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Holmes, Timothy Digestive system diseases
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William Williams, 36, Carpenter

Occupation or role: Carpenter
Age: 36
Gender: Male
Date of admission: 15 Oct 1873
Date of death: 4 Nov 1873
Disease (transcribed): Urethral stricture. (Internal urethrotomy). Atrophied kidney. Cystitis. Peritonitis
Disease (standardised): Constriction (Urethra); Urethrotomy (Urethra); Atrophy (Kidney); Cystitis (Bladder); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: The patient fell off a scaffold about two years ago and struck himself between his legs. Shortly after this a perineal abscess formed.
Body parts examined in the post mortem: Brain, pleurae, lungs, heart, peritoneum, liver, spleen, kidneys and bladder
Type of incident: Trauma/accident

William Place, 48?, Stone mason

Occupation or role: Stone mason
Age: 48?
Gender: Male
Date of admission: 1 Sep 1857
Date of death: 13 Sep 1857
Disease (transcribed): Apoplexy. Recent and old clots. Granular kidneys. Diseased liver. Atheromatous arteries
Disease (standardised): Stroke (Brain); Disease (Kidney); Disease (Liver); Plaque, atherosclerotic (Arteries)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: He had been in the House during part of June and July for rheumatic gout and albuminuria without dropsy.
Body parts examined in the post mortem: Cranium, thorax, abdomen, radial artery and arteries of extremities
Type of incident: n/a

William King, 44, Labourer

Occupation or role: Labourer
Age: 44
Gender: Male
Date of admission: 29 Dec 1883
Date of death: 9 Jan 1884
Disease (transcribed): Laceration of spleen. Haemorrhage. Peritonitis. Fracture of face and ribs on left side
Disease (standardised): Laceration (Spleen); Haemorrhage (Spleen); Peritonitis (Abdomen); Fracture (Face); Fracture (Ribs)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: This man was knocked down by a cab and it was believed that the wheel passed over him. He had been drinking freely on the day of his accident.
Body parts examined in the post mortem: Pleurae, heart, abdomen, spleen, liver, kidneys and ribs
Type of incident: Trauma/accident

William Guymer, 22, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 22
Gender: Male
Date of admission: 23 May 1860
Date of death: 26 May 1860
Disease (transcribed): Obstruction of the bowels
Disease (standardised): Obstruction (Bowels)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was a patient of Dr Nairne’s [Robert Nairne] once years before (Aug 1845) with an intestinal obstruction which lasted 15 days […] He was readmitted on the 23rd of May. He had suffered from diarrhoea and pain in the bowels for some days’
Body parts examined in the post mortem: Right elbow, cranium, thorax, abdomen

Type of incident: n/a

William Fleming, 41, Labourer

Occupation or role: Labourer
Age: 41
Gender: Male
Date of admission: 9 Feb 1861
Date of death: 25 Feb 1861
Disease (transcribed): Disease of the aortic valves. Diseased kidneys. Peritonitis. Pleurisy
Disease (standardised): Disease (Heart); Disease (Kidney); Peritonitis (Abdomen); Pleurisy (Pleura)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient had twice had colic. About 8 years ago, having at that time never had rheumatism, he began to suffer from palpitations of the heart, but no swelling until a month ago when his face became puffy about the eyes and shortly afterwards his legs became dropsical. A loud diastolic murmur was heard over the base of the heart, loudest on the right right side of the sternum.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

William Bradbury, 58, Gardener

Occupation or role: Gardener
Age: 58
Gender: Male
Date of admission: 2 Feb 1876
Date of death: 30 May 1876
Disease (transcribed): Disease of liver and kidney. Carcinoma of neck
Disease (standardised): Disease (Liver); Disease (Kidney); Cancer (Neck)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Morgan, John Hammond
Post mortem examination performed by: Lee, Robert James
Medical notes: This patient had suffered from a badly decayed tooth for a year. This dropped out and his left lower jaw became decayed and also dropped out. A year before admission a growth at the outer and under part of the left side of the lower jaw increased gradually causing great pain.
Body parts examined in the post mortem: Lungs, heart, liver, kidney and spleen
Type of incident: n/a

William Kimble, 23, Butcher

Occupation or role: Butcher
Age: 23
Gender: Male
Date of admission: 5 Mar 1870
Date of death: 4 Apr 1870
Disease (transcribed): Urinary calculus. Cystitis. Pyelitis with dilatation of pelvis and coxes. Peritonitis.
Disease (standardised): Urinary Calculi (Urinary Tract); Cystitis (Bladder); Pyelitis (Kidney); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: When admitted, the patient had much cystitis and diarrhoea, and was very weak and ill so that no operation could be attempted.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, intestines, peritoneum and bladder
Type of incident: n/a

Thomas Thompson, 38, Labourer

Occupation or role: Labourer
Age: 38
Gender: Male
Date of admission: 20 Jul 1857
Date of death: 29 Jul 1857
Disease (transcribed): Amputation of both forearms from accident. Diffuse inflammation. Diseased liver and kidneys. Wet brain
Disease (standardised): Amputation (Arm); Inflammation (Arm); Disease (Liver); Disease (Kidney); Wet (Brain)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Wintle, Frederic J.W.
Post mortem examination performed by: Holmes, Timothy
Medical notes: He was engaged in fading a chaff cutting machine and by some means his right hand was caught in the cutter as he was fading it and was amputated, and the left probably from an attempt made to extricate the right became likewise caught in, and amputated by the machine.
Body parts examined in the post mortem: Right arm, left forearm, cranium, thorax, abdomen and pelvis
Type of incident: Trauma/accident

Susannah Johnson, 36, Married

Occupation or role: Married
Age: 36
Gender: Female
Date of admission: 3 Aug 1875
Date of death: 16 Aug 1875
Disease (transcribed): Disease of rectum. Pyaemia
Disease (standardised): Disease (Rectum); Sepsis (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Thrupp, James Godfrey
Post mortem examination performed by: Lee, Robert James
Medical notes: This patient was admitted in a state of exhaustion with a large mass surrounding the rectum.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys, rectum and brain
Type of incident: n/a

Susan Johnson, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Female
Date of admission: 14 Jul 1852
Date of death: 25 Jul 1852
Disease (transcribed): Carcinoma uteri. Diseased kidneys. Peritonitis. Carcinoma of the mesenteric glands
Disease (standardised): Cancer (Uterus); Disease (Kidney); Peritonitis (Abdomen); Carcinoma (Lymph nodes)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: She was admitted on account of ulcers on the leg, and after her admission mentioned that she had a profuse bloody discharge from the vagina.
Body parts examined in the post mortem: Abdomen, pelvic contents and thorax
Type of incident: n/a

Stewart Drage, 28, Gunmaker

Occupation or role: Gunmaker
Age: 28
Gender: Male
Date of admission: 3 Feb 1869
Date of death: 23 Feb 1869
Disease (transcribed): Haemorrhoids. Removal. Peritonitis. Pyaemia
Disease (standardised): Haemorrhoids (Rectum); Removal (Rectum); Peritonitis (Abdomen); Sepsis (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Leigh, William
Post mortem examination performed by: Pick, Thomas Pickering
Medical notes: This man who had been a soldier and had been in India came home invalided last October. Twelve months ago he had dysentery and ever since he had passed blood.
Body parts examined in the post mortem: Abdomen and thorax
Type of incident: n/a

St George's Hospital Reports, Vol. IX

CONTENTS
I. Report of the Medical Registrar, Dr. OWEN, for 1877
II. Report of the Medical Registrar, Dr. OWEN, for 1878.
III. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1877
IV. Report of the Surgical Registrar, Mr. W. H. BENNETT, for 1878
V. Report of the Post-mortem Department for 1877, by Dr. EWART
VI. Report of the Obstetrical Department for 1877, by Mr. G. S. HARPER
VII. Report of the Obstetrical Department for 1878, by Dr. H. BLAKE
VIII. Report of the Ophthalmic Department for 1877, by. Mr. MCHARDY
IX. Report of the Ophthalmic Department for 1878, by Mr. MCHARDY
X. Report of the Out-patients' Ophthalmic Department for 1878, by Mr. MCHARDY
XI. Notes from the Department for the Treatment of Diseases of the Throat for 1877 and 1878, by Dr. WHIPHAM
XII. Report of the Orthopaedic Department, by Mr. HAWARD .
XIII. Report of the Aural Department for 1877 and 1878, by Mr. DALBY
XIV. Report of the Dental Department for 1877 by Mr. C. WINTERBOTTOM
XV. Report of the Dental Department for 1878, by Mr. A. WINTERBOTTOM
XVI. On the Treatment of Gout by Salicylic Acid, by Dr. BARCLAY
XVII. On the Results of the Treatment of Compound Fracture of the Leg in this Hospital, with special reference to Lister's Antiseptic Method, by Mr. HOLMES
XVIII. Clinical Lecture on a Case of Enchondromatous Tumour of the Brain, by Mr. Pick
XIX. Abstract of a Case of Diabetes, illustrating the Effects of Remedies, by Dr. CAVAFY and Mr. BERTOLACCI
XX. Report on the Cases of Tetanus, by Mr. E. C. STIRLING
XXI. Some Cases of Mitral Disease without Murmur, by Dr. WATNEY
XXII. Observations on Outbreaks of Diphtheria in Rural Districts, by Dr. WILLIAM OGLE
XXIII. On a Novel Method of reducing Dislocation of the Shoulder, by Mr. J. JONES
XXIV. Notes on some forms of Intestinal Obstructions, by Dr. E L. Fox .
XXV. On Ichthyosis, by Mr. G. GASKOIN
XXVI. On Chrysophanic Acid, by Mr. WYNDHAM COTTLE .
XXVII. On Warty Growths, by Mr. WYNDHAM COTTLE
XXVIII. On the Opening and Drainage of Joints, by Mr. J. H. MORGAN
XXIX. History of an Illness, by Mr. S. WILSON HOPE
XXX. Case of Tympanic Abscess, by Dr. E. C. BABER
XXXI. Exophthalmic Goître, by Dr. W. B. CHEADLE

LIST OF ILLUSTRATIONS
Charts of Analyses of the Urine in a Case of Diabetes
Warty Growths
Membrana Tympani in Case of Tympanic Abscess
Microscopic Appearances of Medulla in Exophthalmic Goître

Sarah Kenney, 35, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 35
Gender: Female
Date of admission: 1 Sep 1859
Date of death: 4 Sep 1860
Disease (transcribed): Diseased liver
Disease (standardised): Disease (Liver)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient, with whom the catamenia [menstruation] had always been irregular, and who had had no discharge for the preceding 3 months, was suddenly seized with vomiting of blood on the day before she came in, with a sensation of giddiness immediately before’
Body parts examined in the post mortem: Thorax, abdomen, pelvis

Type of incident: n/a

Sarah Jobe, 20, General servant

Occupation or role: General servant
Age: 20
Gender: Female
Date of admission: 9 Oct 1883
Date of death: 15 Jan 1884
Disease (transcribed): Peritonitis
Disease (standardised): Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: This woman was first seen in the out patient room by the obstetric physician, having an enlarged and tender gland in the left inguinal region.
Body parts examined in the post mortem: Pleurae, heart, abdomen, liver, spleen, kidneys and thigh
Type of incident: n/a

Sarah Childs, 40, Cook

Occupation or role: Cook
Age: 40
Gender: Female
Date of admission: 3 Dec 1874
Date of death: 15 Dec 1874
Disease (transcribed): Strangulated hernia. Reduction. Peritonitis
Disease (standardised): Hernia (Abdomen); Reduction (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: n/a
Post mortem examination performed by: Haward, John Warrington
Medical notes: This woman had been ruptured on the left side.
Body parts examined in the post mortem: Pleurae, lungs, heart, peritoneum, intestines, liver, spleen, kidneys and organs of generation
Type of incident: n/a

Samuel Welshman, 55, Butler

Occupation or role: Butler
Age: 55
Gender: Male
Date of admission: 13 Sep 1872
Date of death: 2 Oct 1872
Disease (transcribed): Stricture of urethra. Abscess. Peritonitis (1st stage). Gout
Disease (standardised): Constriction (Urethra); Abscess (Urethra); Peritonitis (Abdomen); Gout (Joints)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This man was admitted for a stricture of the membranes of the urethra of many years duration.
Body parts examined in the post mortem: Bones, joints, pleurae, lungs, heart, abdomen, liver, spleen, kidneys, bladder and urethra
Type of incident: n/a

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

Robert Clarke, 60, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 60
Gender: Male
Date of admission: 27 Apr 1860
Date of death: 20 Jul 1860
Disease (transcribed): Diseased kidneys & liver. Old gout
Disease (standardised): Disease (Kidneys, liver); Gout (Joints)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man, a coachman, became a patient in the year 1851, under Dr Page [William Emanuel Page]. He was then suffering from gout, which he had had ever since he was 26 years of age. His hads were horribly distorted, and rendered perfectly useless […] A plaster cast of one of the hands was taken and is preserved in the museum’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Robert Blandy, 37, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 37
Gender: Male
Date of admission: 3 Apr 1861
Date of death: 29 Apr 1861
Disease (transcribed): Diseased liver and spleen. Recent pleurisy
Disease (standardised): Disease (Liver); Disease (Spleen); Pleurisy (Pleura)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: n/a
Post mortem examination performed by: Holmes, Timothy
Medical notes: n/a
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Robert Blackman , 46, Bathman

Occupation or role: Bathman
Age: 46
Gender: Male
Date of admission: 8 Mar 1861
Date of death: 11 Mar 1861
Disease (transcribed): Operation for hernia. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Pollock, George
Medical examination performed by: Lee, Frederick Fawson
Post mortem examination performed by: Holmes, Timothy
Medical notes: This man stated that nine days previous to admission, whilst attending to his occupation as a bathman, an old hernia on the right side descended.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Robert Birch, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 47
Date of admission: 14 Sep 1854
Date of death: 17 Sep 1854
Disease (transcribed): Femoral hernia. Operation. Intestines & omentum in sac
Disease (standardised): Hernia (Thigh); Operation (Thigh)
Admitting doctor: Cutler, Edward and Pollock, George
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This man had had a serotal hernia on the right side for some years, which had been always easily reducible. He had also had a swelling in the right groin for the last 3 years’
Body parts examined in the post mortem: Abdomen, thorax

Type of injury: n/a

Richard Cross, 55, Navigator

Occupation or role: Navigator
Age: 55
Gender: Male
Date of admission: 26 Aug 1852
Date of death: 28 Aug 1852
Disease (transcribed): Injury from a fall. Rupture of the bladder. Peritonitis
Disease (standardised): Rupture (Bladder); Peritonitis (Abdomen)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Holmes, Timothy
Medical notes: On the afternoon of the 23rd, being very much intoxicated, he became quarrelsome and wanted to fight with one of the men with whom he had been drinking. The deceased fell heavily on his right side.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: Trauma/accident

Phillip Dix, 70, Shoemaker

Occupation or role: Shoemaker
Age: 70
Gender: Male
Date of admission: 29 Nov 1883
Date of death: 16 Jan 1884
Disease (transcribed): Pelvic cellulitis. Peritonitis. Gangrene of scrotum and penis. Double hydrocele. Inguinal hernia. Ischio rectal abscess
Disease (standardised): Cellulitis (Tissues); Peritonitis (Abdomen); Gangrene (Scrotum); Gangrene (Penis); Hydrocele (Scrotum); Hernia (Abdomen);Abscess (Intestines)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: This man was originally admitted into the hospital under the care of Dr Wadham suffering from rheumatism.
Body parts examined in the post mortem: Pleurae, heart, abdomen, liver, spleen, kidneys and bladder
Type of incident: n/a

Philip Parker, 58, Painter

Occupation or role: Painter
Age: 58
Gender: Male
Date of admission: 18 Nov 1879
Date of death: 13 Dec 1879
Disease (transcribed): Fractured thigh. Albuminuric enteritis. Intestinal obstruction. Localised peritonitis. Abscess in the pelvis
Disease (standardised): Fracture (Leg); Albuminuria (Kidney); Enteritis (Intestines); Obstruction (Intestines); Peritonitis (Abdomen); Abscess (Pelvis)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: This patient, a pallid and feeble old man, was admitted with a fracture of the thigh just below the small trochanter and a wound of the right wrist.
Body parts examined in the post mortem: Heart, liver, kidneys, spleen and intestines
Type of incident: Trauma/accident

Philip Jones, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Male
Date of admission: 14 Oct 1857
Date of death: 19 Nov 1857
Disease (transcribed): Hypertrophy of the heart. Pulmonary apoplexy. Diseased liver and kidneys. Dropsy
Disease (standardised): Disease (Heart); Haemorrhage (Lung); Disease (Liver); Disease (Kidney); Oedema (Leg)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: He was taken ill five months ago with cough, dyspnoea and pain in the back, traced to getting wet through.
Body parts examined in the post mortem: Larynx, thorax and abdomen
Type of incident: n/a

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