Adolf Kussmaul: Distinguished Clinician and Medical Pioneer

Autor: Sara K. Johnson, Joseph J. Mazza, Ryan C. Ostopowicz, Ramo K. Naidu, David R. Kumar, Steven H. Yale, Satya S.V. Bhupathi
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Popis: Increased jugular venous pressure with inspiration is commonly referred to as Kussmaul’s sign; and the disappearance of the radial pulse or a drop in systolic blood pressure of 10 mmHg or greater with inspiration is recognized as pulsus paradoxus. Both Kussmaul’s sign and pulsus paradoxus are commonly attributed to the discoveries of Dr. Adolf Kussmaul. Together these two clinical signs are important assessors of pericardial or mediastinal disease (table 1 ▶). Table 1. Signs commonly associated with Kussmaul. On February 22, 1822, Adolf Kussmaul (figure 1 ▶) was born in the farming community of Graben, Germany.1 Exposed to medicine at an early age, he accompanied his father, a physician, on house calls and autopsies. At the age of 18, Kussmaul began studying medicine at the University of Heidelberg where he received his doctorate of medicine.2 After graduation in 1845, the University of Heidelberg appointed Dr. Kussmaul to Professor of Medicine.3 His intellectual curiosity led him to study and write about many topics including aphasia, ophthalmologic anatomy, gastric lavage, obstetrics, and polyarteritis nodosa.2 Among his numerous contributions to the medical field, Kussmaul’s sign is considered one of his more significant discoveries and is still used today by astute clinicians, providing important information that frequently helps in directing further investigation. Figure 1. Adolf Kussmaul (1822–1902). Photo courtesy of the US National Library of Medicine.
Databáze: OpenAIRE