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The fact that the attendance at the Clinic has doubled during
the past two years, is evidence that the parents appreciate the supervision
and advice given, and that they realise the value of close
medical observation of cases of juvenile rheumatism.
Grouping and Classification.
This continues to follow the scheme laid down in my Report
for 1931.
Group 1.— Symptoms referring to the digestive
system and intestinal tract, e.g., abdominal
pains, constipation and lack of
appetite 37 cases
Group 11.—Symptoms suggesting the presence of a
toxaemia, e.g., aching limbs, lassitude,
headache 121 cases
Group III.—Symptoms suggesting a disturbance of
the nervous system, e.g., irritability,
disturbed sleep, nocturnal eneuresis,
fidgetiness 127 cases
Groups II. and III. include the majority of cases. In many
cases there is a combination of the symptoms specified in Groups
II. and III., varying in severity according to the type of case
observed.