This is a death record from 1924. I cannot understand the cause of death, it says he had an operation. And that secondary anemia was a contributing factor... It looks like the last word is forearm but I don’t have a clue what the first two words are. Any help?
Given that this is from 1924, the International List of Causes of Death list from 1920 (ICD-3) should have been the one that was used.
However, that big 146 written on top indicates "Puerperal sepsis" from ICD-3. According to healthline.com, "Puerperal sepsis is a potential complication of postpartum infections. It is one of the leading causes of postpartum mortality in the world." It's hard to see how that could possibly apply to a 5 year old male child.
I would guess that whoever coded this record wasn't familiar with the newer ICD-3 codes, and instead incorrectly used a code from ICD-2 (the 1909 version). Under ICD-2, code 146 is "Diseases of the bones". I read the other text as "cyst right forearm"; according to JHU Medicine, a bone cyst shouldn't normally be dangerous, let alone fatal. Adding in the secondary anemia, Nationwide Children’s Hospital indicates that it may have been an 'aneurysmal bone cyst' (ABC). Even that seems like it shouldn't have been fatal; again from Nationwide:
"How serious is an aneurysmal bone cyst? If an aneurysmal bone cyst is left untreated, the destructive tumor processes in the bone continues. Further bone destruction will cause pain, fracture of the bone, immobility of the patient, and if the cyst involves the spine, further destruction can result in nerve damage or paralysis."
All I can think is that perhaps the ABC diagnosis was incorrect; an ABC is described as non-cancerous. Perhaps it instead was actually bone cancer, rather than a bone cyst.