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Title: Rheumatic endocarditis in children
Author: Sewell, James Scott
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1905
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The term "Rheumatism" has probably been ascribed by the profession to diseases which are essentially different both pathologically and clinically. To term a condition "rheumatic" is too often to cloak one's ignorance of what the true diagnosis is. In spite of the careful and tedious researches of such men as Church, Triboulet, Still, Poynton, Paine,Singer, etc. our knowledge of what we term "Rheumatism" is still imperfect. The pathology has only of late years been at all accurately worked out. As it is upon this that a true diagnosis of rheumatism hangs, I am desirous of referring to it at some length. On tho other hand it must be confessed that in practice we meet with a class of diseases termed "rheumatic ", which on superficial examination appear to be different, but if submitted to a closer analysis are seen to be intimately allied. Few can deny the close connection which exists between rheumatism and chorea. How frequently do we find a tonsillitis the only manifestation of what is really an attack of true rheumatism. During my two years of office as House Surgeon and. Physician to the Ingham Infirmary, South Shields and Westoe Dispensary, I have been extremely fortunate in seeing an almost phenomenal number of so- called rheumatic cases. The time at my disposal has naturally been small, and in the hurry of dispensary practice many interesting cases have been allowed to slide without notes being taken. The objects of this paper are simply to give the results of my own observations, coupled with the study of the literature of competent authorities in this very fertile field of research. The general ideas and theories which these beget in my mind I have tried to place in writing. I often wonder if the geographical and climatic conditions which are present at South Shields favour the universal predominence of rheumatism amongst the inhabitants. Here we have a seaport town at the mouth of the river Tyne, whore bracing though moist sea breezes are very prevalent. The higher parts of the town are healthy, but in the low -lying dwellings of the poor, the atmosphere is very cold and damp. Such conditions, associated with the overcrowding which is present, make a fertile soil for the ravages not only of rheumatism but also of Phthisis.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available