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DESCRIPTION OF A NEW CLINICAL PROCEDURE

HAROLD N. SEGALL, M.D.

Arch Intern Med. 1933;51(1):62-76.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Until the introduction of auscultation dry pericarditis was a disease only discovered on the post mortem table. The only evidence we have of its presence is the characteristic superficial to and fro murmur produced by movements of the heart. Its discovery is usually accidental and made when the heart is examined as a routine. There is no distinctive sign associated with it and in marked contrast to pleurisy it is essentially a painless complaint.

Sir James Mackenzie,¹ 1925.

The foregoing quotation reflects quite accurately the general attitude of physicians to the diagnosis of acute fibrinous pericarditis. Similar paragraphs may be found in most textbooks. In the most recent of the good monographs on heart disease, Dr. Paul D. White^2a presented statistics which amply prove the opinions of Sir James Mackenzie. Dr. White said, "The characteristic sign of acute pericarditis, often found at some stage of the disease, is . . . [Full Text PDF of this Article]

Author Affiliations
MONTREAL, CANADA

From the Cardiac Clinic and the Medical Service of Dr. A. H. Gordon, the Montreal General Hospital, and the Department of Medicine, McGill University.

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