On Chorea And Choreiform Affections

Cover On Chorea And Choreiform Affections
On Chorea And Choreiform Affections
Osler William
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While in a majority of the cases there given the lesion was well compensated, there had been in not a few instances attacks of shortness of breath and palpitation. Three of the cases died with the symptoms of chronic valve disease. In twenty-four instances a mitral pre-systolic murmur was present. In one of these instances (Case LXXXII in the already published series) it was possibly the apex diastolic murmur heard in connection with aortic insufficiency, the so-called Flint murmur. The young m...an, aged 18, had his first attack of chorea in 1884, a second attack in 1886, and in 1887 a slight CASES WITH SIGNS OF ORGANIC DISEASE. 57 attack of rheumatism. There was a soft murmur at the base in his first attack. In 1887, when examined, there was a loud diastohc murmur of maximum intensity on the sternum, and heard also at the aortic carti- lage. At the apex there was a rumbling pre-systolic murmur, localized, and not accompanied with a thrill. One of the cases with mitral presystolic murmur subsequently died.

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