|
Patient 93/33
This girl was admitted to Stannington following two years of treatment at Berwick Welfare Centre for tuberculosis of the glands. Her medical history reads: "Neck glands swollen since age 8 months. 1 month before admission broke down - skin became red. Had cow's milk & barley water since infancy."
This was further added to upon initial examination: "Mass L.neck with area of reddened skin & underlying abscess. Chain of glands R.neck."
The general condition for this patient is considered poor throughout her stay at Stannington. During the course of 1941 she is observed to have active infection on the left side of the neck with an ulceration below the ear that had pus withdrawn. The x-ray report from July 1941 notes that improvement is seen and that there is calcification of the glands. Some scarring is noted in August 1941 on the left side of the neck but glands continued to be much enlarged. In September 1941, the right side of the neck also became involved and is described as discharging.
General improvement is seen from the end of 1941. The left of the neck shows further signs of calcification and the right of the neck showed healed scars. However, the medical notes are often disjointed referring to improvement whilst outlining the appearance of a further mass on the right of the neck; further scarring and still very active disease, as in May 1942: "Much improvement again. GC [general condition] poor." And in July 1942: "Left neck gland still active but improved. Slight discharge."
However, improvement is evident from comments in November and December 1942. Despite some slight discharge from the left of the neck, there is healing to the right side and scarring evident on both sides. This improvement continued and by March 1943 the notes read: "Small shotty glands both sides of neck. Scarring also healed."
The x-ray report identifies the presence of calcifications in the neck and the girl was discharged as quiescent.
|
