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Hewett, Prescott Gardner Wounds and injuries
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St George's Hospital Reports, Vol. I

The volume includes a brief history of the hospital and the medical school.

Contents:
I. Some Account of St. George’s Hospital and School. By W. E. PAGE, M.D., Senior Physician to the Hospital
II. Contributions to the Surgery of the Head. No. I. On the Deviations of the Base of the Skull in Chronic Hydrocephalus. By PRESCOTT HEWETT, Surgeon to the Hospital
III. A Case of Meningocele, in the Occipital Region, which was injected with Iodine, without ill consequences, the Patient dying of Broncho-pneumonia. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Anatomy
IV. On the Typhus Epidemic of 1864-5, as observed at St. George’s Hospital. By R. E. THOMPSON, M.D., Medical Registrar of the Hospital
V. Notes on an Epidemic of Typhus at Leeds, in the Year 1865-6. By T. CLIFFORD ALLBUTT, M.B., Physician to the Fever Infimmary, Fever Hospital, &0. at Leeds
VI. On the Diagnosis, Pathology, and Treatment of Progressive Locomotor Ataxy. By J. LOCKHART CLARKE, F.R.S.
VII. On Rheumatic Iritis. By J. ROUSE, Lecturer on Anatomy at the Hospital School
VIII. On Cerebral Symptoms occurring in certain Affections of the Ear. By J. TOYNBEE, F.R.S., late Consulting Aural Surgeon to St. Mary’s Hospital, Asylum for the Deaf and Dumb, and to St. George’s and St. James’s Dispensary
IX. On some Points connected with the Treatment of Hernia. By J. WARRINGTON HAWARD, Resident Medical Oflicer to the Hospital for Sick Children
X. On Amputation at the Hip-joint, and on the Applicability of this Operation in some of the worst Cases of Morbus Coxarius. Part I. For recurrent Fibro-plastic Tumour. Part II. In Morbus Coxarius. By T. HOLMES, Assistant Surgeon to the Hospital
XI. On Disease of the Brain as a result of Diabetes Mellitus, illustrated by the Narrative of a Case (with Clinical Observations) in which Paralysis, due to Softening of the Brain, came on in a Diabetic Patient, and proved fatal. Followed by a Notice of Fifteen Fatal Cases of Diabetes, cited from the Records of the Hospital. By Dr. JOHN W. OGLE, Physician to the Hospital
XII. On Jaundice and Biliousness. By Dr. H. BENCE JONES, formerly Physician to the Hospital
XIII. On Paralysis occurring in Childbed. By Dr. F. F. FUSSELL, Physician to the Brighton Dispensary
XIV. Remarks upon the Modus Operandi of Hypodermic Injections. By C. HUNTER, Surgeon to the Royal Pimlico Dispensary
XV. On Congenital Dislocations of the Femur. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XVI. On the Diurnal Variations in the Temperature of the Human Body in Health. By Dr. WILLIAM OGLE, Lecturer on Physiology at the Medical School of the Hospital
XVII. On Rupture of Arteries dependent on external Injury. By GEORGE POLLOCK, Surgeon to the Hospital
XVIII. On the Formation of Coagula in the Cerebral Arteries. By Dr. DICKINSON, Assistant Physician to the Hospital
XIX. On Talipes Varus. By B. E. BRODHURST, Assistant Surgeon to the Hospital
XX. On Talipes Equinus. By G. NAYLER, Assistant Surgeon to the Royal Orthopaedic Hospital, and the Hospital for Diseases of the Skin
XXI. On the Amputation-Book of St. George’s Hospital, and on some Points connected with the Statistics of Three Hundred Amputations there recorded. Part I. On the Influence of Age upon the Results of Amputation. Part II. 'On the Causes of Death, after Amputation; with special reference to the proportion of Deaths due to causes preceding the Amputation. By T. HOLMES, Assistant Surgeon to the Hospital
XXII. Statistical Tables from the Dental Case-Books of St. George’s Hospital. By C. VASEY, Surgeon-Dentist to the Hospital
Annual Report of Cases admitted into the Medical Wards of St. George’s Hospital during the Year 1865. By Dr. STURGES
Annual Report of Surgical Cases treated in the Hospital during the Year 1865. By Mr. PICK

LIST OF ILLUSTRATIONS
View of St. George’s Hospital in its present condition
View of the Hospital as it appeared in 1746. From a picture by R. Wilson, R.A., in the Foundling Hospital
Foetal Skull, showing the arrangement of the bones in a case of chronic hydrocephalus, affecting the middle fossae (Mr. Prescott Hewett)
The representation, from life, of a case similar to the foregoing (Mr. Prescott Hewett)
Meningocele in the occipital region (Mr. Holmes)
The same as above, showing the parts within the skull (Mr. Holmes)
Thermograph, in a case of fever (Dr. Thompson)
Diseased Femur (Mr. H. Lee) .
Stump of amputation (Mr. H. Lee)
Lithographic representation of -a Femur, showing the effects of chronic Osteo-myelitis (Mr. Holmes)
Consolidated Lung, having its arteries full of laminated coagulum (Dr. John W. Ogle)
Thermographs showing variations of temperature in health (Dr. William Ogle)
Front view of a case of Talipes equinus (Mr. Nayler)
Back view of the same preparation (Mr. Nayler)
An extreme case of Talipes equinus (Mr. Nayler)
The same foot after successful treatment (Mr. Nayler)
Contraction of the ext. prop. pollicis, with rectangular contraction of the tendo Achillis (Mr. Nayler) .
Talipes equinus paralytieus (Mr. Nayler)
Extreme degree of Talipes equinus paralyticus (Mr. Nayler)

James Howard, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Male
Date of admission: 25 Oct 1843
Date of death: 5 Jan 1844
Disease (transcribed): Secondary deposits in the lung following a slight injury of the foot and suppuration in the groin.
Disease (standardised): Injury (Foot); Suppuration (Abdomen); Deposits (Lung)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with a small abscess on the dorsum of the foot followed by inflamed absorbents. Abscesses formed in the thigh and groin and on the 23rd December he was seized with rigors, vomiting and profuse perspirations and complained of pain in the situation of the lower part of the left lung.
Body parts examined in the post mortem: Thorax, abdomen and groin
Type of incident: n/a

Elizabeth Bickford, 60, Widow

Occupation or role: Widow
Age: 60
Gender: Female
Date of admission: 27 Dec 1864
Date of death: 9 Jan 1865
Disease (transcribed): Fractured femur
Disease (standardised): Fracture (Leg)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not entered
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Joseph Gibbs, 74, Painter

Occupation or role: Painter
Age: 74
Gender: Male
Date of admission: 26 Aug 1873
Date of death: 13 Jan 1874
Disease (transcribed): Injury to hip. Granular kidneys. Hydrothorax
Disease (standardised): Injury (Hip); Disease (Kidney); Hydrothorax (Pleura)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: This man had had a fit and fell off the curb stone on to his right hip.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, bladder and femur
Type of incident: n/a

Henry Willard, 24, Labourer

Occupation or role: Labourer
Age: 24
Gender: Male
Date of admission: 26 Mar 1863
Date of death: 15 Apr 1863
Disease (transcribed): Compound fracture of leg
Disease (standardised): Fracture (Leg)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

William Tanner, 29, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 29
Gender: Male
Date of admission: 6 Apr 1846
Date of death: 23 Apr 1846
Disease (transcribed): Compound fracture of the leg. Amputation of thigh. Pleurisy on both sides, with secondary deposits in both lungs. Other organs healthy. Inflammation of extremity of femoral vein.
Disease (standardised): Fracture (Leg); Amputation (Leg); Pleurisy (Pleura, Lung); Inflammation (Veins)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The accident in consequence of which this man was admitted, was caused by a heavy fall from a horse which bolted with with him and crashed violently against a cart.
Body parts examined in the post mortem: Thorax, abdomen and stump
Type of incident: Trauma/accident

Swan Tuck, 40, Labourer

Occupation or role: Labourer
Age: 40
Gender: Male
Date of admission: 11 Apr 1868
Date of death: 16 Apr 1868
Disease (transcribed): Laceration of brain
Disease (standardised): Laceration (Brain)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: n/a
Body parts examined in the post mortem: Cranium
Type of incident: Trauma/accident?

Charles White, 30, Labourer

Occupation or role: Labourer
Age: 30
Gender: Male
Date of admission: 17 Mar 1866
Date of death: 9 Apr 1866
Disease (transcribed): Scalp wound. Pyaemia
Disease (standardised): Wound (Scalp); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: n/a
Body parts examined in the post mortem: Head, chest and abdomen
Type of incident: Trauma/accident

John Winter, 1 ¾, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 1 ¾
Gender: Male
Date of admission: 5 May 1844
Date of death: 5 May 1844
Disease (transcribed): Fracture of the ribs with ecchymosis of the Lungs and Heart. Rupture of the Liver.
Disease (standardised): Fracture (Ribs); Ecchymosis (Lungs, Heart); Rupture (Liver)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The child was admitted in a state of collapse having fallen from a height of 15 feet from a loft into a stable and it was believed was afterwards trod upon the abdomen by a horse.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Trauma/accident

Robert Jones, 51, Painter

Occupation or role: Painter
Age: 51
Gender: Male
Date of admission: 3 May 1872
Date of death: 4 May 1872
Disease (transcribed): Fracture and dislocation of sixth cervical verterbrae. Extensive bruising and laceration of the spinal cord
Disease (standardised): Fracture (Spine); Bruising (Spinal cord); Laceration (Spinal cord)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: 'This man died shortly after admission, and was not seen by me.’
Body parts examined in the post mortem: Cranium, bones, spinal cord, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: Trauma/accident

Henry Palmer, 36, Carman

Occupation or role: Carman
Age: 36
Gender: Male
Date of admission: 8 Apr 1872
Date of death: 4 May 1872
Disease (transcribed): Ulcerated wound of foot. Pyaemia
Disease (standardised): Ulcer (Foot); Wound (Foot); Sepsis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man was admitted with swelling and redness of the right foot and lower part of the leg, and a small sloughing wound on the dorsum of the foot.
Body parts examined in the post mortem: Cranium, organs of special sense, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

Benjamin Brown, 50, Confectioner

Occupation or role: Confectioner
Age: 50
Gender: Male
Date of admission: 18 Apr 1864
Date of death: 18 Apr 1864
Disease (transcribed): Fracture of skull and spine. Perforation of carotid
Disease (standardised): Fracture (Skull, spine); Perforation (Carotid arteries)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Braine, Francis Woodhouse
Medical notes: 'The broughman, in which this gentleman was riding, came into violent collision with the pole of an omnibus, which, crashing through the side of the carriage, struck the unfortunate gentleman on the head, he vomited a large quantity of blood immediately, and died in a few seconds’
Body parts examined in the post mortem: Head, spine, trunk

Type of incident: n/a

Charles Burnell, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Male
Date of admission: 18 Apr 1844
Date of death: 7 May 1844
Disease (transcribed): Compressed dislocation of ankle, followed by Erysipelas and diffuse cellular inflammation.
Disease (standardised): Dislocation (Ankle); Erysipelas (Skin); Inflammation (Ankle)
Admitted under the care of: Cutler, Edward
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: n/a
Body parts examined in the post mortem: The body was not examined, at the request of the friends
Type of incident: n/a

William Hall, 66, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 66
Gender: Male
Date of admission: 3 Jan 1844
Date of death: 6 Jan 1844
Disease (transcribed): Exhaustion after extensive inflammation of the cellular tissue of the forearm, following an injury of one of the fingers.
Disease (standardised): Inflammation (Arm); Injury (Hand)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient had received a wound from a hatchet on the finger which exposed the joint and splintered both bones.
Body parts examined in the post mortem: Thorax, abdomen and left arm
Type of incident: Trauma/accident

George Livermore, 21, Labourer

Occupation or role: Labourer
Age: 21
Gender: Male
Date of admission: 3 Jan 1862
Date of death: 5 Jan 1862
Disease (transcribed): Tetanus. Lacerated wound of hand
Disease (standardised): Tetanus (Systemic); Laceration (Hand)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: n/a
Medical notes: This was a case of tetanus, following a lacerated wound of the hand.
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Sarah Albridge, 8, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 8
Gender: Female
Date of admission: 13 May 1846
Date of death: 13 May 1846
Disease (transcribed): Extensive burn, fatal in a few hours.
Disease (standardised): Burn (Skin)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: Case was not entered at the body was not examined after death.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

Thomas Veldon, [No age stated], [No occupation stated]

Occupation or role: [No occupation stated]
Age: [No age stated]
Gender: Male
Date of admission: 20 Apr 1846
Date of death: 16 May 1846
Disease (transcribed): Accident. Secondary deposits?
Disease (standardised): Accident (Indeterminate); Deposits (Indeterminate)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: As there was no examination of this patient’s body, the case is omitted.
Body parts examined in the post mortem: The relations would not allow the body to be examined
Type of incident: Trauma/accident

Daniel Cox alias Coe , 28, Bricklayer

Occupation or role: Bricklayer
Age: 28
Gender: Male
Date of admission: 20 Mar 1865
Date of death: 17 Apr 1865
Disease (transcribed): Compound fracture of skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not given
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Thomas Baggett, 20, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 20
Gender: Male
Date of admission: 14 Jan 1846
Date of death: 22 May 1846
Disease (transcribed): Lumbar abscesses and caries of spine. Caries of the left iliac bone. Dislocation of hip and extensive destruction both of the head of the femur and of the cotyloid cavity. Viscera healthy
Disease (standardised): Abscess (Spine); Caries (Spine); Caries (Pelvis); Dislocation (Hip); Destruction (Leg)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Gee, Adolphus John
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient stated that for the last nine months he had been subject to the formation of abscesses in various parts of the body.
Body parts examined in the post mortem: Thorax, abdomen, spine, pelvis and left hip joint
Type of incident: n/a

Richard Cornett, 54, Plasterer

Occupation or role: Plasterer
Age: 54
Gender: Male
Date of admission: 13 Apr 1870
Date of death: 16 Apr 1870
Disease (transcribed): Compound fracture of leg.
Disease (standardised): Fracture (Leg)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case is not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

William Dack, 4 years 6 months , Child

Occupation or role: Child
Age: 4 years 6 months
Gender: Male
Date of admission: 21 Mar 1865
Date of death: 17 Apr 1865
Disease (transcribed): Burn
Disease (standardised): Burn (Skin)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not given
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

Alfred Brown, 52, Painter

Occupation or role: Painter
Age: 52
Gender: Male
Date of admission: 16 Apr 1866
Date of death: 20 Apr 1866
Disease (transcribed): Laceration of brain. Fracture of skull
Disease (standardised): Laceration (Brain); Fracture (Skull)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Whipham, Thomas Tillyer. Dickinson, William Howship
Medical notes: This patient fell about twenty feet off a scaffold ladder on to his head.
Body parts examined in the post mortem: Head
Type of incident: Trauma/accident

Thomas Neale, 26, Carman

Occupation or role: Carman
Age: 26
Gender: Male
Date of admission: 30 Apr 1862
Date of death: 2 May 1862
Disease (transcribed): Fracture of pelvis. Rupture of urethra
Disease (standardised): Fracture (Pelvis); Rupture (Urethra)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Pick, Thomas Pickering
Post mortem examination performed by: Dickinson, William Howship
Medical notes: While twisting a bar of iron by means of pulleys into a cart, the rope broke and the bar, which weight a ton, fell across his hips, knocking him down.
Body parts examined in the post mortem: Chest and abdomen
Type of incident: Trauma/accident

William Martin, 7 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 7 months
Gender: Male
Date of admission: 1 May 1874
Date of death: 2 May 1874
Disease (transcribed): Scald
Disease (standardised): Scald (Skin )
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Thomas Newell, 2, Child

Occupation or role: Child
Age: 2
Gender: Male
Date of admission: 8 Apr 1870
Date of death: 21 Apr 1870
Disease (transcribed): Burn.
Disease (standardised): Burn (Skin)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: n/a
Medical notes: As the body was not examined, the case is not herein reported.
Body parts examined in the post mortem: The body was not examined
Type of incident: n/a

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