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Rheumatism.
A large number of patients complained of pains in joints and
muscles. They were either treated at the clinic or transferred to
the Dental Clinic or to the Solarium, or to a Rheumatism Clinic.
Intestines.
Twenty-one patients had symptoms referable to the intestines.
These patients were either transferred to hospital or recommended
to attend their own doctor for treatment.
Miscellaneous.
The remainder of the patients suffered from a variety of
conditions such as diabetes, heart disease, varicose veins, anaemia,
debility, obesity, etc. The majority were transferred to their own
doctor or to hospitals for treatment.
CHILDREN'S CLINIC.
During the year there have been 47 sessions of the Children's
Clinic. Dr. Shelley is the visiting physician who attends at this
clinic which is operated in conjunction with the Post-Infectious
Disease Clinic, a reference to which is made in another part of this
report. At this clinic, in addition to those children who are sent
to her under the Post-Infectious Disease Scheme, Dr. Shelley also
sees children who are referred to her for diagnosis and advice from
any of the other municipal clinics in the borough or from general
practitioners. Ninety-seven children have been sent to her during
the year, practically all of whom have come from Infant Welfare
Centres. All of these patients are seen by appointment, and in
most of these cases there has been an element of doubt in the diagnosis
or for some other reason the doctor at the Infant Welfare
Clinic has desired a second opinion. In every case a diagnosis is
made as soon as possible, and a report is sent to the doctor from
whom the case originated. Where further investigation or
treatment is necessary, this is usually arranged by Dr. Shelley.
In five cases no diagnosable condition was discovered, and a
report to that effect was sent to the doctor. Congenital heart
defect was noted in five cases and seven patients were found to be
suffering from manifestations of rheumatism, the heart having
been already involved in one or two of these latter patients. Two