Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Croydon]
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Table VII.—Cases of Diphtheria admitted during official year, April 1st, 1894, to March 31st, 1895.
No. | Register No. | Sex. | Age. | Date of Admission. | Days in Hospital. | Result. | Ætiology. | History. | State on Admission. | Course and Complications. | Treatment. | Remarks. |
---|---|---|---|---|---|---|---|---|---|---|---|---|
34 | 250 | F | 26 | Oct. 20 | 41 | R | Husband and child had previously hud sure throats. | Sore throat on Oct 16th. | Membrane on both tonsils and uvula. Glands enlarged. Trace of albumen in urine. | Albumen varied from one-fifth to one-twelfth till Nov.2nd finally cleared up on Nov. 20th. Voice nasal.and some difficulty in swallowing on Oct. 23rd. Reflexes normal. Nov. 17th, paralysis of accomodation. | Condy's fluid to wash mouth. Solution of perchlo-ride of mercury to swab throat. | When discharged voice was nasal. Eyesight improved. No paralysis of legs. Said to have had paralysis of legs subsequent to discharge. |
35 | 255 | F | 8 | Nov 6 | 21 | R | Sister of No. 32. | Headache on Nov. 5th. Sore throat on Nuv. 6th. | Right tonsil much swollen and red, with a small ulcerated surface and a patch of membrane about size of a 3d. piece to which uvula was adherent. Left tonsil enlarged, but no membrane on it. Glands on right side swollen and tender. No nasal discharge. Face a good colour. Heart and lungs normal. Trace of albumen in urine. Temp.101. Pulse 132. Resp. 34. | Nov.7th,slight epistaxis Nov. 8th, epistaxis recurred,and pieceof membrane came away from left nostril. Temp, rose to 105. Patient drowsy. Nov. 9th, extension of membrane on right tonsil, and a small patch on left. Temp. 99 4 Nov. 11 th,severe epistaxis at 12.30 a m.,during which a large piece of membrane discharged from nostril. Recurrence at 4 am.,membrane still present on both tonsils Nov. 12th. throat clean. No complications. Albuminuria lasted 15 days. | Throat sprayed with solution of chlorinated soda and chlorate ofpotash. Nov. 8th, throat swabbed with solution of perchlo-ride of mercury. Nov. 15th, nose and throat syringed with lotion of boracic and salicylic acids. | |
36 | 269 | M | 11 | Dec. 8 | 35 | R | Previous sore throats in family. | Felt ill on Dec. 1st. Throat sore and neck swollen on Dec. 4th. | Both tonsils and uvula swollen. Large patch of membrane on left tonsil. A smaller patch on right tonsil and on uvula. Slight nasal discharge. Glands enlarged. Colour good. Heart and lungs unaffected. Temp. 100. Pulse 88. | Dec. 14th, no membrane on throat,with exception of small patch on uvula. Dec. 20th, throat quite clean.Good deal of nasal discharge. J an. 5th, nasal discharge ceased. No paralysis. Albumen in urine for 14 days. | Citric acid 10 per cent. to syringe nose and throat every 4 hours. Dec. 10th. glycerine of carbolic acid to paint on throat. Dec. 18th, glycerine of tannic acid to paint throat, and nose syringed with salicylic acid lotion. | - |
37 | 270 | M | 8 | Dec. 9 | 29 | R | - | Was hoarse on Dec. 5th. Sore throat on Dec. 6th. | Tonsils swollen and red. A small yellow patch on right tonsil. None on uvula or left tonsil. Glands enlarged. Voice hoarse. | Dec. 14th, throat clean Some nasal discharge. Jan.6th,nasal discharge ceased. No complications. | Gargle of chlorate ofpotash. Throat painted with glv-cerine of carbolic acid. Nose syringed with salicylic acid lotion. | Contracted scarlet fever on Jan. 7th, and after transference to scarlet fever ward had some cardiac irregularity. |