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    Cases of Organic Diseases of the Heart
    Cases of Organic Diseases of the Heart
    Cases of Organic Diseases of the Heart
    Ebook88 pages1 hour

    Cases of Organic Diseases of the Heart

    By John Collins Warren

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    LanguageEnglish
    PublisherArchive Classics
    Release dateNov 26, 2013
    Cases of Organic Diseases of the Heart

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      Book preview

      Cases of Organic Diseases of the Heart - John Collins Warren

      The Project Gutenberg EBook of Cases of Organic Diseases of the Heart, by

      John Collins Warren

      This eBook is for the use of anyone anywhere at no cost and with

      almost no restrictions whatsoever. You may copy it, give it away or

      re-use it under the terms of the Project Gutenberg License included

      with this eBook or online at www.gutenberg.org

      Title: Cases of Organic Diseases of the Heart

      Author: John Collins Warren

      Release Date: October 7, 2008 [EBook #26836]

      Language: English

      *** START OF THIS PROJECT GUTENBERG EBOOK HEART DISEASE ***

      Produced by Bryan Ness, Irma Spehar and the Online

      Distributed Proofreading Team at http://www.pgdp.net (This

      book was produced from scanned images of public domain

      material from the Google Print project.)

      CASES

      OF

      ORGANIC DISEASES

      OF THE

      HEART.

      WITH DISSECTIONS AND SOME REMARKS INTENDED TO POINT OUT THE

      DISTINCTIVE SYMPTOMS OF THESE DISEASES.

      READ BEFORE THE COUNSELLORS OF THE MASSACHUSETTS

      MEDICAL SOCIETY.

      BY JOHN C. WARREN, M. D.

      BOSTON:

      PRINTED BY THOMAS R. WAIT AND COMPANY.

      COURT-STREET.

      1809.

      PLATE I.

      Appearance of the valves of the aorta in Case 3d, Article 10.

      a a The two valves thickened.

      b b Bony projections, one of which extends across the cavity of the valve.

      c The orifices of the coronary arteries.

      d d Fleshlike thickening of the aorta.

      PLATE II.

      Is a representation of the fleshlike thickening of the aorta in case 7th. The valves are smaller than usual, and their form is in some degree changed. A round spot, thickened, is seen at a little distance from the seat of the principal disease.

      CASES OF

      ORGANIC DISEASES OF THE HEART,

      WITH DISSECTIONS.

      Morbid changes in the organization of the heart are so frequent, as to have attracted the observation of those, who have devoted any attention to the study of morbid anatomy. Derangements of the primary organ of the circulation cannot exist without producing so great disorder of the functions of that and of other parts, as to be sufficiently conspicuous by external signs; but, as these somewhat resemble the symptoms of different complaints, especially of asthma, phthisis pulmonalis, and water in the thorax, it has happened, that each of these has been sometimes confounded with the former[1]. The object of the following statement of cases is to shew, that, whatever resemblance there may be in the symptoms of the first, when taken separately, to those of the latter diseases, the mode of connection and degree of those symptoms at least is quite dissimilar; and that there are also symptoms, peculiar to organic diseases of the heart, sufficiently characteristic to distinguish them from other complaints.

      CASE I.

      The symptoms of organic disease of the heart are marked with extraordinary clearness in the following case. The opportunity for observing them was very favourable; and there was every incitement to close observation, which could arise from the important and interesting character of the patient. These advantages will justify an uncommon minuteness in the detail of the case; especially, as the most accurate knowledge of a complaint is obtained from a successive view of its stages.

      The late Governour of this commonwealth was endowed with most vigorous powers of mind and body. At the age of sixteen he was attacked with fits of epilepsy, which first arose from a sudden fright, received on awaking from sleep in a field, and beholding a large snake erecting its head over him. As he advanced in life they became more frequent, and were excited by derangement of the functions of the stomach, often by affections of the mind, by dreams, and even by the sight of the reptile which first produced the convulsions.

      At the commencement of the American revolution he became deeply engaged in public affairs; and from that time devoted himself to intense application to business, with which the preservation of his health was never allowed to interfere. In the expedition against Rhode Island, an attack of inflammation of the lungs had nearly proved fatal to him.

      In the beginning of the year 1807, he suffered severely from the epidemic catarrh; and a remarkable irregularity of the pulse was then perceived to be permanent, though there is some reason to believe, that this irregularity had previously existed, during the fits of epilepsy, and for a few days after them. In the summer, while he was apparently in good health, the circulation in the right arm was suddenly and totally suspended; yet, without loss of motion or sensation. This affection lasted from noon till midnight, when it as suddenly ceased, and the circulation was restored. In the autumn he was again seized with the influenza, which continued about three weeks, leaving a troublesome cough of two or three months’ duration, and a slight occasional difficulty of breathing, which at that time was not thought worth attention. Soon after, in November, he had one or two singular attacks of catarrhal affection of the mucous membrane of the lungs, which commenced with a sense of suffocation, succeeded by cough and an expectoration of cream coloured mucus, to the quantity of a quart in an hour, with coldness of the extremities, lividity of the countenance, and a deathlike moisture over the whole body. These attacks lasted six or eight hours, were relieved by emetics, and disappeared,

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