. Medical diagnosis for the student and practitioner. parable. Constancy of Concurrence of Drop Heart and Visceroptosis.—So con-stant is the concurrence of this cardioptosis with abdominal visceroptosisthat, finding a decided drop heart, one may assume with certainty ademonstrable gastroptosis and enteroptosis, and vice versa. Within slightlyvarying limits the degree of ptosis in the one is reflected in that of the other. Frequency of Occurrence.—One who is constantly using roentgenography Extremelyas a part of the routine examination of patients, will find the drop heart in 6o6 MEDICAL DIAGNO
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. Medical diagnosis for the student and practitioner. parable. Constancy of Concurrence of Drop Heart and Visceroptosis.—So con-stant is the concurrence of this cardioptosis with abdominal visceroptosisthat, finding a decided drop heart, one may assume with certainty ademonstrable gastroptosis and enteroptosis, and vice versa. Within slightlyvarying limits the degree of ptosis in the one is reflected in that of the other. Frequency of Occurrence.—One who is constantly using roentgenography Extremelyas a part of the routine examination of patients, will find the drop heart in 6o6 MEDICAL DIAGNOSIS A bastardsyndrome. some of its various forms just as common as is the abdominal visceroptosiswith which it has run parallel in the authors experience. Neurasthenia.—In this connection the author ventures the hope thatthe term neurasthenia. which, though professedly a descriptive name for asupposedly concrete ailment, at present serves to obscure the true nature ofso many of these cases, will either drop out of medical literature or be con-. Fig. :::.—Modified •drop*5 heart. Periods of decided incompensation marked bysyncopal attacks, exertion dyspnea, and precordial and epigastric distress. Total trans-trie diameter, 9.5 cm. hned to the extremely few cases left without a more definite assignment underthe application of modern diagnostic methods. i, See Neurasthenia. Psychasthenia.*—Recurrent or long-persisting subjective mental fatigueand excessive psychic irritability are the logical symptomatic results of abasic condition in which a constant tendency toward poor circulation, chronic * The term is used in its literal sense. THE DROP-HEART 607 subnutrition, toxemia, anemia, and secretory anomalies of the digestivetract and ductless glands, play the important part, and an hereditary struc-tural and constitutional disposition to psychic instability furnishes a fertilesoil for the ready production of diverse and often bizarre symptoms. The Rest Cure.—Fortunately t