Basal Metabolism, Its Determination And Application;

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The metabolic rate may also fail to serve as an exact criterion in early cases of hyperthyroidism, and even exophthalmic goiter, altho in the vast majority of cases, it is a great aid to the appreciation of the severity of the case as well as to thferapy. Thus can be quoted a case of exophthalmic goiter recently observed by us showing thyroid hypertrophy, tremor of fingers and tongue, sympathicotonia, moist palms and soles, nervousness and excitability, exophthalmos, Stellwag's sign, the gliste...ning eyeball, rapid pulse on slight provocation, loss of weight and strength, indeed, all the symptoms necessary for a diagnosis, yet the basal metabolism was 5 per cent, below normal. Sound clinical judgment should never be unduly influenced by labora- tory methods.
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