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Holmes, Timothy Digestive system diseases
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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

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

Jane Gwilt, 61, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 61
Gender: Female
Date of admission: 19 Dec 1853
Date of death: 23 Dec 1853
Disease (transcribed): Strangulated femoral hernia. Operation. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This woman was admitted on account of a strangulated femoral hernia.
Body parts examined in the post mortem: General appearances
Type of incident: n/a

Mary Ann Holden, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Female
Age: 14
Date of admission: 16 Feb 1854
Date of death: 27 Feb 1854
Disease (transcribed): Scrofulous deposit beneath pericranium & skull. Disease of the liver, spleen and kidneys
Disease (standardised): Tuberculosis (Skull); Disease (Liver); Disease (Kidney); Disease (Spleen)
Admitting doctor: Johnson, Henry Charles
Surgeon: Gray, Henry
Physician: Holmes, Timothy
Medical notes: 'This child, when admitted, was in a state of extreme scrofulous cachexia, with a large sloughy sore over the forehead exposing the bone of the cranium’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of injury: n/a

Alice Nightingale, 21 months, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 21 months
Gender: Female
Date of admission: 16 Dec 1859
Date of death: 23 Jan 1860
Disease (transcribed): Phthisis. Mesenteric disease. Incipient rickets. Diseased liver. Old burn
Disease (standardised): Tuberculosis (Lungs); Disease (Abdomen); Rickets (Bones); Disease (Liver); Burn (Skin)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This child was admitted with an extensive burn of the left arm, extending from the shoulder to the back of the hand. It was cut very deep, except in one part about the middle of forearm. She was also evidently suffering from tabies mesentericus which was supposed to have existed for 6 months’
Body parts examined in the post mortem: Cranium., left arm, thorax, abdomen

Type of incident: n/a

George South, 43, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 43
Gender: Male
Date of admission: 23 Nov 1859
Date of death: 26 Mar 1860
Disease (transcribed): Ascites. Partial peritonitis. Diseased liver. Phthisis
Disease (standardised): Ascites (Peritoneum); Peritonitis (Abdomen); Disease (Liver); Tuberculosis (Lungs)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy and Dickinson, William Howship
Medical notes: 'This man had been an excessive drinker of spirits, chiefly of rum. He had had spitting of blood some time before. One month previously the belly began to swell, he never had any pain except that due to the distention’
Body parts examined in the post mortem: Thorax, abdomen, scrotum

Type of incident: n/a

Ann Washer, 68, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 68
Gender: Female
Date of admission: 25 Apr 1860
Date of death: 5 Jun 1860
Disease (transcribed): Bronchitis. Hypertrophy of the heart. Diseased liver. Dropsy
Disease (standardised): Bronchitis (Lungs); Disease (Heart, liver); Edema (Systemic)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'The mother of 14 children. Except an attack of rheumatic fever 40 years before, she had good health until within 4 weeks of admission, when she ‘caught cold in the chest’, since which she suffered from cough with expectoration, occasional swelling of the legs and dyspnoea on exertion’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

John Bosberry, 38, Painter

Occupation or role: Painter
Age: 38
Gender: Male
Date of admission: 6 Jun 1860
Date of death: 8 Jun 1860
Disease (transcribed): Stricture of the pylorus
Disease (standardised): Constriction (Stomach)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy and Dickinson, William Howship
Medical notes: 'A painter, of very dissolute habits […] He had been out of health for some time’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

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

Nehemiah Norton, 50, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 50
Gender: Male
Date of admission: 8 Aug 1860
Date of death: 29 Oct 1860
Disease (transcribed): Valvular disease & hypertrophy of the heart. Diseased liver & kidneys. Dropsy
Disease (standardised): Disease (Heart); Disease (Liver); Disease (Kidneys); Edema (Systemic)
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 who had had rheumatic fever in his youth, had been out of health for 18 months before his admission, suffering from dropsy, shortness of breath, and scantiness of urine’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

Lydia Reynolds, 17, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 17
Gender: Female
Date of admission: 6 Feb 1861
Date of death: 20 Mar 1861
Disease (transcribed): Hydrothorax. Paracentesis. Peritonitis
Disease (standardised): Hydrothorax (Lung); Paracentesis (Thorax); Peritonitis (Abdomen)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: This patient had pretty good health until two months before she came it, when, having as she supposed taken cold, she was attacked with cough, spitting and pains in the right side.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Catherine Mousier, 53, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 53
Gender: Female
Date of admission: 27 Feb 1861
Date of death: 30 Mar 1861
Disease (transcribed): Ascites. Peritonitis. Diseased kidneys
Disease (standardised): Ascites (Abdomen); Peritonitis (Abdomen); Disease (Kidney)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient who had frequently appeared as a patient with attacks of dropsy, had been suffering from an increase of that complaint since the preceding Christmas. She had swelling of the legs and belly, and frequent vomiting.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

John Watson , 62, Labourer

Occupation or role: Labourer
Age: 62
Gender: Male
Date of admission: 19 Apr 1861
Date of death: 20 Apr 1861
Disease (transcribed): Operation for umbilical hernia. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient was admitted into the Hospital in a state of collapse having a large umbilical hernia of some days standing
Body parts examined in the post mortem: Thorax and 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

Henry Leonard, 33, Valet

Occupation or role: Valet
Age: 33
Gender: Male
Date of admission: 8 Apr 1857
Date of death: 30 Apr 1857
Disease (transcribed): Phthisis. Compressed and condensed lung. Displaced heart. Peritonitis. Enlarged liver. Diseased kidneys. Ulceration of the large intestine
Disease (standardised): Tuberculosis (Lung); Disease (Lung); Displaced (Heart); Peritonitis (Abdomen); Enlarged (Liver); Disease (Kidney);Ulcer (Intestines) ;
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: For six years he had suffered at times from cough and more than once from slight haemoptysis.
Body parts examined in the post mortem: Cranium, thorax, abdomen and larynx
Type of incident: n/a

Ellen Day, 26, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 26
Gender: Female
Date of admission: 29 Apr 1857
Date of death: 7 May 1857
Disease (transcribed): Malignant tumour of the ovary. Chronic peritonitis
Disease (standardised): Tumour (Ovary); Peritonitis (Abdomen)
Admitted under the care of: Lee, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: A married woman who was admitted with pain and distension of the abdomen in which a hard mass present.
Body parts examined in the post mortem: Thorax, abdomen and pelvis
Type of incident: n/a

Henry Jarman, 35, Baker

Occupation or role: Baker
Age: 35
Gender: Male
Date of admission: 17 Sep 1857
Date of death: 17 Sep 1857
Disease (transcribed): Granular kidneys. Diseased liver
Disease (standardised): Disease (Kidney); Disease (Liver)
Admitted under the care of: Pitman, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: This man came to the hospital in a semicomatose state, which gradually passed into complete coma.
Body parts examined in the post mortem: Cranium, thorax and abdomen
Type of incident: n/a

John Denner, 45, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 45
Gender: Male
Date of admission: 6 Dec 1857
Date of death: 8 Dec 1857
Disease (transcribed): Erysipelas. Dropsy. Diseased liver
Disease (standardised): Erysipelas (Skin); Oedema (Leg); Disease (Liver)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Rogers, George Goddard
Post mortem examination performed by: Holmes, Timothy
Medical notes: This man was admitted in a dying state with erysipelatous sloughing of the legs.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Ellen Penington, 60, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 60
Gender: Female
Date of admission: 22 Dec 1854
Date of death: 23 Jan 1855
Disease (transcribed): Strangulated femoral hernia. Peritonitis 4 weeks after operation.
Disease (standardised): Hernia (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Pollock, George
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This woman was admitted in consequence of a strangulated femoral hernia. She was much debilitated, suffering from old bronchitis and looked considerably more aged than she was stated to be.
Body parts examined in the post mortem: Abdomen and thorax
Illustration or photograph: Yes
Type of incident: n/a

Charles Workman, 52, Stableman

Occupation or role: Stableman
Age: 52
Gender: Male
Date of admission: 10 Feb 1858
Date of death: 17 Feb 1858
Disease (transcribed): Phthisis. Disease of the liver
Disease (standardised): Tuberculosis (Lungs); Disease (Liver)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'No satisfactory account was given of the antecedents of this patient. It appeared from what was stated by a little girl who came with him that he had formerly been a great drinker & had of late taken large quantities of laudanum. He was originally in a respectable station of life but had run through his money, & up to the time of his admission he had been engaged in livery stables’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Etherington Bates, 36, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 36
Gender: Male
Date of admission: 27 Jan 1858
Date of death: 18 Feb 1858
Disease (transcribed): Dropsy. Diseased liver & kidneys
Disease (standardised): Edema (Systemic); Disease (Liver, kidneys)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'This man came under the care of the physician after being admitted as a surgeon’s patient for necrosis of the humerus. It appeared that 14 years ago he had syphilis very badly; in other respects his health had been good. Seven weeks before admission he said he caught cold & very soon his legs became anasarcous & his belly much enlarged. He had also cough & some pain in the right side’
Body parts examined in the post mortem: Thorax, abdomen

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

Hannah Mulane, 40, Cook

Occupation or role: Cook
Age: 40
Gender: Female
Date of admission: 10 Dec 1869
Date of death: 16 Dec 1870
Disease (transcribed): Femoral Hernia (left). Operation. Peritonitis.
Disease (standardised): Hernia (Abdomen); 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: This patient had been ruptured four years.
Body parts examined in the post mortem: Pleurae, lungs, heart, abdomen, intestines, liver, spleen and kidneys
Type of incident: n/a

John Poulter, 60, Labourer

Occupation or role: Labourer
Age: 60
Gender: Male
Date of admission: 9 Feb 1865
Date of death: 12 Feb 1865
Disease (transcribed): Operation for hernia. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: n/a
Post mortem examination performed by: Dickinson, William Howship
Medical notes: This man was admitted with a strangulated femoral hernia, which had existed for seven years.
Body parts examined in the post mortem: Hernia, abdomen and chest
Type of incident: n/a

Harriet Verney, 50, Widow

Occupation or role: Widow
Age: 50
Gender: Female
Date of admission: 16 Oct 1869
Date of death: 22 Oct 1869
Disease (transcribed): Umbilical hernia. Operation. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Leigh, William
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient had had an umbilical hernia since 1851 and always wore a support.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

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