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Updated: May 6, 2025
The presence of a well marked case of exophthalmic goiter is not necessary for the secretion of the thyroid to be increased sufficiently to cause tachycardia; in fact, an increased heart rapidity in women often has hyperthyroidism as its cause.
We can thus understand how either emotional strain or acute or chronic infection may cause either exophthalmic goiter or cardiovascular disease; how chronic intestinal stasis with the resultant absorption of toxins may cause cardiovascular disease, neurasthenia, or goiter.
A remarkable study of the modification of laughter and crying by disease is found in that most interesting of diseases exophthalmic goiter. In this disease there is a low threshold to all stimuli. That the very motor mechanism of which we have been speaking is involved, is shown by an enormous increase in its activity.
Goiter, fi-kek' or fin-to'-kel, is quite common with adults, and is more common with women than men. Varicose veins, o'-pat, are not uncommon on the calves of both men and women. Many old people suffer greatly with toothache, called "pa-tug' nan fob-a'." They say it is caused by a small worm, fi'-kis, which wriggles and twists in the tooth.
It is important too to remark here that we owe to Roger the introduction of iodine, under the form of burnt sponge, into the treatment of goiter. In the failure of medical treatment, Gilbert directs the employment of surgical means, e.g., the use of setons, or, in suitable cases, extirpation of the goiter with the knife.
Everywhere in those streets were seen the ravages of disease rheumatism and rickets and goiter, wen and tumors and cancer, children with only one arm or one leg, twisted spines, sunken chests, distorted hips, scrofulous eyes and necks, all the sad markings of poverty's supreme misery, the ferocious penalties of ignorance, stupidity and want.
"They inhabit the valley of the Ribas in the northwestern part of the Spanish province now called Gerona. They never exceed 51 1/2 inches in height, and have short, ill-formed legs, great bellies, small eyes, flat noses, and pale, unwholesome complexions. They are usually stupid, often to the verge of idiocy, and much subject to goiter and scrofulous affections.
"Ill is Winnie fach," said Martha. "Gone she has for brief weeks to Wales," Tim added. In the morning Eylwin came to the Tabernacle. "Not healthy am I," he said. "Shock I had yesterday. Fancy I do a rabbit from Wales for the goiter." "Tasty are rabbits," Tim uttered. "Clap up, indeed," said Martha. "Too young they are to eat and are they not breeding?"
He used particularly to point to his nose, which was not very large, but very delicate and conspicuously aquiline. “A regular Roman nose,” he used to say, “with my goiter I’ve quite the countenance of an ancient Roman patrician of the decadent period.” He seemed proud of it.
At noon the next day, nineteen hours after the accident, examination revealed bruises over the body, and he suffered intense pain at the back of the neck and base of the skull. Posteriorly, the neck presented a natural appearance; but anteriorly, to use the author's description, his neck resembled a combined case of mumps and goiter.
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