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St George's Hospital Reports, Vol. VI

CONTENTS
I. Lettsomian Lectures: On Syphilitic Urethral Discharges. By H. LEE, Esq.
II. Lettsomian Lectures: On Prostatic Discharges. By H. LEE, Esq.
III. Lettsomian Lectures : On Non-Syphilitic Urethral Discharges. By H. LEE, Esq.
IV. A Case of Osteomalacia. By S. W. MOORE, Esq.
V. Remarks on the most common Forms of Cutaneous Diseases in Children. By R. J. LEE, M.D.
VI. On Sudden Death by Entrance of Air into Uterine Veins. By G. CORDWENT, M.D.
VII. On the Calculous Disease in Bombay and some other Parts of India. By H. V. CARTER, M.D.
VIII. Some Remarks on Inhalation. By R. J. LEE, M.D.
IX. Indican in the Urine. By F. LAKING, M.D.
X. On the Employment of Quinine in the Treatment of Rheumatic Fever. By A. W. BARCLAY, M.D.
XI. Contributions to the Surgery of the Head: No. IV. On Congenital Encephalocele and Hydrencephalocele. By PRESCOTT HEWETT, Esq. .
XII. On Cleft Palate. By T. P. PICK, Esq.
XIII. On Partial Rupture of Arteries from External Violence. By T. P. PICK, Esq. XIV. On the Influence of Impaired Hearing on the Voice and Speech. By W. B. DALBY, Esq.
XV. On the Therapeutical Action of Sulphur. By C. ROBERTS, Esq.
XVI. A Case of Femoral Aneurism. By C. WALTER, Esq.
XVII. A Case of Cancer of the Upper Lip. By E. VENNING, Esq.
XVIII. A Case of Cancer of the Upper Lip, following Lupus. By T. HOLMES, Esq. XIX. On Contagious Ophthalmia. By R. B. CARTER, Esq.
XX. A Case of Aneurism of the Aorta and Innominate Artery, in which the Right Subclavian and Carotid were ligatured simultaneously. By T. HOLMES, Esq.
XXI. On Thrombosis, in Cases in which the Arterial Walls and Viscera are natural. By T. WHIPHAM, M.B.
XXII. Regarding Certain Influences exercised by the Nervous System upon Bone. By J. W. OGLE, M.D.
XXIII. Report of Medical Cases for 1870. By J. CAVAFY, M.D.
XXIV. Report of Medical Cases for 1871. By J. CAVAFY, M.D., and F. LAKING, M.D.
XXV. Report of Surgical Cases for 1870-71. By J. W. HAWARD, Esq.
XXVI. Report on the Department for Diseases of the Ear. By W. B. DALBY, Esq.
XXVII. Report of the Maternity Department from 1854 to 1871, with Observations on Revaccination during the Smallpox Epidemic of 1871. By EDGAR G. BARNES, M.B.

LIST OF ILLUSTRATIONS
Microscopical Appearances in a Case of Mollities Ossium (lithograph)
Three Views of a Patient labouring under Encephalocele, at different Ages
A Case of Cancer of the Upper Lip (coloured lithograph)
Thermographs in a Case of Simultaneous Ligature of the Subclavian and Carotid Arteries
An Artery after Ligature with Carbolised Catgut; obliterated but not divided .

Obidiah Fryer, 29, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 29
Gender: Male
Date of admission: 5 Jan 1844
Date of death: 17 February 1844
Disease (transcribed): Rheumatic Pericarditis. Hypertrophy of the Heart, with extensive disease of the valves. Mottling degeneration of both kidneys.
Disease (standardised): Pericarditis (Heart); Hypertrophy (Heart); Disease (Kidney)
Admitted under the care of: Nairne, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Henry
Medical notes: The patient was admitted into the hospital with anasarca of the lower extremities, fluid effused into the scrotum and slight swelling and fluctuation of the abdomen.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Sarah Holloway, 18, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 18
Gender: Female
Date of admission: 15 February 1844
Date of death: 23 February 1844
Disease (transcribed): Burn extending over legs, side and back. Pleurisy. Pneumonia. Congestion of duodenum.
Disease (standardised): Burn (Skin); Pleurisy (Pleura); Pneumonia (Lung); Disease (Intestines)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Henry
Medical notes: The injuries had been caused by her clothes taking fire.
Body parts examined in the post mortem: Head, pharynx and larynx, thorax and abdomen
Type of incident: Trauma/accident

Emily Le Peake, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Female
Date of admission: 17 Apr 1844
Date of death: 27 Apr 1844
Disease (transcribed): Anasarca. Effusion of fluid in pleura and pericardium. Heart enlarged by dilatation of its cavities with hypertrophy of its walls. Kidneys mottled and dwindled. Calculi in gall bladder, Old adhesions of liver.
Disease (standardised): Oedema (General); Effusion (Pleura); Effusion (Heart); Enlarged (Heart); Mottled (Kidney); Calculi (Gallbladder)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Henry
Medical notes: The patient had been in the Hospital repeatedly during the previous four years, suffering from general anasarca and Dyspnoea.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

George Smith , 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Male
Date of admission: 8 Jul 1844
Date of death: 27 Jul 1844
Disease (transcribed): Fracture of the Ilium, suppuration between fragments. Kidneys granular. Old adhesions of pericardium and pleura.
Disease (standardised): Fracture (Pelvis); Suppuration (Pelvis); Granular (Kidney); Adhesions (Heart); Adhesions (Pleura)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Henry
Medical notes: In consequence of a fall from some steps about 8 feet in height, the patient received a fracture of the crest of the Ilium.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Trauma/accident

Mary King, 15, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 15
Gender: Female
Date of admission: 6 Nov 1844
Date of death: 24 Nov 1844
Disease (transcribed): Chorea. Disease of clavicle. Diffuse inflammation in neighbourhood. Old adhesions of right lung. Endocarditis. Large intestine filled with faeces adhering to its coats. Organs of generation congested. Brain and chord natural.
Disease (standardised): Chorea (Central nervous system); Disease (Clavicle); Adhesions (Lung); Endocarditis (Heart); Congestion (Genitalia)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: n/a
Post mortem examination performed by: Lee, Henry
Medical notes: At the age of 12, before any appearance of catamenia, became affected with chorea which commenced gradually but soon became severe. She was also drowsy and felt pain across the forehead.
Body parts examined in the post mortem: Thorax, abdomen and brain
Type of incident: n/a

Marie Wedeker, 26, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Female
Date of admission: 11 Dec 1844
Date of death: 21 Jan 1845
Disease (transcribed): Old pleurisy. Phthisis. Calculus in left kidney producing both in this organ and in the neighbouring cellular tissue, extensive suppuration
Disease (standardised): Pleurisy (Lungs); Tuberculosis (Lungs); Calculus (Kidney); Suppuration (Kidney, tissues)

Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'When admitted, this patient was supposed to be labouring under disease of the spine. The symptoms of phthisis rapidly supervened, and the treatment was directed exclusively to the chest. No correct history consequently was obtained of the disease in the back’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

George Mason, 42, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Male
Date of admission: 31 Jan 1845
Date of death: 2 Mar 1845
Disease (transcribed): Compound comminuted fracture of the metacarpal bones. Erysipelas of the hand & upper extremity. Trismus
Disease (standardised): Fracture (Hand); Erysipelas (Hand, arm); Trismus (Jaw)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient’s hand was caught between the spokes of a wheel and the side of a cart, which he was driving. When admitted a compound comminuted fracture presented itself’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

William Lovell, 21, Pot boy

Occupation or role: Pot boy
Age: 21
Gender: Male
Date of admission: 25 Mar 1845
Date of death: 2 Apr 1845
Disease (transcribed): Scalp wound, oedema of scalp. Diffuse cellular inflammation of neck, spreading down the mediastina. Inflammation of mucous membrane of air passages, & of left lung. Seropurulent fluid in pleurae and pericardium. Kidneys large & mottled
Disease (standardised): Wound (Scalp); Edema (Scalp); Inflammation (Neck, Lungs); Disease (Lungs, Heart); Disease (Kidneys)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'William Lovell, at 21, a pot boy, reported to be subject of epileptic fits, was admitted on 25th of March with a small scalp wound over the occiput, which did not expose the bone. When brought to the hospital he was still in a fit, during which the scalp wound had been produced’
Body parts examined in the post mortem: Cranium, neck, thorax, abdomen

Type of incident: Trauma / accident

George Forscutt, 24, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Male
Date of admission: 2 Apr 1845
Date of death: 30 Apr 1845
Disease (transcribed): Fracture of the femur into the knee joint, with extensive extravasation of blood in the joint. Erysipelas & abscesses in the cellular tissue of the limb. Secondary deposits, with extensive red hepatisation of both lungs
Disease (standardised): Fracture (Thigh); Extravasation (Knee joint); Erysipelas (Skin); Deposit (Lungs); Hepatisation (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient walked to the hospital after a severe injury of the knee joint and upon his admission it was found that there was great pain & swelling of the joint with effusion into the synovial membrane’
Body parts examined in the post mortem: Cranium, thorax, abdomen, left inferior extremity

Type of incident: Trauma / accident

Henry Bateman, 19, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Male
Date of admission: 14 Apr 1845
Date of death: 22 May 1845
Disease (transcribed): Fracture of fibula. Diffuse cellular inflammation of leg and suppuration in knee joint. Inflammation of lungs with 2ndary deposits
Disease (standardised): Fracture (Leg); Inflammation (Leg); Suppuration (Knee); Inflammation (Lungs); Deposit (Lungs)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with his leg presenting all the appearances of having just recovered from an attack of erysipelas, with [...] abscess on the back of the knee and ankle […] It appeared that 9 weeks previously he had fractured his fibula and had walked about for two or three days afterwards. His leg then began to swell and stints were applied’
Body parts examined in the post mortem: Thorax, abdomen, left inferior extremity

Type of incident: Trauma / accident

Thomas Farrow, 45, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 26 Mar 1845
Date of death: 28 May 1845
Disease (transcribed): Scrofulous disease of kidneys, bladder & prostate. Tubercles & vomicae in both lungs. Scrofulous enlargement of the cervical & mesenteric glands
Disease (standardised): Scrofulous disease (Kidneys, bladder, prostate); Tuberculosis (Lungs); Disease (Glands)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'Before admission he complaining of constant desire to make water accompanied by pain as he did make it. The pain was chiefly situated in the penis, but he also had some pain in the loins. He occasionally passed small clots of blood’
Body parts examined in the post mortem: Abdomen, testes, thorax

Type of incident: n/a

Mary Anne Westcott, 63, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 63
Gender: Female
Date of admission: 30 May 1845
Date of death: 3 Jun 1845
Disease (transcribed): Strangulated femoral hernia. Operation. Caecum & omentum in the sac. Peritonitis of a low character. Foul suppuration in the sac and in neighbouring cellular tissue. Gut thickened. Pleurisy on both sides
Disease (standardised): Hernia (Thigh); Operation; Peritonitis (Abdomen); Suppuration (Abdomen); Pleurisy (Lungs)
Admitted under the care of: Keate, Robert and Johnson, Henry Charles
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with a large soft tumor in the right femoral region with some impulse on coughing and by the side of this was another small swelling which could be reduced into the abdomen without difficulty’
Body parts examined in the post mortem: Abdomen, hernial sac, thorax

Type of incident: n/a

George Cowdery, 35, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Male
Date of admission: 23 Dec 1844
Date of death: 14 Jun 1845
Disease (transcribed): Compound fracture of leg. Amputation. Recent pleurisy, pericarditis & peritonitis. Atheroma in aorta
Disease (standardised): Fracture (Leg); Amputation (Leg); Pleurisy (Lungs); Peritonitis (Abdomen); Pericarditis (Heart)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'A wheel of a cart passed over the leg of this patient and upon admission it was found that the tibia was exposed and fractured, but that the portions of bone were not at all displaced’
Body parts examined in the post mortem: Thorax, abdomen, stump

Type of incident: Trauma / accident

Henry Foghill, 8, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Male
Date of admission: 7 Jul 1845
Date of death: 7 Jul 1845
Disease (transcribed): Extensive fracture of the skull, with extensive contusions and laceration of the cerebrum. Other parts healthy
Disease (standardised): Fracture (Skull); Laceration (Brain)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'About an hour and a half before admission this patient was running behind a carriage, when he suddenly lost his hold and fell with great violence upon the road. Another carriage which was passing immediately afterwards passed over his leg but it was said did not touch his head’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

Martha Wilson, 46, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Female
Date of admission: 19 Feb 1845
Date of death: 7 Jul 1845
Disease (transcribed): Scirrhous disease of the rectum, spreading to the glands of the pelvis and neighbouring cellular tissue
Disease (standardised): Scirrhus (Rectum)

Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'Twelve months before her admission into the hospital this patient complained of difficulty in passing her motions. She suffered at the same time from occasional accumulations of faecal matter in the colon, and consequent attacks of diarrhoea’
Body parts examined in the post mortem: Abdomen (‘the other viscera […] were not examined on account of the advanced decomposition’

Type of incident: n/a

John Salter, 14, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 14
Gender: Male
Date of admission: 25 Jul 1845
Date of death: 25 Jul 1845
Disease (transcribed): Extensive fracture of the skull, with laceration of the brain. Tubercular & setaceous deposits in mesenteric glands
Disease (standardised): Fracture (Skull); Laceration (Brain); Tuberculosis (Mesenteric glands)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This lad was thrown from a horse shortly before his admission and was reported immediately afterwards to have been sick’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

John Wilkinson, 66, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 66
Gender: Male
Date of admission: 29 May 1845
Date of death: 28 Jul 1845
Disease (transcribed): Compound fracture of the leg, with extensive suppuration. Pleurisy in right side, and 2ndary deposits in both lungs
Disease (standardised): Fracture (Leg); Suppuration (Leg); Pleurisy (Lungs); Deposit (Lungs)

Admitted under the care of: Keate, Robert
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was reported to be in the habit of drinking. Whilst in a state of intoxication he fell down stairs, and was brought to the hospital stunned by the fall and with a compound fracture of the right tibia’
Body parts examined in the post mortem: Right lower extremity, thorax, abdomen

Type of incident: Trauma / accident

George Darley, 67, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 67
Gender: Male
Date of admission: 13 Aug 1845
Date of death: 22 Aug 1845
Disease (transcribed): Enlarged prostate, and diseased bladder & kidneys. Hydrocele
Disease (standardised): Enlarged (Prostate); Disease (Bladder, kidneys); Hydrocele (Testicles)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Johnstone, Athol Archibald Wood
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient when admitted was suffering form irritability of the bladder & making water 8 or 9 times during the night. He also complained of much inconvenience on account of a prolapsus ani which he had frequently much difficulty in returning’
Body parts examined in the post mortem: Thorax, abdomen, cranium

Type of incident: n/a

Charles Kentfield, 8, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Male
Date of admission: 28 Oct 1845
Date of death: 28 Oct 1845
Disease (transcribed): Scalp wound and fracture of the base of the skull with extensive bruising of the brain, and extravasation of blood in the pia mater. Fracture of the lower jaw and of the left leg
Disease (standardised): Wound (Scalp); Fracture (Skull); Bruise (Brain); Extravasation (Brain); Fracture (Jaw, leg)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This lad was reported to have been knocked down by the shaft of a cart striking him upon the back of the head, whilst the cart was proceeding at a rapid rate. He was admitted with a large scalp wound at the back of the head, which had not however exposed the bone’
Body parts examined in the post mortem: Cranium, lower jaw, left lower extremity

Type of incident: Trauma / accident

James Rottergan, 3, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 3
Gender: Male
Date of admission: 13 Nov 1845
Date of death: 14 Nov 1845
Disease (transcribed): Extensive burn. Various organs healthy
Disease (standardised): Burn (Skin)

Admitted under the care of: Keate, Robert
Medical examination performed by: Spitta, Robert John
Post mortem examination performed by: Lee, Henry
Medical notes: 'This child was admitted with a burn affecting the skin to a greater or less depth in different situations and extending over the lateral and posterior surfaces of the abdomen and chest and over portions of both thighs’
Body parts examined in the post mortem: Thorax, abdomen, cranium

Type of incident: Trauma / accident

Sarah Barker, 45, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Female
Date of admission: 8 Oct 1845
Date of death: 21 Nov 1845
Disease (transcribed): Pleurisy. Peritonitis. Scirrhous ulceration of uterus & vagina encroaching upon the bladder
Disease (standardised): Pleurisy (Lungs); Peritonitis (Abdomen); Scirrhus (Uterus, vagina); Ulcer (Uterus, vagina)

Admitted under the care of: Tatum, Thomas
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted in a state of much debility, with incontinence of urine and frequent vomiting. She stated that she was married and had five children and that the present symptoms accompanied by pain in the back and loins and occasional fits had existed for two months previous to her admission’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Esther Williams, 45, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Female
Date of admission: 12 Nov 1845
Date of death: 25 Nov 1845
Disease (transcribed): Scirrhus of breast. Removal. Reappearance of disease in glands and in bones. Epileptic fits. Brain congested. Branches of superior & inferior mesenteric arteries clogged up with large and very firm black coagula
Disease (standardised): Scirrhus (Breast); Removal (Breast); Scirrhus (Glands, bones); Epilepsy (Brain); Congestion (Brain, blood vessels)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Lee, Henry
Medical notes: 'About six months before her death this patient came into the hospital for a malignant disease of the left breast, which was then amputated. The tumor of the breast had been growing 9 months and was reported of an encephaloid character. She left the hospital three weeks after the operation with the wound nearly cicatrized’
Body parts examined in the post mortem: Cranium, spine, thorax, abdomen, left humerus, left femur

Type of incident: n/a

Thomas Gilbert, 26, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Male
Date of admission: 04 Aug 1847
Date of death: 10 Sep 1847
Disease (transcribed): Extensive abscess round the knee joint. Secondary abscesses of lungs. Kidneys enormously enlarged.
Disease (standardised): Abscess (Leg); Abscess (Lung); Disease (Kidney)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Lee, Henry
Medical notes: This patient was admitted for considerable enlargement of the right knee joint of nine months standing.
Body parts examined in the post mortem: Right extremity, thorax and abdomen
Type of incident: n/a

Joseph Dixon, 31, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 31
Gender: Male
Date of admission: 28 Jul 1847
Date of death: 12 Sep 1847
Disease (transcribed): Pleuritic adhesions of hydrothorax. Dilatation and hypertrophy of left ventricle and fatty heart. Ascites. Thickened peritoneum. Liver diseased. Kidneys granular, the left contracted. Spleen softened.
Disease (standardised): Adhesions (Pleura); Disease (Heart); Ascites (Abdomen); Thickening (Abdomen); Disease (Liver); Disease (Kidney);Disease (Spleen)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Lee, Henry
Medical notes: This man was admitted suffering from anasarca of long duration.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

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