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Exophthalmic Goitre.The most prominent feature of the disease is protrusion of the eyes. This change of position begins gradually, but may attain an extreme degree. The eyeballs are more prominent than before, and hence escape to a certain extent from between the lids, so that the eyes can oftentimes not be closed completely. In these cases the whites of the eyes are visible above and below as well as at the sides of the pupil, so that the patient has a peculiar staring and even fierce expression. The sight is not usually impaired. Indeed, the only unnatural feature about the eyes is their prominence. At times their may be a dull aching pain in the orbits, though this is not a necessary feature. The neck is usually enlarged, more especially upon the right side. This swelling is not necessarily painful, but often leads to embarrassment in breathing and in speaking, from pressure upon the windpipe and upon the nerves of the larynx. The sw'elling often pulsates quite markedly. The action of the heart is un usually violent, giving the patient the sensation of constant palpi tation. At times the heart's beat becomes much increased in force and frequency, constituting paroxysms which are quite distress ing to the patient. The individual is usually in poor health, and is apt to be quite pale. In the course of the disease various symp toms of mental and physical disturbance occur, such as despon dency and irritability, hysteria, inability to sleep; in women, derangements of menstruation, loss of appetite and impairment of digestion. The disease is chronic, lasting for months or years. It does not seem to destroy life directly, yet most of the patients die of other affections, which seem to be hurried on by this disease. The disease is especially apt to occur in young women, and it has been supposed that it could be traced to excessive sexual ex citement- a supposition as yet not proven. Some cases have been known to recover ultimately. The best results from treatment have been thus far obtained from the continuous electric current, and from the administration of digitalis and the iodide of potassium. Much can be accom plished by surrounding the patient with such influences as shall secure amusement, exercise and the avoidance of mental anxiety. But first, if you want to come back to this web site again, just add it to your bookmarks or favorites now! Then you'll find it easy! Also, please consider sharing our helpful website with your online friends.
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