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 Heston and Isleworth]
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Confined on 13th May, 1924.
15th May—Quiet and sleepy yesterday. Asleep every time
nurse went into the room; just the same to-day. Nurse says she
lies like a log. Eating well, but is very slow—has to make an
effort. No vomiting. Giddiness to-day only. No pain in back
No diplopia. Tongue clean. Knee jerks and plantar reflexes
normal. No ankle clonus. No nystagmus. Nurse says "colour
of face goes green."
16th May—Slept well last night. Slept yesterday whenever
she was left alone. Giddy occasionally this morning on turning
head quickly. Not dizzy to-day before starting knitting. Pulse
84. Pupils normal. Looks a better colour, is brighter and smiles.
17th May—Alright first thing to-day. Giddiness appeared
suddenly. When she closes her eyes things seem to be swimming
about. Doesn't feel sick. Teeth have been aching. No headache.
Can read this morning, but not very well—"words won't keep
still." She jerks before she goes to sleep. Flexor plantar reflexes.
No ankle clonus.
18th May—Still sleeps most of the day and all night. Eating
well. Did her knitting all wrong yesterday, kept on forgetting.
No pain. Doesn't feel sick. Giddy before going to sleep.
The case was not seen in consultation. Recovered.
Cast No. 13.
F. 39. Midwife. Onset 14/5/24.
The patient was the proprietor of the Maternity Home in
which the previous case was being nursed.
Onset—pains in the head and back of legs. Nausea. Vertigo
and visual defects. She complained that all the things seemed to
run into one another and she found it impossible to chart her
temperatures.