Hyperthyroidism and Thyrotoxicosis Clinical Presentation - Physical Examination. 1  The thyroid is located in the lower anterior neck. 2  Common signs of thyrotoxicosis include the following... 3  Thyrotoxicosis from Graves disease is associated with a diffusely enlarged and slightly firm thyroid gland. Sometimes, a thyroid bruit can be heard by using the bell of the stethoscope. Toxic multinodular goiters generally occur when the thyroid gland is enlarged to at least 2 to 3 times the normal size.
Launch synonyms. Top launch synonyms (other words for launch) are start, throw and fling.
To make a first appearance in a public performance. adj. First or paramount; premier. [French premiÃ¨re, from feminine of premier, first; see premier.] Usage Note: In entertainment contexts, the verb premiere has become the standard way of saying to introduce to the public, or to be introduced to the public.. The verb first came out in the 1920s and has been the object of some criticism, but acceptance of it has been increasing ever since.