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Dickinson, William Howship Anatomy
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St George's Hospital Reports, Vol. IX

CONTENTS
I. Report of the Medical Registrar, Dr. OWEN, for 1877
II. Report of the Medical Registrar, Dr. OWEN, for 1878.
III. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1877
IV. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1878
V. Report of the Post-mortem Department for 1877, by Dr. EWART
VI. Report of the Obstetrical Department for 1877, by Mr. G. S. HARPER
VII. Report of the Obstetrical Department for 1878, by Dr. H. BLAKE
VIII. Report of the Ophthalmic Department for 1877, by. Mr. MCHARDY
IX. Report of the Ophthalmic Department for 1878, by Mr. MCHARDY
X. Report of the Out-patients' Ophthalmic Department for 1878, by Mr. MCHARDY
XI. Notes from the Department for the Treatment of Diseases of the Throat for 1877 and 1878, by Dr. WHIPHAM
XII. Report of the Orthopaedic Department, by Mr. HAWARD .
XIII. Report of the Aural Department for 1877 and 1878, by Mr. DALBY
XIV. Report of the Dental Department for 1877 by Mr. C. WINTERBOTTOM
XV. Report of the Dental Department for 1878, by Mr. A. WINTERBOTTOM
XVI. On the Treatment of Gout by Salicylic Acid, by Dr. BARCLAY
XVII. On the Results of the Treatment of Compound Fracture of the Leg in this Hospital, with special reference to Lister's Antiseptic Method, by Mr. HOLMES
XVIII. Clinical Lecture on a Case of Enchondromatous Tumour of the Brain, by Mr. Pick
XIX. Abstract of a Case of Diabetes, illustrating the Effects of Remedies, by Dr. CAVAFY and Mr. BERTOLACCI
XX. Report on the Cases of Tetanus, by Mr. E. C. STIRLING
XXI. Some Cases of Mitral Disease without Murmur, by Dr. WATNEY
XXII. Observations on Outbreaks of Diphtheria in Rural Districts, by Dr. WILLIAM OGLE
XXIII. On a Novel Method of reducing Dislocation of the Shoulder, by Mr. J. JONES
XXIV. Notes on some forms of Intestinal Obstructions, by Dr. E L. Fox .
XXV. On Ichthyosis, by Mr. G. GASKOIN
XXVI. On Chrysophanic Acid, by Mr. WYNDHAM COTTLE .
XXVII. On Warty Growths, by Mr. WYNDHAM COTTLE
XXVIII. On the Opening and Drainage of Joints, by Mr. J. H. MORGAN
XXIX. History of an Illness, by Mr. S. WILSON HOPE
XXX. Case of Tympanic Abscess, by Dr. E. C. BABER
XXXI. Exophthalmic Goître, by Dr. W. B. CHEADLE

LIST OF ILLUSTRATIONS
Charts of Analyses of the Urine in a Case of Diabetes
Warty Growths
Membrana Tympani in Case of Tympanic Abscess
Microscopic Appearances of Medulla in Exophthalmic Goître

Richard Neale, 43, Carman

Occupation or role: Carman
Age: 43
Gender: Male
Date of admission: 9 Apr 1861
Date of death: 20 Apr 1861
Disease (transcribed): Tetanus
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: Two months before he was admitted he grazed his right elbow and the back of his thumb, but both places were quite healed in less than a week, and presented no symptoms afterwards. About a month afterwards he thought he caught cold, followed by shivering, sore throat and difficulty swallowing
Body parts examined in the post mortem: Cranium and spine, thorax and abdomen
Illustrations: yes
Type of incident: Trauma/accident

Caroline Parker, 42, Married

Occupation or role: Married
Age: 42
Gender: Female
Date of admission: 13 Dec 1865
Date of death: 21 Dec 1865
Disease (transcribed): Aneurism of middle cerebral artery. Rupture
Disease (standardised): Aneurysm (Brain); Rupture (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Sturges, Octavius
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This woman stated that her health had been good until nine weeks before admission when while engaged in washing clothes she had a fit.
Body parts examined in the post mortem: Cranium, chest and abdomen
Type of incident: n/a

Ann Phillips, 40, Milliner

Occupation or role: Milliner
Age: 40
Gender: Female
Date of admission: 21 Feb 1866
Date of death: 20 Mar 1866
Disease (transcribed): Malignant disease. Encephaloid
Disease (standardised): Cancer (Abdomen)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: She had been ill for eight months before admission. At this date she suffered from vaginal discharge followed in a very short time by pain and swelling in the left iliac fossa.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

Thomas Parry, 30, Cooper

Occupation or role: Cooper
Age: 30
Gender: Male
Date of admission: 15 Jan 1880
Date of death: 13 Feb 1880
Disease (transcribed): Tuberculosis of lungs and larynx. Phthisis
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Larynx)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: For sixteen months he had a cough which had been continuously getting worse, and for four months he had felt a ‘lump’ in the throat which made swallowing unneasy.
Body parts examined in the post mortem: Lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Frederick Tisner, 20, Packer

Occupation or role: Packer
Age: 20
Gender: Male
Date of admission: 4 Feb 1880
Date of death: 25 Mar 1880
Disease (transcribed): Large white kidneys, with atrophy of cortex. Hypertrophy of heart. Pneumonia
Disease (standardised): Disease (Kidney); Disease (Heart); Pneumonia (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: About the beginning of January he noticed that the sight of the right eye was dim, everything appeared as though enveloped in a fog. For the last three to four months he had passed much water.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and brain
Illustrations: Yes
Type of incident: n/a

Martha Satchell, 60, Cook

Occupation or role: Cook
Age: 60
Gender: Female
Date of admission: 14 Feb 1880
Date of death: 24 Apr 1880
Disease (transcribed): Scirrhus of the alimentary canal and peritoneum
Disease (standardised): Cancer (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The symptoms for which she was admitted commenced four years back with great pain in the pit of the stomach.
Body parts examined in the post mortem: Lungs, heart, abdomen, alimentary canal, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Lavinia Harris, 59, Married

Occupation or role: Married
Age: 59
Gender: Female
Date of admission: 2 Jun 1880
Date of death: 11 Jun 1880
Disease (transcribed): Cerebral haemorrhage. Haemorrhage also into lung and kidney. Granular kidneys
Disease (standardised): Haemorrhage (Brain); Haemorrhage (Lung); Haemorrhage (Kidney); Disease (Kidney)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: A friend had gone to visit the patient at her house and found her ‘making a noise like crying’. She was unable to speak and could only walk about two steps. Her right arm and leg was found to be useless.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

James George, 56, Clerk

Occupation or role: Clerk
Age: 56
Gender: Male
Date of admission: 1 Jul 1880
Date of death: 4 Jul 1880
Disease (transcribed): Scirrhus of colon and liver. Mitral stenosis and fatty degeneration of the heart
Disease (standardised): Cancer (Intestines); Cancer (Liver); Disease (Heart)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Nine weeks before admission his appetite began to fail, he had griping pains in the abdomen which swelled up and he noticed a ‘lump’ in the left groin.
Body parts examined in the post mortem: Lungs, heart, abdomen, stomach, intestines, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

William Appleby, 36, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 36
Gender: Male
Date of admission: n/a
Date of death: n/a
Disease (transcribed): Aortic insufficiency
Disease (standardised): Disease (Heart)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: This man said he had had dyspnoea and palpitation for two months, cough and spitting for about six weeks, and gradually increasing oedema of the legs for three weeks.
Body parts examined in the post mortem: Abdomen, lungs, heart, liver, kidneys and spleen
Illustrations: Yes
Type of incident: n/a

George Joinerwood, 29, Butcher

Occupation or role: Butcher
Age: 29
Gender: Male
Date of admission: 14 Jun 1876
Date of death: 29 Jun 1876
Disease (transcribed): Cardiac hypertrophy. Mitral contraction. Pulmonary congestion
Disease (standardised): Disease (Heart); Congestion (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: Lee, Robert James
Medical notes: This man was first admitted in December 17th 1873 with acute rheumatism.
Body parts examined in the post mortem: Lungs, heart, liver, spleen and kidneys
Type of incident: n/a

John Luckhurst, 32, Draper

Occupation or role: Draper
Age: 32
Gender: Male
Date of admission: 30 Jan 1875
Date of death: 21 Jun 1875
Disease (transcribed): Tumour of anterior part of right hemisphere
Disease (standardised): Tumour (Brain)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Fenwick, John Charles James
Post mortem examination performed by: n/a
Medical notes: This man had been subject to what he called epilepsy from four years until five months before his admission.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys and brain
Illustrations: Yes
Type of incident: n/a

Mary Clarke, 61, Nurse

Occupation or role: Nurse
Gender: Female
Age: 61
Date of admission: 8 May 1878
Date of death: 14 Jul 1878
Disease (transcribed): Perforating ulcer of the stomach. Limited superficial abscess in the peritoneal cavity and left lobe of liver
Disease (standardised): Ulcer (Stomach); Abscess (Abdomen); Abscess (Liver);
Admitting doctor: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
PM performed by: Ewart, William
Medical notes: 'History. No heritable disease in the family. Scarlatina at 16: 'gastric fever' at 40: diphtheria at 43: smallpox at 57. Always intolerant of fat; - subject to pain after food in the epigastrium and to sick headaches as long as she remembered: bowels habitually costive and diaphoresis profuse: subject also to palpitation and to glandular swellings in the neck. For two years she had noticed a fulness in the epigastrium. From Dec [December] 1st to 31st she suffered from a dry 'spasmodic' cough, which began suddenly without rigor or nasal catarrh. On Dec [December] 31st it left her suddenly, and she was as suddenly attack with severe vomiting and epigastric pain, which lasted an hour. From that time there was a constant dull pain in the epigastrium, increased after food'
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, spleen, uterus
Illustrations: Yes
Type of incident: n/a

Hannah Kates, 45, Laundress

Occupation or role: Laundress
Age: 45
Gender: Female
Date of admission: 18 Jun 1888
Date of death: 22 Jun 1888
Disease (transcribed): Cancer of the pyloric end of stomach. Perforation of stomach wall. Passage of faeces into peritoneum. Peritonitis. Partial kinking of transverse colon, causing obstruction of the lumen of the gut, with great dilatation of the immediately preceding portion
Disease (standardised): Cancer (Stomach); Perforation (Stomach); Peritonitis (Abdomen); Obstruction (Colon, gut)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Penrose, Francis George
Post mortem examination performed by: Sisley, Richard
Medical notes: 'The woman was married when she was 25 years of age. She had 3 children, 2 of whom died of ‘consumption’. She said that she had generally had good health and had never been laid up before’
Body parts examined in the post mortem: Body parts examined: Peritoneum, stomach, intestines, kidneys, spleen, liver, thorax, lungs, heart, brain
Illustrations or photographs: Yes
Type of incident: n/a

Maria Ware, 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Female
Date of admission: 26 Dec 1889
Date of death: 14 Jan 1890
Disease (transcribed): Pulmonary phthisis. Beginning tuberculosis of intestines
Disease (standardised): Tuberculosis (Lung); Tuberculosis (Intestines)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Sisley, Richard
Post mortem examination performed by: Delepine, Sheridan
Medical notes: She was married and had had four children and three miscarriages. For eleven years before her admission the woman had suffered every winter from a cough. A fortnight before she came to the hospital the woman had a child, and the cough and dyspnoea from which she had suffered during her pregnancy became worse.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, liver, spleen, pancreas, kidneys, stomach and ileum
Illustrations: Yes
Type of incident: n/a

May Fraser, 21, Lady’s maid

Occupation or role: Lady’s maid
Age: 21
Gender: Female
Date of admission: 3 Feb 1886
Date of death: 12 Feb 1886
Disease (transcribed): Typhoid fever (early stage inflammation of bowels and a few enlarged solitary glands. No ulceration)
Disease (standardised): Typhoid fever (Systemic); Inflammation (Intestines); Enlarged (Lymph nodes)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Griffiths, Herbert Tyrrell
Post mortem examination performed by: Sisley, Richard
Medical notes: The patient was a Scotch girl who had lived in Scotland up to the end of 1884 when she came down to town. She had constipation as a rule. Up to one week before admission she had been well. She then had some cold felt languid and had slight headache.
Body parts examined in the post mortem: Intestines, brain and spinal cord
Type of incident: n/a

Samuel Chandler, 51, Labourer

Occupation or role: Labourer
Age: 51
Gender: Male
Date of admission: 30 Sep 1893
Date of death: 19 Nov 1893
Disease (transcribed): Columnar epithelioma of stomach
Disease (standardised): Cancer (Stomach)

Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Ogle, Cyril
Post mortem examination performed by: Dickinson, William Lee
Medical notes: For three year he had grown weaker with failure of appetite, and for two years with gradually increasing epigastric pain, with aggravation on taking food for the last six weeks.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

John McCarthy, 63, Gardener

Occupation or role: Gardener
Age: 63
Gender: Male
Date of admission: 20 Jan 1894
Date of death: 24 Jan 1894
Disease (transcribed): Pneumonia. Aneurysm of thoracic aorta
Disease (standardised): Pneumonia (Lung); Aneurysm (Aorta)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Ogle, Cyril
Medical notes: 'This man, formerly in the army, who had had no secondary syphilitic symptoms, no rheumatic fever, and good health until 3 years before his first admission in Aug 1893. […] On Jan 30th 1894 he was admitted with obvious signs of pneumonia of which he died, as he constantly affirmed that he would'
Body parts examined in the post mortem: Thoracic organs, spleen, liver, kidneys, bladder, prostate
Illustrations: Yes
Type of incident: n/a

Edward Wolffe, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Male
Date of admission: 20 May 1890
Date of death: 6 Jul 1890
Disease (transcribed): Sarcoma of the peritoneum
Disease (standardised): Cancer (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dickinson, William Lee
Post mortem examination performed by: Rolleston, Humphry Davy
Medical notes: The man had had rheumatic fever four or five times. He had been losing flesh for a year and the bowels had been rather confined for six months. The legs had been swelling for two months.
Body parts examined in the post mortem: Pleurae, lungs, larynx, thyroid gland, pericardium, heart, abdomen, stomach, pancreas, liver, suprarenals, bladder, prostate, testes, spleen, kidneys and glands
Illustrations: Yes
Type of incident: n/a

Isabella Toms, 25, Lady’s maid

Occupation or role: Lady’s maid
Age: 25
Gender: Female
Date of admission: 15 Feb 1862
Date of death: 21 Feb 1862
Disease (transcribed): Acute rheumatism. Endocarditis. Embolism of minute arteries of brain
Disease (standardised): Rheumatic diseases (Tissues); Endocarditis (Heart); Embolism (Brain)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Wadham, William
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This girl had had several slight rigors, and a feeling generally being unwell until she became delirious.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

Alfred Davis, 31, Painter

Occupation or role: Painter
Age: 31
Gender: Male
Date of admission: 10 Jan 1866
Date of death: 17 Mar 1866
Disease (transcribed): Valvular disease of heart
Disease (standardised): Disease (Heart)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: This man’s illness began with swelling of the feet accompanied by pain in the loins, vomiting and shivering.
Body parts examined in the post mortem: Chest and abdomen
Illustrations: Yes
Type of incident: n/a

Joseph Brooks, 65, [No occupation]

Occupation or role: [No occupation]
Age: 65
Gender: Male
Date of admission: 26 Dec 1876
Date of death: 31 Dec 1876
Disease (transcribed): Intestinal Obstruction
Disease (standardised): Obstruction (Intestines)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Ewart, William
Medical notes: This patient had been already three times in the hospital within three of four years with similar symptoms. Three days before admission he got wet through. The next day he was suddenly attacked by vomiting and severe abdominal pain.
Body parts examined in the post mortem: Lungs, heart, liver, spleen, kidneys and intestines
Illustration or photograph: Yes
Type of incident: n/a

Eliza Lawler, 41, [No occupation]

Occupation or role: [No occupation]
Age: 41
Gender: Female
Date of admission: 1 Aug 1877
Date of death: 14 Aug 1877
Disease (transcribed): Scirrhus of stomach. Encephaloid of spleen and left lung
Disease (standardised): Cancer (Stomach); Cancer (Spleen); Cancer (Lung)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Wilson, Edward
Medical notes: For nine months the patient had suffered from severe and increasing pain in the left hypochondrium and left flank of the abdomen, aggravated after food, with flatulence. Also a slight hacking cough, deficient appetite, weakness and loss of flesh.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, kidneys, spleen and stomach.
Illustration or photograph: Yes
Type of incident: n/a

Catherine Lower, 40, Wife

Occupation or role: Wife
Age: 40
Gender: Female
Date of admission: 1 May 1882
Date of death: 1 Jul 1882
Disease (transcribed): Cancer of peritoneum, liver and ovaries. Ascites
Disease (standardised): Cancer (Abdomen); Cancer (Liver); Cancer (Ovary); Ascites (Abdomen)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Myers, Arthur Thomas
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: Two months before admission she felt too weak to do her ordinary work, and three weeks later she noticed abdominal swelling.
Body parts examined in the post mortem: Pleurae, heart, abdomen, liver, spleen, kidneys and ovaries
Illustrations: Yes
Type of incident: n/a

James Barton, 68, Painter

Occupation or role: Painter
Age: 68
Gender: Male
Date of admission: 8 Apr 1880
Date of death: 14 Apr 1880
Disease (transcribed): Cerebral haemorrhage. Granular kidneys
Disease (standardised): Haemorrhage (Brain); Disease (Kidney)
Admitted under the care of: Dickinson, William Howship
Medical examination performed by: Dunbar, James John Macwhirter
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: While at work on the morning of April 8th he fell down suddenly, became unconscious and partially lost the use of his left side.
Body parts examined in the post mortem: Brain, lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

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