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Updated: May 6, 2025
The tachycardia of a developed exophthalmic goiter is difficult to inhibit. Digitalis is of no avail, and no other single medicinal treatment is of any great value. The tachycardia will improve as the disease improves. On the other hand, nothing is snore serious for this patient than her rapid heart, and if it cannot be soon slowed, operative interference is absolutely necessary.
Besides the long fleshy bags under his little, always insolent, suspicious, and ironical eyes; besides the multitude of deep wrinkles in his little fat face, the Adam’s apple hung below his sharp chin like a great, fleshy goiter, which gave him a peculiar, repulsive, sensual appearance; add to that a long rapacious mouth with full lips, between which could be seen little stumps of black decayed teeth.
If the heart is normal the ventricles should hypertrophy with the increased work that they are under; and the blood pressure could increase for this reason. Later in exophthalmic goiter the heart muscle may become degenerated, a chronic myocarditis, and the ventricles may slightly dilate. At this time the blood pressure is lowered.
This whole train of deleterious results of body activation without action may be best observed and studied in that most emotional of diseases exophthalmic goiter. Exophthalmic goiter may result from long emotional or mental stress in those cases in which the thyroid takes the brunt of the strain upon the mechanism.
Although Billroth devoted much of his time to the solution of theoretical problems, he has also been very successful as an operator. He has removed diseased larynxes, performed dangerous goiter operations, and successfully removed parts of the oesophagus, stomach, and intestines.
Goiter is endemic in some countries, particularly in Switzerland and Austria, and appears particularly at the age of childhood or of puberty. Some communities in this country using water containing an excess of calcium salt show distinct evidences of endemic goiter. Extirpation of the thyroid gland has in recent years been successfully practiced.
Next about the goiter: "THEY talk about goiter! I haven't seen a goiter in this whole canton that I couldn't put in a hat." He had growled at everything, but I judged it would puzzle him to find anything the matter with this majestic glacier. I intimated as much; but he was ready, and said with surly discontent: "You ought to see them in the Protestant cantons." This irritated me.
Feature after feature of the scowman came vividly to her, the wind-reddened skin, the foul, tobacco-browned lips, the twitching goiter, all added to the nervous chill that had suddenly come upon the girl. Lem and Lon represented all the world's evil to her, and Everett Brimbecomb all the world's influence. The three had thrust their triple strength between her and happiness.
Even if he had accomplished nothing else he had struck a note which had caused the Athertons to forget their former superciliousness. "If there is an oversupply of thyroid hormones," continued Craig, "that excess will produce many changes, for instance a condition very much like exophthalmic goiter.
Her position was conspicuous and she began a little uncertainly, for it was one thing to choose one's audience among the simple folk of the countryside, another to face the kind of crowd which now gathered to gaze up at her peasants, horse-fanciers, shop people, clerks on a holiday, with here and there a person of less humble station, but she bent to her work with a will, encouraged by the example of the Circassian lady next to her who was selling in brown bottles an elixir which was a cure for all things except love and the goiter.
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