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Holmes, Timothy Pathological conditions, signs and symptoms
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Thomas Metcalf, 35, Labourer

Occupation or role: Labourer
Age: 35
Gender: Male
Date of admission: 23 Mar 1855
Date of death: 30 Mar 1855
Disease (transcribed): Injury to the head. Arachinitis. Pus in left lateral sinuses. Pyaemia
Disease (standardised): Injury (Head); Arachnoiditis (Meninges); Suppuration (Nose); Sepsis (Systemic)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This man was originally admitted on 1st March following a kick from a horse, which had inflicted two wounds on the scalp which exposed the bone.
Body parts examined in the post mortem: Cranium, thorax, abdomen and right shoulder joint.
Type of incident: Trauma/accident

William Smart, 72, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 72
Gender: Male
Date of admission: 1 Feb 1860
Date of death: 9 Apr 1860
Disease (transcribed): Senile gangrene
Disease (standardised): Gangrene
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A month before admission he cut a corn on the little toe of the right foot. He cut it rather more than he intended & made a small wound. He continued to walk about & it did not heal’
Body parts examined in the post mortem: Thorax, arteries, abdomen, right shoulder

Type of incident: Trauma / accident

William Minns, 30, Gamekeeper

Occupation or role: Gamekeeper
Age: 30
Gender: Male
Date of admission: 5 Jan 1853
Date of death: 8 May 1853
Disease (transcribed): Amputation after injury to the knee joint. Secondary pneumonia. Pus in the superficial veins of the leg
Disease (standardised): Amputation (Leg); Injury (Leg); Pneumonia (Lung); Suppuration (Veins)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: He applied for admission on account of a swelling near the left knee which had appeared nine months before his admission.
Body parts examined in the post mortem: Left thigh, abdomen and thorax
Type of incident: Trauma/accident

Henry Bartley, 47, Cabman

Occupation or role: Cabman
Age: 47
Gender: Male
Date of admission: 6 Apr 1860
Date of death: 10 Apr 1860
Disease (transcribed): Fracture (simple) of the cranium. Laceration of middle meningeal artery. Scalp wound. Diffuse inflammation of the scalp
Disease (standardised): Fracture (Skull); Laceration (Brain); Wound (Scalp); Inflammation (Scalp)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was brought into the hospital perfectly insensible, apparently from the combined effects of gin & concussion he had been upset off a cab which he was driving’
Body parts examined in the post mortem: Cranium

Type of incident: Trauma / accident

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

Sarah Rogers, 25, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 25
Gender: Female
Date of admission: 7 Feb 1855
Date of death: 4 April 1855
Disease (transcribed): Pelvic abscess after parturition
Disease (standardised): Abscess (Pelvis)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This patient had been confined three months before admission, with her second child. The labour had been natural but was followed, very shortly, by pain in the region of the left hip or left iliac region with slight rigors.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Thomas Smith, [Occupation not stated]

Occupation or role: [No occupation stated]
Gender: Male
Age: 76
Date of admission: 29 Mar 1854
Date of death: 11 Apr 1854
Disease (transcribed): Diseased bladder. Purulent deposits in kidneys. Remains of an old haematocele?
Disease (standardised): Disease (Bladder); Deposit (Kidney); Haematocele (Genitalia)
Admitting doctor: Cutler, Edward
Surgeon: Ogle, John William
Physician: Holmes, Timothy
Medical notes: 'This old man, who was in a state of senile dementia, was admitted on account of a difficulty in making water, which had existed, it was said, about 8 days. He could give no intelligible account of his disease & was in a very weak condition’
Body parts examined in the post mortem: Abdomen, scrotum, thorax

Type of injury: n/a

Elizabeth Cant, 39, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 39
Gender: Female
Date of admission: 7 Apr 1860
Date of death: 12 Apr 1860
Disease (transcribed): Strangulated hernia. Operation. Peritonitis
Disease (standardised): Hernia Operation Peritonitis (Peritoneum)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient had been troubled with a femoral hernia for 6 years, which came on after lifting a heavy weight. She had always worn a truss’
Body parts examined in the post mortem: Thorax, abdomen

Type of incident: n/a

William Vicary , 76, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 76
Gender: Male
Date of admission: 4 Apr 1870
Date of death: 6 Apr 1870
Disease (transcribed): Slight stricture of urethra. Cystitis. Pyelitis. Bronchitis.
Disease (standardised): Constriction (Urethra); Cystitis (Bladder); Pyelitis (Kidney); Bronchitis (Lung)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient when admitted was in an extremely exhausted condition and was unable to pass his water.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys and bladder
Type of incident: n/a

William Whitsum, 42, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 42
Gender: Male
Date of admission: 7 May 1856
Date of death: 14 May 1856
Disease (transcribed): Stricture of Urethra. Diseased Bladder and Kidneys
Disease (standardised): Constriction (Urethra); Disease (Bladder); Disease (Kidney)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This man was admitted on account of stricture of the urethra. It appeared that he had applied at the Hospital as an out patient two days before, when a small instrument was passed into the bladder.
Body parts examined in the post mortem: Thorax, abdomen and urethra
Type of incident: n/a

Edward Lack, 53, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 53
Gender: Male
Date of admission: 16 Jan 1860
Date of death: 16 Jan 1860
Disease (transcribed): Operation for strangulated inguinal hernia
Disease (standardised): Hernia (Groin); Operation
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man was admitted with the following history. Five years before he was knocked down by a blow in the abdomen, & an oblique inguinal hernia appeared on the right side’
Body parts examined in the post mortem: Abdomen, thorax

Type of incident: n/a

James Naylor, 36, Clerk

Occupation or role: Clerk
Age: 36
Gender: Male
Date of admission: 11 Jan 1870
Date of death: 12 Jan 1870
Disease (transcribed): Diffuse cellular inflammation. Septicaemia.
Disease (standardised): Inflammation (Arm); Sepsis (Systemic)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Haward, John Warrington
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: The patient had been subject to epilepsy for several years. On 8th January he fell down in a fit an injured his arm which resulted in diffuse cellular inflammation.
Body parts examined in the post mortem: Pleurae, lungs, heart, liver, spleen, kidneys, cranium and blood vessels
Type of incident: n/a

Sarah Catchpole, 46, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 46
Gender: Female
Date of admission: 5 Apr 1853
Date of death: 16 May 1853
Disease (transcribed): Artificial anus in left groin. Circumscribed peritoneal abscesses
Disease (standardised): Artificial anus (Groin); Abscess (Abdomen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This woman was admitted in the afternoon on account of a femoral hernia of the left side, which she had had for about three years.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Emma Byrne, 32, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 32
Gender: Female
Date of admission: 17 May 1853
Date of death: 18 May 1853
Disease (transcribed): Malignant ulceration and stricture of oesophagus, having an ulcerated opening leading into the pleural cavity and left bronchus
Disease (standardised): Cancer (Oesophagus); Ulcer (Oesophagus); Constriction (Oesophagus); Ulcer (Lung)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This woman had laboured for some time under stricture of the oesophagus which from her aspect was evidently of a malignant nature.
Body parts examined in the post mortem: Trachea and oesophagus
Type of incident: n/a

Anne Pinyon, 35, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 35
Gender: Female
Date of admission: 3 Mar 1852
Date of death: 6 May 1852
Disease (transcribed): Recent lymphy sheds in abdominal cavity. Ulceration of ileum. Diseased kidneys
Disease (standardised): Lymph (Abdomen); Ulcer (Intestines); Disease (Kidney)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: She had not been able to move the lower limbs for about a year, and had suffered from pains down the thighs and the loins.
Body parts examined in the post mortem: Thorax, abdomen, cranium and spinal column
Type of incident: n/a

Frederick Kindon, 51, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 51
Gender: Male
Date of admission: 23 Mar 1855
Date of death: 7 April 1855
Disease (transcribed): Phagadaena of forearm
Disease (standardised): Ulcer (Arm)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This man was originally admitted on the 3rd March on account of an abscess which was forming in the left forearm accompanied by an erysipelatous blush.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

James Morton , 31, Drayman

Occupation or role: Drayman
Age: 31
Gender: Male
Date of admission: 9 Apr 1853
Date of death: 18 May 1853
Disease (transcribed): Compound comminuted fracture of thigh. Inflamed saphena and femoral veins
Disease (standardised): Fracture (Leg); Inflammation (Veins)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: On the day of admission he was run over by a dray, which passed over his left thigh.
Body parts examined in the post mortem: Abdomen and left inferior extremity
Type of incident: Trauma/accident

George Pluthero, 17, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 17
Gender: Male
Date of admission: 14 Nov 1856
Date of death: 19 May 1856
Disease (transcribed): Diseased knee. Resection. Pyaemia
Disease (standardised): Disease (Leg); Resection (Leg); Sepsis (Systemic)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This lad had been a patient in the hospital in the early part of the year, on account of strumous disease of the left knee.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Sarah Pevey , 64, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 64
Gender: Female
Date of admission: 16 Mar 1852
Date of death: 6 May 1852
Disease (transcribed): Fracture of the upper part of the thigh bone. Old pleural adhesion and soft dilated heart. Kidneys slightly diseased
Disease (standardised): Fracture (Leg); Adhesions (Pleura); Disease (Heart); Disease (Kidney)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This woman was admitted a short time after the occurrence of an accident by which she had broken her thigh. She fell down two stairs.
Body parts examined in the post mortem: Left femur, thorax and abdomen
Type of incident: Trauma/accident

Amelia Turner, 67, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 67
Gender: Female
Date of admission: 2 April 1855
Date of death: 17 April 1855
Disease (transcribed): Umbilical Hernia
Disease (standardised): Hernia (Abdomen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: This woman, in a state of senile dementia, was admitted on account on an umbilical hernia which was said to be strangulated.
Body parts examined in the post mortem: Thorax
Type of incident: n/a

Charles Ely, 34, Brewhouse labourer

Occupation or role: Brewhouse labourer
Age: 34
Gender: Male
Date of admission: 22 Feb 1860
Date of death: 23 Apr 1860
Disease (transcribed): Softening of the brain. Gangrene. Peritonitis
Disease (standardised): Softening (Brain); Gangrene; Peritonitis (Abdomen)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Dickinson, William Howship and Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'A brewhouse labourer. In the habit of drinking freely, according to his own admission 5 pints a day. He was said to have had epileptic fits latterly, but it was not learned how long he had been so affected. He attributed his illness to a lump of coal falling upon the lower part of his back 7 weeks ago’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Edward Wilkins, 61, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 61
Gender: Male
Date of admission: 16 Feb 1853
Date of death: 25 May 1853
Disease (transcribed): Caries of body and ramus of jaw. Ulceration of thyroid and occipital arteries
Disease (standardised): Caries (Jaw); Ulcer (Arteries)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Gray, Henry
Medical notes: He was admitted on account of swelling on the right side of the jaw which he said had existed for about ten months.
Body parts examined in the post mortem: Neck, face, thorax and abdomen
Type of incident: n/a

William Thorn, 55, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 55
Gender: Male
Date of admission: 31 Mar 1852
Date of death: 15 May 1852
Disease (transcribed): Hypertrophied heart. Diseased kidneys. Atheroma of aorta. Old double pleural adhesions. Cheese like scrofulous matter in apices of both lungs
Disease (standardised): Disease (Heart); Disease (Kidney); Plaque, atherosclerotic (Arteries); Adhesions (Pleura); Tuberculosis (Lung)
Admitted under the care of: Nairne, Robert
Medical examination performed by: Barclay, Andrew Whyte
Post mortem examination performed by: Holmes, Timothy
Medical notes: He was in the hospital for a short period last August with swelled leg. Despite treatment e was never entirely free from dropsy, but of late the swelling had much increased.
Body parts examined in the post mortem: Thorax and abdomen
Type of incident: n/a

Sarah Wilkie, 6, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 6
Gender: Female
Date of admission: 21 Apr 1852
Date of death: 16 May 1852
Disease (transcribed): Disease of the hip joint and femur. Effusion of fluid and lymph under the arachnoid at the base of the brain. Fluid in ventricles. Death by coma and convulsions
Disease (standardised): Disease (Hip); Disease (Leg); Effusion (Brain); Lymph (Brain); Coma (Brain); Seizures (Brain)
Admitted under the care of: Keate, Robert
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Holmes, Timothy
Medical notes: The child had been ill for about a year, her symptoms being referred to the left hip.
Body parts examined in the post mortem: Cranium, thorax, abdomen and hip joint
Type of incident: n/a

John Atto, 60, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 60
Gender: Male
Date of admission: 4 Jan 1860
Date of death: 16 Jan 1860
Disease (transcribed): Dropsy. Diseased kidneys. Sprained ankle
Disease (standardised): Edema (Systemic); Disease (Kidneys); Sprain (Ankle)
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, who had been a free liver and had had delirium tremens several times, was admitted on the 4th of January into one of the surgical wards with a sprained ankle. Nothing unusual was observed about him until the 14th, when while attempting to get out of bed, he fell down half insensible’
Body parts examined in the post mortem: Cranium., thorax, abdomen, right ankle

Type of incident: Trauma / accident

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