Hypertrophy with Slight Dilatation.
THIS is one of the most common complications of heart disease. It consists both in a thickening of the walls of the heart, and an enlargement of the cavities, the former being more marked than the latter.
Physical Signs. Both sounds are louder than in any other disease of the heart, and are heard sometimes over the whole chest. The impulse is strong and heaving, with an abrupt back stroke. In bad cases, the whole person, and even the bed, is shaken by it. The dull sound on percussion covers a large space.
General Symptoms. The same as those of the two diseases of which it is composed, slightly modified by the action of each upon the other.
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