[Report 1958] / School Medical Officer of Health, Isle of Man.

  • Isle of Man. Council.
Date:
1958
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1958] / School Medical Officer of Health, Isle of Man. Source: Wellcome Collection.

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    Twenty-seven children were referred by the School Medical Officers to Noble’s riospital tor operative treatment and tiie 6ch^oi H^ato be. vice was informed oi another nine cniidren who had been referred direct to tne hospital by General Practitioners. One boy of pre-school age was referred to Professor E wing at Manchester University and subsequently recommended for a hearing aid. One girl was referred to Liverpool tor special hearing tests and later received radiotherapy at the Liverpool Radium Institute. Two chiicLen were admitted to Ciatterbridge Hospital for operation. The School Nurses treated 523 aural and 479 nasal conditions of a minor character at the School Clinics. I am indebted to Mr. Owen for the following report on the work of the E.N.T. Clinic: — “ The consultation clinics were again characterised by the regular and practically 100% attendance of children and parents. Tne xar^e majority of consultations was for diseases of the tonsils and for adenoids and of the sinuses. Two cases of an unusual and rare condition were seen and treated during the year. The first case, that of a boy of 12, was first seen by the General Surgeons and referred for opinion because of a tumour on tne soft palate. The diagnosis was at first puzzling and a portion removed for examination was reported by the Pathologists in Liverpool to be a type of tumour with a good prognosis and amenable to surgical treatment. The rapid dis- appearance of the tumour after only a moderate dose of radiotherapy put the diagnosis in doubt and this doubt was soon justified by eany recurrence of the tumour with symptoms and signs of spread to the lungs and spine. It was obvious that the patient was suffering from a malignant condition and the disease ran the rapid course usually associated with malignancy in young people. The final diagnosis was lympho-sarcoma. The second case had a happier outcome A child with a tumour in the naso-pharynx which was considered to be a naso-pharyngeal fibroma and which is frequently associated with severe and o*ten torrential haemorrhages was seen early and there had been only two incidents of haemorrhage. The conditions is amenable to surgical treatment and tne boy was transferred to Ciatterbridge Hospital where removal of the tumour was successfully carried out. He has remained well since with no evidence of recurrence. Once again it is a pleasure to pay tribute to the willing co-operation and assistance received from all concerned in the organization of the School Clinics.” TUBERCULOSIS AND CHEST CONDITIONS. The co-operation of the Tuberculosis Officers and the staff of the Chest Clinic in continuing to send reports on children examined is very much appreciated. These reports are most helpful and enable the School