M 77
Respiratory diseases :
391. Incidence is high in the out-patient department especially broncho-pneumonia and bronchitis.
Nephritis :
392. The sub-acute type is very prevalent. Etiology remains obscure although many cases have an antecedent history of malaria.
Purpura-thrombocytopenic :
393. One case was admitted and showed a positive Peck test with snake venom. The total thrombocytes per cmm. fell progressively to 5,000 per cmm. Treatment by blood transfusion and snake venom (Moccasin) proved of no avail although bleeding was controlled. No increase in thrombocytes was seen after repeated doses of snake venom.
Rheumatic endocarditis :
394. Incidence is surprisingly high.
Syphilitic aortitis :
395. This type of disease remains fairly frequent.
Exophthalmic goitre :
396. The incidence is, in my opinion, increasing and at a higher rate since the commencement of the Sino-Japanese conflict.
Tabes dorsalis :
397. Incidence remains fairly high.
Remarks on Children's out-patient department Clinic :
398. The outstanding features are the high incidence of faulty nutrition including the 51 cases in children seen in the Adult out-patient department Clinic.
Opium addicts :
399. Please see Appendix I.
Cerebro-spinal meningitis :
Special Investigations.
400. Investigations were carried out on the effects of certain Sulphonamide preparations in Cerebro-spinal meningitis. Minimum doses were used and administration was confined to injection method only.
A short paper on the above results is published in Caduceus.
Pulmonary tuberculosis :
401. There is an ever increasing demand for accommodation of early cases in the special in-patient clinics at the Queen Mary Hospital.
402. Artificial pneumothorax treatment is carried out in all suitable male cases with gratifying results.
403. In addition treatment by the gold preparation Solganal B. Oleosum in the healing fibrotic type of disease seems to be most useful therapeutic measure. In the selected cases treated the use of the blood sedimentation rate as a method of prognostic value bears out the claim of the importance of the use of gold preparations in suitable cases.
It is very difficult to persuade Chinese female patients to consent to artificial pneumothorax treatment.