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28
"As would be expected, the prognosis was least satisfactory in
those cases showing a diastolic as well as a systolic murmur. The
after history of these children has been as follows: one child after
4 years is developing signs of mitral stenosis; another was under
observation for 2 years and then left school, at which time it was
noted that there was a long mitral systolic murmur and shortness
of breath on exertion. The third and fourth children had organic
mitral systolic bruits after 3 and 5 years respectively, but were
able to take part in full games and exercises at school, while in the
fifth child the heart appeared perfectly normal after 18 months and
has remained so for a further two years.
"The points in this investigation which I would like to
emphasise are that a follow-up of children who have had an acute
sore throat can be organised by public health authorities; that the
diagnosis of early heart disease is to be expected in only about
1 per cent, of the children examined, and that this method of
tackling the disease offers a means of limiting its ravages."
RHEUMATISM CLINIC, 1937.
Number of sessions 45
,, ,, attendances 779
,, ,, new cases 176
,, ,, old cases 603
,, discharged 192
,, still under treatment 185
,, of new cases with rheumatic or cardiac defect 54
.. referred to Hospital as in-patient 1
,, ,, out-patient 12
,, for T. and A. operation 16
,, ,, ,, dental treatment 38
,, ,, to P. D. Centre 8
,, ,, ,, Open Air School 5
,, excluded from school 39
,, ,, half-time school 5
,, ,, from games and exercises 20
,, ,, to begin games and exercises 24
,, seen after scarlet fever 3
,, ,, ,, diphtheria 9
,, with cardiac defect after scarlet fever 1
,, ,, ,, ,, ,, diphtheria 3
Number referred for convalescent home 46
,, sent away 36
,, referred in 1936 and sent away in 1937 in
addition to above 1
,, refused 4
,, withdrawn 2
waiting 4