By Julius Bauer
Differential analysis of inner ailments, 3rd version covers the analysis of various inner ailments in accordance with indicators and indicators. This variation is geared up by means of signs and symptoms which may be separately diversified even within the comparable affliction and has to be analyzed and understood on a pathophysiological foundation in the framework of the person character.
This booklet consists of 2 major elements encompassing 20 chapters. half I experiences the major signs of headache, chest and belly ache, backache, ache in extremities, basic emotions and cognizance problems, vertigo, nausea, vomitus, cough, dyspnea, diarrhea, constipation, and hemorrhages. half II examines the prime symptoms habitus, hyperthermia, fever, infectious disorder, breathing, cardiovascular, digestive, hematopoietic, and uropoietic structures illnesses, and glycosuria.
This e-book may be of price to common physicians, clinicians, and pathophysiologists.
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Additional info for Differential Diagnosis of Internal Diseases. Clinical Analysis and Synthesis of Symptoms and Signs on Pathophysiologic Basis
The pain in angina pectoris is described as a sensation of heaviness, pressure or tightness behind the sternum, usually in its upper part, some times in the precordial region or epigastrium. It may become excruciat ing, viselike (hence the term ''stenocardia' derived from the Greek and meaning tightness in the chest) and may be accompanied by fear of impending death. It may be so overwhelming that its victim is immobi lized on the spot and unable to walk. The degree of such an attack can vary widely with regard to intensity and duration.
This pain does not occur after muscular exercise, during his professional activity or during the night. Occasionally he feels a numbness in his limbs, particularly in the left arm. He has always been highstrung, smokes excessively and knows about his elevated blood pressure which was found to be 160/100 and later 150/90. He admitted frankly that he was scared, since his brother and two friends had died from "heart attacks" not long ago. The electrocardiogram did not show any definite evidence of myocardial lesion.
Libman^^ spoke of "rebounds in the autonomic ner\^ous system" with regard to the pylorospasm and cardiospasm frequently encountered in coronary disease. This, as well as the bouts of diarrhea that sometimes follow anginal attacks, would even indicate a repercus sion on the parasympathetic system. Rapidly disappearing hyperglycemia and glycosuria after a myocardial infarct belong to the same group of signs of sympathetic irritation. After an "irritable focus" in the respective spinal segments has been established by stimuli from the cardio-aortic afferent nerves it may also disclose its existence if stimulated from the other end.