The aortic orifice has been most irequently mentioned as the seat the haemic muimur.
But although a basic murmur, cannot located at the aortic valve, since at its first appe irance not i ropagated along tile aorta or into the carotids. Neither can at what is the best college essay editing service the pulmonary orifice, for though its position maximum intensity in the neighborhood the puhnonary artery, yet there are no causes for a murmur here that are not equally operative at the aortic opening. It has been referred some writers the mitral or the tricuspid valve, but the universally recognized basic position the primary hremic murmur excludes this theory. Thus the position this sound has been referred in turn each the four cardiac orifices. The only explanation such a discrepancy that the assignment writers in australia haemic murmur one which may audible custom report writing in all It thoroughly consistent with the results obtainel experiment.
When Marashall Hall was investigating the eftects ss blood upon the system observed that in the reaction subsequent such loss the heart's action was accompanied by a peculiar noise resembling that tok essay help the.saw or the file. He recognised also the indentiiy this sound with the chlorotic murmur. Beau determined the fact that the murmurs following loss of blood resulted, not from the primary anaemia, but from the secondary spanaemia, a condition which gave the name serous polyaemia. He also found that this condition the blood was invariably associated with a dilated and hypertrophied This theory perfectly consonant with clinical experience. It known that in chlorosis a similar condition the heart exists that lound in the serous polyaemia produced repeated bloodlettings dilatation and hypertrophy. The chlorotic murmurs are not due anaemia, but to spanaemia, a condition in which the blood not diminished in amount, though its nutritive what is dissertation writing and oxygenating properties are greatly lessened.
The primary murmur in such cases the venous hum depending upon abnormal friction between the spanaemic blood and the venous walls. The next phenomenon observed an accentuation the pulmonary blood-pressure, the only possible cause for this being obstruction the onward flow of blood. this latter, in a disease such as chlorosis, can only due a loss tone and contractile force in the cardiac muscle.
Less able its work, yet having no less work the heart slowly dilates and at the help in writing essay same time slowly hypertrophies. As the heart dilates, the mitral and tricuspid valves become incompetent and give rise to murmurs. The regurgitation in the tricuspid causes pulsations in the jugular veins, and the abnormally large ventricular blood-waves give rise systolic murmurs in the pulmonary and aortic areas. These murmurs are propagated along the carotids, and may heard the slightest comI ression in every artery in the body.
Tnus we have murmurs in every area the heart in advanced chlorosis. The primary cardiac haemic murmur basic, not propagated in any special direction, but radiates around the pulmonary area. On care.f examination its position maximum intensity found the second interspace, from, one two mches the left the sternum. Ia this position the author states that has always delected pulsation at least during expiration. Occasionally this pulsation marked as form a tumor, and has even been mistaken for an aneurism. Now, dulness and pul.sation in this region are signs write my history essay for me dilatation the left auricle hence the author concludes that this murmur is propagated outward from the dilated appendix of the left auricle.
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