Poynton Fj

A Lecture ON COMPLICATIONS OF RHEUMATISM IN CHILDHOOD: Delivered at the Hospital for Sick Children, Great Ormond Street.

IN my first lecture upon this subject I made some remarks upon rheumatic rashes and purpura, venous thrombosis and early rheumatic tachycardia, mastitis, and epistaxis. This lecture was published in the BRITISH MEDICAL JOURNAL of January 7th. There still remain a number of interesting points in the history of rheumatism in childhood, with some of which, obtained from the same series of 600 cases, I shall attempt to deal in this lecture.

A Lecture ON COMBINED AORTIC AND MITRAL DISEASE IN RHEUMATIC CHILDREN: Delivered at the Hospital for Sick Children, Great Ormond Street.

the course of the rheumatic lesions in various organs, differentiated three types of rheumatic inrjury-namely: i. The simple, as in simple endocarditis. 2. The malignant, as in rheumatic malignant endocarditis. 3 The fibroid, as in mitral stenosis. In this lecture I shall direct your attention to an exceedingly serious group of rheumatic heart lesions, and illustrate thesi by a series of clinical cases, giving also the results of study of twenty-one examples which have been under my cire at one time or another during their illness. In all these cases there were evidences of mitral and aortic endocarditis, is to this combination of lesionsin childhood that ask your attention. Rheumatism, as is well known, damages all parts of the