1 NDO 



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ENDOCHORION 



Endo- . . within]. A prefix, meaning 



within. 

 Endo-arterit- 

 Endo-auscultation 



within ; ' •] \ method "I 



auscullation devised by Bianchi bj using the ordinary 



1 1 1 1 « > the stomach, i" auscult 

 tin and through them, rtain 



the beart and lui 

 Endoblast within; J/uaz 



ell-nucli 5i e hypo- 



Endoblastic within ; 



nn]. Relating to the endobl 

 Endocardiac, Endocardial 



within ; . the heart]. Re- 



tail irdium; situated within the heart. 



Endocarditis .within; nap 



the heart]. Pertaining to or affected with endocar- 

 dil 

 Endocarditis \ar-di'-t . within ; tea 



the heart; trig, inflammation]. Inflammation of the 

 i iium or lining membrane of the heart. Acute 

 umatism is the most frequent cause, though pneu- 

 monia, i any infectious disease may precede, 



.ire nearly always the parts affected, and 

 usually the left heart. The disease is prone 



terminate fatally or result in permanent injury to 

 the valves. Fibrinous deposits or vegetations project 

 into the cavity of the heart; the thickened endocar- 

 dium is liable to become ath XQmatous, with chronic 

 ulcerat: adocarditis may be divided into 



Chronic endocarditis includes 

 chronic disease of the valves of the heart. There is a 

 fibrous or cirrhotic thickening of the latter, associated 

 with contraction and calcification. Usually this 

 chronic disease, like the acute, is confined to the left 

 heart, and it is generally rheumatic in origin. E., 

 Malignant or Ulcerative. Also called diphtheric, 



irditis. A rapidly fatal 



•ii. [t is marked by high fever, 



chills, and profound prostration. This is followed by 



the i murmur, purpuric skin-eruptions, 



hematuria, delirium, convulsions, hemiplegia, enlarge- 



leen, the typhoid state, and death. 



i be found. Ulcerations are 



found around and in the valves, and in these ulcers 



mi- ■ in large quantities. E. 



polyposa, a form of ulcerative endocarditis in which 



.nin. producing poly- 



E. pustulosa, a form of ulcerative en- 



n which minute absi '-cur in the 



E., Simple, the ordinary 



• .minis usually associated with a 



»»|' .urmur. E., Chronic, associated with 



1 he following form- are met with: 



i 2. Aortic uc- 



4. Mitral Stenosis: 



nary Stenosis 



• Incontf. s. />-/- 



Aortic 



Incompetence | by a retraction of the 



become rigid and 

 orta i- not shut off i 



the 



.ilv. A 

 mui ! This 



5ud- 

 <■ more 

 than in ai valvular The 



i or watei hammi 

 Aortic Stenosis or Obstruction is due I 



ami curling, with calcification of the valves. 1 In- usually 

 occurs in the aged. A systolic murmur is produced, 

 accompanied in the late stages of the disease 1>\ a 

 tendency to syncope, giddiness, and anemia. The 



pulse i- slow and -mall, but regular. Mitral Incom- 

 petence, the most frequent of all valvular lesion-, i- 

 due to curling of the valve-cusps oi to shortening ol 

 the chordae tendinese. linn- is usually produced an 

 immense hypertrophy of the wall- of the ventrid 

 Late in the disease compensation fail- and general 

 edema ensues. Dyspnea i- a frequent symptom, 

 associated with cyanosis and albuminuria. The mur- 

 mur i- systolic in time ; the pul-e is normal during the 

 staged compensation, alter ward small and irregular. 

 This is a common form among children. Mitral 

 Stenosis, due to fibrous thickening and contraction 

 of the mitral CUSpS. I he opening may be reduced to 

 a mere fissure. If due to a thickening and shortening 

 of the chords tendinese the thickened and adherent 

 valves are drawn in a funnel-shape toward the floor 

 of the ventricle. Mitral stenosis usually occurs in 

 women. A presystolic murmur is produced, associ- 

 ated with duplication of the second sound. Pul- 

 monary Incompetence, the rarest of valvular 

 diseases, may be due to congenital abnormalities, or 

 may follow some diseased condition, as malignant 

 endocarditis. The murmur is diastolic in time. Pul- 

 monary Stenosis or Obstruction, usually congenital, 

 is due to fetal heart-disease. The patients usually die 

 before they are ten or twelve years old. A systolic mur- 

 mur is produced. Tricuspid Incompetence is due to 

 endocarditis or to dilatation of the right ventricle and 

 tricuspid orifice. Compensation is never adequate, and 

 hence venous stasis, cyanosis, and dropsy soon follow. 

 A systolic murmur is produced. Tricuspid Sten- 

 osis is a rare condition and usually secondary to mitral 

 stenosis. It is marked by a presystolic murmur. Com- 

 bined Valvular Disease ; frequently two of the fore- 

 going murmurs may coexist. The most usual combi- 

 nations are as follows: I. Aortic obstruction and 

 regurgitation; 2. Mitral obstruction and regurgitation ; 

 3. Mitral obstruction and tricuspid regurgitation ; 4. 

 Aortic obstruction and mitral regurgitation; 5. 

 Double valvular disease at aortic and mitral orifices 

 (four murmurs). E. ulcerosa, the ulcerative form of 

 endocarditis. E. verrucosa, a form of endocarditis 

 characterized by the production of endocardial vegeta- 

 tions situated mostly upon the curtains of the cardiac 

 valves. It is seen Usually upon the left side of the 

 heart. 



Endocardium ( en-do kar' -de-um \ [tvAor, within; 

 napdia, the heart]. The colorless, transparent mem- 

 brane lining the interior of tile heart. 



Endocarp (en' '-do-Harp) [ivdov, within; Kapndq, fruit]. 

 In biology, the inner hard and stony membranous or 

 fleshy layer of a pericarp; e.g., the -tone of a peach. 



Endocarpoid [en-do-kar' '-poid). In biology, applied to 

 lichen- that have the apothecia immersed in the thallus. 



Endocelarium [en-do-se-ta'-re-um) [ evdov, within; 

 KOtXia, the belly]. In biology, the visceral epithelium 

 of the body-cavity. ■ 



Endocervical {en-do-ser f -vik-al 1 \ivfiov, within ; cervix, 

 neck]. Relating to the inside of the uterine cervix. 



Endocervicitis [en-do-ser-vis-i'-tis ) [2v(W, within; 

 cervix, neck; trie, inflammation]. Inflammation 

 within the canal of the cervix uteri. 



Endochondral 1 en-do-ion'-dra/) [tvfiov, within; 

 . cartilage]. Situated or occurring within a 

 cartilage. 



Endochorion {en-do-ko* -re-ori) [evdov, within; %6piov, 

 the chorion]. The inner chorion ; the vascular layer 

 of the allantois. 



