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found in 3 instances, 1 in the boys and 2 in the girls, and in
one case in a boy a presystolic bruit was noted. In one case,
that of a girl, the heart shewed congenital defect. All these
children are kept under observation. In the majority of
cases the heart was well compensated.
Reynaud's disease was met with once in a girl over 12
years of age. Functional disease of the heart was found in
3 cases, 1 in a boy, and girls being affected in the other 2
instances.
Of the numbers set out below, 3 girls had already been
noted as suffering from heart disease on their first examination.
4 boys and 2 girls had developed this defect
since their first examination, and in 2 instances organic
disease had been noted at their first examination
which had apparently cleared up, and in 1 instance
(boy) the heart had apparently been diseased both at
the first and second inspection, and yet appeared normal at the
third examination. The same remark applies to a case of
dilated heart which was twice found in this condition, and
on the third examination appeared to be normal. I may
add that the late medical officer had seen these cases, and the
same note was made in each case which would tend to exclude
an error in diagnosis.
Pronounced anæmia was found in 13 instances, 6 boys
and 7 girls. In such cases the parents are referred to their
own medical attendant.