Physical Diagnosis of Diseases of the Chest

Cover Physical Diagnosis of Diseases of the Chest
Physical Diagnosis of Diseases of the Chest
Richard C Richard Clarke Cabot
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Very often rasping murmurs are associated either with the calcareous deposit upon a valve or very marked narrowing of the valve orifice.
1 Rosenbach holds that they may be produced by adhesive pericarditis.
AUSCULTATION OF THE HEART, 135 Murmurs may be accented at the beginning or the end ; that is, they may be of the crescendo type, growing louder toward the end, or of the decrescendo type with their maximum intensity at the beginning. Almost all murmurs are of the latter type except those ass
...ociated with mitral or tricuspid obstruction.
(6) Length of Murmurs. Murmurs may occupy the whole of systole, the whole of diastole, or only a portion of one of these periods, but no conclusions can be drawn as to the severity of the valve lesion from the length of the murmur. A short mur- nmr, especially if diastolic, may be of very serious prognostic im- port.
(7) Relations to the Normal Sounds of the Heart. Cardiac mur- murs may or may not replace the normal heart sounds. They may occur simultaneously with one or both sounds or between the sounds.


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