 | Edward Hazen Parker - 1854 - 692 pagina’s
...<-that they are wiser than the authors of such books. There are two cases in which it is often extremaly difficult to say which is the first and which the second sound of the heart. One of these is, that triple combination which is so common, especially in private practice, where... | |
 | William Stokes - 1854 - 880 pagina’s
...analysis. The rhythm is altogether disturbed, and u protracted observation is necessary to determine which is the first and which the second sound of the heart. The respiration is laborious, wheezing, or even rattling ; the chest sounds clear on percussion, but extensive... | |
 | 1855 - 636 pagina’s
...it — that they are wiser than the authors of such books. There are two cases in which it is often extremely difficult to say which is the first and which the second sound of the heart. One of these is, that triple combination which is so common, especially in private practice, where... | |
 | 1855 - 582 pagina’s
...But the fact is. gentlemen, that there are many cases in which at first it is very difficult indeed to say which is the first and which the second sound of the heart. There are cases in which the most experienced man will require repeated observation before he can make... | |
 | William Stokes - 1874 - 526 pagina’s
...liver. But there is another element very commonly to be found in connection with this combination, and that is the gouty element; so that you may have...say which is the first and which the second sound. They are closely similar ; and the action is so irregular, so uncertain, that you may often apply the... | |
 | Herbert Codman Clapp - 1878 - 120 pagina’s
...consider himself proficient. Heart-sounds. — In health there is no difficulty in telling by auscultation which is the first and which the second sound of the heart by the rhythm and the distinctive characters of the two sounds at the apex and base ; and generally... | |
 | Herbert Codman Clapp - 1878 - 126 pagina’s
...consider himself proficient. Heart-sounds. — In health there is no difficulty in telling by auscultation which is the first and which the second sound of the heart by the rhythm and the distinctive characters of the two sounds at the apex and base ; and generally... | |
 | Ephraim Fletcher Ingals - 1881 - 462 pagina’s
...first and second sounds of the heart. In determining the rhythm of a murmur, we must first ascertain which is the first and which the second sound of the heart. This will not be a difficult task if the heart is pulsating slowly, and both sounds are distinct ;... | |
 | 1882 - 934 pagina’s
...irregular that, if I could not judge it from the character of the sound, I would be unable to determine which is the first and which the second sound of the heart. There seems to be a murmur, not confined to any special valve, but heard evenly over the body of the... | |
 | 1882 - 916 pagina’s
...irregular that, if I could not judge it from the character of the sound, I would be unable to determine which is the first and which the second sound of the heart. There seems to be a murmur, not confined to any special valve, but heard evenly over the body of the... | |
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One of these is, that triple combination which is so common, especially in private practice, where the patient has chronic bronchitis, a weak and irregular heart, and congestion and enlargement of the liver. 