Dilatation with Slight Hypertrophy.
This is an enlargement of the cavities of the heart, with a slight thickening of its walls; the dilatation being the predominant disease, or greater than hypertrophy.
Physical Signs. Percussion gives a dull sound in the region of the heart, in proportion to its size. The first beat resembles the second The second beat is louder than natural.
The impulse is a short, quick stroke, which contrasts strongly with the slower and heavier one of hypertrophy and dilatation.
The general symptoms and the treatment are a modification of those of the two disease united in it. It is, however, to be kept in mind that the dilatation takes the lead; and, furnishing the predominant symptoms, is specially to be regarded in the treatment.
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