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Holmes, Timothy Anatomy
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Post Mortem Examinations and Case Books

  • 406 PM
  • Coleção
  • 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.

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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

Sem título

Holmes, T.: A System of Surgery, Theoretical and Practical, in Treatises by Various Authors, Vols. I-IV

Inscription on title page (Vol I): ‘London Hospital Medical Library 1904’

Four volumes: I (General Pathology); II (Local Injuries. Diseases of the Eye); III (Operative Surgery; Diseases of the Organs of Special Sense, Respiration, Circulation, Locomotion, and Innervation); IV (Diseases of the Organs of Digestion, of the Genito-Urinary System, of the Breast, Thyroid Gland, and Skin; Appendix of Miscellaneous Subjects)

Richard Neale, 43, Carman

Occupation or role: Carman
Age: 43
Gender: Male
Date of admission: 9 Apr 1861
Date of death: 20 Apr 1861
Disease (transcribed): Tetanus
Disease (standardised): Tetanus (Systemic)
Admitted under the care of: Fuller, Henry William
Medical examination performed by: Dickinson, William Howship
Post mortem examination performed by: Holmes, Timothy
Medical notes: Two months before he was admitted he grazed his right elbow and the back of his thumb, but both places were quite healed in less than a week, and presented no symptoms afterwards. About a month afterwards he thought he caught cold, followed by shivering, sore throat and difficulty swallowing
Body parts examined in the post mortem: Cranium and spine, thorax and abdomen
Illustrations: yes
Type of incident: Trauma/accident

Gray, Henry: Anatomy Descriptive and Surgical

Inscription on title page: ‘W. Percy Reynolds July 1872’

Full title: Anatomy Descriptive and Surgical by Henry Gray, F.R.S. Fellow of the Royal College of Surgeons and lecturer on Anatomy at St George’s Hospital Medical School. The drawings by H.V. Carter, M.D., late demonstrator of anatomy at St George’s Hospital; with additional drawings in the second and later editions by Dr Westmacott. The dissections jointly by the author and Dr Carter. Fifth edition, with an introduction on general anatomy and development, by T. Holmes, M.A. Cantab. Surgeon to St George’s Hospital: Mem.Correp. De La Soc. De Chir. De Paris’

Fifth edition

Mary Ann Madigan, 13, School girl

Occupation or role: School girl
Age: 13
Gender: Female
Date of admission: 28 Mar 1869
Date of death: 20 Jun 1869
Disease (transcribed): Morbus cordis. Pneumonia. Diseased hip
Disease (standardised): Disease (Heart); Pneumonia (Lung); Disease (Hip)
Admitted under the care of: Wadham, William. Holmes, Timothy
Medical examination performed by: Thompson, Reginald Edward
Post mortem examination performed by: n/a
Medical notes: This child was admitted under Mr Holme’s care in March with a congenital hare lip and in aspect disease of the left hip.
Body parts examined in the post mortem: Thorax, lungs, heart, abdomen and hip joint
Illustrations or photographs: Yes
Type of incident: n/a

Holmes, T.: A System of Surgery (Second edition), Vols. I-II, IV-V

Ex libris of the Library of the Faculty of Physicians and Surgeons Glasgow pasted inside the front cover, inscribed ‘7th Oct 1869’ (Vol I); ‘8th Jan 1870’ (Vol II); ‘9th Jan 1871’ (Vol IV); ‘27/5/71’ (Vol V)

Second edition. Five volumes (Vol III missing): I (General Pathology); II (Local Injuries. Diseases of the Eye); III (Operative Surgery; Diseases of the Organs of Special Sense, Respiration, Circulation, Locomotion, and Innervation); IV (Diseases of the Organs of Digestion, of the Genito-Urinary System, of the Breast, Thyroid Gland, and Skin; Appendix of Miscellaneous Subjects); V (Diseases of the Genital Organs, of the Breast, Thyroid Glad, and Skin; Operative Surgery)

William Norman, 34, Clerk

Occupation or role: Clerk
Age: 34
Gender: Male
Date of admission: 7 Jul 1875
Date of death: 12 Jul 1875
Disease (transcribed): Scirrhus of prostate gland and bladder
Disease (standardised): Cancer (Prostate); Cancer (Bladder)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Thrupp, James Godfrey
Post mortem examination performed by: Lee, Robert James
Medical notes: He was admitted with the history of difficulty in passing urine for three months.
Body parts examined in the post mortem: Lungs, heart, liver, kidneys and bladder
Illustrations: Yes
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

Klein, E.; Noble Smith, E.: Atlas of Histology

Inscriptions on flyleaves: ‘T Holmes 1880’, ‘Presented to the Library of St George’s Hospital by T. Holmes, Esq, April 1891’

'The illustration by Mr Noble Smith from preparations by Dr Klein. The text by Dr Klein’

Emily Gibson, 4, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 4
Gender: Female
Date of admission: 12 Jan 1880
Date of death: 13 Jan 1880
Disease (transcribed): Burn
Disease (standardised): Burn (Skin)
Admitted under the care of: Holmes, Timothy
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
Illustrations: Yes
Type of incident: Trauma/accident?

Mary McDonald, 40, Married

Occupation or role: Married
Age: 40
Gender: Female
Date of admission: 6 Feb 1880
Date of death: 10 Feb 1880
Disease (transcribed): Fractured pelvis. Granular kidneys
Disease (standardised): Fracture (Pelvis); Disease (Kidney)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: This patient was run over by a van, the wheel passing over the lower part of the spine as she was lying on her face in the road.
Body parts examined in the post mortem: Bones, kidneys, liver, spleen, heart and lungs
Illustrations: Yes
Type of incident: Trauma/accident

Edmund Heath, 13, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 13
Gender: Male
Date of admission: 1 Apr 1880
Date of death: 6 Apr 1880
Disease (transcribed): Abscess of brain and orbit
Disease (standardised): Abscess (Brain); Abscess (Skull)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Four months before admission the patient struck his right eye against a lamp post. He was insensible for a few minutes and then recovered, but a swelling formed over the orbit.
Body parts examined in the post mortem: Head, lungs, kidneys, liver, spleen and heart
Illustrations: Yes
Type of incident: Trauma/accident

John Dickenson, 34, Coal porter

Occupation or role: Coal porter
Age: 34
Gender: Male
Date of admission: 28 Apr 1880
Date of death: 7 Jun 1880
Disease (transcribed): Gummata of brain (and liver)
Disease (standardised): Gumma (Brain); Gumma (Liver); Syphilis (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: The patient was first admitted in December 1879 for a syphilitic ulcer of the foot and disease of the metatarsal bone. The bone was removed. Soon after his admission to Atkinson Morley Convalescent Hospital his wrist dropped and his speech became impaired.
Body parts examined in the post mortem: , lungs, heart, aorta, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Eliza Parsons, 69, Cook

Occupation or role: Cook
Age: 69
Gender: Female
Date of admission: 29 Apr 1880
Date of death: 3 May 1880
Disease (transcribed): Umbilical hernia. Operation. Perforation. Peritonitis
Disease (standardised): Hernia (Abdomen); Operation (Abdomen); Perforation (Abdomen); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: For ten years she had had an umbilical hernia, which she had never been able to reduce completely.
Body parts examined in the post mortem: Abdomen, lungs, heart, liver, spleen and kidneys
Illustrations: Yes
Type of incident: n/a

Emma Hunt, 56, Married

Occupation or role: Married
Age: 56
Gender: Female
Date of admission: 29 Apr 1880
Date of death: 10 Jun 1880
Disease (transcribed): Cystic disease of both ovaries. Suppuration. Perforation. Peritonitis
Disease (standardised): Cysts (Ovary); Suppuration (Ovary); Perforation (Ovary); Peritonitis (Abdomen)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Dent, Clinton Thomas
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: Fourteen months before admission she had some pain in the right iliac region which increased rapidly. She had some attacks of vomiting, nausea and sharp abdominal pain. Gradually the abdomen became enlarged.
Body parts examined in the post mortem: Lungs, heart, abdomen, liver, spleen, kidneys, urinary and generative organs
Illustrations: Yes
Type of incident: n/a

Elizabeth Summers, 57, Needlewoman

Occupation or role: Needlewoman
Age: 57
Gender: Female
Date of admission: 14 Aug 1880
Date of death: 4 Sep 1880
Disease (transcribed): Fracture of vertebrae
Disease (standardised): Fracture (Spine)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Turner, George Robertson
Post mortem examination performed by: Evans, Arthur Owen
Medical notes: Whilst cleaning a window she lost her balance and fell a height of some 20-25 feet into an asphalted court below. She was picked up conscious but unable to stand.
Body parts examined in the post mortem: Back. Thorax was not examined owing to the state of decomposition
Illustrations: Yes
Type of incident: Trauma/accident

John Davey, 61, Labourer

Occupation or role: Labourer
Age: 61
Gender: Male
Date of admission: 6 Oct 1880
Date of death: 14 Oct 1880
Disease (transcribed): Axillary aneurism (operation). Hernia. Granular Kidneys
Disease (standardised): Aneurysm (Arteries); Operation (Thorax); Hernia (Abdomen); Disease (Kidney)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Turner, George Robertson
Post mortem examination performed by: Owen, Herbert Isambard
Medical notes: He was accustomed to drink ‘as much as his wages allowed him’. At the end of January he fell off a stool about a foot high and hit ‘his ribs low down on the right side’. A week afterwards he experienced pain down the right arm and noticed a lump behind the right clavicle.
Body parts examined in the post mortem: Heart, arteries, lungs, liver, spleen, kidneys and hernia
Illustrations: Yes
Type of incident: n/a

Nehemiah Sharp, 28, Policeman

Occupation or role: Policeman
Age: 28
Gender: Male
Date of admission: 4 Jan 1881
Date of death: 5 Jan 1881
Disease (transcribed): Fracture of the base of the skull
Disease (standardised): Fracture (Skull)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'As he was cleaning a window, he fell on to his face, a distance of 24 feet into a stone area beneath. Picked up insensible bleeding from the nose, mouth and right ear'
Body parts examined in the post mortem: Head, bladder, urethra
Illustrations: Yes
Type of incident: Trauma / accident

James Spedding, 72, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 72
Gender: Male
Date of admission: 1 Mar 1881
Date of death: 9 Mar 1881
Disease (transcribed): Fractured skull (base). Erysipelas
Disease (standardised): Fracture (Skull); Erysipelas (Skin)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Owen, Herbert Isambard
Post mortem examination performed by: Turner, George Robertson
Medical notes: 'This patient was knocked down and run over by a hansom cab. He remembered little or nothing about the accident. On admission he was sweating profusely and collapsed'
Body parts examined in the post mortem: Head, skull, brain, lungs, heart, liver, spleen, kidneys
Illustrations: Yes
Type of incident: Trauma / accident

Frederick Tifield, 10, [Child of] Painter

Occupation or role: [Child of] Painter
Age: 10
Gender: Male
Date of admission: 22 Jan 1886
Date of death: 27 Jan 1886
Disease (transcribed): Fracture of the middle fossa of the skull. Bruising of the brain. Meningitis
Disease (standardised): Fracture (Skull); Bruising (Brain); Meningitis (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bull, William Charles
Post mortem examination performed by: Sisley, Richard
Medical notes: The child fell off the top of a van and was picked up insensible.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, aorta, peritoneum, liver, spleen, kidneys, bladder, pancreas, stomach, dura mater, brain and bones
Type of incident: Trauma/accident

Alfred Hearn, 44, Painter

Occupation or role: Painter
Age: 44
Gender: Male
Date of admission: 17 Feb 1886
Date of death: 18 Feb 1886
Disease (transcribed): Fracture of the skull (right side). Laceration of the left tempero-sphenoidal cerebral convolution. Lymph deposit at the base of the brain
Disease (standardised): Fracture (Skull); Laceration (Brain); Lymph (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Allingham, Herbert William. Bull, William Charles
Post mortem examination performed by: Sisley, Richard
Medical notes: Two days previous to admission the patient came home drunk and fell down stairs. His wife said she found him at the bottom of the stairs quite insensible.
Body parts examined in the post mortem: Pleurae, lungs, larynx, pericardium, heart, aorta, peritoneum, liver, spleen, kidneys, bladder, pancreas, stomach, intestines, cerebral membranes and bone
Type of incident: Trauma/accident

Sarah Bowen, 75, Widow

Occupation or role: Widow
Age: 75
Gender: Female
Date of admission: 18 Feb 1886
Date of death: 5 Mar 1886
Disease (transcribed): Oedema and congestion of the lungs. Fracture of bones of leg
Disease (standardised): Oedema (Lung); Congestion (Lung); Fracture (Leg)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Allingham, Herbert William. Bull, William Charles
Post mortem examination performed by: Sisley, Richard
Medical notes: This woman had always had good health. She fell down three or four stairs, her right and left leg striking violently against the last stair.
Body parts examined in the post mortem: Pleurae, lungs, pericardium, heart, aorta, liver, spleen, pancreas, kidneys, bladder, peritoneum, intestines and bones
Type of incident: Trauma/accident

John Ford, 70, Bath proprietor

Occupation or role: Bath proprietor
Age: 70
Gender: Male
Date of admission: 19 Apr 1886
Date of death: 19 Apr 1886
Disease (transcribed): Cut throat. Trachea divided
Disease (standardised): Cut (Throat); Divided (Trachea)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: See Surgical notes
Body parts examined in the post mortem: Not examined
Type of incident: Suicide