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88
glands, .4 per cent. showed great enlargement, and in one
case the glands were so large as to urgently require medical
treatment.
The chief causes of enlarged glands are :—
(1) Catarrhal conditions of the nose and throat.
(2) Enlargement of the tonsils and adenoids.
(3) Tuberculosis.
(4) Carious teeth.
(5) Constitutional weakness.
Diseases of the Chest.— Many children were found to
be suffering from bronchitis to some extent. This is usually
a temporary condition due to catarrh.
In the course of inspection only the front and upper part
of the chest is examined, unless any suggestive signs lead
to further examination. In spite of this incomplete examination,
it is improbable that any cases of chest disease are
overlooked.
Pulmonary Tuberculosis.— Six cases were notified by
the School Medical Officer during the year. The disease
was diagnosed by examination of the chest, and the causative
organism was in no case to be found in the available sputum.
This is the usual thing in children, and makes the disease
most difficult to diagnose. Phthisis may be said to be a rare
disease in childhood.