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Hewett, Prescott Gardner Skin and connective tissue diseases
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James Atkins, 40, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 40
Gender: Male
Date of admission: 10 Jan 1844
Date of death: 14 Jan 1844
Disease (transcribed): Fracture of the skull with depressed bone; trephine applied 12 months after the accident. Erysipelas. Diffuse inflammation of the sub arachnoid cellular tissue.
Disease (standardised): Fracture (Skull); Erysipelas (Skin); Inflammation (Brain )
Admitted under the care of: Tatum, Thomas
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: About 12 months before his admission he received a severe blow on the crown of his head from a fall off a coach.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: Trauma/accident

Mary Burkin, 65, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 65
Gender: Female
Date of admission: 10 Dec 1844
Date of death: 19 Dec 1844
Disease (transcribed): Scalp wound with deamidation of bone. Diffuse cellular inflammation of scalp with Erysipelas of the face.
Disease (standardised): Wound (Scalp); Deamidation (Skull); Inflammation (Scalp); Erysipelas (Skin)
Admitted under the care of: Tatum, Thomas
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: Cranium
Type of incident: n/a

Emma Cooper, 15, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 15
Gender: Female
Date of admission: 18 Jan 1846
Date of death: 7 Apr 1846
Disease (transcribed): Cleft palate operation. Subsequently to which, erysipelas of the head and neck, of which she died.
Disease (standardised): Operation (Jaw); Erysipelas (Head); Erysipelas (Neck)
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 case is not given as there was no post mortem examination of the body.
Body parts examined in the post mortem: The body was not examined, at the earnest request of the friends
Type of incident: n/a

Robert Nixon, 30, Labourer

Occupation or role: Labourer
Age: 30
Gender: Male
Date of admission: 22 Nov 1869
Date of death: 31 May 1870
Disease (transcribed): Fractured spine in the dorsal region – union of the fractured parts. Large bed sore. Granular kidneys.
Disease (standardised): Fracture (Spine); Pressure ulcer (Skin, Tissues); Disease (Kidney)
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 fell from a height of 30 feet onto some stone.
Body parts examined in the post mortem: Bones and joints, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: Trauma/accident

Timothy Smith, 78, Cordwainer

Occupation or role: Cordwainer
Age: 78
Gender: Male
Date of admission: 11 Jan 1872
Date of death: 21 Jan 1872
Disease (transcribed): Calculous pyelitis. Abscess surrounding left kidney. Partial of obstruction of the ureter. Erysipelas
Disease (standardised): Pyelitis (Kidney); Calculi (Kidney); Abscess (Kidney); Obstruction (Ureter); Erysipelas (Skin)
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 for retention of urine from enlarged prostate gland.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and bladder
Type of incident: n/a

John Shearer, 35, Butler

Occupation or role: Butler
Age: 35
Gender: Male
Date of admission: 25 Sep 1872
Date of death: 10 Oct 1872
Disease (transcribed): Circumcision. Erysipelas. Sloughing of the penis and scrotum
Disease (standardised): Circumcision (Penis); Erysipelas (Skin); Sloughing (Penis); Sloughing (Scrotum)
Admitted under the care of: Hewett, Prescott Gardner. Rouse, James
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man was admitted with a congenital phimosis.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, intestines and organs of generation
Type of incident: n/a

William Greenaway, 66, Husbandman

Occupation or role: Husbandman
Age: 66
Gender: Male
Date of admission: 25 Aug 1869
Date of death: 18 Sep 1869
Disease (transcribed): Granular kidneys. Eczema. Gangrenous sore on dorsum of left foot
Disease (standardised): Disease (Kidney); Eczema (Skin); Gangrene (Foot)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Leigh, William
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man had been subject to eczema for many years and dated his present attack as beginning seven months before.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Maude Hudkeley, 37, Married

Occupation or role: Married
Age: 37
Gender: Female
Date of admission: 7 Aug 1866
Date of death: 4 Oct 1866
Disease (transcribed): Rupia
Disease (standardised): Rupia (Skin); Syphilis (Systemic)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Ring, Edmund Cuthbert
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This woman was admitted having had rupial ulcers for some two months, but lately they had been increasing in number and size.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Margaret Wright, 42, Married

Occupation or role: Married
Age: 42
Gender: Female
Date of admission: 26 Jul 1867
Date of death: 13 Aug 1867
Disease (transcribed): Ovarian tumour. Ovariotomy. Diffuse pelvic cellulitis
Disease (standardised): Tumour (Ovary); Ovariotomy (Ovary); Cellulitis (Pelvis)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Leigh, William
Post mortem examination performed by: n/a
Medical notes: This patient was first admitted on 8th June 1867. She had observed a swelling commencing on the left side of the abdomen for twelve months.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Sarah Chambers, 17, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 17
Gender: Female
Date of admission: 25 Jul 1873
Date of death: 9 Sep 1873
Disease (transcribed): Contusions. Bedsores. Exhaustion
Disease (standardised): Contusions (Systemic); Pressure ulcer (Skin); Exhaustion (Systemic)
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 child had been subject to fits. She had been run over by a cab which caused a bruise of her hip and abdomen.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, organs of generation and brain
Type of incident: Trauma/accident

Ann Rudland, 74, Pensioned nurse

Occupation or role: Pensioned nurse
Age: 74
Gender: Female
Date of admission: 5 Feb 1874
Date of death: 12 Mar 1874
Disease (transcribed): Fracture of neck of femur. Bed sore
Disease (standardised): Fracture (Leg); Pressure ulcer (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 reported here
Body parts examined in the post mortem: Not examined
Type of incident: n/a

Edward Cooper, 56, Coachman

Occupation or role: Coachman
Age: 56
Gender: Male
Date of admission: 14 Mar 1874
Date of death: 18 Mar 1874
Disease (transcribed): Stricture of the urethra. Sloughing of penis. Cellulitis
Disease (standardised): Constriction (Urethra); Sloughing (Penis); Cellulitis (Scrotum)
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 stated that he had had difficulty in passing his urine for the last twelve months and about a week ago his penis commenced to swell.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, urethra and bladder
Type of incident: n/a

Mary Simmonds, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Female
Date of admission: 20 May 1846
Date of death: 16 Jun 1846
Disease (transcribed): Large apoplectic clot, of some standing, in the posterior lobe of the right hemisphere. Other part of brain and vessels healthy. Effusion in the sub arachnoid tissues. Specks of atheroma about aorta. Erysipelas. Abscess in neck.
Disease (standardised): Stroke (Brain ); Effusion (Brain); Plaque, Atherosclerotic (Arteries); Erysipelas (Skin); Abscess (Neck)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient was admitted paralytic on the left side of the body. It appeared from the friends account, that on the 16th of May she had a fit of an apoplectic character.
Body parts examined in the post mortem: Cranium, thorax, abdomen and neck
Type of incident: n/a

Edward Jeynes, 27, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 27
Gender: Male
Date of admission: 8 Jul 1846
Date of death: 14 Jul 1846
Disease (transcribed): Acute rheumatism of wrist and elbow joints. Sudden death. Congestion of veins at upper surface of brain. Small quantity of opaque fluid in pericardium. Heart somewhat dilated and flaccid, otherwise healthy. Other viscera congested.
Disease (standardised): Rheumatic diseases (Arm); Congestion (Brain); Dilated (Heart)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient stated that in May last he had an attack of scarlet fever, which confined him to the house for about three weeks which left him weakened and his legs oedematous.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

Sarah Smallpiece, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Female
Date of admission: 29 Nov 1843
Date of death: 14 Jan 1844
Disease (transcribed): Slight inflammation of lungs. Caries and necrosis of Trochanter Major. Erysipelas.
Disease (standardised): Inflammation (Lung); Necrosis (Leg); Erysipelas (Skin)
Admitted under the care of: Hawkins, Caesar Henry. Wilson, James Arthur
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with a large chronic abscess of nine months standing situated in the right thigh.
Body parts examined in the post mortem: Thorax, abdomen and thigh
Type of incident: n/a

Oliver Thompson, 52, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 52
Gender: Male
Date of admission: 31 Jan 1844
Date of death: 10 February 1844
Disease (transcribed): Erysipelas. Diffuse inflammation of the sub-mucous laryngeal tissue. Rheumatic Gout.
Disease (standardised): Erysipelas (Skin); Inflammation (Larynx); Gout (Joints)
Admitted under the care of: Macleod, Roderick
Medical examination performed by: n/a
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: The patient was admitted with Rheumatic Gout principally affecting the right knee joint.
Body parts examined in the post mortem: Pharynx and larynx, thorax, abdomen and knee joint
Type of incident: n/a

Maria Barnes, 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Female
Date of admission: 26 Nov 1844
Date of death: 21 Dec 1844
Disease (transcribed): Erysipelas.
Disease (standardised): Erysipelas (Skin)
Admitted under the care of: Tatum, Thomas
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

Susan Seymour, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Female
Date of admission: 4 Dec 1844
Date of death: 25 Dec 1844
Disease (transcribed): Erysipelas. Abortion. Peritonitis of a low character with inflammation of the Uterus. Partial pleurisy.
Disease (standardised): Erysipelas (Skin); Abortion (Uterus); Peritonitis (Abdomen); Inflammation (Uterus); Pleurisy (Pleura)
Admitted under the care of: Nairne, Robert
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: Thorax and abdomen
Type of incident: n/a

William Phillips, 14 months, Infant

Occupation or role: Infant
Age: 14 months
Gender: Male
Date of admission: 6 Nov 1861
Date of death: 12 Nov 1861
Disease (transcribed): Blister on chest. Secondary abscess in lung.
Disease (standardised): Blister (Thorax); Abscess (Lung)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Venning, Edgcombe
Post mortem examination performed by: Dickinson, William Howship
Medical notes: The patient was admitted with a large wound. The mother gave the following history, that a fortnight prior to admission she took the child to the Kensington Dispensary on account of some affection of the chest, for which a blister was applied.
Body parts examined in the post mortem: Chest, abdomen and cranium
Type of incident: n/a

Sarah Mullens, 78, Widow

Occupation or role: Widow
Age: 78
Gender: Female
Date of admission: 3 Sep 1864
Date of death: 11 Sep 1864
Disease (transcribed): Fractured neck of femur, bedsores. Exhaustion
Disease (standardised): Fracture (Thigh); Pressure ulcer (Skin)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: n/a
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: 'Case not given’
Body parts examined in the post mortem: 'Not examined’

Type of incident: Trauma / accident

Henry Higgs, 48, Carman

Occupation or role: Carman
Age: 48
Gender: Male
Date of admission: 7 Jan 1875
Date of death: 8 Jan 1875
Disease (transcribed): Cellulitis of leg. Abscess of knee joint
Disease (standardised): Cellulitis (Leg); Abscess (Knee)
Admitted under the care of: Hewett, Prescott Gardner
Medical examination performed by: Thrupp, James Godfrey
Post mortem examination performed by: Haward, John Warrington
Medical notes: On admission he was suffering from diffuse cellular inflammation involving the foot, leg and lower part of the left thigh.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, liver, spleen, kidneys and joints
Type of incident: n/a

John Ives, 49, Labourer

Occupation or role: Labourer
Age: 49
Gender: Male
Date of admission: 26 Jun 1872
Date of death: 16 Jul 1872
Disease (transcribed): Periostitis of tibia. Bedsores. Exhaustion
Disease (standardised): Periostitis (Leg); Pressure ulcer (Skin); Exhaustion (Systemic)
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: Not examined
Type of incident: n/a

Anne Haynes, 27, Servant

Occupation or role: Servant
Age: 27
Gender: Female
Date of admission: 15 Oct 1873
Date of death: 30 Jan 1874
Disease (transcribed): Bed sores. Exhaustion
Disease (standardised): Pressure ulcer (Skin ); Exhaustion (Systemic)
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 woman stated that she was confined six months ago and three weeks after this she complained of pain in the right iliac fossa, and an abscess formed in the groin about three months after.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and organs of generation
Type of incident: n/a

St George's Hospital Reports, Vol. II

CONTENTS
I. Contributions to the Surgery of the Head. No II. On Exostoses of the Skull. By PRESCOTT G. HEWETT, Surgeon to the Hospital
II. Clinical Cases of Insanity. By GEORGE FIELDING BLANDFORD, M.D., Lecturer on Psychological Medicine at the Medical School
III. Diseases of Artisans. No. I. The Sheffield File-Cutters’ Disease. By JOHN CHARLES HALL, M.D.
IV. On certain Epileptic Phaenomena. By EDWARD FOX, M.D.
V. Encephaloid Disease of a retained Testicle, with Remarks, including a Summary of Twelve other similar cases. By G. F. HODGSON
VI. Thermometrical Observations in Typhoid Fever. By REGINALD E. THOMPSON, M.D., Medical Registrar of the Hospital
VII. Aphasia and Agraphia. By WILLIAM OGLE, M.D., Lecturer on Physiology at the Medical School
VIII. Reports of Cases of Nervous Disease. Delirium. By C. HANDFIELD JONES, M.B. Cantab. F.R.S.
IX. On Loose Cartilages in the Knee-joint. By BERNARD BRODHURST, Assistant Surgeon to the Hospital, and Lecturer on Orthopaedic Surgery
X. Infecting and Non-infecting Chancres. Remarks on some cases, with especial reference to the Means of Diagnosis between the two forms of the Disease. By EDGCOMBE VENNING
XI. On Naso-Pharyngeal Polypi. By THOMAS P. PICK, Curator of the Pathological Museum
XII. On Croup and Diphtheria. By J. WARRINGTON HAWARD
XIII. On the Significance of Skin-Affections in the Classification of Disease. By T. CLIFFORD ALI\BUTT, M.D.
XIV. Cases of Fever, with Remarks on their Origin. By W. E. C. NOURSE
XV. The Forms of Pneumonia. By Octavius Sturges, M.D.
XVI. On a Case of Death from Haemorrhage into the Pericardium, as a result of Rupture of one of three true and circumscribed Aneurysms of the Coronary Artery of the Heart; with Observations on Aneurysm or Aneurysmal Dilatation as a result of Embolism or Thrombosis. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XVII. Statistics of Strangulated Hernia. Some Facts in reference to Strangulated Hernia, founded on a Record of 200 Cases in the Book kept at St. George‘s Hospital. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Surgery
XVIII. Two Cases of Strangulated Inguinal Hernia, with Remarks. By T. HOLMES, Assistant Surgeon to the Hospital, and Lecturer on Surgery
XIX. A Case of Convulsions occurring after Delivery; with Remarks suggested thereby. By A. D. MACKAY, M.B.
XX. Instances of some of the rarer varieties of Morbid Growths, Swellings, &c., connected with the Organs contained within the Abdominal Cavity. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XXI. Report of the Medical Cases admitted during the year 1866. By R. E. THOMPSON, M.D., Medical Registrar
XXII. Report of the Surgical Cases admitted during the year 1866. By E. C. RING, Surgical Registrar

LIST OF ILLUSTRATIONS

Encephaloid disease of the right testicle, of about ten months’ growth (Mr. G. F. Hodgson)
Ditto ditto, of three years’ duration
Thermograph showing variation of temperature in typhoid fever (Dr. R. E. Thompson)
Ditto ditto
Ditto ditto, in enteric fever
Ditto, Table of observations in typhoid fever
View of the anterior surface of a heart showing three aneurysms of the coronary artery (Dr. John W. Ogle)
Intestine displaying a fibrous tumour attached to its inner surface (Dr. John W. Ogle)

William Williams, 48, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 48
Gender: Male
Date of admission: 26 Nov 1845
Date of death: 16 Jul 1846
Disease (transcribed): Extensive eruption of the skin. Right lung consolidated throughout by inflammation. Old adhesions of liver and spleen
Disease (standardised): Eruption (Skin); Inflammation (Lung); Adhesions (Liver); Adhesions (Spleen)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Fuller, Henry William
Post mortem examination performed by: Hewett, Prescott Gardner
Medical notes: This patient was admitted covered with an eruption of about seven weeks duration. The eruption commenced according to the patient, with small vesicles which shortly burst forming scabs.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

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