Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Croydon]
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Primary Examinations.
Amongst the 19 new cases diagnosed as rheumatic the following manifestations were recorded:—
| Girls | Boys | Total | |
|---|---|---|---|
| Rheumatic pains | 7 | 10 | 17 |
| Chorea (suspected) | — | — | — |
| Carditis (definite) | — | 3 | 3 |
| Carditis (suspected) | 1 | — | 1 |
| Tonsillitis and Infected Tonsils | — | — | — |
| Pyrexial attacks | — | — | — |
| Erythema Nodosum | — | — | — |
| Recent Rheumatic Fever | 1 | — | 1 |
Family Histories.
Of the primary cases, 3 gave a history of rheumatism in
parents.
Nervous Conditions.
| Girls | Boys | Total | |
|---|---|---|---|
| Highly strung | 1 | 4 | 5 |
| Headaches | — | — | — |
| Night terrors | — | 1 | 1 |
| Enuresis | — | — | — |
| Minor degrees of nervous disorders | — | 9 | 2 |
Often a combination of more than one of the above symptoms
was manifested.
Disposal.
The following recommendations were made in respect of the 19 new cases:—
| Girls | Boys | |
|---|---|---|
| Continue attendance at Rheumatic Clinic | 8 | 9 |
| Referred to Pædiatrician | 1 | — |
| ,, ,, Cardiologist ... | — | — |
| ,, ,, Psychiatrist | — | — |
| Restriction as to P.T. and games | 4 | 3 |
| For T. and A. operation | — | 1 |
| Convalescent Home | 1 | — |
| Remedial Exercises | — | — |
| For admission to St. Giles' | — | — |