. A new manual of surgery, civil and military. tients. It is well to bear in mind that especially in younggirls, about the time of puberty or a little later, many goitres cause symptomswhich will justify a diagnosis of incipient exophthalmic goitre. The tremor, SURGERY OF THE NECK 159 the muscular weakness, the nervous excitability, some tachycardia and manyof the minor symptoms are often present. There may even be a very slightdegree of exophthalmos, and still these patients will almost invariably recoverwithout operation under physical, mental and emotional rest; a diet com-posed largely of
. A new manual of surgery, civil and military. tients. It is well to bear in mind that especially in younggirls, about the time of puberty or a little later, many goitres cause symptomswhich will justify a diagnosis of incipient exophthalmic goitre. The tremor, SURGERY OF THE NECK 159 the muscular weakness, the nervous excitability, some tachycardia and manyof the minor symptoms are often present. There may even be a very slightdegree of exophthalmos, and still these patients will almost invariably recoverwithout operation under physical, mental and emotional rest; a diet com-posed largely of milk, cooked vegetables and fruits: favorable hygienic sur-roundings ; and absence of conditions which might cause nervous is well to bear this in mind because it will prevent many unnecessaryoperations. Omo - hyoij f?T- ItjsefTfon of- _iSttrno-thyrotd Mon Thvi-oid C^art. ThyoLd <^land Pyramidal lobe o/Thynoid (f/ond ^Tftrno-thf/roid fo^Tbr/or belly cf-Omo-hyoid Iff^ Cfsvicu/sr and^tetndl ofi^itrd of ^Tetno -C^/eldo- ^a i^ /V. Hyaid boneTafia/ ArTcry LinqUil Artery —Ihftaid d^rTila^e Thyroid (\^t. Int. Ja^ukr VoL ommorj Carotid Cricoid C^rtiUg? ^^yroid (!jlindedurtent yn^t I ??. J»^ular Vilrr C/qv^c/c iStertfo ~ Thyro/^ fr^. ■Xty/erlor TTiyroid Thyrct<d /^/is) ifecurrenr Ldrynse^/ff.— Denn/i k). drile — Ifif- ~ The Thyroid Gland and Its Eelatioxs. The structures are shown as though transparent, the muscles of the left side having beeuremoved, showing the left lobe of the thyroid gland, with the recurrent laryngeal nerve andthe iuferior thyroid artery behind it. Although much attention has been given to the complications affectingthe nervous, the circulatory and the digestive systems, because of their beingdirectly dependent upon the disease, it must be remembered that exophthalmicgoitre is not uncommonly complicated by diseases of any portion of thebody.^ Even myxedema has been described as a complication by Simonds,Gooding, Faure and
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
