The loudness the murmur has need help writing my research paper no relation the degree leakage, unless may say that wath a dilating heart decreases with the increase in Diagnosis. This ordinarily attended with little difficulty in the usual cases, for find a well marked systolic murmur, transmitted the left, and with an accompanying accentuation the pulmonic second sound, and the other features described.

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It may impossible state whether the leakage organic or relative, but the history and the accompanying features generally suffice for this.

If the murmur completely article rewriter online essay writing service disappears under rest and digitalis may consider relative character.

Accidental murmurs are very common at this orifice. The absence symptoms, and enlargement and accentuation the pulmonary second sound are sufficient exclude an organic leakage.

Mitral regurgitation was diagnosed clinically Prognosis.

This may extremely variable. In general in the organic cases favorable for a considerable length life if the patient only exercise proper care.

A physician acquaintance suffered from mitral leakage following what is the best site to buy essays acute rheumatism for more than years, and finally died cerebral hemorrhage.

The outlook in relative leakage depends entirely upon the condition which has Embolism less common in mitral regurgitation than in stenosis, but I have reported a death from blocking the aorta at its bifurcation, presumably a ball thrombus from the left auricular appendix.

Etiology.

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The most frequent cause the sclerotic contracting process initiated the acute endocarditic process rheumatic fever or chorea.

In a considerable number cases no cause recognized, and attributed a similar chronic sclerosis unknown origin.

It more frequent in women, since rheumatic fever and chorea are more often found in the female sex. Anemia, whoopingcough, scarlet fever, and other causes have been suggested. From analogy seems probable that some infective process the origin the trouble even in those cases in which not recognized. One difficulty in tracing the cause found in need help writing expository essay the fact that mitral obstruction does not originate as a manifestation the acute endocarditis, but only as the result the slow sclerosis induced, while in the case mitral insufficiency the acute process executive top resume writing services 2013 resume writing service seattle may lead leakage even in the first few days the trouble, and thus lead the association the valvular defect with the infectious disease present. The valve puckered and contracted until, in the typical cases, a mere button hole mitraP left, oftentimes at the bottom a funnel, as looked at from the auricular side. Lime salts are often deposited that no valve action possible. The chordae tendinese are generally damaged. Regurgitation present in this type, and some extent in probably nearly all cases stenosis. The extension the sclerotic process the muscular wall not infrequent, and the incidental damage the auriculo-ventricular bundle the cause the heart's irregularity, mentioned later. The heart only moderately enlarged, rarely double its weight. The increased work thrown upon the left auricle and the right cavities as compared with the smaller burden the left ventricle leads a corresponding discrepancy in the size the respective cavities and the thickness their walls.

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