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Keate, Robert Anatomy
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Post Mortem Examinations and Case Books

  • 406 PM
  • Collection
  • 1840-1946

The post mortem records contain manuscript case notes, with medical notes both pre and post mortem. These include details on patients’ admission to the hospital, treatments and medication administered to patients and the medical history of patients; the medical histories were copied into the volumes from hospital registers, which are no longer extant. The post mortem cases include detailed pathological findings made during the detailed examination of the body after death. From the 1880s onwards the case books contain original anatomical drawings and photographs.

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The following information is recorded for each case. The information is transcribed from the case notes and/or the relevant index and, where relevant, additionally standardised using MeSH (Medical Subject Headings)

• Name of the patient. If a name is not entered in the volume, it is noted in the catalogue as ‘[No name stated]’

• Gender of the patient (female / male / unknown)

• Age of the patient. Usually in numbers, following the original, with the following exceptions: 4/12 = 4 months, 4/52 = 4 weeks, 4/365 = 4 days. If no age is entered, it is noted in the catalogue as ‘[No age stated]’

• Occupation of the patient. Where no occupation is entered, it is noted in the catalogue as ‘[No occupation stated]’. Children are often designated according to their father’s or mother’s occupation and women by their husband’s occupation (e.g. ‘F / Horsekeeper’, ‘M. Charwoman’, ‘Hd Grocer’); these have been rendered in the catalogue as ‘[Child of] Horsekeeper’, ‘[Wife of] Grocer’

• Date of admission and date of death

• The names of the doctors treating or examining the patient. ‘Admitted under the care of’ denotes the senior doctor in charge of the case (usually entered at the top of the page and in the index); ‘Post mortem performed by’ denotes the doctor responsible for the post mortem examination (usually signed at the bottom of the page) and ‘Medical examination performed by’ denotes the doctor responsible for the medical examination prior to death (usually signed at the bottom of the page). The earliest records usually contain only one name, and some of the later ones may contain multiple names in each category. An authority record (name access point) with basic biographical details has been created for each doctor mentioned in the records; these can be used to explore all the cases related to a particular individual

• Disease(s) or cause of death of the patient. Transcribed from the medical case and/or the index and standardised, e.g. ‘Disease (transcribed): Phthisis. Fractured base. Disease (standardised): Tuberculosis (lungs). Fracture (skull)’

• Medical and post mortem notes. Brief summary description or transcription of the case notes relating to previous medical history (not a full transcription of the case notes)

• Note on whether the case includes illustrations or photographs; these can also be browsed via genre access points

• Note on whether the death was caused by trauma, accident or suicide

• Subject access points, using standardised terms from MeSH, with disease type (e.g. respiratory tract diseases, cardiovascular diseases) and anatomy type (e.g. cardiovascular system, musculoskeletal system), which can be used for browsing all relevant cases

Note on transcriptions and abbreviations

Names have been silently expanded, e.g. Jas = James, Wm = William

Some common abbreviations and acronyms

AMCH = Atkinson Morley Convalescent Hospital, Wimbledon
BID = Brought in dead
COA = Condition on admission
F = Father
H or Hd = Husband
HP = House physician
HS = House surgeon
IP = In-patient
L = Left
M = Mother
MR or Med reg or Med r = Medical register or Medical registrar
MS = Museum specimen
OP = Out-patient
OPD = Out-patient department
OR = Obstetric register
PMH = Previous medical history
PH = Previous history
Pt or Pat = Patient
PM = Post mortem
R = Right
RF = Rheumatic fever
Ry = Railway
SR or Surg reg = Surgical register or Surgical registrar
TB = Tuberculosis
VD = Venereal disease

St George's Hospital, London

Thomas Henry, 19, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Male
Date of admission: 22 Jul 1846
Date of death: 25 Aug 1846
Disease (transcribed): Scrofulous tubercles in both hemispheres of brain. Large ones in right side of cerebrum, small one in left. Others in both lobes of cerebellum. Tubercles and vomicae in both lungs. Mesenteric glands enlarged.
Disease (standardised): Tuberculosis (Brain ); Tuberculosis (Lung); Enlarged (Mesenteric gland)
Admitted under the care of: Keate, Robert
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Pollock, George
Medical notes: The disease began insidiously ten months since, and for two months there was only some slight swelling and uneasiness.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

John Appleton, 47, Labourer

Occupation or role: Labourer
Age: 47
Gender: Male
Date of admission: 19 Jun 1846
Date of death: 28 Jun 1846
Disease (transcribed): Erysipelas of the arm and chest. Diffuse cellular inflammation of the arm. Old adhesions about the right lung the liver and spleen. Heart flaccid and dilated. Lungs emphysematous. Ribs fractured and united.
Disease (standardised): Erysipelas (Skin); Inflammation (Arm); Disease (Heart); Emphysema (Lung); Fracture (Ribs); Adhesions (Lung);Adhesions (Liver) ; Adhesions (Spleen)
Admitted under the care of: Keate, Robert
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient was first admitted on 5th May with fractured ribs and discharged on 17th June. It appears that the evening after his discharge he went to bed somewhat inebriated and complained the next day of feeling generally unwell, depressed and shivering.
Body parts examined in the post mortem: Thorax, abdomen and right upper extremity
Type of incident: Trauma/accident

Sarah A. Oates, 19, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Female
Date of admission: 22 Sep 1844
Date of death: 9 Feb 1845
Disease (transcribed): Fracture of the spine and irregular consolidation of the fragments. Softening of the chord. Atrophy of the brain. Suppuration of the right tympanum & ulceration of membrana tympani. Extensive sloughing of skin
Disease (standardised): Fracture (Spine); Softening (Spinal cord); Atrophy (Brain); Suppuration (Ears); Sloughing (Skin)
Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: n/a
Medical notes: 'This patient had for some time been subject to what were considered to be hysterical fits, when she manifested symptoms of derangement. On the 21st of September and the day following [she] threw herself from the second story window. She was brought to the hospital and a projection was found opposite the 12th dorsal vertebra’
Body parts examined in the post mortem: Thorax, abdomen, cranium, spine

Type of incident: Suicide?

[No name], [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender:
Date of admission: Aug 1841
Date of death: Aug 1841
Disease (transcribed): Scrofulous degeneration of kidneys. Extensive ulceration of mucous membrane of bladder. Phthisis
Disease (standardised): Tuberculosis (Kidneys); Ulcer (Bladder); Tuberculosis (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

[No name], 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender:
Date of admission: Jun 1841
Date of death: Jun 1841
Disease (transcribed): Fracture of the skull; haemorrhage and injury of the brain
Disease (standardised): Fracture (Skull); Injury (Brain); Haemorrhage (Brain)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

[No name], [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Female
Date of admission: Apr 1841
Date of death: Apr 1841
Disease (transcribed): Peritonitis. Strangulated hernia. Abortion. Uterine haemorrhage
Disease (standardised): Peritonitis (Abdomen); Hernia; Miscarriage; Haemorrhage (Uterus)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'This patient was three months gone in the family way when she was brought into the house for strangulated hernia. She was operated upon by Mr Cutler [Edward Cutler]; abortion came on after the operation and this was followed by uterine haemorrhage; she died the 2nd day after the operation’
Body parts examined in the post mortem: Abdomen ('The uterus was about the size of the egg of an ostrich; its tissue and the ovaries were apparently healthy. They were not examined as Dr Lee [Robert Lee] wished to have them so as to prepare the uterine nerves and vessels’)

Type of incident: n/a

[No name], [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: n/a
Date of admission: Mar 1841
Date of death: Mar 1841
Disease (transcribed): Fracture
Disease (standardised): Fracture
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: n/a

Type of incident: Trauma / accident

John Read , 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 3 Dec 1851
Date of death: 22 Dec 1851
Disease (transcribed): Carious tarsal bones. Phthisis
Disease (standardised): Caries (Foot); Tuberculosis (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'As the body was not examined the case is not given’
Body parts examined in the post mortem: 'The body was not examined’

Type of incident: n/a

Joseph Daveney, 40, Carman

Occupation or role: Carman
Age: 40
Gender: Male
Date of admission: 15 Oct 1851
Date of death: 9 Nov 1851
Disease (transcribed): Compound fracture of both bones of the right leg & sloughing of the wound. Secondary lobular pneumonia in the right lung. Old pleural adhesions on both sides. Recent pericarditis. Purulent deposits in the liver & slight peritonitis
Disease (standardised): Fracture (Leg); Sloughing (Leg); Pneumonia (Lungs); Pericarditis (Heart); Deposit (Liver); Peritonitis (Abdomen)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: n/a
Medical notes: 'This man was a travelling carman & [?] and seemed to have led rather an irregular life. He was admitted on the 15th of October having received a kick from a horse on the right leg. The blow had fractured the leg & it appeared that in endeavouring to rise afterwards he had caused the fractured end of the tibia to protrude […] Nothing is known of the history of the old bullet wound’
Body parts examined in the post mortem: Right leg, abdomen, thorax

Type of incident: Trauma / accident

Robert Watts, 37, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 37
Gender: Male
Date of admission: 14 Sep 1851
Date of death: 6 Oct 1851
Disease (transcribed): Scalp wound followed by sloughing. Symptoms of compression of brain [?], attributable to the formation of pus within the cranium. Trephining resorted to. Pus & ‘lymphy gradation’, fluid between the dura mater & bone, also in arachnoid cavity, & among the meshes of pia mater. Also in cavity & of orbit & frontal sinuses. Secondary lobular pneumonia & hepatitis
Disease (standardised): Wound (Scalp); Suppuration (Scalp, brain); Trephining (Skull); Pneumonia (Lungs); Hepatitis (Liver)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This man was first seen as an out-patient. He had had a glass thrown at him in some drunken quarrel which had inflicted a pretty severe wound on the fore part of his scalp. There was a good deal of bleeding’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident / violence

James Penny, 40, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 40
Gender: Male
Date of admission: 16 Aug 1851
Date of death: 24 Aug 1851
Disease (transcribed): Fracture of the left parietal bone, with depression of bone. Also laceration of the dura mater of the brain correspondent, followed by collection of purulent matter in the arachnoid cavity & inflammation of the substance of the brain
Disease (standardised): Fracture (Skull); Laceration (Brain); Suppuration (Brain); Inflammation (Brain)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Pollock, George
Medical notes: 'This man fell off a ladder, a height of about 8 feet, striking his head against a brick. When brought into the house (in the evening, a few hours after the accident), a piece of brick was found embedded in the skull’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

Ellen Stephenson, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Female
Date of admission: 29 Jan 1851
Date of death: 17 Aug 1851
Disease (transcribed): Tumour of a scrofulous character situated within the spinal canal in the cervical region, pressing on the medulla, & causing absorption of the surrounding portions of the vertebrae
Disease (standardised): Tumour (Spinal canal)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Pollock, George
Medical notes: 'This patient was admitted under the care of the physicians, labouring under paralysis, and transferred to the surgeons on account of a tumour in the neck in the situation of that observed in the spinal canal. There was partial loss of power in both the upper & lower extremities which was worse on the left side’
Body parts examined in the post mortem: Thorax, abdomen, cranium, spinal cord

Type of incident: n/a

Margaret Neile, 1 ¼, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 1 ¼
Gender: Female
Date of admission: 26 Jul 1851
Date of death: 12 Aug 1851
Disease (transcribed): Extensive scald
Disease (standardised): Burn (Skin)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Ogle, John William and Pollock, George
Medical notes: 'As the body was not examined this case is not given’
Body parts examined in the post mortem: 'The body was not examined at the request of friends’

Type of incident: Trauma / accident

Charlotte Emmerson, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Female
Date of admission: 30 Apr 1851
Date of death: 4 Aug 1851
Disease (transcribed): Extirpation of the right mammary gland for scirrhus thereof, & followed by collections of pus under the integument & among the muscles of the left thigh. Inflammation of the external iliac veins & purulent collections under iliac fascia. Diseased kidneys
Disease (standardised): Excision (Breast); Scirrhus (Breast); Suppuration (Thigh); Inflammation (Pelvis); Disease (Kidneys)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This woman was admitted with a scirrhous tumour of the right breast which was removed on the 8th of May. She gradually recovered from this operation, but the wound did not heal kindly, the discharge being offensive & [?], & there being a good deal of confinement of matter, requiring the opening to be constantly kept free’
Body parts examined in the post mortem: Lower extremities, abdomen, thorax

Type of incident: n/a

George Kelly, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Male
Date of admission: 18 Jul 1851
Date of death: 29 Jul 1851
Disease (transcribed): Fracture of the anterior part & base of the skull. Effusion of blood into the arachnoid cavity, the subarachnoid areolar tissue, & the substance of the cerebral hemispheres anteriorly. Diseased heart & kidneys
Disease (standardised): Fracture (Skull); Effusion (Brain); Disease (Heart, kidneys)

Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy and Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'He was admitted in consequence of having been run over by a mail-cart, the horse having it is said kicked him after he was knocked down. He was brought to the hospital almost immediately. On his admission there was copious haemorrhage from the right ear & from the nose. There was a wound over the left eye’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: Trauma / accident

Anne White, 44, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 44
Gender: Female
Date of admission: 28 Jun 1851
Date of death: 8 Jul 1851
Disease (transcribed): Disease of the ovaries & fallopian tubes. Pelvic peritonitis. Ulceration of the mucous membrane of the vagina. Recent pleurisy on left side. Old pleurisy on the right side. Engorged lungs
Disease (standardised): Disease (Ovaries, fallopian tubes); Peritonitis (Pelvis); Ulcer (Vagina); Pleurisy (Lungs); Engorgement (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient had been attending for some weeks as an outpatient with flooding & was supposed to labour under some organic disease of the uterus. She was admitted into the house [hospital] owing to her debilitated condition consequent upon the loss of blood which was increased at the time of her admission’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

Anne Thompson, 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Female
Date of admission: 23 Apr 1851
Date of death: 5 Jul 1851
Disease (transcribed): Psoas abscess (case not reported)
Disease (standardised): Abscess (Hip)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: 'The friends objected to any examination of this body’

Type of incident: n/a

Elizabeth Barns, 54, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 54
Gender: Female
Date of admission: 5 Mar 1851
Date of death: 28 Jun 1851
Disease (transcribed): Extensive burn of the back & shoulders. Erysipelas of the upper part of the body when the wound was on the point of healing
Disease (standardised): Burn (Back, shoulders); Erysipelas (Skin)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'The case is not entered as the body was not examined’
Body parts examined in the post mortem: 'The body was removed without any examination’

Type of incident: Trauma / accident

Honoria Corbett, n/a, [No occupation stated]

Occupation or role: [No occupation stated]
Age: n/a
Gender: Female
Date of admission: 18 Jun 1851
Date of death: 26 Jun 1851
Disease (transcribed): Severe burn of the face & arms. Scarlet fever
Disease (standardised): Burn (Face, arms); Scarlet fever (Systemic)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'The case is not entered as no examination of the body was made’
Body parts examined in the post mortem: 'The friends would not permit the body to be examined’

Type of incident: Trauma / accident

Edward Clayton, 30, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 30
Gender: Male
Date of admission: 21 Jun 1851
Date of death: 23 Jun 1851
Disease (transcribed): Lacerated wound of right groin leading into the abdomen. Wound of small intestine, escape of faecal matter. Peritonitis. Laceration of deep epigastric artery
Disease (standardised): Wound (Groin, abdomen, intestine); Peritonitis (Abdomen); Laceration (Abdomen)

Admitted under the care of: Keate, Robert
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Blagden, Robert and Ogle, John William
Medical notes: 'This patient was brought into the hospital with a lacerated wound of the right groin caused in the following way. While riding round Dean Street as it enters Park Lane, two cabs were coming towards him, & he endeavouring to guide his horse between them, was struck with great violence by the shaft of one of the cabs which broke in consequence & he was borne to the ground’
Body parts examined in the post mortem: Abdomen

Type of incident: Trauma / accident

Thomas Harris, 42, Pastry-cook’s man

Occupation or role: Pastry-cook’s man
Age: 42
Gender: Male
Date of admission: 20 Jun 1851
Date of death: 22 Jun 1851
Disease (transcribed): Delirium tremens. Inflammation of the lymphatic vessels & glands of arm & axilla. ‘Wet brain’. Distension of the ventricles by fluid. Congestion of the various viscera
Disease (standardised): Alcohol withdrawal syndrome (Brain); Inflammation (Arm, armpit); Disease (Brain); Congestion (Internal organs)
Admitted under the care of: Keate, Robert
Medical examination performed by: Blagden, Robert
Post mortem examination performed by: Ogle, John William
Medical notes: 'This patient was a pastry-cook’s man, had formerly been of very intemperate habits, but had lately lived more regularly, tho’ he had not altogether reformed. Two days before his admission he was cleansing copper saucepans as usual with oil of vitriol, & having an abrasion of the finger, some of the acid irritated it, forming a sore. The next day red lines were observed to lead up the arm from the finger to the axilla’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Harriet Moore, 3, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 3
Gender: Female
Date of admission: 23 Apr 1851
Date of death: 20 May 1851
Disease (transcribed): Abscess connected with lymphatic glands of the neck, followed by erysipelas of the head & face
Disease (standardised): Abscess (Neck); Erysipelas (Head, face)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'The history of this case is not recorded as the body was not examined’
Body parts examined in the post mortem: 'The relatives objected to any examination of the body’

Type of incident: n/a

Charlotte Baxter, 61, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 61
Gender: Female
Date of admission: 28 Apr 1851
Date of death: 1 May 1851
Disease (transcribed): Strangulated femoral hernia of right side. Operation
Disease (standardised): Hernia (Thigh); Operation (Thigh)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: 'The history is not given as the body was not examined’
Body parts examined in the post mortem: 'The friends objected to examination’

Type of incident: n/a

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