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382
Grouping of 65 cases.
Mild and Potential 32 (49.2%)
Definite Active 17 (26.2%)
Definite Quiescent 16 (24.6%)
Total Definite Cases 33 (50.8%)
This classification follows that of Dr. R. Miller. It appears
the most useful, as in it a place is found for all cases irrespective
of situation, or character of symptoms.
Perhaps the earliest signs and those which in particular led
to the diagnosis of a case as mild and potential were "growing
pains" in highly strung children, in association with slight
irregularities of cardiac sounds or rhythm.
The percentage of Mild and Potential cases has arisen.
Probably due to the greater watchfulness and understanding of
the parents.
The definite and active group comprised cases of frank
rheumatic carditis, as shewn by well marked physical signs with
a history, or the presence of rheumatic fever or chorea.
Some cases of organic heart disease, whose origin could not
be otherwise accounted for, were placed in this group.
Group IV.—Rheumatic manifestations. Total : 65 cases.
Rheumatic Pains 52 (80%)
Rheumatic Fever 9 (13.8%)
Chorea 12 (18.5%)
Carditis Definite 25 (38.5%)
Carditis Suspected 9 (13.8%)
Tonsillitis 16 (24.6%)
Rheumatic Fever Cases.
There were 9 children who gave a definite history of rheumatic
fever. Of these 2 had sound hearts, 7 had definite carditis.
Chorea Cases.
There were 12 cases of chorea. Of these 4 had definite
carditis, 4 suspected, and 4 sound hearts.