THE ESSENTIAL DUCTLESS GLANDS 



231 



CACHEXIA THYROPRIVIA 



1. Absence of or atrophy 

 of the thyroid gland, 

 lessened circulation. 



2. Slow, small regular 

 low-tension pulse. 



3. Absence of vascular 

 congestion and cold- 

 ness of the skin. 



4. Indifferent expression, 

 lacking in movement 

 and vitality. 



5. Narrowed, puffy eye- 

 lids. 



6. Retarded digestive 

 and excretory pro- 

 cesses, small appetite, 

 slight need for food. 



7. Slow metabolism. 



8. Thickened opaque 

 skin, usually dry or 

 scaly. 



9. Short, thick fingers, 

 frequently broadened 

 at the tips. 



10. Sleepiness and desire 

 for sleep. 



11. Retarded sensation, 

 perception and action. 



12. Mental vacancy and 

 indifference, lack of 

 emotion. 



13. Awkwardness and 

 slowness of move- 

 ment. 



14. Stiffness of the ex- 

 tremities. No tremor. 



15. Retarded skeletal 

 growth, short, thick, 

 frequently deformed 

 bones. 



GRAVES' DISEASE 



1. Swelling, generally 

 diffuse, of the thyroid 

 gland, hypervascular- 

 ization. 



2. Rapid, frequently 

 tense, jerky, occasion- 

 ally irregular, pulse. 



3. Extreme excitability 

 of the vascular nerves. 



4. Anxious, roving glance 

 which appears angry 

 when fixed. 



5. Wide open eyelids, 

 exophthalmos. 



6. Abundant excretion, 

 generally abnormal 

 appetite, increased 

 need for food. 



7. Increased metabolism. 



8. Skin. thin, transpar- 

 ent, finely injected, 

 moist. 



9. Long, slender fingers, 

 with pointed tips. 



10. Insomnia and restless- 

 ness during sleep. 



11. Intensified sensation, 

 perception and action. 



12. Mental whirl, excite- 

 ment to the point of 

 hallucination, mania, 

 etc. 



13. Perpetual restlessness 

 and haste. 



14. Tremor of the extrem- 

 ities, increased joint 

 mobility. 



15. Slightly built skeleton, 

 occasionally soft and 

 thin bones. 



