio-inai:nesium phosphates, 873 Ammonium oxalate calculi, 778, 829 •ratal Aiii»rpln>ii- urates, 872 Amphoric resonance. 104 n-|iir:iii(.n, 111 voice, 118 Amyloid degeneration in arterio-scl 527 Amyloid degeneration of the kidney. See Kidney, Amyloid. kidney, 734 An:rinia. 659 definition, 629 and heredity, 652 and Hodgkin's disease, 698 in infancy, 701 infantum pseudo-leuciemia, 701 pernicious, 666 age ami. 667 arsenic in, 676 blood in, 472 circulation, symptoms of, 669 course, 675 definition, 666 diagnosis, 675 diarrhoea and, 669 duration, 675 dyspnoea and, 669 etiology, 667 hemorrhages in, 668, 669 and o?dema, 669, 670 pain in, 670 pallor and, 669 pathological anatomy, 668 physical examination, 670 prognosis, 675 sex and, 667 symptoms, 669 treatment, 675 vomiting and, 669 primary, 651 secondary, 676 blood in, 676 pallor in, 677 prognosis, 678 symptoms, 677 treatment, 678 Anaesthesia of larynx, 75 Anasarca. See Dropsy. in amyloid kidney, 753 scarification for, 405 Anastomoses in aneurysm, 592 Aneurysin, •">•">( I of abdominal aorta, 567 ariipuncture of, 576 and age. •">•"> 7 alcohol and, 560 of aorta ami mediastinnl carcinoma, 622 and artcrio-sclerosis, 557 ansi-ultaliiin. 567 903 n. Ixun 904 INDEX TO VOLUME II. Aneurysm, Urasdor-Wardrop treatment of, 577 cardiac, and myocarditis, 443 coagulation in, 556, 572 cold in, 579 compression of, 578 condition of heart in, 564 contents, 556 definition, 550 development of, 557, 558 diagnosis, 569 diet in, 574 diffuse, 553 dissecting, 554 duration of life with, 573 dyspnoea and, 562, 568, 569 electrolysis and, 577 electro-puncture of, 577 ergotine injections in, 579 etiology of, 556 experimental production of, 556 external, 564 extirpation of sac, 579 fibrin in, 556 fremitus of, 566, 568 frequency, 552 galvano-puncture in, 577 general considerations, 552 gout and, 560 and haemoptysis, 187, 188, 189 history, 550 horsehair in, 576 inspection, 566 internal, 561 iodine in, 575 ligation of, 577 miliary, 555 murmur in, 567, 568, 570 needling of, 576 nucleo-albumin in, 576 pain in, 561, 567 palpation, 566 pathogeny of, 554 percussion, 566 physical signs, 566 pressure signs, 561 prognosis, 571 prophylaxis, 573 of pulmonary artery, 567 pulse, 564, 565, 570 rest and, 573 rupture of, 568 seat of, 571 shock and, 560 silver wire in, 576 site of, 552 statistics of, 552 and strain, 558 sub-varieties, 553 symptomatic treatment, 574 symptoms, 560 and syphilis, 559 termination of, 572 thoracic, 567, 569 tourniquet in, 578 tracing of, 565 treatment, 573 Aneurysm, tumor, 564 venesection in, 573 water-spring in, 576 Aneurysmal pulse, curve of, 565 Angina dyspeptica, 506 pectoris, 503 age and, 505 alcohol and, 506 amyl nitrite in, 511 and aneurysm, 574 arterial tension and, 509 and arterio-sclerosis, 544 coffee and, 507 definition, 503 diagnosis, 510 direct cause, 506 dyspnoea and, 507 etiology, 503 habits,"506 and heredity, 505 nicotine and, 507 nitroglycerin and, 512 obliterating arteritis and, 504, 505 pain and. 508 predisposing causes, 505 prognosis, 511 reflex cause, 506 respiration and, 509 sex and, 505 sodium nitrite and, 512 sudden death and, 508 symptoms, 507 tea and, 507 tobacco and, 507 toxic causes, 506 treatment, 511 Angio-arterios clerosis. 905 Aortic insufficiency, percussion in, 389 pliv>ical si^ns <i|, :;>'.i pulsation in, regurgitation and, 387 symptoms, 388 second sound, 346 stenosis, 383 adhesions in, 384 and aneurysm, 570 auscultation of, 385 d illness in etiology, 383 failing compensation in, 402 hypertrophy of, 384, 400 murmurs, 886. 386 palpation of, 385 and passive renal hypenemia, 761 pathological anatomy, 384 physical signs, 385 prognosis, 400 symptoms, 384 thrill, :;:;--> valves in cardiac atrophy, 436 Aortism, hereditary, 531 Aortitis, 359 acute, 522 and angina pectoris, 505 chronic, diagnosis of, 543 pain in, 548 . subacute, 522 Apex-beat, 395 Aphonia and aneurysm, 562, 569 hysterical, 80 treatment, 80 Apical pneumonia, 201, 208 Apoplexy. See Cerebral Hemorrhage and Hemorrhuge, Cerebral. capillary, 593 pulmonary, 189 Arcus senilis, 524, .1 1 1 Arrhythmia, :{4.">, 484 and alcohol, 488 and angina pectoris, 507 in aiKMirvsm, 565 and children, 488 diagnosis, 490 etiology. !-•; idiopathic, 489 infections and, 487 nicotine and. l>^ prognosis, 490 rt'tlex irritation and, 488 Mrychnine and, 490 o'f tol.acc, and toxins, is?, 488 treatment. 4'.'0 Arterial pressure and sclerosis, Al'J sclerosis and liyjK-rtrojiliy, »<»> Arteries in chronic diffuse interstitial ne- phritis, 7-ld. 741 coronary, and cardine hy]H>rtropliy, 412 medicine-, of the. .". 17 Arterio-cupillary tihrosis. See Artcrio-9de~ Arterioinet. Arterio-M'lerosi- A rterio-srli-rosis and age, 531 and alcohol, "ilJ'J, •">:!:! amvl nitrite in, ~> 17 and aneurysm, ~>~it\ and apex-beat, 538 arsenic in, 547 arterial tension in, 537 auscultation in, 542 baths, salt, in, 547 warm, in, 548, 549 beginning of, 528 in brain, 540 Carlsbad salts in, 546, 547 chalk deposits in, 529 children and, 532 in chronic diffuse interstitial nephritis, 740 climate and, 550 contraction of arteries in, 537 diagnosis, 541 diet, 546 and digitalis, 548 and dropsy, 549 and dyspnoea, 542 etiology, 531 and exercise, 550 and fatigue, 540 fatty change in, 527 and" food, 536, 546 and gangrene, 541, 549 gummata in, 534 and heat, 536 and hot springs, 548 and infections, 535 iodides in, 547 in kidney, 540 latent, 538 and Lyon silk-workers, 536 massage in. 549 morphine in, 547 nitre-glycerin in, 547 and obesity, 545 pathological anatomy, 525 peptones and, 536 of peripheral arteries, 543 plethora and, 536 prognosis, 544 prophylaxis, 545 pulse, 537, 542,543 rupture of heart and, 545 sex and, 532 symptoms. 536 toxins and, 533, 535 treatment, 545 vegetarian tern and, 536, 546 of vessels of the extremities, oil Arteritis, acute, •VJil chronic. See Arterio-scltrosia and .!//«- roma obliterans, '<->'• syphilitica. ">:!3, 534 and thromlxwis, 584 treatment, -VJ'J Artery, coronaiy, sclen»i> of, 539 dilatation of. See Anfuryan. pulmonary. emU>li-m o|. -j|-_' >elen»i- , 906 ISDEX TO VOLUME II. Arthritis and pneumonia, 210 Arytenoid cartilages, 52, 53 Arytenoideus, paralysis of, 79 prognosis, 79 treatment, 80 Arytenoids, diagram of paralysis of, 79 Asphyxia, local, 521 Asthenia and chronic diffuse interstitial nephritis, 745 Asthma. 907 Bacteriology of empyema, 'J7»i nl malignant endocarditis, :;.'.i of sero-fibrinous pleurisy, 'JiiO Bacterium i-uli commune and cystitis, 816 Basvdow's disease and palpitation, 49*2 and tachycardia, 49(5 Baths, cold, and leiicocytosis, t'i'.ll Hi lateral adduetor paralysis, 79 paralysis of abductor muscles, 77 Bile acids. pigment*, S'i:; Bilious pneumonia, 208 Hiondi powder, ('>">•_' Bladder, absence of. 839 calculi. See Vt*iral Calculi. defects of development, 889 diseases of, 815 hairs in, 847 inversion of, 841 malposition of, 839 neurosis of, 841 paralysis, treatment, 843 spasms of, 841 tuberculosis of. See Vesical Tuberculosix. tumors of, 831 I'M in in, 834 with two cavities, 839 Blennorrbu'a and rhinitis, 32 Blindness and embolism, 599, 600 Blood, bacteriological examination, 657 caste in urine. S79 in chlorosis, 664 in chronic parenchymatous nephritis, 731 concentration of, 659 corpuscles, counting of red, 639 estimation of, 638 in urine, H77 count, illustration, 641, 642 counting, pipettes for, 639, 643 in diffuse nephritis, 721 diseases of, 633 classification, 657 examination of, 633 clinical method, 634 cover-glass method of holding for, 636 fibrin in, 638 of fresh, 637 importance of, 633 in leucH'inia, 686 preparation of fresh specimen, 634 puncture of ear for, <>:{"» til ins, stained, 650 examination of, C.~>0-652 in hemoptysis. 1>!»-191 in llod^kin's disease, 699 in infancy, 7<>o of leiic-.rmia, • in pernicious ana-mia, 672 plaque thromltosi-*, ~t*\ in pneumonia, -Jin; pressure ami cardiac hypertrophy, 409 and sclerosis, •"• I '_' in secondary ana-mia, 676 transitional cells of, 656 in urine. >''. 1 Bloodvessels and cardiac hypertrophy, 408 chills and, 518 Bloodvessels, development of, 516 diagram of development of, 516 diseases of, 51.") fever and, 518 sphygmograph and, 518 Blue (edema, -VJl Bone diseases and amyloid kidney, 755 Bonefont's nasal speculum, 21 Boston, pneumonia in, 199 Bon il lie, 526 Bovine heart, 887 Bradycardia, 500 diagnosis, 502 etiology, 501 paroxysmal, 500 permanent, 500 prognosis, 502 reflex, 501 symptoms, 501 temporary, 500 toxic, 501 treatment, 502 vagus nerve and, 501 Brain and arterial sclerosis, 540 embolism of, 594, 596, 597 softening of, 597 symptoms in chronic diffuse interstitial nephritis, 744 in syphilitic arterio-sclerosis, 534 Braun's treatment of rhinitis, 35 Breathing. See Jtespimtimi. Bright's disease. See also Nephritis. acute. See Nephritis, Acute Diffuse. and amyloid kidney, 749 and arrhythmia, 487, 490 and endocarditis, 375 and palpitation, 492 and pleurisy, 261 and secondary anaemia, 676, 677 and tachycardia, 496 and vaso-constrictors, 519 Bronchi in asthma, 163, 164 dilatation of. See Bronchiettatis. in fibrous pneumonia, 223 Bronchial dilatation. See Bronchiectnsis. hemorrhage, 187 rales, 113 respiration, 110 tree, 151, 152 whisper, 117 Bronchiectasis, 157 abscess and, 159, 160 cavities, 159 in children, !">'.> and chronic bronchitis, 140 complications, 159 cylindrical, 1">7 definition, 1~>7 diagnosis, 159 etiology, 157 in fibrous pneumonia, 223 foreign bodies and, 157 pathological anatomy, 157 physical siyiis. \~<* iodide in, 160 ilar, 1"> 908 INDEX TO VOLUME II. Bronchiectasis, sequelae, 159 sputum in, 158 symptoms of, 158 temperature in, 100 treatment, 160 Bronchiolitis exudativa, 165 Bronchitis, acute, 123 and acetanilid, 134 bacteriology of, 127 catarrhal, 123 chloral and, 135 complications, 130 and croup, 130 definition, 123 diagnosis, 131 diet in, 136 dyspnoea and, 1 29 emetics and, 134 etiology, 123 expectorants and, 135 expectoration and, 132 in infectious diseases, 133 infectiousness of, 128 inflammation of, 126 and influenza. 136 heart lesions and, 132 and laryngitis, 130 local treatment, 135 and measles, 133 oxygen inhalation in, 136 pathology, 125 physical signs, 130 prognosis, 132 as a secondary symptom, 136 sequelse of, 131 sputum in, 127 symptoms, 129 treatment, 133 and tuberculosis, 131 turpentine and, 135 and typhoid fever, 133 of aged persons, 124 atmospheric influences and, 123, 125 capillary, 126 catching cold and, 123 and children, 124 chronic, 137 alcohol in, 146 alkalies in, 142 alteratives in, 142 ammonium carbonate in, 144, 145 astringents in, 145 atomizing in, 146 bathing in, 146 benzoin in, 145 catarrhal, 137 chloral in, 143 climate and, 147 climatic treatment of, 147, 148 codeine in, 143 cod-liver oil in, 146 complications, 140 compressed air in, 146 cubebs in, 144 definition, 137 diagnosis. '.HI-.. llronchili-, plastic, -ymptoms, 153 tem|>eratnre in, !•")."> treatment, I"-1'' and pleurisy, 291 in pneumonia, 202, 209 putrid. 1:57 fungus of, 138 and season, 12:5 secondary, 141 8e<|tiel»>, 141 simplex, 12") symptomatic, 141 and taking cold, TJ'.l and temperature, 123 and 1 1 >l>a( •(•(., 124 and vesicular emphysema, 233 Broncho-cavernous respiration, 112 Bronchophony. 1 16 whispering, 117 Broncho-pneumonia, 197, 216 abscesses in, 219 absorption in, 219 and aconite, 221 and actinomycosis, 254 and age, 216 albnrninnria in, 219 and alcohol, 222 and antipyretics, 221 and atelectasis, 218 auscultation in, 219 and chronic bronchitis, 140 and cold Hanging, 221 convalescence, 219 cough in, 2 IK definition, 219 diagnosis, 22* > diet in, 222 and Dover's powder, 222 dyspnrea in, 219 epidemics, 21»> etiology, 216 fever in, 219 fluids in, 222 food in, 222 gangrene in, 219 and ice, 2'J1 infection of, 217 and infectious diseases, 217 and inhalation of irritants, 216 and measles, 220, 221 mortality. 220. 221 nodules of, 217 and opium, 221 pain in, 219 pathological anatoinv, 217 physical signs in, 219 prognosis, 22(> and pul>e. 21'.' rales in. 21!» and seriviii, 21«5 secondary. 21-> sputum in, 21'J and strychnine, 222 and temperature, 219 treatment. 221 tuU-rculous. 21- I'.roiicho-pneuinonia, urine in, 219 Bronchorrh'i-a, 139 I realm. MI. 1 1"> I'.rondio-vesicnlar respiration, 111 Browne, diagram of larynx, "»2 diagrams of laryngea'l paralysis, 76-78 section of larynx, 5:5 Bruit de diable*664 Buttonhole slit, 383, 391 pACHEXIA, carcinomatout, 794 \J Calcareous plates, 393 Calcification and arterio-sclerosis, 526 Calcium carbonate, 875 oxalate, 874 calculi, 829 pliosphate, 873 sulphate, 875 Calculi of bladder. iSee Vexical Calculi. and renal at>scess, 798 stratified, 829 Calculus, renal, and snppurative pyelitis, 771 Cancer. See Carcinoma. of heart, 458 of kidney. See Carcinoma of Kidney. of larynx, 72, 73 Canter-rhythm, 366 Capillaries, development of, 516, 517 Capillary bronchitis, 126, 216 hemorrhage from lungs, 189, 190 Caput medusje, (503 Carbonates of urine, 858 C'arcinoma of bladder, 833 of heart, 458 of kidney, 793 of larynx, 72 and lencocytosis, 693 of lung, 251 mediastinal. and abscess, 622 and aneurysm of aorta, 622 of mediastinum, 619 diagnosis, 622 nerve symptoms, 620 physical signs, 631 pressure symptoms, 620 in right bronchus, 626 symptoms, 619 of naso-pharynx, 50, 51 of nose, 43 treatment, 43 of pleura, .'522 and pleurisy, 2Si> serum therapy in. »'>'_M Cardiac aneurvsms. See Heart, Aneurysm "f- apex, displacements of, 329, 330 atrophy. See H- mi, Atrophy of. cysts, 459 dilatation. See //»•<»//, IHlntntion of. disease. E <*•• physical >iuii> of, :i'J7 dnli flatni-», :•,:;:. hypertrophy. See also H«trt, Hypertrophy ".<• age and. INDEX TO -: II. Cardiac hyi>ertrupliy, alcohol and, 415 npe\ beat in, 416 athcroma and, I"'.' uiiHCiiltation of, 418 and exercise, 411 hygienic treatment of, 420 inspection in, 41 6 d'deina and, 424 |i:il|i:ilii'ii in, I !''• percussion in, 416 pnl.se of, 415 Hex and, 418 mm mm-, duration of, 353 intensity of, 353, 354 rupture. See Heart, Rupture of. 8onndH, accentuation of, 34(5, 347 rhythm of, 343 strengthening of, 346 stenosis, 442 tin-ills, 334, 350 I h niiiil" isis. See Heart, Thrombosis of. Cardio-hepatic angle, 363 Cardiorrhezis spontanea, 437 Caries and mediastinal abscess, 610 ('arnification of IIIHL-. 224 Carotid, libation of, for aneurysm, 678 Carson's paint, 297 Casts, blood, 879 epithelial, 879 fatty, 880 iibrinoiiH, in H|Uitiiin, 121 tibroiiH, in chronic fibrous pneumonia, 224, 225 hyaline, 881 membranous, 149 ii MICH i is, 882 papillary, 768 of plastic bronchitis, 151, 152, 155, 156 ri-iial, 878 in urine, 878 waxy, 882 Catarrh, dry, 139, 143 autumnal, 180 < ni :i n lnil asthma, 171 bronchitis and pneumonia, 209 laryngitis, chronic, 66 pneumonia, 197, 216 Catarrhe sec, 137, 143 Catarrhus senilin, 127 Catching cold. See Rhinitis, Etioloyy. Cavernous rales, 115 respiration, 111 Central pneumonia, 201 < rni n-., cardiac, 484 vasn-molnr, 519 Centrifugal machine for urine, 872 • eieals, dust of, and piH-umonokoniosi>, M6 Cerebral hemorrhage and embolism, 600 ' 'liiilicusis, *_'•!•• ( 'bulky deposits. See Qilrijicntiiin. < l,ircot's crystals in ••m|iyem:i, '279 Charcot-Leyden crystals, 121, 152, KJ.") Chest, ansciillaiion in health, 107 in children, 94 contraction of, 90 crackling sounds in, 116 Client, echo in, 118 enlargement of, x<» fluctuation in, 95 form of, 88 lines of, 88 mensuration of, 98 movements in respiration, 91 new or adventitious Hounds in the, 113 puin in, 94 palpation of, 94 percussion of, 99 physical signs of, 85 pulsation in, 98 regions of, 87, 88 resistance of, 94 shape of, 88 size of, 87 sounds, adventitious, in 113 splashing, 116 micciission, 116 wall, 0-deina of, 282 walls of, 94, 95 Cheyne-StokeH respiration, 93 and fat heart, 445, 446 in ura-mia, 891 Childhood and cardiac hypertrophy, 413 Children, incontinence in, 844 thorax in, 94 Chills and pernieiouH ana>mia, 670 < lili'iimn ini.-i, 651 Chlorosis. 651 and arsenic, 666 Hlaiid's pill and, 666 blood in, 664 com plications, 665 constipation in, 666 diagnosis, (565 etiology, (551 Fowler's solution in, 666 gastric contents and, 664 ulcer and, 665 and iron, 666 lavagc and, (5(56 • edema and, 654 pathological anatomy, 665 pathology, 651 and pernicious nim-min, 675 physical signs, (ill:! prognosis, <ili"> stomach contents and, 664 symptoms, (ill:1, temperature and, 664 treatment, (i'i"> ( liolesterin in sputum, 1-1 in urine, 877 Choluria, Sf,:1, < 'lioiiilritis, li'J Chondroma of naso-pharynx, 50 ( 'lioudroinnta, nasal, 37 Chorda- temlineie in hvpcr troph y, 414 treatment of, I ( 'horditis tubero--! ( 'hnrea and embolism, ")'.I7 and endocarditis. :!7"i of the larynx, 82 Chronic broiichilis. i:'.7 dilatation. See //..//•/, IHIntntion of. \oi.rur. n. Chronic fihroiis pneumonia, --- ( 'liylii-thornx, 2*7 ( 'li v Ions plcnrisv, 'JS7 Chylnria, SC.S ilatory system. •' :i'J7 Cirrhosis "of tin- kidney, 727, 730, 734, Tte of the lung, -'-'•'{ < l.mdii iiii.ui intermittent!1, ''ID < hvicnlar region, XH < 'li.pielis mei.illi.pie-. I'.' I Chlorides of urine. 8.V5 'Hot' pneumonic sputum, 190 <'nitns anil anenry.sm, ">7'J Cold hallis mill lencocylosis, il'.'l in tin- head. See /t/HiuVi*. Collapse of lung. See Afrlrrttui*. Colloid cancer of In-art, 458 Colorado, tnl>erculo«i« of the lurynx in, 07 Columnar cartilage, dislocation of, 40 ( 'oina, alcoholic, 8D4 of o|>iiiin-|H>iHoninK, 894 unrmic, MUM ». 227 Congenital ai»sence of kidney, 809 arlcrial hypoplasia, 410 iiisiilliciciicy, pulmonary, 1150 Conjunctivitis and hay fever, 182 Connective tis-sne in chronic dill'iise inter- stitial nephritis, 7:t'.t Consecutive pericarditis, l\W Consumption. See Tiihrrcuhmi* taul /Vi/A/NM. Contracted kidney, 7I5S < 'ontnsions of heart. See Ifrurt, H'OMW/M itf. Cor adi|M»snm. See ll-mt, i'nl. < 'on Is, vocal, .VJ, ."),'! Coronary arteries and angina pcctoris, 604 l-llll.oll -III Ol. »isoi piiiw, ;w<) i's cirrhosis of lung, 'J'j:i, 'J'J I < and acute linmchit is, I'J'.t and hay fever, 181, IM.'I < 'ongh, 1 1H and anenrysm, 502 of asthma. I7'J and lironcliilis, \'.\i) and hroiicho-iinenmonia, 219 and chronic hronchitis, I :\:> and emphysema, 22S in empvi in i and Inriiiopi vsis, l!l | and ha\ level, 1H'2 in plastic lironclnti- ! , . I , I in pneiinioiii i. '_'() I ro-lilirinoiis |i|eiiri»\ treat m ent of, in clironic luonchitis, 141 III Ve-|. ill II . Ilipliv i III. I, 'JIM wintel .III • d pot resonance, III I < n-pllanl ri'de-. I I I ( rollp, HI. See , CroUftOU*. ill.l .1, lite 1. 1.. I and dipi < |..ii|...ii I it \ n.-ili-. dl < nnipons pneumonia, 1117 Criior dm, 681 Crystals, Charcol I.eyden. 1-VJ, 165 in sputum, I'JI cholesterin, in sputum, 121 fat. in sputum, 121 hii'inatoidin, in sputum, 121 (lipping in chronic luonchitis, 147 Cnrschmann's spirals, 105, 170 CIIHCO font'im, 74 Cyanosis in hienioptysiH, 192 as a physical sign, 80 and pneiiinnthorax, :tl I < v aunt ic induration, 701 Cyrtorneter, 98 Cyst of hla<lder, 833 dermoid, of nuHliastinnm, 028 in echinococcim of kiilney, 804 of lung, 252 of heart, 4">9 hydaiid, of anterior niediiiHtinum, 027 'of heart, 459 of niediiistiinim, 015 Cystin calculi, 778, 829, 875 C'yHtitis, acute <'atarrhal, 815 codeine ill, 818 complications, 817 diagnosis, 817 diet for, 818 diureticH in, 818 etiology of, 815 fulminant up.-. 816 mild type, 8 10 prognosis, 818 symptoms. 810 treatment, 818 cronpons. 819, 820 lioric acid in, 821 diagnosis, 820 diet for, 821 diiii.-:i, . in, 821 etiology, 819 irrigation in, 821 pathological anatomy, 820 prognosis, 820 and toxillH, 815 treatment, 820 chronic calarrhal, 822 antiseptics in, M'J8 lialsam of I'ern in, 827, 828 Imlsams in, 8'J7 lien/.oic acid in. HUH Canada lialsam in, 828 complications, H'J.'t diagnosis. M'j:t, H'J.'i diet for, etiology, M'J'J gnaiacol in, M'JS ioiloliirm in, *'J7 irrigation in, X'ltt nitrate of silver in, VJ7 nitric acid in, H-J7 s\ Illploll, dipbthi 912 INDEX TO VOLUME II. 913 Dia/.o reaction in pneumonia, 207 I >irt in acute bronchitis, ['•'•'< in broncho-pneumonia. 'J'J'J and h:rino|ity.M.». I'.'! in pneumonia, _H> DiHii-c nephrin- ^lirili.-i, Di/ute. Dilatation, acute, of left ventricle, 393 of artery. See .lii'-uryxiii. of heart. Sot- //<••«/•/, Dtlnititlon of. of ventricles, 341 Diphtheria ami arrhythmia, 486 recoveries. 714, 715 Diphtheritic cystitis, 820, 822 Diplococci pneum"iii;c, I'.iT in -piitum. 1'J'J Diplococcus pneumoniie, 203 Directing aneurysin, 554 Dietrich's plugs, 138 Diuretics and renal calculus, 783 I >i/./.iuess. Sec Vninjn. Dobell's solution in hypertrophic rhinitis, 35 in purulent rhinitis, 33 Doremus's ureumeter, 869 Douches, n:i~:il. ~l'i Drasche, symptom of, 518 Dropsy and acute diffuse nephritis, 721 in acute nephritis, 726 in amyloid kidney, 753 in chronic diffuse interstitial nephritis, 748 parenchymatous nephritis, 731 of heart, 4<il Drugs and renal abscess, 798 Dry catarrh, 139, 14.1} pleurisy. See /'/<•«/•/>//, I-'ihrinoua. Dull triangles of Garland, '211 Dulness, 100, 103 Dyspepsia and palpitation, 492 tea-drinker's, 5(17 I>y-[ihagia and aiieurysm, 569 I >y>|>hoiiia spastica, 82 Dvs|inu-a, 93 I >y>uria, 823 T^BERTH bacillus and pleurisy, 261 Jj Eccentric cardiac atrophy, 436 hypertrophy, 341 Echinococcus of lung, 252 Kctasiii, t i()%_' EHtision, pleuritic, 262, 263 Khrlirh's triple stain, 653 Kmboli of air, 5'.U con>titntion of, 590 eliecis of, .",<)! fat, -V.tii. 698 lilirin a.-., •">'.'(• • is of lun^', 'J41 lii|iiid, of liinu', 'Jll , i>ion of vessels liv, 591 phlogogenic, 595 placenul cells as. 590 >->lid, of luni;, -Jtl lations a>. Kmliolic infarct, 190 MinlMilisni. air, of hum. - !•"• Vol.. II.—58 and anastomosis, -V.rj of brain, '•'.> I and collateral circulation, 593 of coronary artery, 598 crossed, 589 definition, 589 diagnosis, 600 diagrams, .V.I2 of kidneys, 599 of mesenteric artery, 598 and pneumonia, 210 prophylaxis, 600 pulmonary. See Pulmonary Embolism. artery, 597 of retina, 599 site of deposit, 591 of splenic artery, 598 symptoms, 594 and thrombosis, 600 treatment, 600 of tympanum, 599 Embryocardia, 425 Embryology of bloodvessels, 516 Emphysema, 227 and "age, 233 alveoli in, 228 of anterior mediastinum, 608 and asthma, 178 auscultation in, 232 and bronchiectasis, 158, 159 and bronchitis, 229 and chronic bronchitis, 140, 146 compensatory, 227 definition, 227 elastic tissue in, 228 etiology, 228 and expiration, 228, 229 and forced expiration, 228 and glass-blowers, 229 interstitial, '2'2~ percussion in, 232 and plastic bronchitis, 154 and pneumothorax. 311 potassium iodide in, 233 rales in, 232 and respiration, 229, 230, 232 senile, 227, 228, 233 sha|>e of thorax in, 232 of skin in pulmonary disease, 87 vesicular, 227, 229 and bronchitis, 233 course, 233 cyanosis in, 231 dyspnoea in, 231 etiology, 229 heart in, 'J.l'J pathological anatomy, !'•_".' ]>io<;nosis, 233 treatment, 233 vicarious. '2'2~ and wind instruments. -'J'1 Ernpyemu, -7"> a-pi rat i<'n. 302 liacillus tuberculosis in, 277 and lironchiectasis, 160 in childhood, 303 cluliliiiiL; of tinkers in. 1>1 914 INDEX TO VOLUME II. Empyema, course, 280 double, 295 drainage in, 306, 307 dressings, 307 effusion in, 279 etiology, 275 exudate of, 279 in infancy, 303 inspissated pus in, 280 irrigation in, 300 and lung abscess, 238 oedema in, 281 of chest wall in, 282 pathological anatomy, 279 physical signs, 284 pneumococcus form, 277, 282 and pneumonia, 209 and pneumothorax, 310 primary, 276 prognosis, 294, 295 pulsating, 98 pus in, 279, 284 putrid form, 278, 283 siphon drainage of, 304 streptococcus form, 281 symptoms, 280 temperature, 280, 281 thoracotomy in, 304, 305 treatment, 302 tubercular form, 283 Encapsulated pleurisy, 288 Enchondromata of larynx, 71 of mediastinum, 615 Endarteritis obliterans, 740 Endocarditis, 375 acute, blowing sounds of, 377 complications, 377 cough of, 376 diagnosis, 377 duration, 376 dyspnoea of, 376 etiology, 375 granulations of, 376 and morphine. 378 murmurs of, 352, 377 pathological anatomy, 376 physical signs, 377 prognosis, 377 sequelae, 377 symptoms, 376 temperature of, 376 treatment, 377 vegetations of, 376 age and, 375 in anasarca, 405 chronic, 381 aortic valve in, 382 etiology, 381 insufficiency in, 383 mitral valve in, 382 nephritis, 729 pathological anatomy, 382 stenosis in, 383 climate in, 402 definition, 375 digitalis in, 403 dropsy in, 405 Endocarditis, dyspnoea in, 405 failure of compensation in, 402 fibroid, 381 food in, 402 malignant, 378 abscesses in, 378 course, 380 diagnosis, 381 duration, 380 embolism in, 379 etiology, 378 gonococci in, 379 infarctions and, 380 pathological anatomy, 378 pneumococci in, 379 prognosis, 381 pyaemic type, 380 septic type, 380 spleen and, 379, 380 symptoms, 379 treatment, 381 typhoid type, 380 vegetations in, 378 ulceration of, 378 murmurs of, 349 nitro-glycerin in, 405 oedema in, 405 and pericarditis, 366 in pneumonia, 202, 209 rest in, 402 simple acute, 375 strychnine in, 403 vertigo in, 403 Enteric fever. See Typhoid Fever. and acute bronchitis, 133 Entozoa in heart, 459 Eosinophiles, 656 in leucaemia, 687 Ephemeral pneumonia, 208 Epicardium in myocarditis, 442 Epilepsy and angina pectoris, 504 and bradycardia, 502 and nocturnal palpitation, 493 pleural, 295 Epistaxis, 23, 25 and fat heart, 446 galvano-cautery in, 26 and pernicious anaemia, 670 tamponing for, 26 treatment, 26 Epithelial casts, diagram of, 880 in urine, 879 Epithelioma of heart, 458 of larynx, 72 Epithelium in sputum, 120 in urine, 877 Erethismus cordis, 493 Eruptive asthma, 173 Erysipelas and nephritis, 716 Krythrolysis, 582 Krythromelalgia, 519 Krythroschisis, 582 Ethmoiditis, acute, 28 and rhinitis, 34 Etiology of abscess of mediastinum, 609 of acute bronchitis, 123 catarrhal cystitis, 815 -: n. 915 Etiology of acute croupous cystitis, 819 difiiiM- nephritis, 713 dilat:i(ii>n of heart, 1-7 endocarditis, 375 laryngitis, ~> I phiegmoiiotis laryngitis, 59 rhinitis, 27 subglottic laryngitis, ~>~> of adenoma of na-o-pharynx, 48 of amyloid kidney, 7~>1 of aiifiirvMii, "•")() of heart, 454 of angina j»ectoris, 503 of aortic insufficiency, 386 stenosis, 383 of arrhythmia, 486 of arterio-sclerosis, 531 of asthma, 160 of atelectasis, 234 of atrophic rhinitis, 33 of benign tumors of larynx, 71 of bilateral paralysis of abductor muscles, 1 1 of bradycardia, 501 of bronchiectasis, 157 of broncho-pneumonia, 216 of cardiac atrophy, 435 hypertrophy, 408 rupture, 437 of cutarrhal cystitis, 822 py el it is, 767 of chlorosis, 651 of chronic bronchitis. 138 catarrhal laryngitis, 56 diffuse interstitial nephritis, 741 parenchymatous nephritis, 728 dilatation, !•_"_' endocarditis. 381 fibrous pneumonia, 223 myocarditis. 441 nuso-pharyngitis 1'i subglottic laryngitis •"••"> of crou pens laryngitis, 61 of cystic degeneration of kidney, 796 of deformities of nasal septum, 38 of emphysema. 'J'Js of empvciiia, 27~> of fat heart, 444 of tibriiious pleiirisv, •_'•"> 7 of til>roma «>f naso-pharynx, 50 of floating kidney, 810 of gangrene of lung, 240 of ba-mopiv-i-. 1*7 of hay fever. 17s of Hodtfkin's il of hydroncphrosis, 7X4 of hydro-pericardium, 401 of hv|>erirophic rhinitis _'.' <>f iiJiopatliic asthma. I 'HI of laryngeal hemorrhage, 64 of It-iint-mia, U7'.' of lung abscess 2: '.7 of malignant endocarditis, 378 of rnediuslinal tumors, 617 of inediaMiniti- of mitral iiiconi|K'tein.-y, 392 •tenoda, Ktiology of nephritis, 706 of OKMOia of lung. -'.'•<> of |ialpitatinii, I'.'l of paralysis of recurrent laryngeal nerves, 76 of passive renal hypenemia, 761 of pericarditis, :>">7 of perichondritis, 62 of peri renal abscess, 800 of pernicious anaemia, 667 of plastic bronchitis, 150 of pneumonokoniosis, 244 of pneumonia, 198 of pneumo-pericardium, 464 of pneuraothorax, 309 of pulmonary stenosis, 396 of purulent rhinitis, 31 of renal abscess, 798 calculus, 777 hyperapmia, 758 of rhinorrho?a, 41 of sero-fibrinous pleurisy, 259 of suppurative pyelitis, 770 of syphilis of heart, 470 of tachycardia, 496 of thrombosis, 583 of heart, 449 of tricuspid incompetency, 398 of ura'inia, 885 of vesical calculus, 829 tuberculosis, 836 of vesicular emphysema, 229 of wounds of heart, 474 Eucalyptus rostrata in renal sarcoma, 792 Europhen in nasal disease, 25 Eustachian tubes, 19, 20, 23, 24, 44, 45 Evans's cyrtometer, 99 Examination of blood. See Blood Examina- tion. Exanthemata and endocarditis, 375 and malignant endocarditis, 378 and pericarditis, 357 Exocardial murmurs, 348, 355 Expectoration. See Sputum. Expiration, 91 auscultation, 108 characters of, 107 prolonged, 1 12 Exstrophy of bladder, 839 Extirpation of aneurvsmal sac, 579 of bladder, 839 Exudation, |>ericardial, 342, 34"> in pleura, 340 pleuritic. See |MI\TIN<i. See Syncope. J; Fat crystals in sputum, 121 eniboli, •">'.'» > Fatty casts in urine, 880 heart, lit. See H-<irt, Fatty. and rupture, 437 iisnrv. -VJ7 rYhliiu: - tc-t. *G9 Femoral thromlxjsis 597 Ferric-chloride te-t for phosphates, 858 Ferrier's stmlfi '_' Fernx-yaiiide test for albumii 916 IXDKX TO VOLUME II. Fetid bronchitis, 141 empyema, 283 expectoration, 159, 160 Fever and broncho-pneumonia, 219 of pneumonia, 203 and respiration, 93 in •uppurative pyelitis, 771 Fibrin clot, 581 Fibrinuria, 808 Fibroma, nasal, 37 Fibromata of heart, 458 of kidney, 789 of larynx, 71 of mediastinum, 615 Fibro-myoma of kidney, 790 Fibro-sarcoma of mediastinum, 617 Fibrosis, arterio-capillary, 523 Fibrous pneumonia, chronic, 222 Filaria sanguinis andchylous pleurisy, 287 Filipuncture, 576 Flatness, 100, 102 Fleischl's hsematometer, 648 Floating kidney, 810 Fatal atelectasis, 234 Food. See Did. Foreign bodies of heart. See Heart, For- eign Bodies in. Friinkel's pneumococcus, 197 Fre'missement, 334 cataire, 564 Fremitus, 95 pathological, 96 pleuritic, 259 vocal, 108 Friction rales, 115 Friedlander's bacillus of pneumonia, 217 Friedreich's sign, 373 Frustrate contraction, 485 Fuchsin for staining blood corpuscles, 652 Functional palpitation, 491 Fungi in urine, 883 p ALLOP rhythm, 347, 425, 443 \J Gangrene in broncho-pneumonia, 219 of lung, 240. See Luny, Gangrene of. in pneumonia, 202, 210 and pulmonary embolism, 243 Gartner's hiematocrit, 646 Gases of urine, 858 Gastric affections and asthma, 169 disturbances in amyloid kidney, 754 symptoms in acute nephritis, 721 of chronic diffuse interstitial nephritis, 744, 748 parenchymatous nephritis, 731 tubules in pernicious anremia, 668 Gastroptosis, W'2 Geigel-Mair's apparatus for treatment of emphysema, 233 Germs. See Micro-organisms. Glands, enlarged, in flodgkin's disease, 698 lymphatic, and Hodgkin's disease, 697 in leucaemia, 682 (ilobuliniiria, 867 Glomeruli in acute diffuse nephritis, 713 in chronic diffuse interstitial nephritis, 739 (ilomerulo-nephritis, 726 (Jlonoin. See Nitroglycerin. Glottis, diagram, 53 spasm of, 75, 60 in adults, 81 diagnosis, 82 prognosis, 82 symptoms, 81 treatment, 82 in children, 80 diagnosis, 81 prognosis, 81 symptoms, 80 treatment, 81 dyspnoea in, 81 Glycosuria, 868 Gmelin's test, 863 Goitre and cardiac hypertrophy, 412 Gonococcus and cystitis, 816 Gonorrhoaa and acute eatarrhal cystitis, 815 Gonorrhceal urethritis and pyelitis, 770 Gout and amyloid kidney, 755 and arrhythmia, 490 and arterio-sclerosis, 537 and asthma, 169, 170 and chronic bronchitis, 141, 142 diffuse interstitial nephritis, 742 and palpitation, 493 and pneumonia, 198 Gouty kidney, 738 Gowers' solution, 639 Granular casts in urine, 879 kidney, 738 Gravel. See Renal Calculus. Graves' disease, 664 Gray hepatization, 201 Gummata of mediastinum, 615 Gunshot wounds of heart. See Heart, Wounds of. Gurgling rales, 115 TJ^EMATEMESIS in secondary ansemia, II 678 Hsematocrit, 638 Hsematoidin crystals, 121 Ha?matoma, pleural, 287 Hsematuria, 865 in acute eatarrhal cystitis, 817 and angioma of kidney, 790 and pneumonia, 21 0 of renal calculus, 781 carcinoma, 793 sarcoma, 792 and tumor of bladder, 833 and vesical calculus, 830 Hsemocytometer, 638 Haemoglobin, estimation of, 638, 648, 649 in leucaemia, 686 Haemoglobinuria, 865 and chlorosis, 665 Hserno-pericardium, 477 Haemoptysis, 187 aconite in, 194 and aiifiirysm, 569 astringents in, 194 and bronchiectasis, 158 compress in, 194, 195 i.\iu:.\ TO VOLT MI: ii 917 H;emopty*i*. definition, 187 diagno*i*, 11 ' 2 did, I'.H dyspmca in. 192 ergot in, I'.i 1 etiology, 187 experimental. 1s'.' and lia'matemc.*i*. I'.i'J, 193 hysterical. 1^'.' libation of extremities in, 194 mitral Unions and. 1M' ni'-i-pliim- in. 194 opium in, 194 pathological anatomy, 189 prognosis. I'.'.'! rales in, 192 salt in, 194 symptoms, 191 tracheotomy and, 194 treatment, 194 valvular lesions and, 189 Harsh respiration, 111 Hay fever, 178 Adirondacks and, 184 and age, 180 ah-ohol in, 1 v I ambrosia artemisiafolia and, 180 and axthma, 182 Block I ..land and. 184 ( 'ampoliello and. 1H4 Canada and, 184 Cat-kill-, and, 184 and climate, 183 cocaine in, 183 cod-liver oil in, 184 complications, 182 cough in, 1 S'J definition, 178 diagnosis, ]-•'< dyspna-a and, 182 etiology, 178 exciting causes, 181 Fire Island and, 184 flowers and, isl geographical distribution, 181 golden-rod ami, 1 -n inhalations in, 1*:'. irritant, and, 181 Isles of Shoals and, 184 lachrymation ami, 181 local treatment in intervals, 185 morphine in, 1X4 Mount I>e*crt and. 1-1 mountains and, I * I N.mtiicket and, 185 and nationality, 180 and occupation, ISO ozone and, 181 paroxysms of, 181, 183 pathological anatomy, 181 ragweed and, lx" Roman wormwood and, 180 roses and, 181 and -i-a-i.n. lx<> M'i|IU-l:i-. !•»•_' and MX, 1»" Hay I'cvcr, -im-11 and, 1>2 Mnokc and, 1s! and sneezing, 181 symptom*. 1^1 ta>tr and, 1 ^'J tonics and, 1 v I treatment. 1-:; White Mountains and, 184 Head-mirror, use of, 21 vertical section of, 20 Heart in amyloid kidney, 754 anatomy of, 327 aneurysm of, course and termination, 457 definition, 453 diagnosis, 457 etiology, 454 pain in, 45(> pathological anatomy, 455 prognosis, 457 symptoms, 456 treatment, 457 apex beat, 328, 329 arrhythmia of, 485 in atelectasis, 235 atrophy of, definition, 435 diagnosis, 436 etiology, 435 pathological anatomy, 435 symptoms, 43<» auscultation of, 343 automatic action of, 482, 483 beat, 493 borders of, 336 boundaries, 327 in chronic diffuse interstitial nephritis, 740, 743 diffuse parenchymatous nephritis, 728 parenchymatous nephritis, 732 clots, 450 " condition in aneurysm, 564 congenital Iv small, 435 contraction of, 482-484 crises of, in tabes dorsal is, 489 cysta of, 459 dilatation of, 421 acute, 427 blood pressure in, 427 definition. 4'J7 diagnosis. 4'-'<- dL-itali- in, 433 dy-pnu-a and, J'JS, 430, 431 etiology, 1-7 muscular exertion in, 427, 428 over-exertion in, 427 patli<>loi;ir:il anatomy, 429 physical signs, 432 stimulants in. 433 symptom*. !:'•" throml>o*i* and, 429 treatment, 433 chronic. 4'J1 auscultation in definition, -1'J'J diairnoM- etiology, I'_"J in-i'i-eti'in in. 918 INDEX TO VOLUME II. Heart, dilatation of, chronic, pathological anatomy, 422 percussion in, 425 physical signs, 424 prognosis, 42(5 symptoms, 423 treatment of, 426 diet in, 426 digitalis in, 427 secondary, 423, 424 simple, 421 strophanthus in, 427 sudden death and, 428, 429 disease and acute bronchitis, 133 and arrhythmia, 487 and asthma, 169 and chronic bronchitis, 138, 140 and haemoptysis, 189 and passive renal hypersemia, 761 physical signs, 327 displacements of, 330 dulness, 336, 339 in emphysema, 232 enlargement of. See Hypertrophy of Heart and Heart, Dilatation of. in acute nephritis, 725 examination, 328 fatty, 444 alcohol in, 444 and anaemia, 477 and cerebral anaemia, 447 definition, 444 degeneration of, 486 diagnosis, 446 diet in, 444 digitalis in, 447 and dyspnoea, 445 etiology, 444 exercise in, 446 iodide of potassium in, 447 and mountain climbing, 446 and obesity, 444 pathological anatomy, 444 prognosis, 446 pulse in, 445 and rupture, 437. and sex, 444 strophanthus in, 447 and sudden death, 446 symptoms, 445 synonyms, 444 treatment, 446 flatness 337 foreign bodies in, 474 ganglia of, 483 hydatid, disease of, 459 hyperplasia of, 435 hypertrophy of the, 407 apex-beat in, 329 definition, 407 etiology, 408 pathological anatomy, 413 physical signs, 416 prognosis, 419 symptoms, 415 treatment, 420. 421 inhibition of, 483 Heart, inspection of, 328 interrnittence of, 485 irritable, 412 morbid growths of, pathology, 458 mnrmure, 334, 335, 348 muscle of, 482 needles in, 475, 477 in nephritis, 710 nerve supply of, 482, 483 neuralgia of. See Angina Pectoris. neuroses of, 481 new growths of, symptoms, 459 palpation of, 333 parasites of, symptoms, 459 pathological conditions, 337 percussion, 335 in pernicious anaemia, 671 in pleurisy, 264, 265 polypi in, 450 in pneumonia, 202 pulmonic second sound of, 344 puncture wounds of, 474 rhythm, 482 disturbances of, 345 rupture of, 437 definition, 437 diagnosis, 439 etiology, 437 pathological anatomy, 438 physical signs, 439 prognosis, 439 symptoms, 438 synonyms, 437 treatment, 439 and wounds of, 474 sounds, 343 in asthma, 174 division of, 347 pathological, 344 reduplication, 347 strain. See Heart, Acute Dilatation of. structure of, 327 syphilis of, 470 complications, 472 diagnosis, 472 etiology, 470 pathology, 470 pneu mo-therapy of, 473 prognosis, 472 and rupture of, 473 sequela?, 472 sudden death in, 471 symptoms, 471 treatment, 473 in tachycardia, 497 thrombosis of, 584 ammonia in, 453 complications of, 452 definition, 449 diagnosis, 452 dyspnoea in, 453 etiology, 449 oxygen in, 453 pathology, 450 physical signs, 451, 452 * prognosis. -\'<'.'> sequehe, 452 INDEX TO \-ni.\-\n: ii. Hi-irl, thrombosis of, strychnine in, I"-.'. symptoms. 4">1 toxins in. -I I'.i treatment. I •"••'! traumatism of. >.-e //.-.(/•/ Wounds of. vauiis an iuii of. \*'-> valves, insiilliricnry of, :M'.» palpation of closure of, 333 wall, laceration of, 437 wounds, 474 aneurysm and, 478 bloody sputum in. 477 cicatrization of. 476 ct implications, 477 diagnosis, 478 etiology, 474 hemorrhage in, 477 murmurs in, 477 pathology, 474 prognosis, 479 sequeliv, 477 sudden death and, 478 symptoms, 476 treatment, 479 Heat test for albumin, 866 Hedin's hiematocrit, 638, 646 Heller's test, 866 Hemorrhage, bronchial. See Hemoptysis. cerebral, in cardiac hypertrophy, 415 and chronic nephritis, 745 and leuciemia, »iv- and leneorvtoMs, 691 of lungs. See llacawpty*!*. 