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Updated: August 6, 2024
Mental disease began after father's death. Constant self condemnation. Suicidal. Exophthalmic goiter. Autopsy: Thyroid glandular hyperplasia. Mitral sclerosis. Aortic sclerosis with ulceration. Chronic endocarditis. Chronic diffuse nephritis. Scars of both apices of lungs, with small abscess of left apex. Emaciation. Brain weight 1050 grams.
Goiter is the most common disorder of the thyroid gland; though not very serious in minor cases, it is capable of becoming very dangerous, assuming such malignant forms as exophthalmic goiter, which is marked by palpitation of the heart, nervous symptoms and protrusion of the eyes.
His sarcasm caused no change to cross the girl's face; but Lem grinned broadly. He took the tacks from between his teeth and made as if to speak. After a few vain stutters, however, he replaced the tacks and hammered away at the old boot. Now and then the goiter moved up and down, each movement indicating the passage of a thought through his sluggish brain.
It consisted of a pair of high blue cotton trousers drawn over her skirts, the latter bulging all round inside the jeans. She had no teeth and there was a large goiter on her neck. "Good Heavens!" muttered the colonel, setting down his bowl of milk and twisting around to stare out of the window behind him. "Poor thing! she can't help it!" murmured Ruth.
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