. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. Fig. 43. Hygroma genus miiltilociilaiT. Rebm;in Mpvp-Vcirlt. Bockenheimer, Atlas. Tab. u^ Rebman Company, New-York. STRUMA CYSTICA (Brmchocek)Plate XXXIII, Fig. 44. Goitre occurs endemically (Switzerland and otherregions) and epidemically in barracks and boardinghouses (Strumitis acuta first observed by Kussmaul).Heredity, frequent congestion of the blood-vessels ofthe head, pregnancy, the nature of the soil, water andatmosphere have all been suggested as causes o
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. Fig. 43. Hygroma genus miiltilociilaiT. Rebm;in Mpvp-Vcirlt. Bockenheimer, Atlas. Tab. u^ Rebman Company, New-York. STRUMA CYSTICA (Brmchocek)Plate XXXIII, Fig. 44. Goitre occurs endemically (Switzerland and otherregions) and epidemically in barracks and boardinghouses (Strumitis acuta first observed by Kussmaul).Heredity, frequent congestion of the blood-vessels ofthe head, pregnancy, the nature of the soil, water andatmosphere have all been suggested as causes ofbronchocele. Bronchoceles occur twice as often in females asin males (Schrotter). Clinically, they are dividedinto diffuse and circumscribed forms, and patho-logically into follicular, colloid, vascular and cysticbronchoceles. In all cases the typical situation corresponds tothe anatomical position of the thyroid gland, andthe symptoms are definite. Even small bronchocelescause marked and early deformity. Further exten-sion results in pressure on the veins, causing promi-nence of the cutaneous veins and a cyanotic appear-ance of the face. Pressure on the trachea may giverise to displacement, stricture and chan
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