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Holmes, Timothy Chemically-induced disorders
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William Linzell, 40, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 40
Gender: Male
Date of admission: 29 Feb 1860
Date of death: 2 Mar 1860
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'Shortly before admission this man was stooping down to pick up something when he overbalanced himself & struck his nose just below the frontal bone against a slab. Haemorrhage came from the nose & he came to the hospital. On his way thither he had an epileptic fit’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

William Thompson, 33, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 33
Gender: Male
Date of admission: 22 Jul 1857
Date of death: 25 Jul 1857
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
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 had been drinking hard ever since Christmas but symptoms of delirium tremens did not show themselves until four days before his admission.
Body parts examined in the post mortem: Cranium, spine, thorax, abdomen and pelvis
Type of incident: n/a

James Manning, 36, Butler

Occupation or role: Butler
Age: 36
Gender: Male
Date of admission: 6 May 1879
Date of death: 17 May 1879
Disease (transcribed): Cutaneous burn. Delirium tremens. Pulmonary tubercle
Disease (standardised): Burn (Skin); Alcohol withdrawal delirium (Brain); Tuberculosis (Lung)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Bennett, William Henry
Post mortem examination performed by: Ewart, William
Medical notes: The patient was burnt in a gas explosion.
Body parts examined in the post mortem: Lung, heart, liver, kidneys, spleen, duodenum and brain
Type of incident: Trauma/accident

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)

St George's Hospital Reports, Vol. III

CONTENTS
I. On the Treatment of Rheumatic Fever. By HENRY WILLIAM FULLER, M.D., Senior Physician to the Hospital
II. Cases of Delirium probably dependent on Impoverishment of the Blood. By A. W. BARCLAY, M.D., Physician to the Hospital, and Lecturer on Physic
III. Abstract of Clinical Lectures. By HENRY LEE, Surgeon to the Hospital
IV. Case of Cerebral Disease in a Syphilitic Patient. By T. CLIFFORD ALLBUTT, M.D., Physician to the Leeds General Infirmary
V. On the Reduction of old Dislocations. By BERNARD E. BRODHURST, Assistant Surgeon to the Hospital
VI. On Traumatic Fever. By THOMAS P. PICK, Curator of the Pathological Museum
VII. On Paralysis of the Extensors. By REGINALD THOMPSON, M.D., F.R.S., Medical Registrar to the Hospital
VIII. Are there special Trophic Nerves? By HANDFIELD JONES, M.D., F.R.S., Physician to St. Mary’s Hospital
IX. On improved Methods of inducing and accelerating Labour, with the view of obtaining increased safety to Mother and Child. By ROBERT BARNES, M.D., Lecturer on Midwifery, &c. St. Thomas’s Hospital
X. On Counter-Irritation, considered in reference to the remote and indirect effects of local morbid changes. By W. H. DICKINSON, M.D., Assistant Physician to the Hospital
XI. A Hypothesis as to the ultimate destination of Glycogen. By WILLIAM OGLE, M.D., Assistant Physician to, and Lecturer on Physiology at the Hospital
XII. Case of Poisoning by Stramonium. By C. PAGET BLAKE, M.D. Edin., M.R.C.P. Lond., Consulting Physician to the Torbay Infirmary and Dispensary
XIII. Loss of Speech from the Bite of Venomous Snakes. By WILLIAM OGLE, M.D., Assistant Physician to the Hospital
XIV. Upon certain Morbid Conditions of the Appendages of the Liver. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XV. A Case of Aneurysm. By R. J. LEE, M.B.
XVI. A Series of Fatal Cases of Poisoning. By JOHN W. OGLE, M.D., Physician to the Hospital, and Lecturer on Pathology
XVII. On the Treatment of Wounds by the application, of Carbolic Acid, on Lister’s method; showing the results of a Series of Cases so treated in this Hospital during the last few months. By T. HOLMES, Surgeon to the Hospital, and Lecturer on Surgery; and W. B. HOLDERNESSE, House-Surgeon to the Hospital
XVIII. Ophthalmic Department Report. By HENRY POWER, Ophthalmic Surgeon to the Hospital
XIX. Pathological Observations. By THOMAS P. PICK, Curator of the Pathological Museum
XX. Report of the Medical Cases admitted during the year 1867-8. By REGINALD E. THOMPSON, M.D., Medical Registrar
XXI. Report of the Surgical Cases treated during the year 1867. By WILLIAM LEIGH, Surgical Registrar
XXII. Address to the Students of the Hospital on the Opening of the New School, October 1,1868. By HENRY W. ACLAND, Regius Professor of Medicine in the University of Oxford, and Honorary Physician to H.R.H. the Prince of Wales

LIST OF ILLUSTRATIONS
Diagram of Medio-lateral Operation for Lithotomy
Obstruction of Bile-duct by enlarged Glands
Cyst of Pancreas, the result of Obstruction of its Duct
TWO Views of Aneurysm of the Aorta
Diagrams explanatory of this Case
Coloured Lithographs illustrating Cases in the Ophthalmic Report

John Williams, 34, Gentleman's servant

Occupation or role: Gentleman's servant
Age: 34
Gender: Male
Date of admission: 28 Mar 1853
Date of death: 1 Apr 1853
Disease (transcribed): Delirium tremens. Cut throat. Epileptic fit. Slight disease of the kidneys. Softening of central parts of the brain
Disease (standardised): Alcohol withdrawal delirium (Brain); Wound (Throat); Epilepsy (Brain); Disease (Kidney); Softening (Brain)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This man had been in the habit of drinking to excess, and being discharged by his master, he cut his throat with a razor while in a fit of delirium tremens.
Body parts examined in the post mortem: Cranium, abdomen and thorax
Type of incident: Suicide

George Courtenay, 38, Servant

Occupation or role: Servant
Age: 38
Gender: Male
Date of admission: 10 Mar 1860
Date of death: 12 Mar 1860
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
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 man had been indoor servant at the Archbishop of York’s. From the account of the steward, it appeared that he was a very sober man, though he partook freely of the beer which was allowed in unlimited quantity to the servants. He was a powerful, muscular man’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Philip Lever, 47, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 47
Gender: Male
Date of admission: 7 Aug 1860
Date of death: 18 Aug 1860
Disease (transcribed): Compound fracture of the leg. Delirium tremens
Disease (standardised): Fracture (Leg); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This patient while drunk attempted to get out of a railway carriage when the train was in motion, in doing so he fell between the carriage & the platform. He was extricated as soon as possible & brought here’
Body parts examined in the post mortem: Right leg, thorax, abdomen (‘the body was not examined until five days after death, when the coroner ordered it to be inspected. Decomposition was far advanced’

Type of incident: Trauma / accident

William Pettie, 25, Footman

Occupation or role: Footman
Age: 25
Gender: Male
Date of admission: 29 Sep 1860
Date of death: 3 Oct 1860
Disease (transcribed): Delirium tremens
Disease (standardised): Alcohol withdrawal delirium (Brain)
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 man had been a footman and an excessive drinker of beer and whiskey, of late he had not been soaking more than usual, not to the extent of intoxication. He remained at his usual vocation until the day of admission when while riding behind his mistress’ carriage he was seized with epileptic convulsions, and was soon afterwards brought to the hospital’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

James Claridge, 60, Coalporter

Occupation or role: Coalporter
Age: 60
Gender: Male
Date of admission: 21 Dec 1860
Date of death: 22 Jan 1861
Disease (transcribed): Fractured humerus. Delirium tremens
Disease (standardised): Fracture (Arm); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: The patient slipped and fell to the ground and the wheel of his cart passed over the left arm and hand. On admission there was found a simple fracture of the humerus about its middle and extensive laceration of the integuments of the hand. There was very little haemorrhage.
Body parts examined in the post mortem: Left arm, cranium, thorax and abdomen
Type of incident: Trauma/accident

Richard A. Lewis, 23, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 23
Gender: Male
Date of admission: 11 Aug 1858
Date of death: 14 Aug 1858
Disease (transcribed): Delirium tremens. Wound of leg. Dislocation of os calcis from astragalus
Disease (standardised): Alcohol withdrawal delirium (Brain); Wound (Leg); Dislocation (Heel)
Admitted under the care of: Cutler, Edward
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: n/a
Medical notes: n/a
Body parts examined in the post mortem: Left leg, cranium, thorax, abdomen

Type of incident: Trauma / accident

William Tierney, 42, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 42
Gender: Male
Date of admission: 6 Oct 1858
Date of death: 9 Oct 1858
Disease (transcribed): Delirium tremens. Phthisis. Strumous disease of supra-renal bodies
Disease (standardised): Alcohol withdrawal delirium (Brain); Tuberculosis (Lungs); Tuberculosis (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 was admitted with all the symptoms of delirium tremens, but his friends asserted that he had been ‘lightheaded’ for two months. This was all that could be ascertained of his previous history. When first seen he answered rationally though with hesitation. His memory was defective & he had a hurried, fidgety manner with tremors & jerking’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

George Tidman, [No age stated], Tailor

Occupation or role: Tailor
Age: [No age stated]
Gender: Male
Date of admission: 18 Mar 1857
Date of death: 30 Jul 1857
Disease (transcribed): Poisoning by amylene
Disease (standardised): Poisoning (Systemic)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Wintle, Frederic J.W.
Post mortem examination performed by: Holmes, Timothy
Medical notes: He was admitted with several tumours in the back, and he stated that he had been operated upon before he came in to the hospital. He was further operated on under chloroform.
Body parts examined in the post mortem: Cranium, spine, thorax, abdomen and blood
Type of incident: n/a

William Page, 47, Brewer’s drayman

Occupation or role: Brewer’s drayman
Age: 47
Gender: Male
Date of admission: 16 Dec 1857
Date of death: 24 Dec 1857
Disease (transcribed): Compound fracture of the leg. Delirium tremens
Disease (standardised): Fracture (Leg); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Johnson, Henry Charles
Medical examination performed by: Hart, Ernest Abraham
Post mortem examination performed by: Holmes, Timothy
Medical notes: A beer cask fell on his leg.
Body parts examined in the post mortem: Right lower extremity, cranium, thorax and abdomen
Type of incident: Trauma/accident

James Jeffries, 36, Butler

Occupation or role: Butler
Age: 36
Gender: Male
Date of admission: 15 Apr 1858
Date of death: 17 Apr 1858
Disease (transcribed): Delirium tremens. Phthisis
Disease (standardised): Alcohol withdrawal delirium (Brain); Tuberculosis (Lungs)
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'A butler who was admitted on account of delirium tremens. He had been under medical care four days, but previous to the attack his health had been impaired. For two months he had complained of sore throat & cold & the week before his admission he spat a little blood’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Frederick Rathnell, 54, Cabman

Occupation or role: Cabman
Age: 54
Gender: Male
Date of admission: 17 Mar 1875
Date of death: 21 Mar 1875
Disease (transcribed): Compound comminuted fracture of the left leg. Congestion and oedema of the lungs. Delirium tremens
Disease (standardised): Fracture (Leg); Oedema (Lung); Congestion (Lung); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Thrupp, James Godfrey
Post mortem examination performed by: Whipham, Thomas Tillyer
Medical notes: This patient fell from a loft about six feet from the ground while in a state of slight intoxication.
Body parts examined in the post mortem: Bones, cerebrum, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: Trauma/accident

James Fowlser, 37, Coachman

Occupation or role: Coachman
Age: 37
Gender: Male
Date of admission: 13 Jul 1885
Date of death: 15 Jul 1885
Disease (transcribed): Fracture of leg. Delirium tremens
Disease (standardised): Fracture (Leg); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: n/a
Post mortem examination performed by: n/a
Medical notes: Not reported here
Body parts examined in the post mortem: Not examined
Type of incident: Trauma/accident

James Allen, 43, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 43
Gender: Male
Date of admission: 19 May 1884
Date of death: 30 May 1884
Disease (transcribed): Cellulitis. Delirium tremens
Disease (standardised): Cellulitis (Tissues); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Margerison, Richard
Post mortem examination performed by: Ross, Daniel McClure
Medical notes: When admitted he could give no account of himself. The right leg was half covered with an ulcer. After twenty four hours in the hospital the man passed into a condition of noisy, restless, tremulous delirium.
Body parts examined in the post mortem: Pleurae, heart, liver, spleen and kidneys
Type of incident: n/a

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)

Robert Teagle, 36, [No occupation stated]

Occupation or role: [No occupation stated]
Age: 36
Gender: Male
Date of admission: 10 Jan 1852
Date of death: 18 Jan 1852
Disease (transcribed): Delirium tremens. Cut throat. Old cough. The larynx not wounded, nor the great vessels. Formation of purulent matter under sterno hyoid muscle. Wet brain. Engorgement of lungs. Soft heart
Disease (standardised): Alcohol withdrawal delirium (Brain); Cut (Throat); Suppuration (Sternohyoid muscle); Disease (Brain); Engorgement (Lung); Soft (Heart)
Admitted under the care of: Hawkins, Caesar Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Ogle, John William
Medical notes: This man had been in a state of continuous intoxication for some days. This brought on an attack of delirium tremens and whilst in this state he attempted suicide.
Body parts examined in the post mortem: Neck, trachea, cranium, thorax and abdomen
Type of incident: Suicide

William Vinson, 33, Cab driver

Occupation or role: Cab driver
Age: 33
Gender: Male
Date of admission: 3 Nov 1858
Date of death: 9 Dec 1858
Disease (transcribed): Ascites. Cirrhosis. Delirium tremens
Disease (standardised): Ascites (Peritoneum); Liver cirrhosis (Liver); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Bence Jones, Henry
Medical examination performed by: Holmes, Timothy
Post mortem examination performed by: Rogers, George Goddard
Medical notes: 'A cab driver who had been ill three weeks. His habits were very intemperate & in May last he had an attack of delirium tremens. He attributed his present illness to cold; having been exposed to the rain for 16 hours. For three weeks he had been troubled with vomiting after meals’
Body parts examined in the post mortem: Cranium, thorax, abdomen

Type of incident: n/a

Henry Mends, 25, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 25
Gender: Male
Date of admission: 26 May 1860
Date of death: 27 May 1860
Disease (transcribed): Delirium tremens. Fatty heart. Bed sores
Disease (standardised): Alcohol withdrawal delirium (Brain); Disease (Heart); Pressure ulcer (Skin)
Admitted under the care of: Tatum, Thomas
Medical examination performed by: Rouse, James
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'About 10 days before this man was admitted he was getting up behind a carriage, when he struck his right foot (against the step)’
Body parts examined in the post mortem: Cranium, larynx, thorax, abdomen, foot

Type of incident: Trauma / accident

Richard Govett, 31, [Occupation not stated]

Occupation or role: [Occupation not stated]
Age: 31
Gender: Male
Date of admission: 3 Aug 1860
Date of death: 8 Aug 1860
Disease (transcribed): Fatty heart. Oxalic acid poisoning
Disease (standardised): Disease (Heart); Poisoning
Admitted under the care of: Page, William Emanuel
Medical examination performed by: Sturges, Octavius
Post mortem examination performed by: Holmes, Timothy
Medical notes: 'This man had indulged in habits of intemperance for several years, he confessed to drunkenness three or four days in the week and said that he had had delirium tremens repeatedly. On the evening of the third of August when excited with liquor he purchased and swallowed three pennyworth of oxalic acid. When brought to the hospital immediately after, his hands and feet were cold and the pulse very feeble’
Body parts examined in the post mortem: Cranium, thorax, throat, abdomen

Type of incident: Trauma / accident

William Priest, 37, Cabman

Occupation or role: Cabman
Age: 37
Gender: Male
Date of admission: 12 Sep 1873
Date of death: 27 Sep 1873
Disease (transcribed): Amputation of thigh (for compound fracture). Granular kidneys. Delirium tremens
Disease (standardised): Amputation (Leg); Fracture (Leg); Disease (Kidney); Alcohol withdrawal delirium (Brain)
Admitted under the care of: Holmes, Timothy
Medical examination performed by: Rowland, Edward Roger
Post mortem examination performed by: Haward, John Warrington
Medical notes: This man stated that he was knocked down while housing a carriage.
Body parts examined in the post mortem: Brain, pleurae, lungs, heart, liver, spleen and kidneys
Type of incident: n/a

George Mays, Brewer

Occupation or role: Brewer
Age: 37
Gender: Male
Date of admission: 23 Aug 1871
Date of death: 28 Aug 1871
Disease (transcribed): Granular kidneys. Delirium tremens
Disease (standardised): Disease (Kidneys); Alcohol withdrawal delirium (Brain)
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, who was a brewer, & accustomed to drink large quantities of beer, fell 10 feet from a ladder, and struck the back of his head, & spine’
Post mortem notes: Body parts examined in the post mortem: Thorax, abdomen, cranium

Type of incident: Trauma / accident

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