[Report of the Medical Officer of Health for Kensington Borough]
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Table: (Abbreviations used in the following tables:—L.=lying. S.=standing. E.=expiration. I.=inspiration. T.A.=tricuspid area. A.A.=aortic area. P.A.=pulmonary area. >=greater than. Physiolog.=physiological.) GROUP I.—Basal murmur with no other signs of carditis. A.—Basal murmur unchanging—no history of juvenile rheumatism.
(Abbreviations used in the following tables:—L.=lying. S.=standing. E.=expiration. I.=inspiration. T.A.=tricuspid area. A.A.=aortic area. P.A.=pulmonary area. >=greater than. Physiolog.=physiological.) GROUP I.—Basal murmur with no other signs of carditis. A.—Basal murmur unchanging—no history of juvenile rheumatism.
Case.
Site.
Posture.
Persistence after first heard.
Electrocardiogram.
Remarks.
P.H.
Maximum P.A., T.A. and A.A.
L. only. E. > I.
1 year.
Physiolog.
Pain over heart.
E.S.
Maximum T.A.
L. only. E. only.
4 years.
,,
Pain over heart—relieved strapping.
B.W.
Maximum T.A., P.A.
S. and L. E. and I.
10 months
,,
E.B.
T.A.
S. > L.
3 years.
,,
Later murmurs heard as loud in prone position.
R.F.
Maximum T.A., P. A. and A. A.
L. > S. E. > I.
3 ,,
,,
Sister definite congenital lesion.
D.F.
,, ,,
,,
4 „
,,
,, ,, ,, ,,
D.S.
Maximum T.A., P.A.
,,
1 year.
,,
History of scarlet fever.
Table: B.—Basal murmur not present when first seen—no history of juvenile rheumatism.
B.—Basal murmur not present when first seen—no history of juvenile rheumatism.
J.B.
T.A.
L. and S.
8 months.
Physiolog.
Developed 3 months after first seen.
W.G.
Maximum T.A., P.A.
L. > S.
1½ years.
,,
Developed 3 years after first seen.
M.B.
T.A. and P.A.
S. > L.
10 months
_
Developed 8 months after first seen.
K.T.
„
L. and S.
11 ,,
Physiolog.
,, ,, ,, ,,
Table: C.—Murmur unchanging—history of juvenile rheumatism, but no evidence of carditissince attending centre.
C.—Murmur unchanging—history of juvenile rheumatism, but no evidence of carditissince attending centre.
G.W.
Maximum T.A., P.A. and A.A.
L. only at first.
2½ years.
Physiolog.
History of acute attack.
E.C.
T.A., P.A. and A.A.
S. and L. E. > I.
,,
,,
History of arthritic attack.
P.O.
T.A. and P.A.
L. only. E. only.
3
Physiolog.,except T, small.
History of pains. No acute attack.
J.G.
Maximum T.A., P.A.
L. > S. E. > I.
1½ ,,
Physiolog.
History of acute attack 3 months before first seen.
E.P.
T.A.
L. only. E. only.
1 year.
,,
History of pains only.
L.H.
Maximum P.A., A.A. and T.A.
L. > S.
2½ years.
,,
History of chorea.
G.P.
Maximum T.A., P.A. and A.A.
S. > L. E. > I.
10 months
,,
Long history of pains.
R.H.
,, ,,
L. only. E. > I.
3 years.
,,
History of pains.
A.L.
Maximum T.A., A.A. and P.A.
L. > S. E. > I.
2 „
-
History of pains for 4 years.
Table: D.—Murmur not heard when first seen—history of juvenile rheumatism, but no evidence of carditis since attending centre.
D.—Murmur not heard when first seen—history of juvenile rheumatism, but no evidence of carditis since attending centre.
L.E.
T.A. soft.
L. only. E. only.
First heard last visit.
Physiolog.
History of chorea.
L.R.
T.A.
L. only.
1 year.
,,
Developed 4 years after first seen. History of chorea.
K.H.
,,
L. and S.
No. Heard for 2 months
-
Developed 6 months after history of chorea.
C.S.
Maximum T.A., P.A.
L. only.
only. 6 months.
Physiolog.
Developed 2 years after history of chorea.
D.F.
,, ,,
S. and L.
9 ,,
,,
Developed 2½ years after history ofchorea.
Table: GROUP II.—Basal murmur preceding other signs of carditis. A.—Basal murmur unchanging—no history of juvenile rheumatism.
GROUP II.—Basal murmur preceding other signs of carditis. A.—Basal murmur unchanging—no history of juvenile rheumatism.
Case.
Site.
Posture.
Persistence after first heard.
Electrocardiogram.
Remarks.
D.H.
Maximum T.A., P.A. and A.A.
S. and L.
3 years.
Physiolog.
No pains or arthritis, but attacks of pyrexia with heart enlarged and tachycardia. Now well.
C.B.
,, ,,
,,
1 year.
,,
Developed mitral incompetence with no evidence of rheumatism.
