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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![active but not exafjj’oratecl. Capacity for work about normal but patient feels more tired at end of the day than the ordinary individual. The eyes show no trace of exophthalmus. The pupils are normal in size and reaction with the exception that Mobius sign, insufficient convergence, is present. Fun- dus and vision normal. On one occasion when the pa- tient was tired and under nervous tension, the left pupil was noticed to be larger than the right, and there was a tendency to blurring, when he read alone with this eye. Examination of the ears showed absence of the right membrannm tympani and evidence of chronic middle ear disease. The left ear presents no external evidence of disease. Hearing power: Watch-K. Ih L. 4.0-. Tuning fork (middle C.) Aerial conduction, R. L. fg-. “ “ “ Bone “ R. L. Normal. The anterior aspect of the neck shows a flattened but distinct enlargement of the entire thyroid gland. All parts are outlined and uniformly involved. The tumor is much larger on the right side than on the left and is soft and glandular to the touch and contains no hard lumps. There is no thrill or pulsation on palpation and no mur- mur on ausculation; pulse seventy-six. When the goiter is in an active state, as at the time of beginning the thy- roid feeding, the enlargement is very pronounced. There is a thrill and murmur and the gland feels like a mass of throbbing blood-vessels. The pulse increases to 100- 110 and is full and excitable. There appears to be an over-supply of blood in the system of the patient and in connection with this condition there exists universal ar- terial relaxation. Intellect strong, will power and memory good. He is emotionally inclined but there is no hysteria. Tempera- ment is distinctly nervous but under good control. t'ertain peculiarities of character* exist as follows: *C>.ri]ipnrq^Mnwde, .Journal of Mental Science, .January, 189G.](https://iiif.wellcomecollection.org/image/b22330410_0009.jp2/full/800%2C/0/default.jpg)
