. The American journal of roentgenology, radium therapy and nuclear medicine . in Ijlotchy and moist. Perspires sofreely that adhesive tape would not tremulous. Thyroid enlarged withthe right lobe larger than the left. Pulsation seen along the great vessels ofthe neck and a bruit heard over the left lobeof the thyroid. Anterior left chest heaving with everyheart beat and pulsation seen between theribs overlvinsi- the heart. Heart sounds so rapid that it was hard to distinguish a mur-mur at the apex which was referred towardthe left axilla. Fingers crooked in a flexed position witha
. The American journal of roentgenology, radium therapy and nuclear medicine . in Ijlotchy and moist. Perspires sofreely that adhesive tape would not tremulous. Thyroid enlarged withthe right lobe larger than the left. Pulsation seen along the great vessels ofthe neck and a bruit heard over the left lobeof the thyroid. Anterior left chest heaving with everyheart beat and pulsation seen between theribs overlvinsi- the heart. Heart sounds so rapid that it was hard to distinguish a mur-mur at the apex which was referred towardthe left axilla. Fingers crooked in a flexed position witha marked tremor on extension. Nails of apoor quality and striated. Diagnosis. Exophthalmic hyperthyroidism(having passed the second crisis). Prognosis. Control the toxic symptomsand lessen heart activity, and thus make hermore comfortable and prolong life. Treatment. Was given 180 mgm. of ra-dium in six tubes, each screened in i and i mm. gum rubber. Made into agauze pad 2 cm. in thickness and appliedover each lobe of the thyroid for ten hours;total of twenty Fig. 3. Case VI. G. G. Thyroid Gland Diseases with Radium Treatment in Toxic Goiter 761 March jist. Three weeks after treatment hermetabolic rate was April 30th. Apex heart beat, 120. Systolicblood-pressure, 160; diastolic 80. Upper cir-cumference of neck, 14^ inches; middle,153^ inches; lower 15^ inches. Weight,149^ lbs. Metabolic rate, Basal METAsoLiSM^April 30, 1921. Time Reading Barom. Temp. Height Weight10:24 6575 cc. 20 5:07^ isaVz10:30 4150 cc. 20 06 min. 2425 cc. .913 Temp. Centigrade. Cal-I hr. 24250 cc. cries per liter oxygen. Bodysurface. (Du Bois Chart) Case hi. (February 16, 1921). K. R.,male, aged seventeen, single. Occupation,farmer. Coin plaint. Shortness of breath and ner-vousness. Family History. Negative. Personal History. Was well until thirteenyears of age, when he complained of head-aches and a cough. Had eyes examined andwore glasses without reli
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