A CASE OF EXOPHTHALMIC GOITRE.
A Clinical Lecture delivered at the Hospital of the University of Pennsylvania.BY JAMES TYSON, M.D.,PROFESSOR OF CLINICAL MEDICINE.Our patient, a woman, aged 44, was born in Ireland, and is a servant by occupation. Her family history has no bearing on the present disease. Up to three years ago she had good health; at this time she became ill with rheumatism and was confined to her bed for a month. She recalls her knee as being badly swollen. At this time, too, she noticed for the first time a lump growing upon the front of her neck, first in the median line. With this she experienced a choking sensation, especially when she swallowed; but occasionally at night, when lying down, she noticed the same disagreeable symptom. At first the swelling increased slowly, but for the last year it has grown rapidly. As early