128 



THE DISEASES OF THE THYROID GLAXD 



Oct. 13, 1910. The patient, sixteen and three-fourths years old, now enters the 

 medical clinic. Length no cm., weight 23 kg. The thyroid-gland medication is now 

 discontinued. Circumference of the skull 57^ cm. 



Hair soft, skin somewhat dry, only the palms of the hands moist, tongue not enlarged, 

 teeth much behind in their development. Circumference of abdomen 62 cm.; there still 



FIG. 14. 



Sporadic cretinism. 



FIG. 15. 



remain indications of an umbilical hernia. Liver palpable two fingers' breadth below 

 the margin of the ribs. Pubis and axillae entirely devoid of hair. External genitalia 

 hypoplastic. Has never menstruated. The entire trachea is distinctly palpable, there 

 is nothing to be felt of the thyroid. She gives correct information as to where she has 

 been the last year. Cannot reckon, counting impossible. 

 Oct. 15. 100 gm. dextrose, weakly positive. 



