night sweats, hot flashes and menopause

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A Dry Nights Sleep
presents
Disturbances of the Heart by Oliver T. Osborne, A.M., M.D.

Index of 84

DISTURBANCES OF THE HEART
irregular stimuli proceeding from the auricle reach the
auricle. The short downward curve from the apex means relaxation of
from three to five minutes. The person then reclines, and the pulse
The Dumb Bell Exercise Tests Suggested By Barringer (only, The
5. Each boy should be carefully examined by a competent physician to
he cannot breathe quite normally, or that something feels tight in
whip up a tired heart and tide it over periods of depression, but it
were determined by the palpatory method.
pressure of 40. If these relationships become much abnormal, disease
slower and the patient is lying down, the cause is probably organic.
15 to 30 years to be 122 systolic; from 30 to 40, 127 mm., and from
with a blood pressure over 150 mm., the toxic symptoms were so
occur with a moderate blood pressure. Irving believes that with
the blood pressure, causing a hypotension. This shows that high
no effect on this center, or slightly stimulated it. Such
walls of the vessels, while in other parts the coats become thinner
pressure, although more frequently there is a lowering of blood
treatment.
anything rather than apoplexy."
recreation periods one or more times a week, and vacations not too
is not different from the effect obtained from a fifteen minute
clinical work the more he believes in it. It is a fact that in some
them. In severe mental and physical strains the suprarenals may be
should rise early, however, in the morning, and, as recommended by
Leeches may be used over the region of the pericardium, and cups are
cathartics or a small dose of calomel. While it is advisable to give
and more extensive motion of the apical portion of the heart, and is
beat is less positive, less accentuated, and later it becomes
exertion and change of position to the erect, but even after eating.
if there is fatty degeneration it is liable to occur at any time.
general infection, and the causative bacteria, as a rule, are
Recently Fraenkel [Footnote: Fraenkel: Beitr. z. path. Anat. u. z.
ALKALIES
fourth grain of morphin sulphate is needed, except for the
should be stopped; the alkalies, especially, should not be given too
If pneumonia or gonorrhea is supposed to be the cause of the
There is no age which is exempt from valvular disease, but the age
riding, carrying a heavy weight upstairs or overlifting in any form.
the venous circulation sluggish, passive congestions of various
most affected by this lesion is the left ventricle, which receives
dyspnea on exertion is a prominent symptom; the increased secretion
sign of narrowing, denoted by a systolic blow at the base of the
acute rheumatic endocarditis. If it occurs later in life it
sometimes repeatedly, with many patients who have valvular lesions.
easily be caused by an overaction of morphin during these heart
another attack of cardiac weakness to occur with less excuse than
more vigorous massage is later often of value, provided there is no
has been given for patients with loss of compensation to receive
perhaps is stupid or apathetic, and also when diuresis is desired.
labors tinder the disadvantage of contracting against an abnormal
frequent), small doses of thyroid extract will benefit the
or less increase the blood pressure, cause cerebral awakening, and
tea, coffee or any alcoholic stimulant. The young boy and young man
popularity during the last twenty years or more. The most popular of
the individual. The heart will often also actually decrease in size,
is possible, however, that this gospel has been overworked, and it
develops after marriage, warning should be given of the seriousness
substance and the suprarenals vasopressor substance to the blood.
with sclerosis of that region of the aorta and of the aortic valve.
not exactly what is understood by angina pectoris. It is largely an
saver.
vogue as a designation for pains and disturbances referred by a
day. If digitalis is not indicated, strophanthus sometimes is
advisable. Both tea and coffee should generally be prohibited.
indicates a hemorrhage. If the coma is not profound and is slow in
the patient is obese. The bulk of the meal should be small, and
peripheral vessels, and relieving the congestion of the inner organs
so that the respiratory center is normally stiniulated, will
simultaneously of the apex beat, jugular and radial, still the
vagus. If this muscle is intact, and there is no pathologic
weakened and a more or less rapid heart action is present.
eclampsia, the slow pulse is indicative of no serious trouble; but
from 100 to 120 beats per minute.
continues until a myocarditis has developed and a weakening of the
indigestion. If lie takes strong alcohol, like whisky, oil an empty
coffee or tea, as the cerebral stimulation of caffein is projected
acid and in some varieties a considerable amount of furfurol, a
injured to this extent the patient learns that he cannot lie on his
the surface of the chest. If the left ventricle is the most
Small doses of digitalis are sufficient in these early cases. If
generally better daily; and if the case is one of typhoid fever,
Strophanthin, given intravenously, is valuable as a quick
to administer morphin, with perhaps atropin hypodermically before




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