In view of the fact that many affections in even remote portions of the body may be traced directly to a primary endocardial disease, we shall feel justified in inviting special attention to this disease.
Acute endocardialinflammation may be distinguished from pleuritis by the absence of any friction murmur, absence of pain when the chest wall is percussed, and the absence of effusion in the cavity of the chest.
Acute valvular disease can not be distinguished from endocarditis, and chronic valvular affections are generally the result of endocardial inflammation.
The deception was possibly due to the presence of loose and shaggy membrane attached to the endocardial lining of the heart, or in some cases to echinococci or trichine.
In pericarditis limited to that portion of the membrane which covers the great vessels no friction murmur may be audible, or it may be heard and be with difficulty distinguished from an endocardial murmur.
Acute endocarditis can probably not occur without some inyocarditis, and myocarditis probably does not occur without some endocardial disturbance and perhaps some pericardial irritation.
The purpose is to convey the fact that there may be no etiologic distinction between the two forms, and it is impossible to decide clinically in the beginning of an endocardial inflammation which form is present.
A diminished alkalinity of the blood would always increase the likelihood of an augmented amount of pericardial or endocardial inflammation.
Digitalis is inadvisable if there is much endocardial inflammation, and especially if there is supposed or presumed to be acute myocardial inflammation.
Such a subacute endocarditis may develop insidiously on a previously presumably healedendocardial lesion and cause symptoms which would not be associated with the heart, if an examination were not made.
Only in quite exceptional cases did I meet with endocardial murmurs in this group of old strained hearts; as a rule the sounds were ordinary, with a disposition to accentuation of the aortic second sound.
When it is established the septum primum grows down and meets the endocardial cushions, and so the ostium primum is obliterated.
At first it does not quite reach the endocardial cushions in the auricular canal, already mentioned, but leaves a gap, called the ostium primum, between.
Between the auricle and ventricle is the auriculo-ventricular valve, which primarily consists of two cusps, comparable to the two endocardial cushions of the human embryo, though in some forms they may be subdivided.
The aortic and pulmonary valves are laid down in the ventral aorta, before it is divided into aorta and pulmonary artery, as four endocardial cushions; anterior, posterior and two lateral.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "endocardial" in a variety of sentences. We hope that you will now be able to make sentences using this word.
