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The large number of clear-cut cases of thyroid disease, together with the very common instances of neurotic states, and of circulatory derangements (especially those of so-called "nervous heart") very evidently dependent on faulty thyroid activity, force one to the opinion that dysthyroidism is of very frequent occurrence.
This being the case, any diagnostic method which will be of aid in thyroid examination is of some importance.
I have examined many cases in which I thought the thyroid to be normal in size and after examination have questioned myself as to whether I had actually succeeded in my examination or whether I was simply satisfied with finding no obvious enlargement, without really accurately outlining the gland. I venture to say that this has been, at times, the experience of every man who makes the thyroid region, as every conscientious examiner must, an important field in every routine physical examination.
WOODBURY MS. A METHOD OF OUTLINING THE THYROID GLAND. JAMA. 1912;LVIII(22):1675–1676. doi:10.1001/jama.1912.04260060024007
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