. Archives of physical medicine and rehabilitation . The three parts of the thyroid body are indicated by stippled lines. veins noted at laryngoscopic examina-tion. Occasionally, profuse hemorrhageoccurs, due to rupture of one of thevessels involved in the lingual , malignant degeneration mayoccur. Symptoms The leading symptom is that of afeeling of pressure in the throat, caus-ing the patient difficulty in swallowingor in breathing. There is usually a de-sire to clear the throat symptom is usually present severalyears before the cause is recognized. In some cases


. Archives of physical medicine and rehabilitation . The three parts of the thyroid body are indicated by stippled lines. veins noted at laryngoscopic examina-tion. Occasionally, profuse hemorrhageoccurs, due to rupture of one of thevessels involved in the lingual , malignant degeneration mayoccur. Symptoms The leading symptom is that of afeeling of pressure in the throat, caus-ing the patient difficulty in swallowingor in breathing. There is usually a de-sire to clear the throat symptom is usually present severalyears before the cause is recognized. In some cases the patient may havea severe hemorrhage from the throatdue to rupture of one or more of theenlarged vessels in the growth. Palpation of the tongue with thegloved finger, well back in the pharynx,will reveal the induration and elevationcharacteristic of lingual thyroid. Inaddition to this, the laryngoscopic ex-amination will show the engorged ves-sels and the bluish discoloration char-acteristic of the thyroid gland. The presence of all these local.


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