Start
nshd_53_sd
STRICTLY CONFIDENTIAL
EXAMINATION BY THE SCHOOL DOCTOR
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
INSTITUTE OF CHILD HEALTH (UNIVERSITY OF LONDON) SOCIETY OF MEDICAL OFFICERS OF HEALTH and POPULATION INVESTIGATION COMMITTEE At the LONDON SCHOOL OF ECONOMICS,
intro i

Ref. No.

Generic text
intro ii

Name

Generic text
intro iii

Address

Generic text
intro iv

School

Generic text
FOR THOSE WHO HAVE MOVED
intro v

New Address

Generic text
intro vi

L.E.A.

Generic text
intro vii

School

Generic text
IF THE FAMILY HAS MOVED TO ANOTHER AUTHORITY PLEASE ENTER THE NEW ADDRESS AND THE NAMES OF THE NEW L.E.A. AND NEW SCHOOL IN THE SPACE PROVIDED. IF THE CHILD CANNOT BE TRACED PLEASE ENTER THE LAST ADDRESS AND ANY OTHER INFORMATION THAT MIGHT HELP US TO TRACE HIM. IN EITHER CASE RETURN THE FORM TO WHOMEVER HAS BEEN DELEGATED BY THE SCHOOL MEDICAL OFFICER TO RECEIVE IT.
Purpose of this enquiry.
This child was enrolled at birth in a national survey which is being made by a Joint Committee of the Institute of Child Health, the Society of Medical Officers of Health and the Population Investigation Committee. The children in this survey are representative of all births in England, Wales and Scotland in March 1946. They are drawn from all social classes and during the first seven years of their lives only 8 per cent. of the children in the original sample have been lost. The value of this inquiry depends on information being obtained for every possible survey child. The Joint Committee are therefore most anxious that this form should be completed.
How to fill in this form.
Six thousand children scattered all over the country are being given this examination, and it is therefore important that the many hundreds of doctors who are examining them should record their findings in a comparable way. For this reason, and also to reduce the amount of clerical work, this examination form has been framed as a series of questions, many of which can be answered by one of several printed alternatives. All that is required is to put a circle round the number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question. Similarly if you feel that any printed answer, though applicable, does not fully explain your findings, we should be most grateful for any further information you can give us. When a question does not apply it should be struck through. When either the Doctor or the Mother is unable to answer a question, this fact should be recorded in the space directly under the question.
In order to ensure that these many medical histories are obtained in the same way, it is important, when questioning the parents, that the wording and order of this form should be adhered to.
COMPLETED FORMS SHOULD BE RETURNED TO THE SCHOOL MEDICAL OFFICER AND NOT DIRECTLY TO THE JOINT COMMITTEE
It is hoped that the Mother &/or Father will be present at this examination
A. MEDICAL HISTORY
Put a circle round the code number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question.
If a question does not apply, strike it through.
SURVIVAL
If this child has died please state
1 a

Date of Death

Date of death
1 b

Cause of Death (if known)

Generic text
SOURCE OF INFORMATION
2

If this child is living but the form cannot be completed please state the reason here :

Generic text
3

Parent or relative attending with child

1
Mother
2
Father
3
Both parents
*
Other person, namely
0
No one
Other
COLDS, SORE THROAT, ETC.
4 a

Does this child breathe with his mouth open in the day time?

1
Yes
0
No
4 b

Does he snore at night?

2
Always snores
1
Sometimes snores
0
Never snores
4 c

How often has he had a snuffly or running nose during the last year?

3
Continually
2
Frequently (4 or more)
1
Occasionally (3 or less)
0
Never
4 d

Has he had a sore throat during the last year? If so, how many has he had? ... sore throats

How many
0
No sore throats
TONSILS
(Previous information entered in red)
5 a

Have this child's tonsils been removed?

1
Yes
0
No
(If "yes")
qc_5_a == 1
5 b

Where were they removed?

(Please answer for ALL children whose tonsils were removed.)

1
Hosp. (I.P.)
2
Hosp. (O.P.)
3
At home
5 c

Why were they removed?

Generic text
5 d

Has his condition been better, worse or unchanged since their removal?

1
Better
3
Worse
2
Unchanged
(If "better" or "worse".)
qc_5_d == 1 || qc_5_d == 3
5 e

Please say in what ways

Generic text
(If tonsils not removed.)
qc_5_a == 0
5 f

Has anyone suggested that his tonsils should be removed?

1
Yes, doctor
*
Yes, other person, namely
0
No
Other
(If "yes".)
qc_5_f == 1 || qc_5_f == *
5 g

Why was this suggested?

Generic text
5 h

Is he on a waiting list for tonsillectomy?

1
Yes
0
No
ASTHMA
6 a

Has this child, during the last year, had an attack of asthma?

1
Yes
0
No
(If "yes".)
qc_6_a == 1
6 b

How frequent are his asthmatic attacks?

Generic text
6 c

How long do they last? ... hours

How many
6 d

Has a doctor been consulted about his asthma?

1
Doctor consulted
0
No doctor consulted
6 e

Has the cause of the attacks been investigated?

1
Yes, at hospital
2
Yes, by family doctor
0
No investigation
6 f(i)

Name and address of hospital where investigated Name

Generic text
6 f(ii)

Name and address of hospital where investigated Address

Generic text
6 g

What treatment is being given?

Generic text
COUGHS
7 a

Has this child during the last year had attacks of coughing when he has NOT got a cold?

2
Yes, continually
1
Yes, sometimes
0
No
7 b

When he coughs, is it at night only, in the day only or both in the day and night?

1
Night only
2
Day only
3
Both day and night
TEETH
8 a

How many times has this child been seen by a dentist during the last year? ... times

How many
0
Not seen by a dentist
A_HEART
9 a

During the last year, has this child been treated for heart trouble?

1
Yes
0
No
(If "yes".)
qc_9_a == 1
9 b

Did this treatment lead to any restriction of his activities?

*
Yes, namely
0
No restriction of activities
Generic text
A_ABDOMEN
10 a

Has this child had any attacks of abdominal pain during the last year?

1
Yes
0
No
(If "yes".)
qc_10_a == 1
10 b

Was a doctor called in or was he taken to hospital?

1
Doctor called in
2
Taken to hospital
0
Neither
11 a

Has this child, during the last year, had recurrent attacks of vomiting (i.e. out of sorts at least 12 hours and at least one vomit)?

1
Yes
0
No
(If "yes".)
qc_11_a == 1
11 b

About how often does he have these attacks?

1
Less than once a month
2
More often
HEARING
12 a

Is this child hard of hearing sometimes, or all the time?

1
Sometimes deaf
2
Always deaf
0
Normal hearing
(If "sometimes deaf".)
qc_12_a == 1
12 b

Is he hard of hearing when he has colds?

1
Yes
2
No
FITS AND CONVULSIONS
13 a

Has this child, during the last year, had a fit or convulsion or lost consciousness?

1
Yes, fits, etc.
0
No fit or convulsion
(If "fit or convulsion".)
qc_13_a == 1
13 b

How many fits or convulsions has he had during the last year? ... fits or convulsions

How many
13 c

Did they occur during an illness or while he was in normal health?

1
During an illness
2
While in normal health
GENERAL HEALTH
14 a

Are you in any way worried about this child's health?

1
Yes
0
No
(If "yes".)
qc_14_a == 1
14 b

Please give your reasons for worrying

Generic text
BEHAVIOUR
15 a

Are you in any way worried about this child's habits or behaviour?

1
Yes
0
No
(If "yes".)
qc_15_a == 1
15 b

Please give your reasons for worrying

Generic text
B. EXAMINATION
16

Pulse rate at beginning of examination ... per minute

How many
NASAL PASSAGES
17 a

Is there a nasal discharge?

1
Yes
0
No
(If "yes".)
qc_17_a == 1
17 b

Is it watery or muco-purulent?

1
Watery
2
Mucopurulent
(All children.)
17 c

Is there a post-nasal discharge hanging down behind the uvula?

1
Yes
0
No
Y
Not seen, child gags
17 d

Are this child's nasal passages obstructed?

1
Yes, by adenoids
2
Yes, by catarrh
*
Other causes, namely
0
Not obstructed
Other
THROAT AND TONSILS
18 a

Colour of pillars of fauces.

1
Congested
0
Not congested
Y
Not seen, child gags
18 b

Tonsils.

1
Present and intact
2
Remnants
0
Removed
Y
Not seen, child gags
(If tonsils present.)
qc_18_b == 1
18 c

Size of tonsils.

1
Meet in mid line
2
Buried and atrophic
3
All other sizes
18 d

Crypts.

1
Contain pus
2
Do not contain pus
3
No crypts seen
4
Concretions
18 e

Tonsillar glands.

1
Palpable
0
Not palpable
18 f

In your opinion should this child's tonsils be removed?

1
Yes
0
No
2
Undecided
(If "yes".)
qc_18_f == 1
18 g

Please give your reasons

Generic text
LUNGS
19

Are there any abnormal signs present in the lungs?

1
Abnormal signs present
0
No abnormality detected
(If "abnormal signs".)
qc_19 == 1
19 i

Please describe

Generic text
B_HEART
Please examine this child standing up and lying down.
20 a(i)

Rhythm Standing

0
Regular
1
Irregular
20 a(ii)

Rhythm Lying

0
Regular
1
Irregular
(If "Irregular".)
qc_20_a_i == 1 || qc_20_a_ii == 1
20 a(iii)

Please describe the nature of the irregularity

Generic text
20 b(i)

Murmurs. Standing

0
No murmur heard
1
Murmur(if present
20 b(ii)

Murmurs. Lying

0
No murmur heard
1
Murmur(if present
(If "murmur(s)".)
qc_20_b_i == 1 || qc_20_b_ii == 1
20 b(iii)

Please describe, giving timing and location

Generic text
(All children.)
20 c

Details of any other cardiac abnormalities not noted above

Generic text
B_ABDOMEN
21

Is there any evidence of hernia or weakness of the inguinal canal?

1
Yes
0
No
(If "yes".)
qc_21 == 1
21 i

Please describe

Generic text
22

Are both testicles in the scrotal sac?

1
Yes, both
2
Left only descended
3
Right only descended
4
Neither descended
Y
Question does not apply
MISCELLANEOUS
23 i

Lymphatic glands Neck (Exc. tonsillar glands)

1
Palpable
0
Not palpable
23 ii

Lymphatic glands Axilla

1
Palpable
0
Not palpable
23 iii

Lymphatic glands Groin

1
Palpable
0
Not palpable
24

Skin.

0
No obvious abnormality
1
Septic spots or boils
*
Other abnormalities, namely
Other
25

Nails and fingers.

0
No abnormality
1
Bitten nails
2
Clubbed fingers
*
Other, namely
Other
26

Orthopaedic defects.

0
None
1
Defect
(If "defect".)
qc_26 == 1
26 i

Please give details

Generic text
PHYSICAL MEASUREMENTS
27

Present weight. (In underpants or knickers only and WITHOUT SHOES. If this is impossible please list the clothes in which he was weighed ... ) ... st. ... lbs. ... ozs.

Generic text
Stones
Pounds in stone
Ounces in pound
27 i

Scales used.

1
Beam balance
2
Spring balance
28

Present standing height. (WITHOUT SHOES.)

(To nearest quarter inch.)

Feet
Inches in foot
1
Height measurer used
2
Measured against wall
["The most accurate results are obtained if heels, shoulders and buttocks touch an upright wall, and the child looks straight ahead so that the lower border of the orbit and the external auditory meatus are in the same horizontal plane. The child should be told to make himself as tall as possible without lifting his heels from the ground. A deep breath should be taken as this helps to bring him up to his maximum height." Report of C.M.O., Ministry of Education, 1950/51, p.61.]
SPEECH
29 a

Speech.

0
No abnormality
1
Stammering
2
Dyslalia
*
Structural speech defect, namely
Generic text
(If "stammering", "dyslalia" or other defect.)
qc_29_a == 1 || qc_29_a == 2
29 b

Does this child, in your opinion, need speech therapy?

1
Yes
0
No
EARS
30 a(i)

External Auditory Meatus. Right

1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other
30 a(ii)

External Auditory Meatus. Left

1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other
30 b(i)

Drums. Right

0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other
30 b(ii)

Drums. Left

0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other
30 c

What is your assessment of this child's hearing?

3
Average or good
2
Poor
1
Very poor
EYES
31 a

Squint.

0
Does not squint
1
Concomitant squint
2
Paralytic squint
31 b
Visual acuity.
Without glasses With glasses
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
Right eye
Left eye
31 b(i)

If acuity not measured please state reason

Generic text
31 c

Eye defects not noted above:

Other
HANDEDNESS
32

Which hand does this child use to write or draw with?

1
Right hand
2
Left hand
3
Either hand
33

Remarks on other abnormalities or deformities not reported above

Generic text
34

Pulse rate at end of examination ... per minute.

How many
ASSESSMENTS
35 a

Alertness and activity.

2
Average
3
Above average
1
Below average
0
Apathetic
35 b

Physical development.

1
Average
2
Superior
0
Inferior
36

Estimate of the reliability of the medical history given by this mother.

1
Probably reliable
2
Probably unreliable
0
Undecided
Queries arising out of the Iast Medical Examintion:-
outro i

Name of Doctor making Examination

Generic text
1
School doctor
2
Family doctor
outro ii

Date of Examination

Generic date
outro iii

Time taken for this interview

Time taken
ALL QUESTIONS SHOULD BE ANSWERED (OR CROSSED OUT IF NOT APPLICABLE). PLEASE CHECK THAT THIS HAS BEEN DONE.
End

nshd_53_sd

s_intro_i
STRICTLY CONFIDENTIAL
s_intro_ii
EXAMINATION BY THE SCHOOL DOCTOR
s_intro_iii
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
s_intro_iv
INSTITUTE OF CHILD HEALTH (UNIVERSITY OF LONDON) SOCIETY OF MEDICAL OFFICERS OF HEALTH and POPULATION INVESTIGATION COMMITTEE At the LONDON SCHOOL OF ECONOMICS,
intro i
Ref. No.
Generic text
intro ii
Name
Generic text
intro iii
Address
Generic text
intro iv
School
Generic text

FOR THOSE WHO HAVE MOVED

intro v
New Address
Generic text
intro vi
L.E.A.
Generic text
intro vii
School
Generic text
s_intro_v
IF THE FAMILY HAS MOVED TO ANOTHER AUTHORITY PLEASE ENTER THE NEW ADDRESS AND THE NAMES OF THE NEW L.E.A. AND NEW SCHOOL IN THE SPACE PROVIDED. IF THE CHILD CANNOT BE TRACED PLEASE ENTER THE LAST ADDRESS AND ANY OTHER INFORMATION THAT MIGHT HELP US TO TRACE HIM. IN EITHER CASE RETURN THE FORM TO WHOMEVER HAS BEEN DELEGATED BY THE SCHOOL MEDICAL OFFICER TO RECEIVE IT.
s_intro_vi
Purpose of this enquiry.
s_intro_vii
This child was enrolled at birth in a national survey which is being made by a Joint Committee of the Institute of Child Health, the Society of Medical Officers of Health and the Population Investigation Committee. The children in this survey are representative of all births in England, Wales and Scotland in March 1946. They are drawn from all social classes and during the first seven years of their lives only 8 per cent. of the children in the original sample have been lost. The value of this inquiry depends on information being obtained for every possible survey child. The Joint Committee are therefore most anxious that this form should be completed.
s_intro_viii
How to fill in this form.
s_intro_ix
Six thousand children scattered all over the country are being given this examination, and it is therefore important that the many hundreds of doctors who are examining them should record their findings in a comparable way. For this reason, and also to reduce the amount of clerical work, this examination form has been framed as a series of questions, many of which can be answered by one of several printed alternatives. All that is required is to put a circle round the number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question. Similarly if you feel that any printed answer, though applicable, does not fully explain your findings, we should be most grateful for any further information you can give us. When a question does not apply it should be struck through. When either the Doctor or the Mother is unable to answer a question, this fact should be recorded in the space directly under the question.
s_intro_x
In order to ensure that these many medical histories are obtained in the same way, it is important, when questioning the parents, that the wording and order of this form should be adhered to.
s_intro_xi
COMPLETED FORMS SHOULD BE RETURNED TO THE SCHOOL MEDICAL OFFICER AND NOT DIRECTLY TO THE JOINT COMMITTEE
s_intro_xii
It is hoped that the Mother &/or Father will be present at this examination

A. MEDICAL HISTORY

s_medicalhistory_i
Put a circle round the code number opposite the printed answer that most nearly describes your findings. If no alternative fits please write the answer in the space directly under the question.
s_medicalhistory_ii
If a question does not apply, strike it through.

SURVIVAL

1 a
Date of Death
Date of death
If this child has died please state
1 b
Cause of Death (if known)
Generic text
If this child has died please state

SOURCE OF INFORMATION

2
If this child is living but the form cannot be completed please state the reason here :
Generic text
3
Parent or relative attending with child
1
Mother
2
Father
3
Both parents
*
Other person, namely
0
No one
Other

COLDS, SORE THROAT, ETC.

4 a
Does this child breathe with his mouth open in the day time?
1
Yes
0
No
4 b
Does he snore at night?
2
Always snores
1
Sometimes snores
0
Never snores
4 c
How often has he had a snuffly or running nose during the last year?
3
Continually
2
Frequently (4 or more)
1
Occasionally (3 or less)
0
Never
4 d
Has he had a sore throat during the last year? If so, how many has he had? ... sore throats
How many
0
No sore throats

TONSILS

s_q5a
(Previous information entered in red)
5 a
Have this child's tonsils been removed?
1
Yes
0
No
5 b
Where were they removed?
1
Hosp. (I.P.)
2
Hosp. (O.P.)
3
At home
(If "yes")
5 c
Why were they removed?
Generic text
(If "yes")
5 d
Has his condition been better, worse or unchanged since their removal?
1
Better
3
Worse
2
Unchanged
(If "yes")
5 e
Please say in what ways
Generic text
(If "yes")
(If "better" or "worse".)
5 f
Has anyone suggested that his tonsils should be removed?
1
Yes, doctor
*
Yes, other person, namely
0
No
Other
(If tonsils not removed.)
5 g
Why was this suggested?
Generic text
(If tonsils not removed.)
(If "yes".)
5 h
Is he on a waiting list for tonsillectomy?
1
Yes
0
No
(If tonsils not removed.)
(If "yes".)

ASTHMA

6 a
Has this child, during the last year, had an attack of asthma?
1
Yes
0
No
6 b
How frequent are his asthmatic attacks?
Generic text
(If "yes".)
6 c
How long do they last? ... hours
How many
(If "yes".)
6 d
Has a doctor been consulted about his asthma?
1
Doctor consulted
0
No doctor consulted
(If "yes".)
6 e
Has the cause of the attacks been investigated?
1
Yes, at hospital
2
Yes, by family doctor
0
No investigation
(If "yes".)
6 f(i)
Name and address of hospital where investigated Name
Generic text
(If "yes".)
6 f(ii)
Name and address of hospital where investigated Address
Generic text
(If "yes".)
6 g
What treatment is being given?
Generic text
(If "yes".)

COUGHS

7 a
Has this child during the last year had attacks of coughing when he has NOT got a cold?
2
Yes, continually
1
Yes, sometimes
0
No
7 b
When he coughs, is it at night only, in the day only or both in the day and night?
1
Night only
2
Day only
3
Both day and night

TEETH

8 a
How many times has this child been seen by a dentist during the last year? ... times
How many
0
Not seen by a dentist

A_HEART

9 a
During the last year, has this child been treated for heart trouble?
1
Yes
0
No
9 b
Did this treatment lead to any restriction of his activities?
*
Yes, namely
0
No restriction of activities
Generic text
(If "yes".)

A_ABDOMEN

10 a
Has this child had any attacks of abdominal pain during the last year?
1
Yes
0
No
10 b
Was a doctor called in or was he taken to hospital?
1
Doctor called in
2
Taken to hospital
0
Neither
(If "yes".)
11 a
Has this child, during the last year, had recurrent attacks of vomiting (i.e. out of sorts at least 12 hours and at least one vomit)?
1
Yes
0
No
11 b
About how often does he have these attacks?
1
Less than once a month
2
More often
(If "yes".)

HEARING

12 a
Is this child hard of hearing sometimes, or all the time?
1
Sometimes deaf
2
Always deaf
0
Normal hearing
12 b
Is he hard of hearing when he has colds?
1
Yes
2
No
(If "sometimes deaf".)

FITS AND CONVULSIONS

13 a
Has this child, during the last year, had a fit or convulsion or lost consciousness?
1
Yes, fits, etc.
0
No fit or convulsion
13 b
How many fits or convulsions has he had during the last year? ... fits or convulsions
How many
(If "fit or convulsion".)
13 c
Did they occur during an illness or while he was in normal health?
1
During an illness
2
While in normal health
(If "fit or convulsion".)

GENERAL HEALTH

14 a
Are you in any way worried about this child's health?
1
Yes
0
No
14 b
Please give your reasons for worrying
Generic text
(If "yes".)

BEHAVIOUR

15 a
Are you in any way worried about this child's habits or behaviour?
1
Yes
0
No
15 b
Please give your reasons for worrying
Generic text
(If "yes".)

B. EXAMINATION

16
Pulse rate at beginning of examination ... per minute
How many

NASAL PASSAGES

17 a
Is there a nasal discharge?
1
Yes
0
No
17 b
Is it watery or muco-purulent?
1
Watery
2
Mucopurulent
(If "yes".)
s_q17c
(All children.)
17 c
Is there a post-nasal discharge hanging down behind the uvula?
1
Yes
0
No
Y
Not seen, child gags
17 d
Are this child's nasal passages obstructed?
1
Yes, by adenoids
2
Yes, by catarrh
*
Other causes, namely
0
Not obstructed
Other

THROAT AND TONSILS

18 a
Colour of pillars of fauces.
1
Congested
0
Not congested
Y
Not seen, child gags
18 b
Tonsils.
1
Present and intact
2
Remnants
0
Removed
Y
Not seen, child gags
18 c
Size of tonsils.
1
Meet in mid line
2
Buried and atrophic
3
All other sizes
(If tonsils present.)
18 d
Crypts.
1
Contain pus
2
Do not contain pus
3
No crypts seen
4
Concretions
(If tonsils present.)
18 e
Tonsillar glands.
1
Palpable
0
Not palpable
(If tonsils present.)
18 f
In your opinion should this child's tonsils be removed?
1
Yes
0
No
2
Undecided
(If tonsils present.)
18 g
Please give your reasons
Generic text
(If tonsils present.)
(If "yes".)

LUNGS

19
Are there any abnormal signs present in the lungs?
1
Abnormal signs present
0
No abnormality detected
19 i
Please describe
Generic text
(If "abnormal signs".)

B_HEART

s_q20a
Please examine this child standing up and lying down.
20 a(i)
Rhythm Standing
0
Regular
1
Irregular
20 a(ii)
Rhythm Lying
0
Regular
1
Irregular
20 a(iii)
Please describe the nature of the irregularity
Generic text
(If "Irregular".)
20 b(i)
Murmurs. Standing
0
No murmur heard
1
Murmur(if present
20 b(ii)
Murmurs. Lying
0
No murmur heard
1
Murmur(if present
20 b(iii)
Please describe, giving timing and location
Generic text
(If "murmur(s)".)
s_q20c
(All children.)
20 c
Details of any other cardiac abnormalities not noted above
Generic text

B_ABDOMEN

21
Is there any evidence of hernia or weakness of the inguinal canal?
1
Yes
0
No
21 i
Please describe
Generic text
(If "yes".)
22
Are both testicles in the scrotal sac?
1
Yes, both
2
Left only descended
3
Right only descended
4
Neither descended
Y
Question does not apply

MISCELLANEOUS

23 i
Lymphatic glands Neck (Exc. tonsillar glands)
1
Palpable
0
Not palpable
23 ii
Lymphatic glands Axilla
1
Palpable
0
Not palpable
23 iii
Lymphatic glands Groin
1
Palpable
0
Not palpable
24
Skin.
0
No obvious abnormality
1
Septic spots or boils
*
Other abnormalities, namely
Other
25
Nails and fingers.
0
No abnormality
1
Bitten nails
2
Clubbed fingers
*
Other, namely
Other
26
Orthopaedic defects.
0
None
1
Defect
26 i
Please give details
Generic text
(If "defect".)

PHYSICAL MEASUREMENTS

27
Present weight. (In underpants or knickers only and WITHOUT SHOES. If this is impossible please list the clothes in which he was weighed ... ) ... st. ... lbs. ... ozs.
Generic text
Stones
Pounds in stone
Ounces in pound
27 i
Scales used.
1
Beam balance
2
Spring balance
28
Present standing height. (WITHOUT SHOES.)
Feet
Inches in foot
1
Height measurer used
2
Measured against wall
s_q28
["The most accurate results are obtained if heels, shoulders and buttocks touch an upright wall, and the child looks straight ahead so that the lower border of the orbit and the external auditory meatus are in the same horizontal plane. The child should be told to make himself as tall as possible without lifting his heels from the ground. A deep breath should be taken as this helps to bring him up to his maximum height." Report of C.M.O., Ministry of Education, 1950/51, p.61.]

SPEECH

29 a
Speech.
0
No abnormality
1
Stammering
2
Dyslalia
*
Structural speech defect, namely
Generic text
29 b
Does this child, in your opinion, need speech therapy?
1
Yes
0
No
(If "stammering", "dyslalia" or other defect.)

EARS

30 a(i)
External Auditory Meatus. Right
1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other
30 a(ii)
External Auditory Meatus. Left
1
Mucoid discharge
2
Purulent discharge
3
Wax
0
Clear
*
Other, namely
Other
30 b(i)
Drums. Right
0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other
30 b(ii)
Drums. Left
0
Intact
1
Indrawn
2
Perforated
3
Obscured by wax
*
Other conditions, namely
Other
30 c
What is your assessment of this child's hearing?
3
Average or good
2
Poor
1
Very poor

EYES

31 a
Squint.
0
Does not squint
1
Concomitant squint
2
Paralytic squint
31 b

Visual acuity.

Without glasses With glasses
Generic textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric text
Right eye
Left eye
31 b(i)
If acuity not measured please state reason
Generic text
31 c
Eye defects not noted above:
Other

HANDEDNESS

32
Which hand does this child use to write or draw with?
1
Right hand
2
Left hand
3
Either hand
33
Remarks on other abnormalities or deformities not reported above
Generic text
34
Pulse rate at end of examination ... per minute.
How many

ASSESSMENTS

35 a
Alertness and activity.
2
Average
3
Above average
1
Below average
0
Apathetic
35 b
Physical development.
1
Average
2
Superior
0
Inferior
36
Estimate of the reliability of the medical history given by this mother.
1
Probably reliable
2
Probably unreliable
0
Undecided
s_outro_i
Queries arising out of the Iast Medical Examintion:-
outro i
Name of Doctor making Examination
Generic text
1
School doctor
2
Family doctor
outro ii
Date of Examination
Generic date
outro iii
Time taken for this interview
Time taken
s_outro_ii
ALL QUESTIONS SHOULD BE ANSWERED (OR CROSSED OUT IF NOT APPLICABLE). PLEASE CHECK THAT THIS HAS BEEN DONE.
Name

1953 Examination by the School Doctor