Identifier: americanjournroen08ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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Cervicalglands palpable. Heart impulse heaving and dif-fuse, and seen in 4th interspace. Sounds regularand slightly rapid. First sound replaced by sys-tolic murmur, transmitted to axilla, precordia andback. No definite thrill. P2 greater than A2. Re-duplicated and accentuated. Arterial walls not palp-able. Brachials not tortuous. Blood-pressure 140/70.Knee jerks present and equal. Laboratory Findings: Urine negative. Wasser-mann negative. the aortic arch and a prominence in the lowerpart of the ascending portion which probablyrepresents a localized dilatation. The heartis very long and lies transversely in the chestas a result of a high diaphragm. The aur-icles are not enlarged, but the curve of theleft ventricle is very prominent. The dis-tance across the base B is not outsidenormal limits, and it may be inferred thatthe left ventricle is enlarged much more thanthe right. Left ventricular preponderance isoften present in cases of aortic regurgitation. Roentgen Ray Cardiac Studies 305
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Graph. I. Illustraling Figure 10. Broad notched P wave of the type often seen in mitral stenosis. CARDIO-RENAL DISEASE A patient with damaged kidneys who hasmaintained a high blood-pressure for a longtime must of necessity possess a large hyper-trophied heart if he is to keep his bodilymachine operating. If the hypertrophy is notsufficient to meet the heavy demands of ahigh blood-pressure, he suffers from variouscardiac symptoms. The hypertrophy isusually pretty well distributed between thetwo ventricles, and as a result such heartsbecome enormous in size. Figures 17 and 18show fairly typical cases. The aortic knobsare prominent, perhaps as a result of arterio-sclerosis, which is often present in cardio-renal disease. Although the curves repre-senting the auricles are not at all prominent,the distance B is outside normal limitsand this seems to indicate the presence of adefinite hypertrophy of the right ventricle.The increased length of the heart and theprominence of the curve of the

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