Thyroid feeding : with report of four cases / Frank K. Hallock.
- Hallock, Frank K., 1860-1937.
- Date:
- [1896]
Licence: Public Domain Mark
Credit: Thyroid feeding : with report of four cases / Frank K. Hallock. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![MEDICAL PAPERS. hard study. The fold of skiu in the neck, or isthmus, was alone prominent and the only paid affected. The en- largement was slight but very distinct and the patient was very nervous. The pupils were dilated, but there was 110 exophthalmus. In two months the swelling sub- sided and he returned to his studies. The second enlargement: Nine months later, in his six- teenth year, the thyroid gland began again to enlarge and in three months the neck measurement had increased from fourteen and a half to seventeen inches. The entire gland was involved. The pupils were widely dilated and at the climax of the swelling, exophthalmus appeared, lasted two weeks and then faded away. This symptom has never returned, although the pupils were again dilat- ed during the patient’s stay in Germany. The presence of tachycardia and marked nervous symptoms made the diagnosis of Graves’s disease now certain. During the next three mouths, patient came under the care of Dr. E. G. Janewmy of New York, and ergot, galvanism and gen- eral sedative treatment were tried without effecting any improvement. At the end of this period he had a sharp attack of bronchitis which increased the measurement of Ihe neck to eighteen inches. The esophagus was crowd- ed and swallowing was slightly interfered with. The goiter became very hard and two small lumps, the size of hickory nuts, formed in it. They were supposed to be calcareous. In the eighth month of this enlargement the patient fell into the hands of a mesmerist, who exerted a general calmative effect upon him, with a resulting decrease of the size of the tumor. The measurement of the neck gradually receded to fifteen and a half inches, and the goiter was once more soft and pliable with the exception of the hard nodules. The third eulargement: In his seventeenth year, after an interval of about nine months’ rest from active goiter sym])toms, the patient’s studies were interrupted by an attack of typhoid fever. His neck however remained at](https://iiif.wellcomecollection.org/image/b22330410_0006.jp2/full/800%2C/0/default.jpg)
