London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Croydon 1934
[Report of the Medical Officer of Health for Croydon]
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| Name. | Day of Disease. | Condition on Admission. | Subsequent progress. | Date of Death Days after ad. mission. |
|---|---|---|---|---|
| (12) A.S. (M) 9 yrs. | 5 | Membrane over whole pharynx. Bull neck. Profuse rhinorrhoea. Colour poor. No serum given before admission. | Collapsed suddenly 1 hour after admission. | 1 hour |
| (13) D.S. (M) 8 yrs. | 4 | Sloughing membrane over whole pharynx. Bull neck; rhinorrhoea and foetor toxaemia. No serum given before admission. | Given 32,000 units, of which 28,000 intravenously on admission. Showed signs of heart failure on admission, which steadily increased. | 6 hours |
| (14) D.T. (M) 611/12 yrs. | 4 | Extensive membrane over whole pharynx. Glands of neck + +. Cyanosis. No serum given before admission. | Developed palatal paralysis on 9th day. Eye paralysis on 30th day; inter-costal paralysis on 34th day; also right facial palsy, and finally diaphragmatic palsy on 35th day, causing death. | 47 days |
| (15) M.W. (F) 11 yrs. | 4 | Late case. Sloughing membrane over both tonsils—bull neck. Membrane in nostrils. No serum given before admission. | Developed signs of heart failure on 2nd day after admission, also epistaxis (severe). The heart failure increased steadily till death. | 11 days |
| (16) R.W. (M) 8 yrs. | 3 | Membrane over both tonsils; left glands + +; signs of morbus cordis on admission; mitral disease. No serum given before admission. | The signs of heart failure present on admission increased with vomiting, and restlessness till death on 20th day after admission. | 20 days |
| (17) A.W. (M) 7 yrs. | 5 | Whole pharynx covered with sloughing membrane. Bull neck; purulent rhinorrhoea; colour poor and foetor. No serum given before admission. | Showed signs of heart failure on admission; very restless. Heart sounds soft and rapid. Collapsed suddenly on day after admission. | 17 days |
| (18) P.W. (F) 7 yrs. | 4 | Membrane over both tonsils and uvula; cyanosis and some recession. Rales over left lung—broncho pneumonia. No serum given before admission. | Owing to increasing restlessness tracheotomy performed soon after admission with relief. Signs persisted over one lung, and increasing heart failure caused death. | 3 days |