124 



THE DISEASES OF THE THYROID GLAND 



Circumference of skull, 46 cm. 

 Circumference of breast, 50 cm. 

 Circumference of abdomen, 48 cm. 

 Anterior superior spine to internal malleolus, 30 cm. 

 Acromion to olecranon, 13 cm. 

 Olecranon to styloid process of radius, 12 cm. 



Skin somewhat dry, no distinct myxedema. Root of nose sunken in only a little. 

 Tongue always protrudes from the mouth ; left anteriorly below, one tooth nucleus pal- 



FIG. 12. X-ray picture of a hand of a sporadic cretin (Observation XIV). 



pable, otherwise no teeth. Hearing apparently entirely normal. Thyroid gland not 

 palpable j'abdomen distended, liver is palpable, indication of umbilical hernia; the tickling 

 reflexes of the external auditory meatus are present. Does not tell when she wishes to 

 pass feces or urine. Nervous status, as far as elicited by tests, normal. 

 Patellar reflexes somewhat lively. 



Oct. 15. 30 gm. dextrose, no sugar. 



Nov. ii. 50 gm. dextrose, no sugar. 



Oct. 24. Erythrocytes, 4,560,000. 



