[Report of the Medical Officer of Health for Croydon] page 34 35

Croydon 1895

[Report of the Medical Officer of Health for Croydon]

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Table: Table VII.—Cases of Diphtheria admitted during official year, April 1st, 1894, to March 31st, 1895.

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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.