The tam-tam, a Pulsatile instrument!
"Melomaniacs"
James Huneker
In the early stages the thyreoid is enlarged and Pulsatile, and bruits may be heard over it; later, these vascular symptoms disappear, and only a firm, diffuse, uniform swelling implicating all parts of the gland remains.
"Manual of Surgery Volume Second: Extremities--Head--Neck. Sixth Edition."
Alexander Miles Alexis Thomson