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March 19, 1910


JAMA. 1910;LIV(12):964-965. doi:10.1001/jama.1910.92550380001001o

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Patient.  —Mrs. H. of Oaklandon, Ind., was examined by me for the first time, Oct. 26, 1909. She was 36 years old, tall and of excellent physical development. The family and personal history were negative so far as any factors bearing on the status præsens were concerned, except, of course, the record of the illness here described, which had for two years run the course of a relatively typical case of exophthalmic goiter. Tachycardia had been from the beginning a prominent symptom.

Examination.  —The pulse-rate at the time of the first examination ranged from 140 to 180, depending on such factors as rest, exertion, mental excitation and menstruation. The pulse cannot be said to have been regular, though perhaps not so markedly arrhythmical as in some cases of the most extreme type. The visible area of cardiac pulsation was distinctly increased and capillary pulse and throbbing pulsation of the large arteries

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