Excerpt from Exophthalmic Goiter: And Its Nonsurgical Treatment
Some years ago, as I was about to conclude my morning cﬂice hours, a man who was a stranger to me was ushered into my presence for treatment. As I beckoned him to a seat, it was seen that he was too weak to be about, - almost falling into the chair behind him. His physiognomy was a picture of a combination of fright and anxiety; his staring eyes seemed almost to pop out of their orbits, and as he waited a moment to rest himself, it was evident that his con dition was one of impending heart failure. His skin was moist and dusky, the lips and conjunctiva were almost blue, and as this miserable creature was about to address me, I noticed that his whole body was vibrating with the rapid cardiac cycles. On closer inspection, the carotids and ju gulars were seen to throb violently, and even the thyroid which was moderately enlarged, was also busily engaged in the display of the circulatory embarrassment by throbbing synchronously with the great vessels of the neck.
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