St Lukes Hospital Medical And Surgical Reports PDF Download

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1910 edition. Excerpt: ...legs were getting swollen, and later on his thighs, abdomen, and scrotum developed the same condition. At times there was puffiness about the eyes. He continued to work until three weeks ago, when he went to bed and has remained there most of the time ever since. His physician examined the urine frequently and told him he had kidney disease. Chief complaint: Swelling of abdomen and legs. Physical examination: The patient is a large, well nourished man. He does not appear prostrated, shows very slight dyspnea and no cyanosis. The pupils are equal and react to light and accommodation. The tongue is coated; the teeth are in good condition. The apex impulse is not seen, but is faintly felt in the fifth space, five inches from the midline. The right border percusses one inch to right, the left Chloride determinations by Mr. Harbeck Halsted, Columbia University, 1911. and eyelids, and edema of the scrotum. No pain or urinary symptoms. Ten days before admission a severe headache lasting three days compelled him to stop work for two days. Some days before admission he "caught cold," had two chills, coughed with slight expectoration, and suffered from shortness of breath. During the past month he has been able to work only at intervals. Chief complaint: Swelling of legs, shortness of breath, and morning vomiting. Physical examination: The patient presents moderate edema of the lower extremities and about the trunk. There is slight cyanosis of the finger tips but no dyspnea. The apex beat is in the fifth interspace, six inches from the midsternal line. No superficial impulse except in the epigastrium. The sounds at the apex are distant, but of good quality; second pulmonic sound faint; second aortic sound accentuated. The action is...