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The endocardium is the serous lining which differs on the two sides of the heart, that of the right heart being very distensible, resisting and not very liable while that of the left side is scarcely extensible, remarkably brittle, and the most liable to ossification; these membranes are liable to attacks of inflammation of both the acute and chronic Inflammation of the pericardium, acute pericarditis, may be sternum, extending towards the epigastrium, and sometimes between the shoulders; a sense of more or less oppression, rapid breathing; sometimes in the progress of the disease the respiration is panting, palpitation irregular, jerking or intermittent pulse, a dull sound over the region of the heart; at times it sounds as if two dry surfaces were rubbed together or of the creaking of new leather when there is an entire absence of any sign of pneumonia or pleuritis; for the most part there is an inability to lie on the left side, the diagnosis of pericarditis is rendered somewhat difficult because certain of the symptoms are common to different cardiac diseases, inflammation of the pericardium not unfrequently is denoted by a very dull pain and so slight as to require careful percussion to detect it.

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