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286
Group III.—Symptoms suggesting a disturbance of
the nervous system, e.g., irritability, disturbed
sleep, nocturnal eneuresis, fidgetiness
53 cases
Groups II. and III. include the majority of cases. In many
cases there is nearly always a combination of the symptoms
specified in Groups II. and III. varying in severity according to
the type of case observed.
*Grouping of 108 Cases.
*1934. 1933.
Mild and Potential 71 (65.7%) 32 (49.2%)
Definite Active 25 (23.2%) 17 (26.2%)
Definite Quiescent 12 (11.1%) 16 (24.6%)
The relative increase in the group Mild and Potential is the
result of the increased care and understanding of parents, and, in
association with the decreased percentage in the group " Definite
Active," is a very encouraging sign.
The Mild and Potential included those cases showing the
first initial symptoms of "growing pains" in highly-strung
children, with or without slight cardiac involvement.
The Definite and Active Group included, besides cases of
frank rheumatic carditis, those with marked physical signs of
Rheumatic Fever or Chorea.
Group IV.—Rheumatic manifestations. Total: 108 cases.
Rheumatic Pains 80 (74.1%)
Rheumatic Fever 7 (6.5%)
Chorea 18 (16.7%)
Carditis, Definite 79 (73.1%)f
† Slight 49 (45.4%)
† Marked 30 (27.8%)
Carditis, Suspected 11 (10.2%)
Tonsillitis 23 (21.3%)
Rheumatic Fever Cases.
There were 7 children who gave a definite history of Rheumatic
Fever. Of these, 1 had a sound heart and 6 had definite
carditis.