Journal of the American Medical Association · 1931 · 19 citations · 0 references
MedicineEndocrinologyInternal MedicineEndocrine Nuclear MedicineGastroenterologyToxicologic PathologyGastrointestinal RadiologyHyperthyroidism EvaluationThyroid DisordersThyroid EndocrinologyThyroid ImagingThyroid UltrasonographyClinical Assessment Of HyperthyroidismSigns Of HyperthyroidismThyroid Examination
While the picture of a typical case of toxic thyroid has always been fairly clear, it is only during the past several years that I have appreciated the fact that the thyroid can play such an important part in the production of gastro-intestinal symptoms without giving the usual thyroid syndrome and without demonstrable enlargement of the gland. A basal metabolism machine was installed principally to detect subsecretion in cases of obesity. It has lately become one of the most valuable parts of the equipment in the diagnosis of diseases of the digestive tract. During the last three years, I have had thirty-four patients coming for gastro-intestinal diagnosis, the cause of whose symptoms was proved to be the thyroid, in masked form, so that in many instances the thyroid was not suspected at first examination. Cases of frank toxic thyroid are not included in this series. When it is considered that