0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.80.12.147. Please contact the publisher to request reinstatement.
ARTICLE |

PERIPHERAL BLOOD FLOW IN MYXEDEMA

HAROLD J. STEWART, M.D.; WILLIS F. EVANS, M.D.
Arch Intern Med (Chic). 1942;69(5):808-821. doi:10.1001/archinte.1942.00200170090007.
Text Size: A A A
Published online

The cardiac output,1 the circulating blood volume,2 the velocity of blood flow, the pulse rate, the pulse pressure and the vital capacity3 are decreased when the basal metabolic rate4 is low in patients with myxedema. The pale, cold, dry skin of patients suffering from this disease suggested that there might be alterations of peripheral blood flow. Objective measurements, however, are not contained in the literature relating to the amount of blood allocated to the periphery. Stewart and Evans5 found that the peripheral blood flow in patients with hyperthyroidism was increased and that it fell with the administration of iodine and decreased further still after subtotal thyroidectomy, so that there was a linear relation between basal metabolic rate and peripheral blood flow. The increase in peripheral blood flow accounted for the pink, moist skin which these patients exhibited. It was of interest to measure the peripheral

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();