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Various: An Introductory Discourse [Introductory Addresses by St George’s Lecturers]

Various introductory addresses to the students and staff of St George’s Hospital Medical School bound together in one volume.

Contents

Brodie, Benjamin: An Introductory Discourse, on the Studies Required for the Medical Profession, 1838. Inscription on flyleaf: ‘C.E. Long Esq from the Author’

Brodie, Benjamin: An Introductory Discourse on the Duties and Conduct of Medical Students and Practitioners’, 1843. Inscription on flyleaf: ‘Edward Fox[?] with the author’s kind regards’. Manuscript notes at the end of the text

Johnson, Henry Charles. Introductory Remarks on the Opening of the Session 1850-51

Fuller, Henry William. Advice to Medical Students, 1857. Inscription on title page: ‘With the Author’s kind regards’

Lee, Henry. On General Principles in Medicine, 1863

Page, W.E. An Introductory Address, 1864

Wadham, William. An Introductory Address, 1869

Dickinson, W. Howship. Introductory Address… on the Art and Science of Medicine, 1874. Inscription on flyleaf: ‘Sepr 1883’, ‘With the author’s compliments’

Whipham, Thomas T. Introductory Address… on Specialism in the Medical Profession, 1878. Inscription on title page: ‘For the Library St George’s Hospital’

Cavafy, John. An Introductory Address on the Education of the general Practitioner, 1880

Dalby, W.B. On the Influence of the Study of Science upon the Mind, 1879

Haward, J. Warrington. Introductory Address… On Liberty and Authority in relation to the Study of Medicine, 1881

Watney, Herbert. Inaugural Address… on the Relationship between the Scientific and the Practical in the Training of the Medical Student and in his Afterlife as a Medical Man, 1882. Inscription on title page: ‘With the Author’s compliments’, ‘R.R. James 1918’

Bennett, William H. The Social Position of the Medical Profession, 1883. Inscription on title page: ‘With the authors compliments’

Champneys, F.H. Introductory Address, 1884

Pollock, George D. An Address.. on the Opening of the New Physiological Laboratory, 1887

Dent, Clinton T. The Nature and Significance of Pain, 1887

Ewart, William. The Future Training of the Medical Profession, 1888

Winterbottom, Augustus. The Evolution of Medicine and Surgery as a Science and the Evolution of St George’s Hospital as a School, 1890

Bowles, Robert L. The Inaugural Address, 1892. Inscription on title page: ‘With Kind regards’, ‘R.R. James 1918’

Holmes, T. Introductory Address… on the Centenary of John Hunter’s Death’, 1893

Owen, Isambard. An Introductory Address on the Importance of Mental Training in Medical Study, 1894

Pollock, George. The Address delivered at the Opening of the Classes, 1895

Frost, W. Adams. The Jenner Centenary: An Inaugural Address, 1896

Turner, G.R. Introductory Address, nd [c.1897-1898]

Dickinson, W. Howship. Medicine Old and New, 1899

Penrose, Francis George. On Some Problems in Medical Education, 1900. Inscription on title page: ‘Clinton T. Dent Esq. FR.C.S. With kind reagrds from F.G. Penrose’

Warre, Rev. Edmond [Head Master of Eton]. On Sympathy, 1903

Slater, Charles [?]. The Laboratory in Medical Education and Practice, 1903

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.

For more information and updates about the project, see our project page

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

Margaret Runacus, 24, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Female
Date of admission: 17 Aug 1842
Date of death: 13 Dec 1842
Disease (transcribed): Scrofulous disease of foot and knee joint.
Disease (standardised): Tuberculosis (Foot, Leg)
Admitted under the care of: Cutler, Edward
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: Amputation performed on 8th December 1842
Body parts examined in the post mortem: Leg and thorax
Type of incident: n/a

John Gilbertson , 38, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 38
Gender: Male
Date of admission: 28 Sep 1842
Date of death: 29 Oct 1842
Disease (transcribed): Compound fracture of the leg – haemorrhage.
Disease (standardised): Fracture (Leg); Haemorrhage (Leg)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: n/a
Body parts examined in the post mortem: Left leg, lungs
Type of incident: n/a

John Muller, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 5 Oct 1842
Date of death: 14 Oct 1842
Disease (transcribed): Jaundice. Malignant disease of liver and lung spreading to the glands
Disease (standardised): Jaundice (Skin); Malignancy (Liver, Lung)
Admitted under the care of: Wilson, James Arthur
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: n/a
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

John Laws, 22, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 22
Gender: Male
Date of admission: 5 Oct 1842
Date of death: 22 Oct 1842
Disease (transcribed): Bubo in left groin. Enlarged spleen. Extravasation of blood in brain.
Disease (standardised): Bubo (Abdomen); Enlarged (Spleen); Extravasation (Brain)
Admitted under the care of: Babington, George Gisborne
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: n/a
Body parts examined in the post mortem: Brain, lungs, heart, abdomen and blood
Type of incident: n/a

Joseph Mash, 50, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 50
Gender: Male
Date of admission: 18 Oct 1842
Date of death: 22 Oct 1842
Disease (transcribed): Inguinal hernia. Operation.
Disease (standardised): Hernia (Abdomen); Operation (Abdomen)
Admitted under the care of: Walker, Robert Benjamin
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: n/a
Body parts examined in the post mortem: Abdomen
Type of incident: n/a

William Rhodes, 66, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 66
Gender: Male
Date of admission: 21 Oct 1842
Date of death: 6 Nov 1842
Disease (transcribed): Infected hand. Diffuse suppuration of cellular tissue.
Disease (standardised): Infection (Hand); Suppuration (Tissue)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: n/a
Body parts examined in the post mortem: Left hand and thorax
Type of incident: n/a

William Franklin, 28, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 28
Gender: Male
Date of admission: 16 Dec 1842
Date of death: 12 Jan 1843
Disease (transcribed): Abscess in knee joint.
Disease (standardised): Abscess (Leg)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: The abscesses were the consequence of acute inflammation of the knee of less than a months duration.
Body parts examined in the post mortem: Knee joint
Type of incident: n/a

George Austin, 3 years 6 months, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 3 years 6 months
Gender: Male
Date of admission: 18 Dec 1842
Date of death: 20 Dec 1842
Disease (transcribed): Burn
Disease (standardised): Burn (Skin)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: n/a
Body parts examined in the post mortem: Face, anterior part of abdomen and chest
Type of incident: Trauma/accident?

Lydia Hart, 47, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 47
Gender: Female
Date of admission: 27 Sep 1843
Date of death: 5 February 1844
Disease (transcribed): Malignant disease of the Rectum. Phthisis.
Disease (standardised): Disease (Rectum); Tuberculosis (Lungs)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: At his admission there were several fistulous sinuses passing up by the side of the Rectum and accompanied by a condensed and brawny state of the skin and cellular membrane around the anus.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

George Cannons, 48, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 48
Gender: Male
Date of admission: 28 February 1844
Date of death: 13 Mar 1844
Disease (transcribed): Schirrhous disease of the Rectum.
Disease (standardised): Carcinoma (Rectum)
Admitted under the care of: Keate, Robert
Medical examination performed by: n/a
Post mortem examination performed by: Pollock, George
Medical notes: The patient had been subject to disease of the Rectum for two years previous to his admission but until lately had entirely neglected it, believing it to be merely piles.
Body parts examined in the post mortem: Abdomen
Type of incident: n/a

Mary Hopkins, 19, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 19
Gender: Female
Date of admission: 26 Mar 1845
Date of death: 19 Jul 1845
Disease (transcribed): Disease of knee joint. Amputation of thigh. Low pneumonia and incipient 2ndary deposit in spleen
Disease (standardised): Disease (Knee); Amputation (Thigh); Pneumonia (Lungs); Deposit (Spleen)

Admitted under the care of: Tatum, Thomas
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient stated that 12 months before her admission she struck her knee, and it was then followed by slight swelling of the joint. Six weeks ago she again struck and it became again swollen and painful. It was never sufficiently painful to cause her to discontinue using it’
Body parts examined in the post mortem: 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

William Bishop, 41, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 41
Gender: Male
Date of admission: 4 Jun 1845
Date of death: 8 Jul 1845
Disease (transcribed): Hypertrophied heart. Adherent pericardium. Granular kidneys. Inflamed lung
Disease (standardised): Disease (Heart, kidneys); Inflammation (Lungs)

Admitted under the care of: Wilson, James Arthur
Medical examination performed by: Pollock, George
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient, who for many years had been a very free drinker, was admitted complaining of dyspnoea, orthopnoea, palpitation, cough & pain in the chest. He stated that he had suffered more or less from dyspnoea occurring in paroxysms on the slightest exertion, ever since last Christmas’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Thomas Turner, 45, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 11 Jun 1845
Date of death: 16 Jul 1845
Disease (transcribed): Large abscess in the neighbourhood of the shoulder, communicating with that joint. Viscera healthy
Disease (standardised): Abscess (Shoulder)

Admitted under the care of: Macleod, Roderick
Medical examination performed by: Pollock, George
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient was admitted complaining of gout principally affecting the feet & knees, and of slight cough, & sore back. He stated that he had suffered from gout during the last eight months, but that during the last three weeks, he had felt so weak & unwell as to be induced to keep to his bed, and that during this period, his back had become quite sore’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

George Giles, 43, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 43
Gender: Male
Date of admission: 30 Jun 1845
Date of death: 1 Jul 1845
Disease (transcribed): Lacerated wound passing from rectum through both posterior & anterior walls of bladder into the cavity of peritoneum
Disease (standardised): Wound (Rectum, bladder, abdomen)

Admitted under the care of: Keate, Robert
Medical examination performed by: Hewett, Prescott Gardner
Post mortem examination performed by: Pollock, George
Medical notes: 'This patient was admitted suffering from much depression. He had fallen from a platform over a chair & stated that one of the legs of the chair had passed up the rectum. There appeared a very slight laceration at the orifice of the anus’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: Trauma / accident

James Marshall, 35, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Male
Date of admission: 30 Jun 1845
Date of death: 30 Jun 1845
Disease (transcribed): Laceration of the peritoneum & rupture of the aorta at its division with common iliac arteries
Disease (standardised): Laceration (Abdomen); Rupture (Aorta)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Pollock, George
Post mortem examination performed by: Pollock, George
Medical notes: 'This man was brought into the hospital dead, immediately after a fall from a horse, it being said that the horse reared & fell backwards on him’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: Trauma / accident

Joseph Sherley, 67, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 67
Gender: Male
Date of admission: 7 Jul 1845
Date of death: 16 Jul 1845
Disease (transcribed): Extensive compound fracture of the leg, extending into the ankle-joint, with suppuration in the joint
Disease (standardised): Fracture (Leg); Suppuration (Ankle)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient fell from the top of a hay rick, alighting upon his feet and was brought to the hospital, a distance of 14 miles in a cart’
Body parts examined in the post mortem: Thorax, abdomen, lower extremity

Type of incident: Trauma / accident

Jane Watts, 43, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 43
Gender: Female
Date of admission: 9 Jul 1845
Date of death: 9 Sep 1845
Disease (transcribed): Ascites & anasarca. Lungs congested. Fluid with lymph in peritoneum. Cirrhosis of liver. Ovaries adherent to sides of pelvis
Disease (standardised): Ascites (Peritoneum); Edema (Systemic); Congestion (Lungs); Liver cirrhosis (Liver)

Admitted under the care of: Macleod, Roderick
Medical examination performed by: Pollock, George
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient stated that she had long been suffering from dyspnoea, but with that exception, had enjoyed very tolerable health up to three weeks before admission, when her abdomen began to swell very rapidly, and she experienced very considerable pain, more especially in the region of the liver’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Susan Woraker, 68, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 68
Gender: Female
Date of admission: 9 Jul 1845
Date of death: 26 Jul 1845
Disease (transcribed): Extensive burn. Mucous surface of duodenum slightly increased in vascularity. Other viscera healthy
Disease (standardised): Burn (Skin)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient was admitted with an extensive burn situated upon the right arm, right side of the chest, neck and face, and apparently in many places having destroyed the whole thickness of the skin. Her clothes had caught fire shortly before her admission’
Body parts examined in the post mortem: Abdomen

Type of incident: Trauma / accident

Elizabeth Stoner, 24, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 24
Gender: Female
Date of admission: 24 Jul 1845
Date of death: 28 Jul 1845
Disease (transcribed): Jaundice, without any obstruction of any of the gall ducts. Intense inflammation of the mucous membrane of the large intestine. Spleen large and very hard
Disease (standardised): Jaundice (Skin); Inflammation (Intestines); Disease (Spleen)
Admitted under the care of: Seymour, Edward James
Medical examination performed by: Pollock, George
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'It appeared from this patient’s statement that she was in perfect health up to five weeks ago, at which time she had slight rigors and headache, throbbing in the epigastrium and some little sickness. In the course of a few days these symptoms subsided, but she became slightly jaundiced, & out of spirits, but not so as to prevent her following her vocation’
Body parts examined in the post mortem: Thorax, abdomen, lower extremity

Type of incident: n/a

Elizabeth Connor, 34, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 34
Gender: Female
Date of admission: 13 Aug 1845
Date of death: 21 Sep 1845
Disease (transcribed): Old adhesions of the pleurae. Phthisis. Ulceration of small intestine. Pneumonia
Disease (standardised): Adhesion (Lungs); Tuberculosis (Lungs); Ulcer (Intestines); Pneumonia (Lungs)

Admitted under the care of: Nairne, Robert
Medical examination performed by: Pollock, George
Post mortem examination performed by: Fuller, Henry William
Medical notes: 'This patient was admitted labouring under cough of nine months’ duration, accompanied by profuse purulent globular expectoration, haemoptysis, diarrhoea, night sweats and extreme emaciation & debility. She was very hoarse & reported that she had been so about three months’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Joseph Bold, 53, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Male
Date of admission: 27 Aug 1845
Date of death: 6 Oct 1845
Disease (transcribed): Malignant disease of antrum, extending to dura mater
Disease (standardised): Malignant disease (Brain)

Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient when admitted was in a state of much nervous irritability and weakness. The left cheek was swollen and the left eye appeared to be pushed forward’
Body parts examined in the post mortem: Cranium

Type of incident: n/a

John Munday, 36, [Occupation not stated]

Occupation or role: [No occupation stated]
Age: 36
Gender: Male
Date of admission: 3 Sep 1845
Date of death: 28 Sep 1845
Disease (transcribed): Inflammation of lungs and pleura. Deposit of matter in lung. Inflammation of mucous membrane of large intestine. Haemorrhoids. Operation
Disease (standardised): Inflammation (Lungs, intestines); Haemorrhoids (Anus); Operation
Admitted under the care of: Cutler, Edward
Medical examination performed by: Pollock, George
Post mortem examination performed by: Lee, Henry
Medical notes: 'This patient had suffered from the usual symptoms of piles for eight years previous to his admission and latterly they had been accompanied with some degree of prolapsus anii’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

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